Physicians are under intense scrutiny because of concerns
over prescription drug diversion and abuse. At the same time,
they are also under pressure from patients and advocates to prescribe
adequate pain medication. It is a difficult balancing act and sometimes,
overzealous law enforcement can tip the scales.
For more information
The Cato Institute published this tremendous analysis
of pain management policy by Professor Ronald T. Libby of the
University of North Florida. Download a copy of
the full report, and also check out
public service ad which excerpts the Libby report.
A Michigan study confirms what many patients already know:
Pharmacies in minority and low-income areas are less
likely to carry sufficient supplies of pain medications.
Click here to read more about this
study on access to pain medication which was
published in the Journal of Pain in Oct. 2005.
where healthcare and drug control policies intersect.
Click here for more
about pain management, diversion, and related items.
Also check out
this new CSDP
public service ad on the federal war against physicians over
Florida Governor Charlie Crist and his cabinet voted unanimously to grant pain patient Richard Paey a full pardon for his 2004 conviction on drug trafficking and possession charges. For more information, click here.
The re-trial of Doctor William Hurwitz came to an end in July 2007. The doctor's sentence was reduced to less than five years. He was originally given 25 years. For more information,
A federal judge is challenging the plea agreement entered into earlier in 2007 between prosecutors and Purdue Pharma, the manufacturer of OxyContin. For more information, click
The New York Times Magazine featured a cover story on pain management issues in their June 17, 2007 edition.
Click here to read the story in full.
Purdue Pharma, manufacturer of OxyContin, and three current and former executives were allowed to plead guilty in federal court to misleading the public about
Oxy's risks. For more information,
Federal re-trial of pain specialist Dr. William Hurwitz ends some charges dismissed, acquittal on some charges but guilty verdicts on others. For more information
Commutation Urged After Appeal Fails
Chronic pain patient Richard Paey lost in the appeal of his sentence on drug charges and faces a mandatory minimum 25-year-sentence.
For more information
DEA Issues Policy Statement On Pain Management
The US Drug Enforcement Administration has issued a new policy statement on pain management and prescribing practices. For details,
Also, a full copy of the notice as published in the Federal Register is available by clicking
The 4th Federal Circuit Court of Appeals has granted a new trial to Dr. William Hurwitz of Virginia. Dr. Hurwitz had been accused of drug trafficking for prescribing large quantities of narcotics to patients. For more information click here.
Rightwing talkshow host Rush Limbaugh reached a plea deal with prosecutors charges to be dropped in 18 months if he completes treatment, avoids re-arrest. For more info,
One of the first physicians in the nation to be charged with the deaths of patients from narcotics abuse was found guilty of one count of manslaughter and five counts of narcotics trafficking in her retrial in Florida. Dr. Asuncion Luyao faces maximum 30 year prison term
an appeal is planned.
Click here for more info.
First Annual Opioid Certification Program
Presented by the Opioid Management Society & the
Journal of Opioid Management, the conference will be held April 22-23, 2006, at The Conference Center at Harvard Medical, Boston, MA. To register, contact the
Opioid Management Society.
The cover story in Harvard Magazine's Nov-Dec 2005 issue
is "The Science of Hurt," by Kathleen Koman.
Download and read a
PDF copy of this tremendous article.
FDA, doctors win versus DEA on question of
final approval of new painkilling drugs.
Click to read more.
A Nevada legalization initiative is the first to qualify for the 2016 ballot, a new poll identifies an amorphous "marijuana middle," meth is on the rise in Iran, and so are poppies in the Golden Triangle, and more. Let's get to it:
[image:1 align:right caption:true]Marijuana Policy
"Marijuana Middle" Identified in Third Way Poll. A new national poll from the centrist think-tank Third Way finds Americans almost even split on legalization (50% yes, 47% no), but with a broad and deep "marijuana middle" that may not support legalization in its own state, but does support federal action to allow states that have legalized it a "safe haven." Two-thirds said Congress should pass a "safe haven" law, while 60% said legalization should be up to the states, not the federal government. The poll also examined the demographics of the "marijuana middle." Click on the link for all the details.
