The war on prescription drug abuse has been effective in decreasing the availability of commonly abused pills such as oxycodone and other narcotics. But as an unintended consequence, heroin use in Maryland has actually been on the rise. More people are using heroin, and state officials are reporting a significant jump in the number of deaths attributed to heroin overdoses in 2012. In fact, in the first half of 2012 heroin related overdoses increased 41 percent, with 205 deaths reported from January to July of this year compared to 145 in 2011 over the same time frame. There could be a wide variety of reasons for the jump in overdoses, which according to state officials signals a definite jump in use of the drug, but the leading factor is likely a recent crackdown on pill mills.
Pill mills have become a booming business over the past decade in dozens of states across the country. Most of the states affected lack actual legislation or strict medical board rules to control the amount of narcotics that are prescribed and purchased. Although there are thousands of legitimate pain clinics across the country with well trained and respected physicians, there are also some clinics who’s sole purpose is to rake in huge amounts of money with absolutely no motivation to care for their patients. These clinics are often owned by businessmen with no medical training, and sometimes employ doctors by the month. These doctors are been paid as much as $100,000 per month to simply write prescriptions all day, many times after speaking with their patients for less than 5 minutes. The prescriptions allow the patients to buy powerful narcotic painkillers such as oxycodone by the hundreds. Many of the patients are addicts themselves, and others simply use the pain clinics to obtain a cheap supply of the drugs to sell for a profit. It is not unreasonable for one person to walk out of a pill mill with a prescription for 300 oxycodone pills that sell for ten times more on the street than what it costs to buy in the pharmacy.
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