Methadone Treatment at Forty

Methadone Treatment at Forty

In the view of a clinician who has been providing methadone therapy since its inception 40 years ago, the status of the treatment today reflects the culmination of two trends: an increase in understanding, skills, and standards on the one hand, and a deterioration of patients' health on the other. A retreat of stigma, greater physician interest, and the evolution of standards are beginning to m...

The IHÉS at Forty

N ot far outside Paris, in a small village, along a busy road, there is a gate leading into a park. The sound of the traffic dissipates as one follows the footpath. The trees are abundant enough to give the impression that one is simply walking through a serene wood, which has a slight incline that amplifies the rustle of the breeze through the treetops. But soon one reaches a small parking lot...

Medicare at Forty

This year marks the 40th anniversary of the Medicare Program. Medicare has achieved its two basic goals of ensuring access to care for elderly and disabled beneficiaries and protecting them from severe financial hardship. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 represents an important improvement by adding prescription drug coverage. Medicare's major future ch...

Medicaid at Forty

This article examines Medicaid's evolution over the last four decades in its role as a health insurer for low-income families, a source of health and long-term care (LTC) coverage for people with disabilities, and as the supplement to Medicare for low-income aged and disabled Medicare beneficiaries. Medicaid's role and impact on each of these beneficiary groups is assessed.

Methadone maintenance treatment.