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-What I've noticed over 14 years of advocating for people in pain is when you make it clear you're not anti-opioid, MDs, legislators, media, and GOV officials become rude then dismiss you. If you still don't go away, they'll then attack your character/ignore you.
#PainCareCrisis
2-Even when presenting facts-like the extremely low incidence of 'addiction by prescription'.
Or if we explain the safety/efficacy of opiate medicines when taken as prescribed, or the real dangers of leaving someone without effective pain control, including death- we are ignored.
3-More often than not, a pain patient advocating for themselves is automatically judged as ignorant and having no credibility. We are usually labeled as people 'just wanting THOSE drugs', called junkies or pharma shills, or bots.
Thread-There's probably more to unpack here than X or my current flare will allow me to elaborate on.
From deflection to gaslighting and than on to dismissal of anything we #chronicpatients or even professionals say.
#ChronicPain #PainCareCrisis @DEAHQ federalregister.gov/documents/2024…
2-Section 306 of the Controlled Substances Act (CSA) (21 U.S.C. 826) requires the Attorney General to establish aggregate production quotas for each basic class of controlled substance in schedule I and II...
Maybe next letter writing campaign to the U.S. A.G?
#PainCareCrisis
3-DEA received 4,699 comments from people with chronic pain, patients (ADHD), pain advocacy associations, U.S. professional associations, U.S. nurses, and far more.
1-The most idiotic & insulting things those with #ChronicPain face is the implication or direct accusation that we 'just want opiates'.
The truth is, we ARE 'seeking' the meds from MDs we require for pain relief but usually ONLY AFTER trying almost everything else already.
2-When one is ill or injured they usually try the old standby's first vs before going to a doctor.
Ice, heat, OTC meds like Ibuprophen or Tylenol-Even both. Some try herbal supplements, massage, gentle exercise, diet, even acupuncture before seeking help from an MD.
#ChronicPain
3-Those w/#chronicillness have usually done their research & avoid medical offices/ER like the plague if at all possible.
From cost to gaslighting, we'd rather deal with our issues at home. But facts are, we require MDs help as THEY are the only ones who can RX meds we need.
1-Objective: SAVE LIVES.
Recently I said a #SafeSupply is the pinnacle of saving lives but I realized it's not; it's the FOUNDATION, upon which we build policies to actually save lives.
I'm going to refer to this moving forward as the GOLD STANDARD in reducing #DeathsOfDespair.
2-Drugs would be legalized. A safe, known potency supply of substances created by existing drug manufacturers. It would include supply for RX'd medicines as well as for OTC public, adult, sales and consumption. Similar to how alcohol is sold & consumed now. #SafeSupply
3-The BILLIONS UPON BILLIONS being funneled into the #DrugWar and the 'opioid crisis' would be put into improving efficacy and access to AFFORDABLE HEALTH CARE, including mental and dental health, while bridging gaps in regard to other #socialdeterminants of health.
1-#ChronicPain patients knew that the opioid 'guideline' re: prescribing practices was not law.
But as intended, PROP's 'guideline' shaped the Standard of Care re: #opioid prescribing practices so it might as well have been law.
Why?
Tort law.
Let's try and break it down.
2-Once PROP's ‘opioid guideline’ was published through CDC, prescribing practices started to formally change nationally and altered how doctors were to treat pain; altering the Standard of Care. This was crafted around an ‘opioids are dangerous drugs' narrative. #ChronicPain
3-The recommendations to instate a maximum morphine milligram equivalent altered things further in the practice of treating pain. It changed pain treatment recommendations for acute pain, post surgical pain control, and most of all, the way #ChronicPain was treated.
Let's break down #TheGreatOpioidLie.
1-"Over-prescribing was the cause of the opioid crisis."
First according to the Medical Board of CA, there is no legal definition of 'overprescribing'.
Second, it is a THEORY that the mandate to treat pain led to the overdose crisis
cont...
2-The Gov's own stats disprove the access theory. As access to RX meds declines we continued to see a steady increase in drug deaths.
Seems something else might have been a the heart of why we saw a rise in ODs and continue to see record numbers of PEOPLE dying. #ChornicPain
3-Could it have been the collective trauma we all experienced after 9/11, then we sent our loved ones off to war, and they were being sent home with broken bodies, then the financial collapse, outsourcing of manufacturing jobs, people losing homes, retirement, investment accts...