The Honorable Margaret A. Hamburg, M.D.
Commissioner
Food and Drug Administration
10903 New Hampshire Ave
Silver Spring, MD 20993-0002

Dear Commissioner Hamburg:

Attached is a courtesy copy of a letter that we have sent to the members of your Drug Safety and Risk Management Advisory Committee that will be meeting on January 24th and 25th to review the rescheduling of hydrocodone combination products from Schedule III to Schedule II of the Controlled Substances Act.

The nonmedical use of opioids, according to the White House Office of National Drug Control Policy, has reached epidemic levels in the United States and causes about 15,000 deaths each year. No one can say for certain how many of these victims were patients or former patients at the time of their death but experts have suggested that a sizable number of them may have commenced their final journey as legitimate pain patients seeking relief from oxycodone or hydrocodone drugs prescribed for them.

The background to and an account of the hearing, in London on 5th February 2008, of evidence to the UK Advisory Council on the Misuse of Drugs. It met to take this evidence on re-classifying cannabis to Class B from C under the UK system.

There is surely hardly an observer of drug politics in the world who does not know that the UK, four years ago, surprisingly downgraded cannabis from B to C. under our A to C classification system of potential harm, (Also used to establish social sanctions against use & trafficking). With only a short debate in parliament, the issue was driven through by Home Secretary David Blunkett (now out of government) who had only weeks before, entered the UK Home Office as the responsible Minister. The issue was noticed and claimed around the world as a victory for the drug legalisation lobby who clearly thought this was a step on the way to their nirvana of legal dope for all. Such an action would have been unthinkable for Blunkett’s predecessor Jack Straw (still in Government). Perhaps Prime Minister Blair took his eye off the domestic ball; bogged down over Iraq, he gave Blunkett his way while apparently we are now told, “having real doubts” himself. Thus are we governed.