JAMA on the Impact of Marijuana Legalization. The Journal of the American Medical Association (JAMA) Monday published "The Implications of Marijuana Legalization in Colorado." (Click the title link to read the article.) The authors found an increase in reports of emergency room visits for marijuana intoxication, as well as problems related to the production of new marijuana products, ranging from burns caused by exploding hash-oil labs to problems associated with the overindulgence in edibles. But the authors also found that legalization was increasing access to marijuana for medical reasons, including pain control, where it is much safer than opiates.
Anchorage Assembly to Hold Hearing on Banning Pot Businesses. At the behest of Assembly member Amy Demboski, the Anchorage Assembly will hold a hearing on her proposal to ban licensed pot businesses in the city one week from today. Supporters of legalization are looking for people to show up. Click on the link for more information.
Illinois Appeals Court Rules Worker's Admission of Off-Duty Marijuana Use Not Sufficient to Deny Unemployment Benefits. A worker who was fired from his job after admitting smoking marijuana when confronted with a random drug test (which he passed) cannot be denied unemployment benefits, the state's 5th District appellate court has ruled. The case is Eastham v. The Housing Authority of Jefferson County.
It's Official -- Nevada Initiative Qualifies for 2016 Ballot. Nevada is first out of the blocks to legalize marijuana via an initiative in 2016. Secretary of State Ross Miller Monday certified that the initiative had qualified for the ballot. Now, voters will have the opportunity to legalize it in the 2016 elections -- unless the state legislature acts first to approve the measure.
Doctors Are Cutting Back on Prescriptions for Pain Relievers. In a study published in the Journal of the American Medical Association (JAMA), researchers report that half of primary care physicians are reducing their prescribing of opiate pain relievers compared to last year and that 85% of doctors believe they are overprescribed. The doctors reported concerns about addiction, overdoses, and traffic accidents. But an even greater number -- 90% -- were confident in their own ability to correctly prescribe opiates.
Meth in Iran. Reuters has a report on the increase of methamphetamine use in the Islamic Republic. The news agency notes that meth seizures more than doubled between 2008 and 2012 and that last year alone, the government seized 3.6 tons of speed. The report cites experts as saying the rise of meth is being driven by increased development in the country and a more complicated and faster-paced lifestyle.
Opium Production Thriving in the Golden Triangle, UN Reports. Opium production in Southeast Asia's Golden Triangle has increased for the eighth straight year, the UN said Sunday in its Southeast Asia Opium Survey 2014. The acreage under cultivation increased slightly, giving the region to ability to produce about 76 tons of heroin. Myanmar accounts for most of the Golden Triangle production, and the Shan State accounts for most of Myanmar's production. The Golden Triangle is the world's second largest opium production region, behind Afghanistan, but only produces about one-fifth the amount Afghanistan does.
The fallout from last week's legalization votes begins, California veterans are reporting medical marijuana problems with the VA, doctors are billing Medicare for largely needless senior drug testing, and more. Let's get to it:
[image:1 align:left caption:true]Marijuana Policy
No More Pot Prosecutions in Portland. That didn't take long. Less than a week after Oregon voters approved the Measure 91 legalization initiative, prosecutors in Multnomah County (Portland) announced Monday that they will dismiss all pending violation-level marijuana possession cases and won't bother to prosecute any future ones. "Because it is clear that a significant majority of voters in Multnomah County support the legalization of marijuana in certain amounts, this office will dismiss the pending charges related to conduct which will otherwise become legal July 1, 2015," said a statement from Multnomah County DA Rode Underhill. "Any remaining charges not impacted by Ballot Measure 91 will be prosecuted." Prosecutors in other Oregon counties are still figuring out how to respond.
Alaska Legislator Getting to Work on Legal Marijuana Draft Regulations. That didn't take long, either. Less than a week after Alaska voters approved the Measure 2 legalization initiative, Rep. Bob Lynn (R-Anchorage) said Monday he plans to file legislation in January that would restrict pot shops within a certain distance of schools and public parks, limit advertising, and bar people with felonies from working in the industry. Lynn said he expects his proposals to attract plenty of discussion among lawmakers.
