Phipp Institute
Jos Hopkins Hospital
Baltimore Maryland«

Dear Doctor Richards:

In respome to your letter, 7 am sending you under separcte cover a
govy of Reguietion 36 and a number of emendments, etes covering
ee Regulation 36 ¢entalns the Harrison

sarootte lnwp alse sone of the oitigs have special eismees
narcotic lew; also some of the cities have special ardinances
regulating the scle of narcobiess Public Health Bulletin

Rite South caren Savor ity vee te ste rete em

up thathat detes. sue Som peeiely oS Sey Se Wee ©

to the Government Printing Office Washingten,Dels = e tiers wit
be ® gmall charge, possibly trenty-five contes

The nest iapartent regulation ef nereetio addiction in the United States
is by the Federal government through the mediun of the Harrison Laws

_ The federal government has ne police powers in the statecand under the
 genstitution can not direetly regulate the preseribing of narcotiosy
but the government doos it nevertheless through ite texing powers In
other words, a tax is put en nereeticse Everyones who handles thon
legally is licensed and regulations are made which says what these
——cee a
assumed by the government after alle

The state laws are based largely on the Horrison Lew with the exeeption
thet they de net have te resort to a roundabout mans to do what

want te dee By writing te the narcotic division of the Bureau
of I,ternal Revenue, Washington, DeCe,you may be able to get copies
of the various state narcotic lews, but 1 doubt ite In actual practice
a large mumber of the staves really turn their regulating
sayeth sane Be woth grein yagetlan Reig og They assist

down violetors of their narcotic laws but turn ever

Ghucuasdake sie Aekeeus covmbomiun dee erestantin wanes ae
violators of their laws are really violators of the federal laws
This dees not happen in all cages but- 1 believe that mest states

 
 
‘Twill sey, however, thet the lew has done and is doing a great aya ey

Drasther lsRichards=2

   

solve the problem this waye Sane of the states have mere drestio .
he ceeceee oe eet eee eee gee a eee oe ee oe .
wae ee ee }

|

 

this powers N
Ag to addic » thay went depend everyebore on pigebetons Be Vinte |
doug end if tho physlelans Fetune $0 wecseribe for them they will

 gkther go without the drug or seoure it by illicit meanse Physici
theoretically have the right to preseribe wider the Federal law |
SU ics tics ak te he seca ie aa dae NK ;

 
 

 

goverment r

Sra Gah GOOLne Sdakeee mad sADAGte etburios wate taretesd |
that presumbly require the continuance of their addictions these
sristeauhen of addtetins shaaie’ tae sisieten oF tumianaen fs
@atisfaction of addiction alones The position ef physi .
wneertain under the Pedere] jaw thet many of them fear to x
nereotics for addicts whem they really think neod ite ices” Tt

 

 
 

de that a considerable maber of oases are allowed to euffers

nh,

~ $f gaat Netwane 48 fan foreed « great many onane to be eured sad
incidentally, has made the physicians much more carefule

A few of the state laws are quite drastios Pennsylvania has quite

& Comprehensive lew and a well organized reguletion bureaus It

ie my opinion that addicts suffer legs in Pennsylvania than in other
states beoauge the doctors there fee] more sure of their groumle Addicts
in Penansylvenia ere registered with the Buroau of Nercotic Drug Control
and doctors have permigsion from this burceu te prescribe when the

eane is moritoricuse If you desire informtion about this lew

a letter addressed to the Bureau of Drug Control, Health Department,
Harrisburg,Pennsylvenia would bring ite 3

Ag to the treatment of addietion, a béek entitiea "Opium Addietion~

Ite Handling end Treatment" by Edward Houghton Williems, deseribes

& mumber of methods that have been used in thie countrye The so-called
Towne-Lambert Treatment has been used a great denle It is described af
in the Journal of the American Medical Agsogiation, September oe
voGS: 985-9806« A review of the now Naregsan troutment, which I
consider eee uselens, will appear in the

igeue of © | Med. I find from vy ow studies and reading of
the subject ©: physicians have wasted a let of time and ink
handetnhed @usnade UF ‘witiae guthaane O08 ten Gkeas ook Gar Ua ie
really importent point« that these patients stay on the drug and go
back to it again because of their unetable natures It is my experience,
and 4 believe the experience of many others, that most addicts cen be
galen off of their drug with little trouble end by « mmber of
different moanss

 

  
X am sending with the other pap
which ee

of on article

i reprint |
studies on the cavees of relapses

Very truly yours,

Lawrence Kolb,
Surgeons