Expert opinions misaligned with CDC & its low & no evidence guidelines are deemed “false information” by those who run simulations in the public consciousness via social & legacy media.
Public health has maimed & killed for nearly a century with no accountability. 🧵
Everyone has likely heard of the Tuskegee Study. A whitewashed name for what was once known, according to CDC, as the “Tuskegee Study of Untreated Syphilis in the Negro Male.”
It began in 1932 under the management of the federal United States Public Health Service (USPHS or PHS)
The study targeted black men & focused on recording “the natural history of syphilis,” a chronic, contagious bacterial infection that can be venereal or sometimes, congenital.
15-30% of people infected who don't get treatment will develop complications known as tertiary syphilis
The purpose of the study was to observe the UNTREATED (“natural”) course of the disease until death, which included autopsy findings.
Some facts about the study:
• It involved 600 black men
• 399 had syphilis
• 201 did not have the disease
Continued:
• The men were told they were being TREATED for “bad blood” a term used to describe several ailments, including anemia and fatigue
• The men received free medical exams, meals, and burial insurance in exchange for taking part in the study
• In 1972 the first news article exposing the study is published by Jean Heller at The Associated Press
• The study ends on the recommendation of an Ad Hoc Advisory Panel convened by the Assistant Secretary for Health and Scientific Affairs
Continued:
• 1997 President Clinton issues a formal Presidential apology
• In 2004, the last participant dies
• In 2009, the last widow of a participant dies
What does any of this have to do with the CDC?
CDC was initially the “Communicable Disease Center” and was established by the USPHS in 1946, the same corrupt agency that initiated the unethical Tuskegee Study.
Officials at CDC knew about it and refused to stop it, even after a concerned doctor brought it to their attention.
CDC maintained that consent was obtained & that the men were told they could seek treatment.
Neither claim was true.
CDC maintained this until the story broke in the press. They now host a history of the study on their website.
Not one of the doctors, nurses, officials who knew about, participated in, or CDC doctors who participated in or were alerted to the unethical nature of the study by Buxtun, were ever held accountable.
Fast forward to the 2010s & the disabled become a federal target.
NASEM, a collection of non-governmental organizations (NGOs), & federal agencies begin planning how to disrupt access to life saving pharmaceuticals for people with severe injury/illness across the country.
The Institute of Medicine (IOM), now the NAM, called for CDC to develop prescribing “guidelines” for pain in their 2011 report titled “Living Well with Chronic Illness.”
CDC does this with the help of special interest group “Physicians for Responsible Opioid Prescribing” (PROP).
PROP is an extreme anti-opioid interest group founded by Andrew Kolodny, an addiction specialist who doesn’t treat pain, or the myriad chronic illnesses and injuries that cause it.
2015, CDC holds a private meeting with PROP members titled the Core Expert Group (CEG).
This meeting of mostly addiction “experts” discussed the development of CDC’s prescribing guidelines for chronic pain and how they’d be structured.
A guideline that would end up creating barriers to care for sick & injured people. We didn’t know the extent of the discussion, …
what “experts” were present, or what conflicts of interest (COIs) they may have had, because CDC & HHS made use of 2 exemptions that allowed the redaction of nearly every word in documents requested under FOIA.
These same exemptions (5 U.S.C. §552 Exemptions (b)(5) and (b)(6) were later cited in government documents related to COVID-19.
In 2016, the CDC’s guidelines on prescribing are published and the Drug Enforcement Agency (DEA) ramps up efforts to arrest/prosecute physicians who are prescribing outside of CDC’s “voluntary” recommendations.
DEA gets much funding via civil asset forfeiture-Perverse incentive.
The newly released “voluntary guidelines” result in physicians across the country forcing their patients off of opioids, including cancer patients while those working with hospice patients are scared to initiate pain control for end of life care over fears of “addiction.”
Many, including veterans, begin committing suicide or die from complications of rapid forced tapers which often lasted only 1 day.
The VA knew pain intensity was correlated to suicide attempts but continued force tapering vets anyway.
The “opioid crisis” was a pilot for engineered health crises that taught public health agencies how to misdirect the public, stigmatize patients & ensure compliance with future public health mandates & policies by running taxpayer funded media campaigns discrediting dissidents …
& justifying government overreach. HHS then establishes the IPRCC as part of the ACA to coordinate all pain research within HHS & across federal agencies.
In 2017, the Federal Pain Research Strategy (FPRS) is published which outlined how pain research would be conducted by NIH.
Many of NIH’s embedded Pragmatic Clinical Trials (ePCTs) are done w/out patient knowledge or consent. This research at the bedside, critics say, is widespread government experimentation on untreated patients in pain.
No outcomes studies have ever been conducted by government.
CDC ensured terrified doctors forced patients off drugs providing quality of life. NIH had more research subjects to study non-opioid treatments, which are often more expensive & less effective.
Many affected by these & other public health policies are dead. No accountability.
