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Generally sensible @JAMA_current piece, but several key elements not rooted in evidence, missed opps for @DrFrieden @andrewkolodny #thread
1/x Do need better surveillance on SUD. But "newly filled prescriptions for >30d" is not a marker for "addiction." Frankly puzzled by this 
2/x Using PDMPs as a surveillance tool for SUD is fraught bc 1. misses pp who access opioids on black mrkt, 2. raises major privacy concerns
