I am Barabbas. You are Barabbas.

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THE ROMANS WERE INFAMOUS for how they cruelly lined their roadways with crucifixions as a warning to those who would dare go against the State. Crucifixion is a notoriously slow death designed to torture the condemned for up to three agonizing days. Criminals punished in this manner typically died of asphyxiation, no longer able to push up and lift their chests for one more breath. The pain of crucifixion was so great that it gave its name to extreme agony—excruciating. The etymology of the word is from two Latin words ex and cruciatus, meaning “out of the cross.” Transliteration of ex cruciatus is “the pain one experiences when crucified.”

A Convicted and Condemned Murderer

His name was Barabbas. A murderer, convicted previously of sedition and robbery. He knew he was guilty. No question. Today, we’d say he had reached the “three strikes and you’re out” stage. He was slumped against the wall in a filthy, dank cell, watched closely by a massive Roman guard. His mind was fixated on how excruciatingly painful his crucifixion would be. He had witnessed a number of such horrendous deaths at the hands of the Roman authorities. Certainly, the next time the guards came for him he would be brought before his executioner.

He had led an insurrection that resulted in a number of people being murdered. He was known to support himself and his cause through robbery. He had broken the law and deserved to die. If he were to be executed, no one would have questioned it. In fact, no one stood in his defense. He should have been on the cross. As such, Barabbas represents every person who has violated God’s holy law. We all stand guilty as charged. The Bible has declared, “For all have sinned and fall short of the glory of God” (Romans 3:23). Of course, the wages of sin is death. Like Barabbas, we deserve God’s sentence of death.

“Whom Shall I Set Free? Jesus or Barabbas?”

The release of a Jewish prisoner—a tradition known as paschal pardon—was customary before the feast of Passover. The Roman governor granted clemency to one prisoner as an act of good will toward those he governed. Mark notes, “Now it was the custom at the festival to release a prisoner whom the people requested” (Mark 15:6, NIV). The choice Pilate set before the crowd that day could not have been more clear-cut: a high-profile killer and rabble-rouser who was unquestionably guilty, or a teacher and miracle worker who was demonstrably innocent. The crowd chose Barabbas to be released. Interestingly, Pilate had a sense that Jesus was an innocent man. He was rather surprised at the crowd’s choice. He asked the crowd three times to choose sensibly, but with loud shouts they chose the death of Jesus, yelling, “Crucify him, crucify him.”

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Barabbas is mentioned in all four Gospels. Certainly, it came as a shock that his life would intersect with the crucifixion of Jesus Christ. Jesus went before Pontius Pilate, the Roman governor who had already declared Him innocent of anything worthy of death (see Luke 23:15). Pilate was aware that the Sanhedrin was essentially railroading Jesus. It was out of self-interest that the chief priests handed Jesus over to him. In fact, it was these very religious leaders that incited the crowd to demand for the release of Barabbas rather than Jesus (see Mark 15:11). Pilate was most likely unaware of the prophesy unfolding before him.

Three times in the short span of eight versus, Pilate points to the innocence of Jesus. Pilate noted that not even Herod found any fault in Jesus. Regardless, when Pilate said, “Nothing deserving of death has been done by this man,” they all cried out, “Away with him! Crucify him!” Interestingly, Barabbas was guilty of insurrection and murder. He was among the “rebels” in prison who had committed murder in the insurrection. Murder and rebellion. The Jewish leaders charged Jesus with rebellion when they claimed he was misleading the people. Luke 23:5 says, “He stirs up the people all over Judea by his teaching. He started in Galilee and has come all the way here” (NIV).

It Should Have Been Me up on the Cross!

We all feel a certain disdain for Judas who betrayed Christ, Peter who denied Him, the chief priests who despised Him, Herod who mocked Him, the people who called for His crucifixion, Pilate who appeased the mob and washed his hands, and Barabbas who was guilty but was set free. But wait! Aren’t we all, to some degree, guilty of betraying, denying, mocking, doubting, and walking away from Christ?

