1-Note that even Jeff Sessions, the same person who told people to 'just take an aspirin and go to bed', signed on to the Pain Relief Promotion Act in 2000.
We never got to where pain was being adequately treated before the anti-opioid agenda kicked in. govinfo.gov/content/pkg/CH…
"The Pain Relief Promotion Act has two main purposes. First, it encourages practitioners to prescribe and administer controlled substances to relieve pain and discomfort." #OpioidsSaveLives
"Practitioners should be encouraged to treat pain aggressively even when the treatment may increase the risk of death."
"In other words, aggressive pain management should be
encouraged and assisted suicide using federally controlled substances should not be permitted under any circumstances."
"It is about alleviating pain. These are federally controlled substances.They are very strong. They can be deadly. They can alleviate pain, and we say by all means they should be used to alleviate pain, and these are controlled by the Federal Government"... (since 1914)"
"That Act (Harrison Act) has been in existence for 30 years and it says that these very strong substances can be used for legitimate medical purposes."
"We state very clearly in the legislation and by your amendment, by the legislation that we have been working on, that alleviating pain is a legitimate medical purpose."
"Let us make it possible to use these very strong drugs. Let us even encourage the use of these very strong drugs to alleviate pain..."
The bill: Provides an additional ``safe-harbor'' for physicians by establishing, for the first time in federal law, that under the Controlled Substances Act the relief of pain and discomfort is a ``legitimate medical purpose'',
"even if the large doses used in treating pain may increase the risk of death (sometimes called the
principle double effect)."
I assert that the mandate to treat pain coincided with societal factors that led to an increase in drug/alcohol use and that prescribing practices had little to no influence in the increase in ODs crisis we saw unfold in our country.
In fact, restrictions that began around 2005 are far more likely drivers of ODs as it created another wave in a perfect storm, as prohibition usually does, as prohibition leads to a more deadly drug supply for those who seek drugs to use.
We've now borne witness to the FACT that restrictions on treating pain has had NO effect on reducing OD deaths in the United States.
Let me be clear, it is a FACT that despite draconian restrictions on MDs treating pain, ODs have continued to skyrocket, alongside suicides. 😔
This is a window on what prohibition and a doomed to fail drug war produces. 🧐
Tens of millions in pain left in agony, and people who use drugs recreationally dying in droves due to a deadly drug supply.
EPIC GOV FAIL.
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1-Per CDC 10,262 breakthrough cases (in fully vaccinated people) have been reported & 162 have died. That's a 1.5% death rate in breakthrough cases thus far with the caveat that not all states are even reporting breakthrough cases.
U.S total for COVID-19 deaths is about 1.7%.
2-In both populations unvaccinated and vaccinated, so far, the percentage of deaths is very close.
And in both vaccinated & unvaccinated populations, it's those with co-morbitities, chronic health issues, immunocompromisation, and the elderly that are at most risk of dying.
1-This is just MY opinion.
I think any 'pain pt advocate' should be helping to dispel the notion that 'overprescribing' MDs, or a 'over supply', of legal, known potency, pain medicines, caused the so called 'opioid crisis'. statnews.com/2019/06/28/sto…
2-A pain patient advocate should be working to do away with parole like policies of endless drug testing for pain patients & law enforcement tools like the PDMP; as these 'tools' have done NOTHING to prevent ODs. In fact all above policies have coincided with INCREASING ODs.
3-A pain patient advocate should be pushing back on the 'opioids as a last resort & the 'dangerous drug' narrative.
Opioids are a safe and effective way of treating pain for MOST people and the data shows that prescribed opiates as an initiating point for addiction is RARE.
@thomasjwwalters 1-'Rx opioids caused the OD crisis and #deathsofdespair'
In fact, my hypothesis is that it was a tragic coincidence that opioid prescribing increased to adequately treat those with pain/chronic pain right alongside a prolonged national catastrophe.
@thomasjwwalters 2- We KNOW that drug & alcohol use issues often go hand in hand with emotional, financial, and other types of 'trauma'. The collective trauma of a terrorist attack, war, financial corruption and collapse, ppl losing homes, jobs, retirement... A PERFECT STORM for ⤴️drug use.
@thomasjwwalters 3- These factors touched ALL of America. Especially hard hit was (white) Middle Class America, already struggling, but then landed with the knock out blow of job loss due to Wall Street corruption, exportation of manufacturing jobs, people losing homes, savings, retirement etc...
1-Let's be clear. If it weren't for the false narrative that RX opiates were driving OD deaths, no one would be supporting 'saving' people battling addiction. #opioids #SavingUsToDeath #DrugWar
2-It was only after (white) Uppper & Middle Class Americans, (especially people of affluence), began losing loved ones and kids due to a deadly drug supply that the 'false narrative' about 'opioids' became mainstream. cornellalumnimagazine.com/man-on-a-missi…
3-Drug deaths & addiction, even to 'opioids', has been around a very long time. In fact, the drug war, like any other war, is a profitable enterprise.
The voices of anti-opioid PROPaganda @PaulCoelho @supportprop
2/From ~PainNewsNework~"Drs. Mark Sullivan and Jane Ballantyne say opioid medication numbs the physical and emotional pain of patients, but interferes with the human need for social connections.
“Their social and emotional functioning is messed up under a wet blanket of opioids”
3/Then there's Anna Lembke who tells us that we should 'find joy in our pain'... while accusing us of 'adopting a sick role'.
@Shasta_Rayne 1/Bottom line-we KNOW that the '#opioidcrisis' wasn't caused by MDs treating pain. We KNOW that it's primarily younger, often males, ODing on street drugs while #CPPs aren't ODing & are often older. We KNOW the PDMP is a drag net & DEA/LE involvement is why MDs are afraid to RX.
@Shasta_Rayne 2/We KNOW state Standards of Care were drafted around CDC 'guideline' with DEA scrutiny as their backdrop for policy making. We listened in as they changed pain tx standards with that in mind.
"How much & for how long can I rx my post surgical pt without DEA coming down on me."
@Shasta_Rayne 3/We KNOW HHS & the NPS has created a tragic mess for pain patients even though this OD issue was NEVER REALLY ABOUT PRESCRIBING; and we know why.
Money.
At some point, even if it was initially believed to be a public safety issue, it became a money issue when the truth came out.