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Today's Stories

October 3, 2006

Jennifer Van Bergen
Compassionate Conservative Pedophiles

Gary Leupp
The Foley Follies

October 2, 2006

Eric Hazan
Roadmap to Nowhere: an Interview with Tanya Reinhart on Israel/Palestine Since 2003

Mike Whitney
Bloodbath on 60 Minutes: Court Stenographer Finally Comes Clean

Norman Solomon
American Narcissism and Iraq

Assaf Kfoury
Meeting Nasrallah

Missy Beattie
The Meaning of "ummmm": Speaker Hasert and the Over-Friendly Congressman

Arthur Neslen
Lie Less in Gaza

Paula J. Caplan
How the Supreme Court Mangled My Research

Website of the Day
Predator Drones Target Bechtel

 

Sept. 30 / 0ct. 1, 2006
Weekend Edition

Paul Craig Roberts
The New Face of Class War

Marjorie Cohn
Rounding Up US Citizens: a Consitutional Shredding

Ben Tripp
Deviant Conservative Males: an Analysis

Ron Jacobs
A Dismal and Chaotic Place: Iraq According to Patrick Cockburn

Ralph Nader
Torturer-in-Chief

Mike Whitney
Iraq: The Breaking Point

Christopher Reed
It Pays to Raise a Ruckus

Seth Sandronsky
The Housing Bust: Excess Investment and Its Discontents

Fred Gardner
The Chancellor's Wife

Mokhiber / Weissman
Hewlett Packard and the Erosion of Privacy

Michael Dickinson
My Escape Attempt from Prison Transfer: Extract from a Diary in Turkish Police Custody

Alan Gregory
Fake Green: Top 10 Ways Politicians Pretend to be Environmentalists

Poets' Basement
Gardner, Landau, Lindorff, Davies,& Buknatski

 

 

September 29, 2006

Bruce Jackson
Chavez's Reading, Bush's Reading

Michael J. Smith
The Lobby Debate Does Manhattan

Emira Woods
Oil Trip: Record Profits for Exxon, Deprivation for Africa

William S. Lind
The Sanctuary Illusion: Pakistan, Afghanistan and Iraq as Theme Parks for 4GW

David Swanson
Mommy, What's Waterboarding?

Jonathan Cook
Bad Faith and the Destruction of Palestine

Website of the Day
Jesus: the Recruitment Tapes


September 28, 2006

Sen. Russ Feingold
The Flaws in the Military Commissions Act

Ron Jacobs
The Generals, the Democrats and Iraq: One Policy, Two Parties

Mokhiber / Weissman
Scenes from Laura's Book Festival: Elmo Will Not Save You

Lee Sustar
A Left Challenge to Lula

Robert Jensen
Finding My Way Back to Church--and Getting Kicked Out

John Chuckman
America Has Just Lost Two More Wars

Evelyn Pringle
Inside America's Nursing Homes: a Hidden Tragedy of Neglect and Abuse

Nicola Nasser
Bush and Islam: Words vs. Deeds

Uri Avnery
Political Corruption in Israel

Website of the Day
Art Against the Empire


September 27, 2006

Patrick Cockburn
A Final Explosion Looms in Mosul

Camilo Mejia
Blowback From Iraq: Giving Terrorism a Reason to Exist

Pat Williams
Tax Burdens and Cheaters in the Rockies: Send Those IRS Mercenaries in Search of Montana's Land Barons and Oil Drillers

Ben Terrall
Failing Haiti: Another Bungled UN Mission

Ridgeway / Ng
Paul Weyrich Explaines His Opposition to the Patriot Act: a Short Film

Joe Allen
Where are the Mass Protests?

Andrew Wimmer
Don't Disappear Into a Black Hole

Franklin C. Spinney
Rumsfeld's AutoCarterization: Skullduggery in the Pentagon's Budget

Website of the Day
Model Nukes: the Photo Contest


September 26, 2006

Hani Shukrallah
The American Mind: When Historical Analysis is Reduced to Whim

William Blum
If It's Election Season, It Must Be Time for a Terror Alert

Niranjan Ramakrishnan
Torturing the Obvious

Barbara Becnel
Witness to an Execution: a Slow and Very Painful Death

Paul Rockwell
Judicial Complicity in US War Crimes: the Watada Case

Dave Lindorff
Bush and Iran: Going to War to Save His Own Ass?