As we’ve seen through Luke’s emphasis on the innocence of Jesus and the guilt of Barabbas, Luke is leading us (as sinners) in his careful telling of the story, encouraging us to identify with Barabbas. As Jesus’ condemnation leads to the release of a multitude of spiritual captives from every tribe, tongue, people, and nation, so also his death sentence leads to the release of the physical captive Barabbas. This is a foretaste of the grace that will be unleashed at the cross. As Pilate releases Barabbas the guilty, and delivers over to death Jesus the innocent, we are given a picture of our own release effected by the cross through faith. In Barabbas we have a glimpse of our guilt deserving death, and a preview of the arresting grace of Jesus and his embrace of the cross through which we are set free. As Jesus is delivered to death, and Barabbas is released to new life, we have the first substitution of the cross. The innocent Jesus is condemned as a sinner, while the guilty sinner is released as if innocent.

I am Barabbas

Luke wants us to identify with both Jesus and Barabbas. When we identify with Jesus we are able to see that through faith His death is our death, and His resurrection is our resurrection. When we align ourselves with Barabbas we see that we, too, are sinners—criminals who have broken God’s law, guilty as charged, deserving of death for our rebel lives of sin against the Creator. Jesus, through the grace of giving Himself for us at the cross, takes our place and we are released.

As we come to understand the depths of our sin, we see with Luke, “I am Barabbas.” I am the one so clearly guilty and deserving of condemnation, but I’ve been set free because of the willing substitution of the Messiah in my place.

 

 

 

What If?

What happens in the chamber
of a narrow mind?
Does the air grow thin?
Does the dim light flicker?
What would happen if
a door opened?
If they dared to look beyond it? If they viewed the world as it is, cracked but not broken?
If they acknowledged not only voices that speak with the loudest inflections, but those small voices that bend?
Imagine if they saw liberty as
not just a ruse but something
that belongs to everyone?
The axis of the Earth not
just them, but you and me too.

©2018 Tosha Michelle

To read more from Tosha Michelle or follow her blog please click here: https://laliterati.com/2018/06/20/what-if/

Ambitious Research Plan to Help Solve the Opioid Crisis

From the blog of Dr. Lora Volkow, National Institute on Drug Abuse Posted June 12, 2018

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In spring 2018 Congress added an additional $500 million to the NIH budget to invest in the search for solutions to the opioid crisis. The Helping to End Addiction Long-term (HEAL) initiative is being kicked off June 12th with the announcement of several bold projects across NIH focusing on two main areas: improving opioid addiction treatments and enhancing pain management to prevent addiction and overdose. The funding NIDA is receiving will go toward the goal of addressing addiction in new ways, and creating better delivery systems for addictions counseling for those in need.

NIH will be developing new addiction treatments and overdose-reversal tools. Three medications are currently FDA-approved to treat opioid addiction. Lofexidine—a drug initially developed to treat high blood pressure—has just been approved to treat physical symptoms of opioid withdrawal. Narcan (naloxone) is available in injectable and intranasal formulations to reverse overdose. Regardless, more options are needed. One area of need involves new formulations of existing drugs, such as longer-acting formulations of opioid agonists and longer-acting naloxone formulations more suitable for reversing fentanyl overdoses. Compounds are also needed that target different receptor systems or immunotherapies for treating symptoms of withdrawal and craving in addition to the progression of opioid use disorders.

Much research already points to the benefits of increasing the availability of treatment options for Opioid Use Disorder (“OUD”), especially among populations currently embroiled in the justice system. Justice Community Opioid Innovation Network is working to create a network of researchers who can rapidly conduct studies aimed at improving access to high-quality, evidence-based addiction treatment in justice settings. It will involve implementing a national survey of addiction treatment delivery services in local and state justice systems; studying the effectiveness and adoption of medications, interventions, and technologies in those settings; and finding ways to use existing data sources as well as developing new research methods to ensure that interventions have the maximum impact.

The National Drug Abuse Treatment Clinical Trials Network (“CTN”) facilitates collaboration between NIDA, research scientists at universities, and a myriad of treatment providers in the community, with the aim of developing, testing, and implementing addiction treatments. As part of the HEAL initiative, the CTN Opioid Research Enhancement Project will greatly expand the CTN’s capacity to conduct trials by adding new sites and new investigators. The funds will also enable the expansion of existing studies and facilitate developing and implementing new studies to improve identification of opioid misuse and OUD. Further, it will enhance engagement and retention of patients in treatment in a variety of general medical settings, including primary care, emergency departments, ob/gyn, and pediatrics.