Opposition Coalition Forms in Vermont. A coalition to oppose marijuana legalization in the Green Mountain State has announced itself. SMART VT calls itself a "grassroots coalition" of "concerned Vermonters" and is now calling on Gov. Peter Shumlin (D) to not take up legalization this legislative session. Too late, though: A public hearing on legalization is set for Wednesday. Click the last link for hearing details.
US Veterans Denied Pain Medications Over Medical Marijuana Use. California NORML is reporting that it is being contacted by veterans who are being told by their VA doctors that they must choose between their prescription pain medications and medical marijuana. The group reports "a spate of complaints" from Long Beach and Loma Linda after scheduling changes for some prescription drugs recently took effect. Those changes entail stricter reporting requirements for doctors, and that, among other factors, seems to have spurred the tightening up. Click on the title link for more details and a plan for action from CANORML and Veterans for Medical Cannabis Access. Happy Veterans Day!
Pain Docs Getting Rich Doing Useless Drug Tests on Seniors, Taxpayers Pick Up the Tab. In an expensive side-effect of the "war" on pain pill addiction, pain specialists are now ordering costly testing of seniors for recreational drug use, and Medicare is stuck footing the bill. The doctors are also responding to a Medicare crackdown on abusive billing for simple urine drug screens by moving to high-tech testing methods for which billing is not limited. Now, doctors are testing for a number of different drugs -- including illegal ones rarely used by seniors, such as cocaine, ecstasy, and PCP -- and raking in the tax dollars. Medicare spending on drug testing has increased an incredible 1,423% since 2007 to $445 million in 2012. That included $14 million for testing seniors for PCP, for which one lab director with 25 years in the business told The Wall Street Journal she had never seen a positive test result in people over 65. The comprehensive article is worth the read; click on the link to get it.
Montreal Gets First Medical Marijuana Clinic. Montreal's first medical marijuana clinic is opening today. Sante Cannabis does not sell medical marijuana, but its doctors and staff guide patients on how to use marijuana, proper strains to use, and determine whether to smoke, vape, or use edibles. The city has had dispensaries or "compassion centers" for years, but Sante Cannabis is the first medical marijuana business to have doctors on staff.
British Lib Dem Leader, Former Colombian President Team Up to Fight for Drug Reform. Liberal Democratic party leader and British Deputy Prime Minister Nick Clegg and former Colombian President Juan Manuel Santos have agreed to work together to help forge an alliance between European and Latin American countries aiming to reform global drug prohibition. They are taking aim at the UN General Assembly Special Session on Drugs set for 2016.
Medical marijuana news from several states today, the Baby Bou Bou SWAT raid case is before a grand jury, UMass examines its student snitch policy, DA candidates in Houston are fighting over drugs, and more. Let's get to it:
[image:1 align:right]Marijuana Policy
Mississippi Group Wants Legalization Initiative. A group of activists filed a petition Monday with the secretary of state's office seeking a ballot initiative to legalize marijuana. This is the first step in putting a measure before the voters. The group is called Mississippi for Cannabis. We're not sure if these are the same folks, but there is a Legalize Marijuana in Mississippi Facebook page.
Colorado Supreme Court Hearing Patient's Wrongful Firing Lawsuit Today. The state Supreme Court is hearing arguments in the case of Brandon Coats, a quadriplegic who worked for the Dish Network until he was fired four years ago for testing positive for marijuana. Dish Network argues that even though medical marijuana is legal under state law, it is still illegal under federal law, and the firing was thus justified.
New York US Senators Ask Feds to Approve State's Request to Transport Medical Marijuana Across State Lines. US Sens. Kirsten Gillibrand (D) and Charles Schumer (D) Monday sent a letter to Attorney General Eric Holder in support of Gov. Andrew Cuomo's (D) request for the Justice Department to allow the state to import high-CBD cannabis oil from out of state. "As members of Congress whose constituents suffer from these illnesses, we feel that the federal government ought to do what it can to help these children," the senators wrote. "Therefore, we are requesting that you provide the state of New York with a waiver that would prohibit federal prosecution for the importation of cannabidol in the rare cases where medical marijuana is imported between two states with legalized medical marijuana, and the amount is small, finite and prescription-based."
