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News reports have chronicled the harm patients face at the hands of clinicians who use drugs.

Perhaps the most notorious example is David Kwiatkowski, a traveling medical technician who was sentenced in 2013 to 39 years in prison for causing a multistate outbreak of hepatitis C.

Grinspoon wrote about his experience with drug addiction in the new book “Of all the people you would expect to understand addiction as a disease and not some moral failing that needs to be punished, you would think the medical boards would understand.”But others would say understanding must be tempered with the very real risk of a patient being hurt or killed by an impaired healthcare practitioner.There are those both in and outside the industry who want to maintain a higher, more rigorous standard given the safety implications.Grinspoon spent the next two years on probation and out of work.His medical license was suspended and only reinstated after he completed a 90-day treatment program under the oversight of a state physician health program.Everything that works to make you a really great doctor also works to make you a really bad addict,” said Dr.

Timothy Huckaby, medical director of he Orlando Recovery Center.Kwiatkowski would inject himself with fentanyl and then leave the syringes, refilled with saline, to be used on patients.Late last year the New Jersey State Board of Medical Examiners suspended the medical license of Dr.“A common mistake people make is to think PHPs have a hammer or a guillotine over the heads of doctors, and they don't.” But such programs have critics.A 2015 article in the American Medical Association's Journal of Ethics alleged some of the programs wield too much power over the treatment that doctors receive when they disclose a drug problem under fear of being reported and punished.“The whole medical field is about being self-reliant, being confident and inspiring confidence.The growing number of Americans with a friend, family member or neighbor affected by heroin or prescription opioid abuse has inspired lawmakers and law enforcement officials to move toward treatment and away from punitive measures such as incarceration.