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A great tragedy of the opioid crisis is that there are a number of effective tools not being deployed effectively in communities in need. Only a fraction of people with OUD receive any treatment, and of those less than half receive medications that are universally acknowledged to be the standard of care. Moreover, patients often receive medications for too short a duration. As part of its HEAL efforts, NIDA will launch a multi-site implementation research study called the HEALing Communities Study in partnership with the Substance Abuse and Mental Health Services Administration (SAMHSA). The HEALing Communities Study will support research in up to three communities highly affected by the opioid crisis, which should help evaluate how the implementation of an integrated set of evidence-based interventions within healthcare, behavioral health, justice systems, and community organizations can work to decrease opioid overdoses and prevent and treat OUD. Lessons learned from this study will yield best practices that can then be applied to other communities across the nation.

The HEAL Initiative is a tremendous opportunity to focus taxpayer dollars effectively where they are needed the most: in applying science to find solutions to the worst drug crisis our country has ever seen.

Find Help Near You

The following website can help you find substance abuse or other mental health services in your area: www.samhsa.gov/Treatment. If you are in an emergency situation, people at this toll-free, 24-hour hotline can help you get through this difficult time: 1-800-273-TALK. Or click on: www.suicidepreventionlifeline.org. We also have step by step guides on what to do to help yourself, a friend or a family member on our Treatment page.

Apologetics: Defending the Faith Today (Part Four)

“But sanctify the LORD God in your hearts, and always be ready to give a defense to everyone who asks you a reason for the hope that is in you, with meekness and fear” (1 Peter 3:15, NASB).

Born Again

What is Conversion?

The word conversion when used in a cultural sense typically means buying into acceptance of a religious dogma or belief system. The fundamental biblical meaning of conversion is “to turn” toward God. The key question always is Am I born again? Exactly when did I get converted? It is typical for new believers to assume conversion is an instantaneous event. Someone gave me a suggestion when they learned I was addressing conversion in my series on apologetics. They said, “Read all four Gospels and try to determine when Peter was converted. Was it when he was following Jesus? When he realized Jesus was the Messiah? When he was sent out to preach and heal? When Jesus forgave him for denying him?” Apparently, it’s just not that clear-cut.

Of course conversion is not simply a shift in our relationship with God. Justification is required before conversion can occur. Romans 1:17 reminds us that the righteousness of God is revealed from faith to faith. It is written, “The just shall live by faith.” Conversion, however, is a much larger reality in which our restored relationship with God begins to touch and change every area of our lives. Justification is not something visible. It is purely a work of the heart. The New Testament speaks of conversion as metanoia, which is literally a change of mind, but is not merely altering your opinion about God. Instead, it is a redirection of your fundamental outlook—what we might call mind-set or worldview. Because it involves a change in affection and will, the very core of self, it is not simply a matter of opinion.

The Bible tells us, “You must be born again” (John 3:7, NIV). Colossians 1:13 states, “For He has rescued us from the dominion of darkness and brought us into the kingdom of the Son He loves” (NIV).  Christian theology speaks of regeneration, which is the fundamental work of the Holy Spirit in the life of the repentant sinner. This “in or out” language finally appears also in the terminology of contemporary sociology of conversion. But the complexity of this phraseology—of conversion, yes, but also of alteration, transference, renewal, affiliation, adhesion, and other terms for religious moves one might make—points to biblical and theological counterparts indicating there is more to conversion than just “getting it.”

What Are We Converted From and Transformed To?

The apostle Peter taught that one needs to “repent therefore and be converted, that your sins may be blotted out, so that times of refreshing may come from the presence of the Lord” (Acts 3:19, NKJV). Many believe conversion is just accepting Jesus into your heart or professing Jesus with your mouth. It is true that many today are testifying to religious experiences in which they met true reality. At first glance, the Christian sounds like everyone else because he is also claiming to have experienced ultimate truth. The unbeliever or casual observer needs more than a mere testimony of subjective experience as a criterion to judge who, if anyone, is right.

Christian conversion is linked inextricably to the person of Jesus Christ. It is rooted in fact, not wishful thinking. Of course, this statement is at the very heart of apologetics. Jesus demonstrated that He had the credentials to be called the Son of God. He challenged men and women to put their faith in Him. Jesus said, “I am come that they might have life, and that they might have it more abundantly” (John 10:10). When a person puts his faith in Jesus Christ, he enters into a personal relationship with God Almighty, which leads to changes taking place in his life.

