1-Stop the, 'Over prescribing caused the opioid crisis.' narrative. I read article after article where 'liberal prescribing' is ascribed as the cause of the so called #opioidcrisis.
Many articles are written by people in our own community, self proclaimed pain pt ‘advocates’.
2-To this, I’d like to point out that in OC even a judge recently ruled:
"There is simply no evidence to show that the rise in prescriptions was not the result of the medically appropriate provision of pain medications to patients in need," #RxOpioidsSaveLives #ChronicPain
4-RXs rose after GOV set about creating a mandate for MDs to TREAT PAIN as pain was undertreated across the board, stating in the Pain Relief Promotion Act:
“Practitioners should be encouraged to treat pain aggressively even when the treatment may increase the risk of death.”
5-That quote above is found in the 3rd paragraph of the Pain Relief Promotion Act, linked here. Please note all those presiding on the committee. govinfo.gov/content/pkg/CH….
6-As far as the increase in ODs, there were a myriad of other factors going on in the U.S. at the time that ODs began to rise. 9-11, the ‘war on terror’, the financial collapse due to Wall Street corruption, people losing homes, jobs, particularly manufacturing and coal jobs.
7- White Middle/Upper Class America was particularly impacted and the ‘face of addiction’ began to change, no longer were overdoses and addiction relegated to the streets where minorities and poor whites primarily lived, addiction and overdose began to touch all of us.
8-No longer was the U.S. ADX mantra “JAIL THEM!” It became “ADDICTION IS A DISEASE."
Affluent ppl began blaming MDs-
Saying an MD ‘got your loved one hooked’ is a far less bitter pill to swallow than realizing that addiction can touch anyone no matter your social standing. 😔
9- Instead of realizing the complex underlying causes regarding ODs, we opted to attribute the rise in RXing to the ‘cause’ of overdoses, even overlooking the fact that our own Gov had called for a mandate for MDs to treat pain as outlined above in this thread.
10-This madness has to stop.
11-And if anyone wants to start railing about ‘pill mills’, Dr. Stephen Zeigler addresses this at about 4 minutes in with George Knapp- Great interview btw...Oldie but a goodie.
12-I’d also DARE assert- if we have taken ‘pill mills’ and turned them into actual #harmreduction centers where people could get SAFE, REGULATED, KNOWN POTENCY medicines, as well as any other services they might need/want to help w/recovery, maybe things would be different today.
13-Maybe we’d actually have helped reduce ODs instead of enacting PROHIBITION like tactics that have lead to untold suffering in both the ADX community as well as the pain community. Not to mention preventing MDs who truly want to help people have targets painted on their backs.
14-My life’s been destroyed.
Denied needed medicine, medically abandoned,now losing my eldest daughter to illicit Fentanyl Poisoning.
What we are doing to address addiction/ODs has made things worse- I will #ScreamLouder until sanity returns to the table.
15-To Legislators/Media/CDC/and even some of our own ‘advocates’, you're saving NO ONE. The ‘opioid crisis’ approach has done only HARM.
Shame on ALL of you.
It's not like you haven’t known this now for years. We’ve been begging to be heard since before the official GLs came out.
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1- They call it protection, but it's punishment
for people who have done nothing wrong.
A war on drugs that forgot the wounded
left the sick in the crossfire,
and buried compassion under an avalanche of bureaucracy and lies.
2- CDC dropped a guideline like a guillotine—
PROP’s manifesto dressed as medicine
but it wasn’t healing, it was erasure.
A one-size-fits-none decree that turned doctors into gatekeepers and patients into suspects.
3-Let’s talk about desperation.
Let’s talk about the cancer patient who can’t sleep through the screams in her bones. The veteran with shrapnel in his spine-told to try yoga. The mother with CRPS who’s offered a pamphlet on mindfulness while her nerves light up like fireworks.
1- Our pain is not just in our bones or nerves, and it's not just in our heads. It lives in the silence after we speak the truth about our pain and are met with disbelief. It festers in the sterile smiles of professionals who dismiss our agony with platitudes or excuses.
2-We begin to vanish from our own stories.
Rooms shrink.
Conversations end too quickly if they happen at all.
We become the unbearable weight in the room everyone pretends doesn't exist.
3-We are bound in bodies that betrayed us-but worse still, we carry the burden of the betrayal of not being believed. Chronic pain turns time into an enemy. Days begin to blur into decades of calendars of missed invitations; our absence misunderstood as an excuse.
1-And to wrap things up today...
This is our Critical Analysis of fallout from the 'opioid crisis scam'.
Misattribution of Deaths: The lack of IMF testing until the mid-2000s falsely attributed overdoses to prescription opioids, inflating their perceived role.
#PainCareCrisis
2-It was clear by 2015, (due to more widespread testing upon death), IMF was the dominant driver of drug poisinings, yet policies like the CDC’s guidelines and DEA’s quota cuts continued targeting prescriptions, harming patients without addressing illicit markets.
3-Policy Overreach & the made up "overprescribing" narrative justified one-size-fits-all regulations; ignoring patient diversity. The CDC’s 2022 guideline update acknowledged harm from rigid limits-but the CHILLING EFFECT contines due to DEA scrutiny and pharmacy gatekeeping.
1-Continuing the conversation about how the 'opioid crisis' scam is harming and killing vulnerable patients with serious illnesses and injuries...
#PainCareCrisis
2-Harmful Outcomes: Forced tapering or discontinuation increases risks of suicide, mental health crises, and illicit drug use. A 2019 Health Affairs analysis linked restrictive policies to an 8% rise in suicides among chronic pain patients.
3-Some abandoned patients with debilitating conditions turning to fentanyl-laced street drugs after losing prescriptions, with one user on X stating, “Doctors abandoned me; the street was my only option.”
1-An overview of my conversation with @Grok, on how the 'opioid crisis' scam is harming vulnerable patients/ a scam that's led to policies which severely limit access to opioids, benzodiazepines, and ADHD medications, devastating patients who rely on them.
2-"Overprescribing" lacks a clear legal or medical definition. It is a made up term that emerged in the late 1990s and 2000s as a catch-all term to describe high prescription opioid volumes based on a medically baseless maximum 'morphine milligram equivalent', or MME.
3-The made up term was popularized by media, advocacy groups, and regulators to frame prescription opioids as the primary driver of rising overdose deaths, despite limited evidence isolating their impact from illicit drugs.
This is a cry for help!
Not because I’m considering suicide.
This is a cry for help for millions in pain. It’s a cry for those who are taking their own lives to end the agony they've been told that they just need to learn to accept.
#PainCareCrisis
2-It’s a rallying cry for people to start talking about what’s happening, what has been happening for years now, to people with serious illnesses & injuries in this country. Virtually no one is talking about this in the public forum-This is the other side of the ‘opioid crisis’.
3-There are people right now watching the news, rightfully outraged when they see profiling and discrimination, human rights abuses, violations of civil liberties and civil rights.