Rich Gibson
Lessons from the Detroit Teachers' Strike

Anthony Papa
The Danger of Meth Registries: "Have a Cold? Prove It, Then Sign Here"

Nate Mezmer
New Orleans is Back ... Without Blacks: Monday Night Football at the Superdome

Uri Avnery
Mohammed's Sword

Website of the Day
Only YOU Can Stop the Sale of Public Lands to Mining, Timber and Real Estate Corporations


September 25, 2006

Patrick Cockburn
The Most Dangerous Place in the World: a Journey to Iraq's "Taliban Republic"

Jonathan Cook
Human Rights Watch: Still Missing the Point on Lebanon

Joshua Frank
Did Maria Cantwell's Campaign Try to Buy Off Aaron Dixon?

Paul Craig Roberts
Is the Bush Administration Itching to Nuke Iran?

Robert Jensen
Defending Chavez on FoxNews

Dave Lindorff
Horowitz on Campus: This Mouth for Hire

Norman Solomon
Media Tall Tales for Next War

Dr. Charles Jonkel
Save a Grizzly, Visit a Library: "People like the Croc Hunter are Worse Than the Most Bloodthirsty Slob Hunter

Michael Dickinson
"The King's New Clothes:" a Play Written in a Turkish Jail

Alexander Cockburn
Flying Saucers and the Decline of the Left

Website of the Day
Great Bear Foundation

 

September 23 / 24, 2006
Weekend Edition

Jonathan Cook
How Israel is Engineering the "Clash of Civilizations"

Jeffrey St. Clair
Star Wars Goes Online ... Crashes

Dr. Anon
A Doctor's Life in Baghdad

Tom Barry
Oil and Political Opportunism

Carl G. Estabrook
The Darfur Smokescreen

Laura Carlsen
Mexico's Two Presidents

Todd Chretien
The Axis of Lesser Evilism

Dr. Charles Jonkel
From Grizzly Man to the Croc Hunter: the Global Media and the Death of Bears

Debbie Nathan
I Was Disappeared By Salon

Fred Gardner
Dustin Costa Struggles Against Invisibility

Fred Wilhelms
The Money Belongs to the Artists Who Created the Music

Seth Sandronsky
The Cruel Economics of Health Care in America

Ralph Nader
Mavericks at Work

Rev. William Alberts
"Specks" and "Logs" and 9/11

Jon Van Camp
Who is Hezbollah?

Heather Gray
Conservatives and Technology

David Vest
Jerry Lightfoot, RIP

Jeffrey St. Clair
Playlist: What I'm Listenting to This Week

Poets' Basement
Landau / Davies

Website of the Weekend
Meet Me In The Morning: C. Wonderland & J. Lightfoot

Video of the Weekend
Is It a Bird? A Missile? Or, Just Perhaps, a Friggin' Plane?

 

September 22, 2006

Patrick Cockburn
Republic of Fear: Torture in Bush's Iraq, Worse Than Under Saddam

Michael Donnelly
It's the Manipulated Economy, Stupid!

Ramzy Baroud
The Next Palestinian Struggle

Evo Morales
"We Need Partners, Not Bosses": Address to the United Nations

Stanley Howard
Torture and Justice in Chicago

Sarah Leah Whitson
Hezbollah's Rockets and Civilian Casualties: a Reply to Jonathan Cook

JoAnn Wypijewski
Conservations at Ground Zero

Website of the Day
Cockburn in Atlanta: the Video Interview


September 21, 2006

Mahmoud Ahmadi-Nejad
"No Nation Should Have Superiority Over Others:" UN Address

Justin E. H. Smith
Ending the Death Penalty: Outline of an Abolitionist Program

Rick Kuhn
Australian Government Steps Up Attacks on Muslims: "I Certainly Don't Want That Type of People in Australia"

Mike Roselle
Ed Wiley's Long March: the Elementary School vs. the Strip Mine

Amira Hass
In the Name of Security: What Israeli Police Files Reveal About the Occupation of Palestine

Deborah Rich
From the Kitchen of Dr. Frankenstein: the Consumption of Gene-Engineeered Foods

Mickey Z.
10 Reasons Cars Suck

Saul Landau
Terrorism at Sheridan Circle

Website of the Day
Stop the Decapitation of Mountains!


September 20, 2006

Sharon Smith
Elections, Detentions and Deportations

Christopher Reed
Goodbye Koizumi, Hello Abe

John Ross
Mexico: Does AMLO Have a Future?

