1/ It Prohibits discrimination on the basis of disability- or age- related resource-intensity and duration of need, protecting people who need more treatment resources due to their age or disability from automatically being given a lower priority to receive life-saving care;
2/Removes language permitting long-term life expectancy from being used as a factor in the allocation (or re-allocation) of medical resources, instead indicating that providers should consider only imminent mortality;
Over the period the drugs were studied, suicides attempts after people took just gabapentin rose by 80.5 percent, and by 43 percent for baclofen. The study found that use of these medications increased by 64% between 2012 and 2016.
"We are seeing a worrying increase in harmful exposures to gabapentin and baclofen in U.S. adults over recent years, which may be an unintended consequence of the move away from opioid prescriptions for pain management," said Reynolds.
👉👉👉VICTORY AT LAST IN OREGON ON FORCED TAPERING. Today, Oregon voted against a proposal to mandate tapering to 0 of Oregon Medicaid patients who currently take #opioids long term to manage #pain - an action that would, by Oregon’s estimation, have affected 60-100,000 people
oregon.gov/oha/ERD/Pages/…. The proposal garnered national attention & the concern of over a hundred experts in pain medicine, addiction, and health policy. In light of their efforts and the growing evidence about the dangers of mandatory tapering, Oregon today demurred. 2/
Two specific proposals were at issue. The first was passed in 2016 and mandated the tapering of anyone with a condition involving the back, neck or spine. Oregon added coverage of modalities like physical therapy - but the taper mandate was absolute. 3/
The carrot (financial incentives) and the stick (new legal mandates) are aligned in a full-throttled assault on opioid prescribing, which fell 74.4% according to the CDC betw. 2015). # of prescriptions filled at retail pharmacies is already at a 15-year low.
Laws in half the states, proposed federal legislation, pharmacy and insurer mandates (which are financially incentivized with compensation packages to lower opioid use) place one-size-fits-all limits on the number of days or dosage at which opioids can be prescribed.
It's a well oiled machine in which a single prescription is subjected to multiple, conflicting levels of overside - so many points of failure for patients who use these essential medications.
1/While the subject of opioids inspires polarizing and often simplistic or even eviscerating attacks, we need to welcome questioning and different perspectives in open debate, so here are his points and our response:
2/Claim A: He takes greatest exception with our citation of the risk of developing and addiction from prescribing opioids long term at .06-7%.