Second Annual Rhode Island Medical Marijuana Festival This Weekend. The Rhode Island Patient Advocacy Coalition is hosting the festival to celebrate the eighth year of the state's medical marijuana program. Click on the link for more details.
Wisconsin Activists Target Recalcitrant Legislators With Billboards. Sick and tired of seeing bills blocked in the state legislature, medical marijuana activists are targeting two key opponents, Republican state Sens. Mary Lazich and Leah Vukmir, in a newly unveiled billboard campaign. The billboards urge readers to call the two senators and ask them why Wisconsin patients have no access to medical marijuana.
Harris County, Texas, (Houston) DA Race All About Drugs. A debate over the weekend between Republican incumbent Harris County District Attorney Devon Anderson and Democratic challenger Kim Ogg was all about drugs. The candidates both suggested that they would allow some low-level marijuana possession offenders to avoid permanent criminal records, although Ogg would go further than Anderson. They also tussled over whether or not to press felony charges for trace amounts of cocaine or crack pipes, with Anderson taking the harder line. Click on the link for more flavor.
Doctors' Group Issues Pain Reliever Guidelines, Says Not Appropriate for Many Cases. The American Academy of Neurology has released a new position paper, Opioids for Chronic Non-Cancer Pain, that says the risks of opioid pain relievers outweigh their benefits in treating chronic headaches, low back pain, and fibromyalgia. "Whereas there is evidence for significant short-term pain relief, there is no substantial evidence for maintenance of pain relief or improved function over long periods of time without incurring serious risk of overdose, dependence, or addiction," the group concludes. The position paper calls for increased screening, monitoring, and drug testing of opioid-using pain patients, but has little to say about actually treating chronic pain.
UMass to Review Whether to Allow Students to Act as Drug Snitches. In the wake of the heroin overdose death of a student who had been arrested by campus police on drug charges, but who was allowed to become an informant for police, the University of Massachusetts at Amherst said Monday it would review the program that allows police to recruit students as snitches. Questions have been raised about whether the program gets students appropriate treatment for drug problems and whether the students' parents are notified of violations, as they are with alcohol violations.
Georgia Grand Jury Hearing Evidence on "Baby Bou Bou" SWAT Raid. A Habersham County grand jury Monday began reviewing evidence in the case of "Baby Bou Bou," the toddler who was seriously injured when a SWAT team member on a drug raid threw a flash bang grenade into his play pen. The SWAT team found neither drugs nor the individual they were seeking. The grand jury will review the evidence surrounding the drug raid and determine if criminal charges should be filed against authorities who executed it.
Eleven Killed in Mexico Cartel Clashes in Chihuahua. Mexican prosecutors said clashes last Friday between Sinaloa and Juarez cartel members in the town of Guachochi, Chihuahua, in the Tarahumara mountain range, left 11 people dead. No Mexican security forces were involved, they said. The isolated region, home to the Tarahumara Indians, has been the scene of repeated clashes between rival drug gangs.
Canadian Drug Reformers Rally in Ottawa. Drug reformers, health lobbyists, and the Liberal Party's health critic, Hedy Fry, gathered on Parliament Hill Tuesday to advocate for more enlightened drug policies. Current policies unfairly criminalize drug users and don't effectively treat addiction, they said. Click on the link for more detail.
This article was published by StoptheDrugWar.org's lobbying arm, the Drug Reform Coordination Network, which also shares the cost of maintaining this web site. DRCNet Foundation takes no positions on candidates for public office, in compliance with section 501(c)(3) of the Internal Revenue Code, and does not pay for reporting that could be interpreted or misinterpreted as doing so.)
MPP begins laying the groundwork for a 2016 legalization initiative in California, a new report examines the impact of pot law reforms, Pennsylvania Senate votes on medical marijuana today, anti-addiction activists target the FDA, and more. Let's get to it:
[image:1 align:left caption:true]Marijuana Policy
MPP Files Campaign Committee for 2016 California Initiative. And so it begins. The Marijuana Policy Project today filed with the California secretary of state to create a campaign committee to support a 2016 marijuana legalization ballot initiative. The group says the committee will be part of a broad coalition working to legalize marijuana in the nation's most populous state. That coalition will be working on an initiative draft in the coming months.
