Pubdate: Thu, 08 Jan 2004
Source: Palm Beach Post, The (FL)
Copyright: 2004 The Palm Beach Post
Contact:  http://www.gopbi.com/partners/pbpost/
Details: http://www.mapinc.org/media/333
Author: Jim Ash, Palm Beach Post Capital Bureau
Bookmark: http://www.mapinc.org/people/Rush+Limbaugh (Limbaugh, Rush)

PILL WOES LAND LIMBAUGH IN CAPITOL DEBATE

TALLAHASSEE -- Once an icon for rising Republicans who now dominate state 
government, radio commentator Rush Limbaugh has become a Capitol poster boy 
in the fight against prescription drug abuse.

On Wednesday, Attorney General Charlie Crist and Florida drug czar Jim 
McDonough mentioned Limbaugh's addiction to pain pills -- and charges that 
he illegally obtained them -- while urging the Senate Criminal Justice 
Committee to fight an epidemic that they insist is claiming five lives a day.

"The pharmacist in that (Limbaugh) case is a pharmacist who is no longer 
licensed," McDonough, the director of Gov. Jeb Bush's Office of Drug 
Control Policy, told committee members. Regardless, the pharmacist sold 
Limbaugh and others thousands of pills "essentially out of the trunk of his 
car," McDonough said.

Limbaugh's attorney, Roy Black of Miami, was in meetings Wednesday and 
unavailable to respond to requests for comment, said an assistant who 
answered the phone at his office. Limbaugh has acknowledged an addiction to 
legally prescribed medication but denies breaking any laws.

McDonough said Limbaugh's case underscores the need to act more quickly to 
prosecute the relatively small number of doctors and pharmacists who profit 
from the black market trade in prescription drugs.

Both Crist and McDonough support a proposal -- gaining steam in the House 
and Senate -- to create a statewide computer network to track all 
prescriptions, allowing police to identify "doctor shopping" addicts who 
obtain multiple prescriptions from unsuspecting physicians.

Palm Beach County State Attorney Barry Krischer is investigating charges 
that Limbaugh did just that, although Limbaugh vigorously denies it. 
Limbaugh complained to millions of his listeners that the prosecution is 
politically motivated -- the charges are extremely rare -- and an invasion 
of his privacy.

Crist said Limbaugh's notoriety has "probably" given the proposed 
legislation an added boost. McDonough agreed.

"I do think we need to act more quickly, cognizant of due process, to spare 
lives," McDonough said.

Armed with a recent statewide grand jury report that estimates the state is 
losing $1.3 billion of its $13 billion Medicaid budget to fraud -- 
including providers who resell drugs billed to Medicaid -- Crist treaded 
more lightly when his remarks inevitably turned to Limbaugh.

Regulators should fight profiteers, but treat addicts with understanding, 
Crist said.

"There's a recent case that's got an awful lot of attention, it deals with 
a radio show host," said Crist, a conservative Republican and veteran of 
three statewide political campaigns. "If they're addicted, we need to be 
compassionate."

Limbaugh has temporarily persuaded a court to keep his medical records 
sealed, arguing that allowing prosecutors to study them would interfere 
with his treatment.

House leaders also cited privacy concerns last year when they blocked the 
legislation after it passed the Senate. Doctor groups argued against 
increased regulation. Patient advocates said the legislation would 
discourage physicians from using the most potent tools to alleviate suffering.

But a modified version of the legislation passed a Senate committee on 
Tuesday, one that includes criminal penalties for illegally sharing the 
information. McDonough wants more laws that will give regulators greater 
power to fight Medicaid fraud and medical examiners more responsibility to 
report suspicious trends in deaths attributed to prescription drug abuse.

Sen. Mike Fasano, R-New Port Richey, the prime sponsor of the 
prescription-tracking legislation, denied that Limbaugh's case is changing 
minds. It passed the Senate last year, long before Limbaugh's troubles 
became public, Fasano said.

"Privacy is an important issue but when we're in crisis mode we need to 
respond appropriately," Crist said. "We need to stop the bleeding first."

"I don't want to be ghoulish and say one person's misery is helping my 
cause," McDonough said. "It's illustrative of the degree to which addicts 
will go. They will risk their careers, their reputations, their very lives."
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