Joshua Frank
A Wasted Campaign: How Jonathan Tasini Helped Hillary Clinton and Distracted the Antiwar Movement

Arthur Neslen
The Clenched Fist of the Phoenix: What Made Israel Burn Lebanon, Again?

Norman Solomon
The Hollow Promise of Digital Technology

Michael Carmichael
The Vatican's Tyrant

Evelyn Pringle
The Merck Vioxx Litigation: a Scorecard

Hugo Chavez
Rise Up Against the Empire: Address to the United Nations

Website of the Day
Before You Enlist: Watch This Video!


September 19, 2006

Patrick Cockburn
Deadly Harvest: Lebanese Fields Sown with Israeli Cluster Bombs

Jeff Leys
Economic Warfare: Iraq and the IMF

Brian M. Downing
War, Taxes and Democracy

Col. Dan Smith
Dispelling Brutality

Liaquat Ali Khan
Presidential Incitements: Did Bush's Speech Violate Geneva Conventions on Genocide?

Ron Jacobs
Just Sign on the Dotted Line: Iraqi Oil and Production Sharing Agreements

Nik Barry-Shaw / Yves Engler
Canada in Haiti: Torture, Murder and Complicity

Lucinda Marshall
Air Paranoia: the Great Toothpaste and Hair Gel Scare

Saul Landau
The Pinochet Syndicate

Photo of the Day
Hold That Bridge!

Website of the Day
Scenarios for an Iranian War


September 18, 2006

Carl Boggs
Crimes of Empire

Uri Avnery
Peace Panic

Mike Stark / Jim Bullington
Ann Richards, the Original Texacutioner

Joshua Frank
Corporate E. Coli

John Murphy
The Price of Free Speech

Ramzy Baroud
Murdoch Almighty

Dave Lindorff
On Constitution Day

Bill Quigley
Showing Conviction at Echo 9

Website of the Day
Tutorial: How to Hack a Diebold Voting Machine

 


September 16 / 17, 2006
Weekend Edition

Tariq Ali
A Bavarian Provocation

Eliza Ernshire
Death and Tears in Nablus

Jeffrey St. Clair
The Remaking of Cataract Canyon (Part 7): To Tilted Park

Mairead Corrigan Maguire
A Nobel Laureate Visits with Israeli Nuclear Whistleblower Mordechai Vanunu

Brian Cloughley
"Let Them Drink Coke!": Losing Hearts and Minds in Afghanistan

Ben Tripp
November Prognostication: Republicans Sweep!

Laura Carlsen
Bush and Latin America: War on Terrorism or Fight for Social Justice

Ralph Nader
Terror on the Road

Ron Jacobs
Shooting Sgrena

John Chuckman
Imperial Entropy

Robert Fisk
The American Military's Cult of Cruelty

Gary Leupp
The Pope's New Crusade: Defender of the West, Scourge of Islam

Lawrence R. Velvel
The Pretexter in Chief: Learning About Bush from Hewlett-Packard

Missy Comley Beattie
The Insecurity of Immorality

Adrienne Johnstone
Deporting Widows: the Nightmare of a Kenyan Immigrant

Mickey Z.
Why I Hate America

Jeffrey St. Clair
Playlist: What I'm Listening to This Week

Poets' Basement
Kearney, Orloski, Engel, Louise and Davies

Website of the Weekend
Still Life with Killpecker



September 15, 2006

Diana Johnstone
In Defense of Conspiracy: 9/11, in Theory and in Fact

Diane Christian
On Retaliation

William S. Lind
General Puffery: When the Military Brass Deceives

Lee Sustar
Bosses Take Aim at Undocument Workers

Dave Lindorff
Retroactive Immunity for Bush?

Ramzy Baroud
Presidential PR: Lost in the Bush Spin Cycle

Mokhiber / Weissman
The Cesspool

Jeffrey St. Clair
Glow, River, Glow: Radioactive Leaks and Plumbers at Hanford

Website of the Day
F-22: The Most Expensive Piece of Junk Ever Built?


September 14, 2006

Franklin Lamb
Israel's Use of American Cluster Bombs: a Walk Through the Rubble

Tim Wilkinson
Alan Dershowitz's Sinister Scheme

Dick J. Reavis
Mexico's Time of Troubles: Who Benefits?

Sam Husseini
9/11 Five Years Later: a Conspiracy to Silence

Doug Giebel
Democracies of Death: Why John Adams Wouldn't Recognize His Own Country

Bill Berkowitz
The Messaging Strategy of the Iraq War

Diane Farsetta
What Media Democracy Looks Like

Mary Turck
Targeting Refugees and Human Rights Workers in Colombia

Patrick Cockburn
Amnesty Intl Accuses Hizbollah of War Crimes, But Katyusha Damage "Much Less" Than Israel Claimed

J.L. Chestnut, Jr.
Ah, Do You Know What It Means to Miss New Orleans?