CJCJ Report Examines Impact of Marijuana Law Reforms, Supports Legalization Over Decriminalization. In a report released today, the Center for Juvenile and Criminal Justice examines the impact of pot law reforms in states that have either decriminalized or legalized the herb and calls legalization the best policy choice. The report is Reforming Marijuana Laws: Which Approach Best Reduces the Harms of Criminalization? A Five-State Analysis.
Pennsylvania Medical Marijuana Bill Headed for Senate Vote Today. The bill, which was amended yesterday in the Appropriations Committee to ban the use of vaporizers and to greatly narrow the list of allowed conditions for using medical marijuana, is set for a Senate floor vote today.
Heroin and Opiates
Pennsylvania Report Says Heroin Cheaper Than Beer. The Center for Rural Pennsylvania (an agency of the state legislature) has issued a report on opiate addiction in the Keystone State that finds that heroin is cheaper than beer and is sold through sophisticated retail networks. The report, Heroin: Combating this Growing Epidemic in Pennsylvania, recommends a variety of legislative actions, including passage of bills creating a statewide prescription drug database, "Good Samaritan" laws, and making the opioid overdose reversal drug naloxone more available.
Anti-Addiction Activists Call on FDA Head to Resign. A group calling itself FED UP: A Coalition to End the Opioid Epidemic today released a letter calling for the resignation of Food and Drug Administration (FDA) Commissioner Dr. Margaret Hamburg because of "the FDA's continued approval of new, dangerous, high-dose opioid analgesics that are fueling high rates of addiction and overdose deaths." The group takes issue with the FDA's approval last year of the new opioid pain reliever Zohydro, but it also criticized the agency for approving new drugs that are actually designed to be harder to misuse, such as Targiniq, which combines oxycodone with naloxone. FDA spokeswoman Erica Jefferson defended Dr. Hamburg, saying she had to balance concerns about abuse and public safety with those about adequate access to pain medications. "Preventing prescription opioid abuse and ensuring that patients have access to appropriate treatments for pain are both top public health priorities for the FDA," Jefferson said in a statement.
California Defelonization Initiative Has Healthy Lead in New Poll. A poll released yesterday by the Public Policy Institute of California has the state's defelonization initiative, Proposition 47, winning with support at 62%. The initiative would turn drug possession felonies and some other low-level nonviolent offenses into misdemeanors.
Bermuda Activist Sues Premier Over Medical Marijuana. Attorney Alan Gordon has sued Premier Michael Dunkley as part of his campaign to ease access to medical marijuana on the island. Gordon accuses the government of creating a double standard by not arresting him for openly cultivating medical marijuana while prosecuting atheists and Rastafarians for the same offense.
Serbian Health Minister Supports Medical Marijuana. Serbian Health Minister Zlatibor Loncar has said marijuana provides "good results in medicine" and announced he will open a public debate on the issue. "The ministry would not prevent the introduction in medicine of anything that gives results for treatment, including marijuana. There are results showing that cannabis gives good results in medicine. We do not want to make decisions for one day, though. We want to meet people with all the details," he said.
The Washington Post just says no to the DC marijuana initiative, the Oregon initiative sees a lively debate, the Madison, WI, police chief says legalize it, another drug war death, West Virginia pain patients are getting screened by narcs -- and paying for the privilege! -- and more. Let's get to it:
[image:1 align:right caption:true]Marijuana Policy
Washington Post Counsels "No" Vote on DC Initiative. The editorial board of The Washington Post came out Sunday against DC's Initiative 71 legalizing the possession and cultivation of small amounts of marijuana. The paper noted that it had supported DC's recent decriminalization, but worried about "the rush to legalize marijuana." The paper warned that marijuana is "a dangerous drug" and "a gateway to more dangerous drugs." It also warned of "negative consequences" of legalization in Colorado, citing contentious information from the anti-legalization group Project SAM.
