By Clark Miller

Published August 21, 2019

Updated April 14, 2021

billboard advertising Suboxone

The medical model substitute opioid cure for the medically generated worsening lethal opioid crisis has failed, predictably

It was manufactured, branded and promoted on fabricated evidence for effectiveness just as generation of the crisis was, its failure not explained away by the emergence of fentanyl and constituting a fraudulent diversion of public healthcare funds away from longstanding evidence-based therapies for the non-medical condition of compulsive substance use.

The evidence, critically and competently examined, establishes that the medical “fix” provides no benefit for high-risk opioid use or overdose rates, instead worsening lethal epidemics, and the “evidence” for reduced OD deaths attributable to OST (MAT) used to market the “treatment” doesn’t hold up, never has, instead points to Naloxone as the effective factor in moderating OD deaths. Meanwhile diversion and abuse fueled by a runaway national “dose” of substitute addictive opioids – as in generation of the crisis – is integral to national high-risk opioid use economies – diversion and abuse of addictive opioids driving a street and prison economy; diversion and abuse of public healthcare funds driving a professional supplier economy constructed as “medical treatment”.

The new evidence from Wisconsin

is part of a consistent, invalidating, predictable pattern that disconfirms benefit attributable to OST. That expanding pattern is described in detail in multiple posts for locales within and outside the U.S.

Dayton, Ohio

Plumas County, California

Franklin County (Columbus) Ohio

Cincinnati, Ohio






Rowan County, North Carolina

Bethlehem, Pennsylvania

Ontario, Canada

United States

Victoria, B.C. Canada



and in Wisconsin

where “Hospital emergency room visits for opioid-related overdoses in Wisconsin increased from 2014 to 2018 by 64%”

over the same period opioid-related overdose deaths climbed steadily including those attributed to heroin.



As in other locales consistently, over that same period of increasing high-risk use of opioids with associated mortality and other costs, medical provision of the “gold standard” medical “treatment” for high-risk opioid risk was significantly increasing.

“Statewide, 10,626 patients were treated at the 18 methadone clinics in operation last year, up from 6,319 in 2013.”

Figures in the table represent medical provision of both methadone and buprenorphine.

Wisconsin MAT provision trend1



For the most recent recording period – 2018 compared to 2017 – opioid related OD deaths decreased by about 10 percent. As in other locales consistently, any apparent moderation in increasing trend of opioid-induced OD deaths can be attributed to the directly acting and observed life-saving effects of increasing distribution and use of naloxone (Narcan).


Increased emergency use of the overdose death preventing antagonist naloxone, of course, represents continuation or worsening of prevalence of high-risk opioid use and worsening of the iatrogenic and lethal opioid crisis.

Wisconsin OD deaths trend graphPNG

That is, as is consistently evidenced in other locales, emergency responders are saving lives, often repeatedly, by reversing opioid overdoses, accounting for all moderation in lethality trends, leaving none to attribute to OST, while the invalidated medical “treatment” continues to fuel street economies of high-risk opioid use.

The mounting, consistently invalidating pattern was predictable, all along, because there has never been credible evidence to support effectiveness for OST, instead all lines of evidence disconfirm effectiveness and point to increasing harm.

Why A Critical Discourse?

Because an uncontrolled epidemic of desperate and deadly use of pain-numbing opioid drugs is just the most visible of America’s lethal crises of drug misuse, suicide, depression, of obesity and sickness, of social illness. Because the matrix of health experts and institutions constructed and identified by mass media as trusted authorities – publicly funded and entrusted to protect public health – instead collude to fabricate false assurances like those that created an opioid crisis, while promising medical cures that never come and can never come, while epidemics worsen. Because the “journalists” responsible for protecting public well-being have failed to fight for truth, traded that duty away for their careers, their abdication and cowardice rewarded daily in corporate news offices, attempts to expose that failure and their fabrications punished.

Open, critical examination, exposure, and deconstruction of their lethal matrix of fabrications is a matter of survival, is cure for mass illness and crisis, demands of us a critical discourse.

Crisis is a necessary condition for a questioning of doxa, but is not in itself a sufficient condition for the production of a critical discourse.

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