Website of the Day
The Shocking Truth About Inequality


September 13, 2006

Jack Bratich
Eyes Put a Spell on You: Signs of Surveillance in the Public Secret Sphere

John Ross
Welcome to the Nightmare: Al Qaeda de Mexico?

Christopher Brauchli
"You Had to Have Been There": Teaching Iraq and Iran

Dave Lindorff
Mourning in America: Bush Weeps? Who are They Kidding?

Antony Loewenstein
My Israel Question

Al Krebs
The Gates Foundation and African Agriculture

Leonard Peltier
Crazy Horse in Chains

Jim Bensman
My Adventures with the FBI: How I Was Targeted as a Terrorist

Website of the Day
FreedomWalk: Take a Moment for Leonard Peltier


September 12, 2006

Norman Finkelstein
Kill Arabs, Cry Anti-Semitism

Seth Sandronsky
The War on Nurses

John Walsh
Khatami Comes to Harvard

Alan Maass
"Islamic Fascism": the New Hysteria

David Krieger
Troubling Questions About Missile Defense

Nate Mezmer
September 12th, America

Kathleen Christison
The Coming Collapse of Zionism


September 11, 2006

Uri Avnery
State of Chutzpah

Patrick Cockburn
Palestinians Forced to Scavenge Rubbish Dumps for Food

Col Dan Smith
The Centrality of War in the Presidency of George W. Bush

Dr. Susan Block
Beyond Terror

Anthony Alessandrini
Forgetting 9/11

Dave Lindorff
Bush After 9/11: Five Years of High Crimes and Misdemeanors

Niranjan Ramakrishnan
What Happened?

Joshua Frank
Proving Nothing: How the 9/11 "Truth" Movement Helps Bush & Cheney

Jean Bricmont
The End of the "End of History"

Sprague / Emesberger
"You Are a Dog. You Should Die": Death Threats Against Lancet's Haiti Investigator

Website of the Day
Web Piracy

 

September 9/10, 2006
Weekend Edition

Alexander Cockburn
The 9/11 Conspiracy Nuts: How They Let the Guilty Parties of 9/11 Off the Hook

Jeffrey St. Clair
The Remaking of Cataract Canyon: In the Footsteps of Vladimir Putin (Part Six)

Greg Grandin
Good Christ, Bad Christ: Testament of the Death Squads

Peter Stone Brown
Bob Dylan's Swing Time Waltz in the Face of the Apocalypse

Ralph Nader
X-Raying Greed

Brian Cloughley
Rumsfeld at the American Legion: Dead Babies and Nazi Propaganda

Col. Chet Richards
Crossroads at the Litani

David Model
Tailoring the Case Against Iran: Cut from the Same Old Pattern

Dave Himmelstein
From Bil'in to Birmingham

Ron Jacobs
War and the Power of Words

Fred Gardner
Is Medical Pot Image a Turn-Off to Teens?

Mike Whitney
America's Economic Meltdown

Josh Gryniewicz
In the Belly of the Bentonville Beast: Working for Wal-Mart

Daniel Gross /
Joe Tessone
An IWW Story at Starbucks

Joe Bageant
Inside the Iron Theater

Nicole Colson
The Colbert Factor: Some Truthiness, At Last

Alexander Billet
Thirty Years of "White Riot": Long Live The Clash!

Poets' Basement
Engel, Louise, Buknatski, Davies, & Orloski

 

September 8, 2006

Uri Avnery
"I'm a Leftist, But ...": the Liberals' War on Lebanon

Paul Craig Roberts
Books Are Our Salvation

Bill Quigley
Judge Says: "No Clowning Around Our WMDs!"

Robert Jensen
Parallel Purges: Academic Freedom in Iran and the US

Norman Solomon
Perception Gap: The War on Terror as Others See It

Keith Bolin

 

September 8, 2006

Uri Avnery
"I'm a Leftist, But ...": the Liberals' War on Lebanon

Paul Craig Roberts
Books Are Our Salvation

Bill Quigley
Judge Says: "No Clowning Around Our WMDs!"