It is not a matter of self-improvement or cultural conditioning. Besides the fact that Christian conversion is based upon something objective—the resurrection of Christ—there is also a universality of Christian conversion. Since the date of his death and resurrection, people from every conceivable background, culture, philosophy, and intellectual stance have been converted by the person of Jesus Christ. Some of the vilest individuals who ever walked the face of the Earth have become some of the most remarkable saints after trusting Jesus Christ. This must be considered. Because of the diversity of the people, it cannot be explained away by simple cultural conditioning. Christian experience is universal regardless of culture.

Concluding Remarks

God looks on the heart, the attitude, the intent. As long as one, in his heart, has a real desire to walk in God’s will—is deeply sorrowful for past sins and repents when he commits the occasional sin—and seeks to overcome sin and make God’s way his way, he will be forgiven. But if, following conversion, he is diligent in his Christian life, his occasional sinning will become less and less. He will make solid progress, maturing, overcoming, growing spiritually and in righteous godly character.

The experience of a new Christian —not just knowledge but experience—of who he is and what has happened to him, is profoundly determined by what he knows about the miracle of conversion. That knowledge is based upon Scripture. God ordained that the miracle of the Christian life be powered by his sovereign grace in the soul, but guided and shaped by His Word in the Bible. It important to note that God does not give the joys of conversion through the conversion alone. The fullness of conversion takes place when the new life within intersects with the old word from without.

On a final note, to “convert” is to repent or “turn away from” one thing and toward something new. When one becomes a Christian, he is given the power to essentially do a 180 and go an entirely different way. Conversion is based solely on faith or belief. Christianity is not a religion; rather, it is a relationship with Christ. Christianity is God offering salvation to anyone who believes and trusts the sacrifice of Jesus on the cross. Conversion is accepting the gift that God offers and beginning a personal relationship with Jesus Christ that results in the forgiveness of sins and eternity in heaven after death.

 

Opioids

Opioids are a class of drugs that include the illegal drug heroin, synthetic opioids such as Fentanyl, and pain relievers available by prescription such as codeine, oxycodone, Vicodin, morphine, and others.

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All opioids are chemically related and interact with opioid receptors on nerve cells in the brain and on the spinal column. Opioid pain relievers are generally safe when taken for a short time and as prescribed by a doctor, but because they produce euphoria in addition to pain relief, they can be misused (taken in a different way or in a larger quantity than prescribed, or taken without a doctor’s prescription). Regular use—even as prescribed by a doctor—can lead to dependence and, when misused, opioid pain relievers can lead to addiction, overdose, and death. 

An opioid overdose can be reversed with the drug naloxone (Narcan) when given right away. Improvements have been seen in some regions of the country in the form of decreasing availability of prescription opioid pain relievers and decreasing misuse among the Nation’s teens. However, since 2007, overdose deaths related to heroin have been increasing. Fortunately, effective medications exist to treat opioid use disorders including methadone, Buprenex and Vivitrol. 

A National Institute of Drug Abuse (NIDA) study found that once treatment is initiated, both a Buprenex/Vivitrol combination and an extended-release Vivitrol formulation are similarly effective in treating opioid addiction. However, Vivitrol requires full detoxification, so initiating treatment among active users is difficult. These medications help many people recover from opioid addiction.

What are Prescription Opioids?

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Opioids are a class of drugs naturally found in the opium poppy plant. Some prescription opioids are made from the plant directly, and others are made by scientists in labs using the same chemical structure. Opioids are often used as medicines because they contain chemicals that relax the body and can relieve pain. Prescription opioids are used mostly to treat moderate to severe pain, though some opioids can be used to treat coughing and diarrhea. Opioids can also make people feel very relaxed and high, which is why they are sometimes used for non-medical reasons. This can be dangerous because opioids can be highly addictive. Overdoses and death are common. Heroin is one of the world’s most dangerous opioids, and is never used as a medicine in the United States.

How Do People Misuse Opioids?

Prescription opioids used for pain relief are generally safe when taken for a short time and as directed by a doctor, but they can be misused. People misuse prescription opioids by:

  • taking the medicine in a way or dose other than prescribed
  • taking someone else’s prescription medicine
  • taking the medicine for the effect it causes—getting high

How Do Prescription Opioids Affect the Brain?

Opioids bind to and activate opioid receptors on cells located in many areas of the brain, spinal cord, and other organs in the body, especially those involved in feelings of pain and pleasure. When opioids attach to these receptors, they block pain signals sent from the brain to the body and release large amounts of dopamine throughout the body. This release can strongly reinforce the act of taking the drug, making the user want to repeat the experience.