CDC’s own data shows that as dispensing has decreased, overdose deaths have increased.
This is because prescription analgesics were keeping many who require medical management of pain (and even other users) away from much more dangerous illicit supplies with unknown potency.
The problem of dangerous drugs has been compounded by several orders of magnitude since HHS & CDC involved themselves. Illicit drugs are ⏩ volatile than ever with ⏩ death than ever.
These public health policies exacerbated one crisis & ensured the creation of a whole new one.
How long are we expected to fund what seems to be intentional failure by PH agencies to protect health while our tax $ are used to mercilessly manipulate, maim & torture us? How long should we accept epistemic violence (violence exerted against or through knowledge) as normative?
We still don’t know how many of the patients affected by the CDC’s 2016 guidelines have died.
There have been no outcomes studies conducted by any of these agencies, even after the FDA, HHS, and CDC published warnings against rapid forced tapers.
We’ll likely never know.
To learn more about the plight of patients who’ve been swept up in the #WarOnDrugs, see my draft report, a 20-year overview of drug-related statistics.
Download the report via SSRN. It contains several hundred graphs depicting government drug data.
CDC still hasn’t released info on how much taxpayer $$$ was spent in efforts to stigmatize patients, manufacture consent for policies no pain management specialists supported, & resulted in a litigation narrative that only helped lawyers & made “experts” rich while patients died.
@EthicalSkeptic, please consider researching & commenting on how CDC, other public health agencies, & NGO’s destroyed legal/medical access to analgesics.
Selective “evidence” & misleading statistics aligning with a political agenda were used to justify imposing barriers to care.
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Of 143,400 people who met inclusion criteria, 15,316 (11%) filled an opioid prescription (Rx) within 14 days of surgery. Among that number, "persistent opioid use" (POU) occurred in 1,901 (12.4%) of people 30-180 days after surgery. What does this really mean? Thread. 🧵
ICYMI people in pain & PWUD have been harassed, endangered, and killed because of poorly designed drug policy. The ivory tower drug war perpetrated by the iron triangle of inept bureaucrats, interests, and Congress has now reached into healthcare targeting our most vulnerable.🧵
Some love to claim science can fix all our problems but in the case of drug prohibition, which now affects our sickest, those using low/no evidence "science" to justify such policies have already unleashed unprecedented harm on the American people and destroyed population health.
A "vaccine" is not a tool for PWUD to "overcome opioid addiction." Not only does this border on unethical, but it'll also be used to continue justifying deadly policies that now impact sick and injured patients. It's also likely to result in more suicides.
People with intractable pain are more likely to need LTOT. Things like CBT are NOT going to work and haven't worked for these people and most of them have already tried everything else. Why are we spending billions on research without acknowledging this monumental difference? 🧵
People don't understand that pain is a nuanced topic. There are people who haven't developed chronic pain yet, those with chronic pain at the beginning or middle of their journey, and then there are intractable pain patients. Why isn't research catching onto this?
There should be very structured research strategies taking these differences into account. Maybe @NIH and @PCORI can explain why these differences are not being acknowledged. We need research on LTOT too and what is comparative effectiveness research without a comparison?
NIH is allocating $270M additional funding for pain & opioid research. The researchers don't pocket this money. While I don't agree with research at the bedside without the knowledge/consent of patients & then using it to further restrict access, let's not spread misinformation.
Bad things are happening, but let's keep things in perspective. Researchers do not pocket millions in grants. The money goes toward studies which then influence the practice of medicine. This is the detail we should be focusing on. Here is an image detailing the process:
The policy driving the response to the OD crisis as it relates to HC is the CDC's 2016 guideline, however, federal research is certainly going to change the way medicine is practiced. That is the point of embedded pragmatic clinical trials & comparative effectiveness research.
In case you weren't aware that the purpose of the electronic health record (EHR) is to leverage patient data for research, check out what the NAM has to say about the learning health model in “Digital Infrastructure for the Learning Health System."🧵
"The ability to draw broadly from anywhere across the globe to provide relevant insights for health and healthcare improvement is a long-term goal for the learning health system."
"Meanwhile, the ability to learn from the experiences of other countries and to apply health information technology (HIT) for biosurveillance can actively facilitate progress toward this and other goals."
On this day 8 years ago, my father died. By the end of his life, he was crippled and homeless, all because those who were supposed to help him wouldn't. When he asked his doctor to treat his pain, he told him "man up, I'm not prescribing you anything." 5 years later he was dead.
He started using a legal drug to control his pain, alcohol. His health quickly declined even further. When his time came, he had to drink just to stave off death. He took Benadryl for an allergy attack and it interacted with the alcohol in his system.
He fell asleep at the wheel of his car, while he was driving, and flipped it off a steep road. He died on impact. I still wonder why his doctor felt it was more just for him to kill himself rather than treat his pain so he could continue being a productive member of society.