Robert Jensen
Parallel Purges: Academic Freedom in Iran and the US

Norman Solomon
Perception Gap: The War on Terror as Others See It

Keith Bolin
The Future of the Family Farm

Kristin S. Schafer
The Global Trade in Deadly Pesticides

Jeffrey St. Clair
The Remaking of Cataract Canyon (Part Five)

Patrick Cockburn
Gaza is Dying

Website of the Day
Help the Bismark 3!


September 7, 206

Marjorie Cohn
Why Bush Really Came Clean About the CIA's Secret Torture Prisons

Sharon Smith
Downward Mobility: No Recovery for Workers

René Drucker Colín
The Fraud in Mexico

Michael Donnelly
Bush Family Values: About Those Nazi Appeasers

John Borowski
Scholastic Peddles a Fictitious Path to 9/11 to Kids

Lucinda Marshall
Bombing Indiana

Charles Sullivan
Katrina and the New Jim Crow: Ethnic Cleansing in New Orleans

Jeffrey St. Clair
The Remaking of Cataract Canyon: Part Four

Jonathan Cook
How Human Rights Watch Lost Its Way in Lebanon

Website of the Day
Rasta! Reggae's Joe Hill

 

September 6, 2006

Stephen Soldz
Protecting the Torturers: Bad Faith and Distortions frm the American Psychological Assocation

Dave Zirin
Cops vs. Jocks: the Shooting of Steve Foley

Ramzy Baroud
The Gaza Maze: Who Gained Most from the Fox Reporters' Kidnapping

Noel Ignatiev
Democrats, Pwogs and the Lesser Evil Folly

Dave Lindorff
Bombing Without Regrets: The US and Cluster Bombs

Norman Solomon
Spinning Troop Levels in Iraq

Binoy Kampmark
The Death of Steve Irwin and the Politics of the Zoo

Jeffrey St. Clair
A Premature Burial: the Remaking of Cataract Canyon (Part Three)

John Ross
The Death of Mexican Presidency

Website of the Day
Flaming Arrows

 

September 5, 2006

Jonathan Cook
Will Robert Fisk tell us the whole story? Time For A Champion of Truth to Speak Up

Patrick Cockburn
Better Not Meet at the Casbah

Mike Whitney
The Worst Secretary of Defense in U.S. History? You Be the Judge

Roland Sheppard
The Civil Rights Movement is Dead and So is the Democratic Party

James Petras
As Bush Regime Faces Twilight Slide, How Much Havoc Can Paulson Wreak?

Alexander Cockburn
Will Bush Bomb Teheran?

 

September 4, 2006

Clancy Sigal
The Women Who Gave Us Labor Day

Jeffrey St. Clair
The Remaking of Cataract Canyon: Part 2

Anthony Alessandrini
The Great Debate about Aroma Coffee: Why I Boycott

Dennis Perrin
The Great Debate in Tarrytown: Straight Zion, No Chaser

Daniel Cassidy
'S lom to Slum

Paul Craig Roberts
The War Is Lost

 

September 2 / 3, 2006

Uri Avnery
When Napoleon Won at Waterloo

Jeffrey St. Clair
A Premature Burial: the Remaking of Cataract Canyon

Ralph Nader
The No-Fault White House

Noam Chomsky
Viewing the World from a Bombsight

Allan Lichtman
Arrested Democracy: Letter from the Baltimore County Jail

Stanley Heller
When Criticism of Cluster Bombs is "Anti-Semitic"

Rana el-Khatib
Invasion's Child: the Making of Issa

Peter Montague
Taking on the Pentagon: Chemical Weapons to Burn

Laura Carlsen
Mexico on a Collision Course

Dr. Susan Block
Bush Hate Rising

Joe Bageant
Roy's People: Why Progressives Need to Listen to Orbison, Not Policy Wonks

Scott Stedjan / Matt Schaaf
A New Generation of Landmines?

Gary Leupp
The Emperor Has Been Exposed

Stephen Fleischman
The Great American Oligarchy

Paul Balles
Has Ahmadinejad Already Checkmated Bush?