Opioid misuse can cause slowed breathing, which can cause hypoxia, a condition that results when too little oxygen reaches the brain. Hypoxia can have short- and long-term psychological and neurological effects, including coma, permanent brain damage, or death. Researchers are also investigating the long-term effects of opioid addiction on the brain, including whether damage can be reversed.

What are Other Health Effects of Opioid Medications?

Older adults are at higher risk of accidental misuse or abuse because they typically have multiple prescriptions and chronic diseases, increasing the risk of drug-drug and drug-disease interactions, as well as a slowed metabolism that affects the breakdown of drugs. Sharing drug injection equipment and having impaired judgment from drug use can increase the risk of contracting infectious diseases such as HIV.

Prescription Opioids and Heroin

Prescription opioids and heroin are chemically similar and can produce a similar high. Heroin is typically cheaper and easier to get than prescription opioids, so some people switch to using heroin instead. Nearly 80 percent of Americans using heroin (including those in treatment) reported misusing prescription opioids prior to using heroin. However, while prescription opioid misuse is a risk factor for starting heroin use, only a small fraction of people who misuse pain relievers switch to heroin. This suggests that prescription opioid misuse is just one factor leading to heroin use.

The Numbers

More than 64,000 Americans died from drug overdoses in 2016, including illicit drugs and prescription opioids. This number has nearly doubled over the past ten years. 2015 was the worst year for drug overdoses in U.S. history. Then 2016 came along. In that year alone, drug overdoses killed more people than the entire Vietnam War did.

A chart of US drug overdoses going back to 1999.

The Opioid Epidemic Explained

This latest drug epidemic is not solely about illegal drugs. It began, in fact, with a legal drug. Back in the 1990s, doctors were persuaded to treat pain as a serious medical issue. There’s a good reason for that: About 100 million U. S. adults suffer from chronic pain, according to a report from the Institute of Medicine.

Chronic Pain The Silent Condition

Pharmaceutical companies took advantage of this concern. Through a big marketing campaign they got doctors to prescribe products like OxyContin and Percocet in droves — even though the evidence for opioids treating long-term non-cancer related chronic pain is very weak despite their effectiveness for severe short-term, acute pain—while the evidence that opioids cause harm in the long term is very strong. So painkillers inundated society, landing in the hands of not just patients but also teens rummaging through their parents’ medicine cabinets, other family members and friends of patients, and the black market.

As a result, opioid overdose deaths trended up — sometimes involving opioids alone, other times involving drugs like alcohol and benzodiazepines (Xanax, Ativan, Valium) typically prescribed to relieve anxiety. By 2015, opioid overdose deaths totaled more than 33,000 — close to two-thirds of all drug overdose deaths. The numbers have grown exponentially over the past three years.

What Can We Do?

Seeing the rise in opioid misuse and deaths, officials have cracked down on prescription painkillers. Law enforcement, for instance, now threaten doctors with incarceration and loss of their medical licenses if they prescribed the drugs unscrupulously. Ideally, doctors should still be able to get painkillers to patients who truly need them — after, for example, evaluating whether the patient has a history of drug addiction. But doctors, who weren’t conducting even such basic checks, are now being instructed to give more thought to their prescriptions.

Yet many people who lost access to painkillers are still addicted. So some who could no longer obtain prescribed painkillers turned to cheaper, more potent opioids bought off the street, such as heroin and Fentanyl. Not all painkiller users went this direction, and not all opioid users started with painkillers. But statistics suggest many did. A 2014 study in JAMA Psychiatry found many painkiller users were moving on to heroin, and a 2015 analysis by the Centers for Disease Control and Prevention (CDC) found that people who are addicted to prescription painkillers are 40 times more likely to be addicted to heroin.

So other types of opioid overdoses, excluding painkillers, also rose. That doesn’t mean cracking down on painkillers was a mistake. It appears to have slowed the rise in painkiller deaths, and it may have prevented doctors from prescribing the drugs to new generations of people with drug use disorders. But the likely solution is to get opioid users into treatment. According to a 2016 report by the Surgeon General of the United States, just 10 percent of Americans with a drug use disorder obtain specialty treatment. The report found that the low rate was largely explained by a shortage of treatment options. Given the exorbitant cost of health care in America today, that is simply unacceptable. Federal and state officials have pushed for more treatment funding, including medication-assisted treatment like methadone and Buprenex.

Source: National Institute on Drug Abuse; National Institutes of Health; U. S. Department of Health and Human Services.