Why by the end of this decade no responsible caring doctor will practice medicine in this country, at least accepting of state/federal “regulations”
“The primary result of this ill-conceived recommendation will be far fewer prescriptions for all types of medication. But isn’t the problem caused by too many doctors writing too many prescriptions? Nope. The authors of the interim report claim, “We have an enormous problem that is often not beginning on street corners; it is starting in doctor’s offices and hospitals in every state in our nation.” In order to reach this preposterous conclusion, the commission had to studiously ignore a widely-documented decline in the number of opioid prescriptions that began at least seven years ago. In July, the Centers for Desease Control and Prevention (CDC) reported:
From 2010 to 2015, the amount of opioids prescribed in the United States decreased from 782 to 640 MME per capita.… Nationally, opioid prescribing rates leveled off from 2010 to 2012, and then decreased by 13.1% from 2012 to 2015.
Despite this decrease in opioid prescribing rates, mandatory education and increased DEA surveillance will soon render providers wary of prescribing any kind of controlled substance. Doctors will be so afraid of violating DEA rules that they will err on the side of caution. Patients with no history of, or predisposition toward, addiction will suffer needlessly because lazy politicians on a presidential commission have eschewed critical thinking and embraced hyperbole. Ironically, most controlled substances are neither narcotic nor addictive, and few patients are in any real risk of addiction. As geriatric specialist Thomas F. Kline, M.D. writes:
Out of 100 people taking pain medicine, only a very few, perhaps three or four, will develop an addiction. Restricting pain medicine in the other 97 is not good medical practice.… Deaths from narcotic overdoses usually involve multiple, non-prescribed, street drugs, not pain medicines prescribed by caring doctors.
But the report rejects dull reality in favor of sensational factoids: “The average American would likely be shocked to know that drug overdoses now kill more people than gun homicides and car crashes combined.” The average American won’t be “shocked” to learn that this is hopelessly misleading. To support their claim, the commission lumps together deaths involving all drugs, including heroin and cocaine, and fails to differentiate between overdoses and deaths resulting from the ingestion of multiple contraindicated drugs. Finally, the commission ignores the role government has played in creating the “crisis.” Which brings us to its second worst recommendation:
Grant waiver approvals for all 50 states to quickly eliminate barriers to treatment resulting from the federal Institutes for Mental Diseases (IMD) exclusion within the Medicaid program. This will immediately open treatment to thousands of Americans in existing facilities in all 50 states.”
Sorry, again you have to read it all, but, why physicians should have zero tolerance of the inane and intrusive rules we get literally dumped on us to allegedly help us help our patients. F— these bureaucracies and morons who only want to have a better targeted scapegoat WHEN more people die from controlled substances.
Only a matter of time I will let my DEA license expire and willingly not write for any controlled substance, period. Even C-IV benzos, which I already despise over 90% these days anyway. Think about it, this bullshit continues to burden doctors, people won’t even get prescription sleep meds like Sonata, and while I hate Ambien, that too!
But, politicians don’t think things through, they don’t talk to physicians who are in the trenches of daily care, no, they talk to Ivory Tower losers who only see patients in conferences or special consults to fellow clueless colleagues who are insulated from honest clinical care environments.
We are ruled by idiots and morons, and thus why the population is so screwed, yet does the public care, no, they just hold their phones or tablets and read/type away like the lemmings they are.
Good luck Americans, health care will get worse if you as an electorate leave the status woe in place, and most of you will, so just push that toilet lever and vote…
The Valedictorian from the graduating class of Harvard Med School in 2020!
And that is not a joke, he will be crazy after 4 years of indoctrination!!!
Let’s end with what Catron ended in the link:
“The kind of “help” offered by Governor Christie and his accomplices on the commission is exactly what Reagan found terrifying. It will give government more power over patients and doctors while making the “crisis” worse. Here’s a novel idea: How about getting together a few actual physicians, people who actually treat actual patients, and see what they suggest? We have had a lot of government help during the last eight or so years. Do we really want MORE?”