Ingmar Lee
Canada's $450 Million Gift to Bush: the Softwood Lumber Slush Fund

Jane Stillwater
Burning Man: the Good, the Bad and the Evil Twin

Ron Jacobs
Dylan Faces the Apocalypse, Again

St. Clair / Bossert
Playlist: What We're Listening to This Week

Poets' Basement
Grima, Engel, Orloski and Davies

Website of the Weekend
To New Orleans: a Photo Journal

 

September 1, 2006

Uri Avnery
Olmert Agonistes

Paul Craig Roberts
Of Wolves and Men (and Impotent Democrats)

Bill Ayers
Exclusionary Signs of the Times

Kevin Zeese
The Best War Ever

Xochitl Bervera
The Forgotten Children of New Orleans

Norman Solomon
Bush vs. Ahmadinejad: a TV Debate We'll Never See

Alexander Cockburn
Hezbollah Denounces Nasrallah Interview as a Fake

Richard Neville
Rupert Murdoch's Victims

Website of the Day
The Uranium Flood

 

 

 

 

 

 

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October 3, 2006

Big Pharma Takes a Hit

Alaska's Supreme Court Strikes Down Forced Psychiatric Drugging

By EVELYN PRINGLE

A major legal victory recently occurred in the highest court in the state of Alaska, for all people who oppose forced psychiatric drugging. In a resounding affirmation of personal liberty, the Alaska Supreme Court issued a decision in the case of Myers v Alaska Psychiatric Institute and found Alaska's forced drugging regime to be unconstitutional.

One of the drugs that the Institute tried to force on the plaintiff was Zyprexa and from here on in, the state cannot force people to take Zyprexa, or any other psychiatric drug, without first proving it to be in the patient's best interests and that there are no less restrictive alternatives available. The ruling is specific to psychiatric drugs.

"By requiring the least intrusive alternative to forced psychiatric drugging," says Jim Gottstein, the triumphant attorney in the case, "this decision has the potential to change the face of current psychiatric practice, dramatically improving the lives of people who now find themselves at the wrong end of a hypodermic needle."

Mr Gottstein acknowledges that the ruling will effect drug company profits. "The issue of Big Pharma profits is a big one, of course," he says, "and the Myers decision is perhaps most relevant where it states, "a valid debate exists in the medical/psychiatric community as to the safety and effectiveness of the [drugs]."

"This is judicial confirmation," he explains, "that the safety and efficacy of these psychiatric drugs has not really been established and can be used to support that contention."

"Most importantly in my mind," Mr Gottstein continued, "is that if the Myers stricture that people can't be forced to take these unwanted drugs if there are less restrictive alternatives results in these non-drug approaches being used, that will directly cut down on their use. "

"The key ruling that I think can be used to benefit other people who are faced with forced drugging," he advises, "is that under the Myers decision the state can't force drug people if there is a less restrictive alternative."

"This can be used to require that such alternatives be supported," he added.

"While the Supreme Court ruling is only binding in Alaska," says patient advocate, Vince Boem, "the ruling can be cited as persuasive authority in other states, and the legal theories involved can serve as a road map for attorneys arguing similar cases."

Faith Myers, the plaintiff in the case, said of the decision, "It makes all of my suffering worthwhile."

While acknowledging that some people find psychiatric drugs helpful, Mr Gottstein said he pursued this case because, in addition to the drugs' serious physical health risks, he is concerned about the rights of those who find the drugs both unhelpful and intolerable.

"No other field of medicine allows this sort of forced treatment," he points out.

"For people who want to try non-drug approaches," he explains, "the research is very clear that many will have much better long-term outcomes, including complete recovery after being diagnosed with serious mental illness."

"This decision restores the rights of those people to pursue that potential," he states.

"Of course," he says, "there are many people who see psychiatrists and voluntarily, even eagerly, take psychiatric medications."

And he "has absolutely no complaint about this," he states.

It is the unwarranted forced treatment that he objects to, "using the force of law (court orders) to compel people to submit to unwarranted psychiatric treatments they do not want," he says.

Mr Gottstein is speaking at the International Center for the Study of Psychiatry and Psychology's annual conference being held October 7-9 in Washington, DC, on " Mental Health and the Law."

After being involuntarily committed to the Alaska Psychiatric Institute, Ms Meyers appealed a superior court order approving the administration of psychotropic drugs by the hospital. She argues that the statutes relied on in approving the medication violated the Alaska Constitution's guarantees of privacy and liberty.

The Supreme Court agreed. "In keeping with most state courts that have addressed the issue," it said, "we hold that, in the absence of emergency, a court may not authorize the state to administer psychotropic drugs to a non-consenting mental patient unless the court determines that the medication is in the best interests of the patient and that no less intrusive alternative treatment is available."

The High Court noted the trial court's concern that the statute does not allow the court to consider the problems with the drugs even though "a valid debate exists in the medically/psychiatric community as to the safety and effectiveness of the proposed treatment plan."

With the Supreme Court's decision, trial courts are not only allowed to consider, they are required to consider the safety and effectiveness of the medications in deciding whether the proposed drugging is in the patient's best interest.

The Court specifically points out that Alaska Statutes require a hospital to honor a patient's previously expressed desires regarding psychiatric medications.

Ms Myers has suffered with mental illness for over 20 years and her symptoms have at times included paranoia, dizziness, and hallucinations. She has been hospitalized a number of times and placed on psychotropic drugs in the past.

In 2001, she weaned herself off psychotropic drugs, believing that they actually worsened her condition and since then, has described herself as an advocate for the mentally ill.

In February 2003, as a result of concerns of her daughter and neighbors, Ms Myers was involuntarily committed to the API. Once admitted, she refused to discuss treatment options with institute doctors and the API filed a petition with the court requesting authorization to medicate Ms Myers without her consent.

She responded by challenging the constitutionality of the statutory scheme that authorizes facilities to administer psychotropic drugs without the patient's consent and argued that Alaska's constitutional rights to liberty and privacy guarantee her the "right to be free from unwanted mind-altering chemicals."

She asserted that the state can only abridge this right when necessary to advance a compelling state interest and that in her case, the API had "not come close" to making this showing and had also failed to show that involuntary drugging was the least restrictive means of advancing any state interest.

She also challenged the statutory limitation on a court's authority to modify or restrict a treatment plan. The statute authorizing court-ordered administration of psychotropic drugs provides that once a court determines that a patient is not competent to provide informed consent, the court "shall approve the . . . proposed use of psychotropic[s]."

On its face, the Supreme Court noted, this provision does not seem to allow the court to consider whether the treatment plan would actually be in the patient's best interest, leaving that decision completely to the treating facility's physicians.

During Ms Myers's hearing in the lower court, two API psychiatrists testified that administering drugs to Ms Myers would be appropriate.

Ms Myers responded with testimony from her own two expert psychiatrists. The first testified that medication is not the only available treatment for schizophrenia. While acknowledging that drugs played an accepted role in the "standard of care for treatment of psychosis," he testified that, because such drugs "have so many problems," they should be used "in as small a dose for as short a period of time as possible."

Ms Myers's second expert specifically testified that Zyprexa, despite being "widely prescribed," was a "very dangerous" drug of "dubious efficacy." He based his testimony on a "methodological analysis" of the studies that led to the approval of Zyprexa by the FDA.

At the end of the hearing, the lower court found that Ms Myers "lacked . . . insight into her own condition" and did "not appreciate that she suffers from a mental disorder."

Although the court noted that Ms Myers understood the debate about the advisability of medication and had articulated a "reasonable objection to the proposed medication," the court nonetheless ruled that she lacked the capacity to make informed decisions regarding her treatment.

Construing the statutes as not allowing it to make a determination of Ms Myers's best interests, the court did not consider her expert evidence on the point and authorized the API to administer the drugs based on its own assessment of Ms Myers's best interests.

The court did note that it found Ms Myers's case "troubling," so much so that it issued an additional order addressing in detail the arguments presented by the parties in pre-hearing briefs. In the order, the court found it troubling that Alaska's statutory scheme prevented it from considering the merits of API's treatment plan, or weighing the objections of Ms Myers's experts.

Because it believed that the statute limited the court's role "to deciding whether Ms. Myers has sufficient capacity to give informed consent," the court felt constrained to adhere to its meaning but emphasized that it found the limitation problematic stating:

"Where a patient, such as Ms. Myers, has a history of undergoing a medical treatment she found to be harmful, where she is found to lack capacity to make her own medical decisions and a valid debate exists in the medical/psychiatric community as to the safety and effectiveness of the proposed treatment plan, it is troubling that the statutory scheme apparently does not provide a mechanism for presenting scientific evidence challenging the proposed treatment plan."

On appeal, Ms Meyers argues that the provisions governing authorization of treatment with psychotropic medications violate the Alaska Constitution's guarantees of liberty and privacy and the Supreme Court agrees.

"In our view," the Court wrote, "before a state may administer psychotropic drugs to a non-consenting mentally ill patient in a non-emergency setting, an independent judicial best interests determination is constitutionally necessary to ensure that the proposed treatment is actually the least intrusive means of protecting the patient."

In reaching its decision, the Court noted that Alaska law recognizes and addresses a distinct class of drugs called "psychotropic medications."

"Because psychotropic medication can have profound and lasting negative effects on a patient's mind and body," the Court said, "Alaska's statutory provisions permitting nonconsensual treatment with psychotropic medications implicate fundamental liberty and privacy interests."

The right to choose or reject medical treatment, the Court noted, finds its source in the fundamental guarantees of liberty and privacy. "The constitution itself requires courts, not physicians," the Court noted, "to protect and enforce these guarantees."

Psychotropic drugs, the Court said, "affect the mind, behavior, intellectual functions, perception, moods, and emotions" and are known to cause a number of potentially devastating side effects.

"Side effects aside," it stated, "the truly intrusive nature of psychotropic drugs may be best understood by appreciating that they are literally intended to alter the mind."

Under Alaska law, when the state files its petition to authorize psychotropic medication, a "visitor" must be appointed to assist the court when it considers the petition.

The visitor has a duty to provide information on two issues: first, the visitor must evaluate the patient's present condition by administering a "capacity assessment"; second, the visitor must conduct a search for any prior "expressed wishes of the patient regarding medication."

"The search for prior expressions regarding medications," the Court said, "includes both written and oral statements."

The information must include documentation of any expressed wishes of the patient regarding medication, including wishes expressed in a power of attorney, a living will, an advance health care directive or oral statements in conversations with relatives and friends that are significant persons in the patient's life as those conversations are remembered by the relatives and friends.

The Court's decision states that, "if the information gathered and documented by the visitor enables the court to find that the patient has expressed a prior competent desire not to be medicated, then the court may not authorize treatment."

"We conclude," the Supreme Court wrote, "that the Alaska Constitution's guarantees of liberty and privacy require an independent judicial determination of an incompetent mental patient's best interests before the superior court may authorize a facility like API to treat the patient with psychotropic drugs."

The Court also said that "in future non-emergency cases a court may not permit a treatment facility to administer psychotropic drugs unless the court makes findings that comply with all applicable statutory requirements and, in addition, expressly finds by clear and convincing evidence that the proposed treatment is in the patient's best interests and that no less intrusive alternative is available."

A number of other states have also ruled that the right to refuse psychotropic drugs is fundamental. For instance, in Rogers v. Commissioner of the Department of Mental Health, the Supreme Court of Massachusetts held that a committed mental patient could not be forcibly drugged with antipsychotics unless a court determined both that he was incompetent and would have consented to the drugs if he was competent.

The court emphasized that mentally ill patients have dignity and worth equal to other individuals and said that a committed patient is entitled to an independent judicial determination of whether the patient would have consented to receive psychotropic drugs.

In Rivers v Katz, the New York Court of Appeals found a person's right to control his medical treatment in state common law but went on to declare that "[t]his fundamental common-law right is coextensive with the patient's liberty interest protected by the due process clause of our State Constitution."

In our system of a free government, the court wrote, where notions of individual autonomy and free choice are cherished, it is the individual who must have the final say in decisions regarding medical treatment. If the court concludes that the patient lacks the capacity to determine his own treatment, it states:

"the court must determine whether the proposed treatment is narrowly tailored to give substantive effect to the patient's liberty interest, taking into consideration all relevant circumstances, including the patient's best interests, the benefits to be gained from the treatment, the adverse side effects associated with the treatment and any less intrusive alternative treatments."

The Minnesota Supreme Court reached a similar decision in Jarvis v Levine and ruled that the constitutional guarantee of privacy "begins with protecting the integrity of one's own body and includes the right not to have it altered or invaded without consent. Commitment to an institution does not eliminate this right. When intrusive treatment is proposed, the 'professional judgment' of medical personnel insufficiently protects this basic human right."

Most recently, the Ohio Supreme Court ruled in Steele v. Hamilton County Community Mental Health Board that the state could forcibly medicate a mental patient only after a court had found, "by clear and convincing evidence, that:

(1) the patient does not have the capacity to give or withhold informed consent regarding his/her treatment,

(2) it is in the patient's best interest to take the medication, i.e., the benefits of the medication outweigh the side effects, and

(3) no less intrusive treatment will be as effective in treating the mental illness."

Given the nature and potentially devastating impact of psychotropic medications, the court said, "the right to refuse to take psychotropic drugs is fundamental."

This right, the court said, must extend "equally to mentally ill persons," so that the mentally ill are not treated "as persons of lesser status or dignity because of their illness."

More information for injured parties can be found at Lawyers and Settlements.com

http://www.lawyersandsettlements.com/

Evelyn Pringle can be reached at: evelyn.pringle@sbcglobal.net







 

 

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