Legalization Debated in Oregon. The Salem City Club was the site of an hour-long debate last Friday over the legalization initiative, Measure 91. US Rep. Earl Blumenauer (D-OR) represented the "pro" side, while Clatsop County DA Josh Marquis represented the "con" side. Click on the title link for the flavor of the debate.
York, Maine, Initiative Still Up in Air. Will residents of York get to vote on marijuana possession legalization this year or not? The city council has rejected an initiative petition, but organizers were expected to submit a notarized version of the signatures to the town clerk, which would put the measure on the ballot. That hasn't happened yet. The Coalition for a Safer Maine only has until Friday, but the town clerk is now saying signatures may have to be re-gathered. The Coalition is considering its options. Similar initiatives are already on the ballot in Lewiston and South Portland, and Portland passes its own measure last year.
New York State Senator Says She Will Introduce Legalization Bill. Sen. Liz Krueger (D-Manhattan) said Sunday she will introduce a bill to legalize marijuana. "I will push for taxation and regulation of marijuana," she said. "I continue to work with experts around the country and to evaluate laws and regulations being put into place now." She introduced a similar bill last session that went nowhere, but she said progress on medical marijuana and factional realignments in Albany made her hopeful. "I see more hope in a Democratic majority for… pieces of legislation that weren't going anywhere," she said.
Madison, Wisconsin, Police Chief Says Legalize It. Police Chief Mike Koval came out in favor of marijuana legalization last week, saying it should be taxed and regulated, with revenues used to provide treatment for hard drug users. The war on drugs in general and on marijuana in particular has been "an abject failure," he said. "We've done such an abysmal job using marijuana as a centerpiece of drug enforcement, that it's time to reorder and triage the necessities of what's more important now," he added.
Florida Republican County Chairs Oppose Medical Marijuana Initiative. GOP county chairs voted last Friday to oppose Amendment 2, the state's medical marijuana constitutional amendment. They worried it would lead to widespread access to marijuana. "I do not want to see Florida turned into the pot capital of the world," said Volusia County GOP chair Tony Ledbetter, in a remark typical of Republican concerns.
Wisconsin's Republican Governor Comes Out for Public Benefits Drug Testing. In a tough race for reelection, Gov. Scott Walker has come out with a proposal to drug test people seeking food stamps or unemployment benefits and he is looking for a fight with the federal government over it. The notion is politically popular, but legally and constitutionally problematic. Walker's opponent, Democrat Mary Burke, has derided Walker's plan as a campaign stunt.
West Virginia Pain Clinics Using Former Narcs to Screen Patients. People seeking medical assistance at the Hope pain clinics in Beckley, Fairmont, and Kanawha City now must undergo screening by former narcotics officers -- and pay for the privilege. The clinics are charging patients $150 to be fingerprinted, photographed, drug tested, background checked, and interviewed by the former narcs. The work is doing by a private company, but some state legislators said it should be doctors -- not police -- who are reviewing and monitoring patients.
House Judiciary Committee Hearing Thursday on DEA Oversight. The House Judiciary Committee Subcommittee on Crime, Terrorism, Homeland Security, and Investigations will meet Thursday for a hearing on DEA oversight. The only scheduled witness is DEA Administrator Michele Leonhart. Click on the link for more details.
19-Year-Old City Oklahoma Woman Shot By Cops Is Year's 33rd Drug War Fatality; Boyfriend Now Charged With Murder. An Oklahoma City woman was shot and killed by police as she attempted to drive away from a drug bust and hit an officer on foot earlier this month. Karen Cifuentes, 19, becomes the 33rd person to die in US domestic drug law enforcement operations so far this year. Cifuentes was apparently the girlfriend of passenger Juan Manuel Aguilera Perez, 24, who reportedly threw a bag of cocaine from the car as the pair fled. Perez is now charged with first degree murder, possession of a controlled substance with intent to deliver, and possession of drug proceeds ($400 in cash). Because Perez's was allegedly in the midst of the commission of a felony -- drug sales -- when police shot Cifuentes, under Oklahoma law he can -- and has been -- charged with murder in her death.
Parliamentary Citizen's Initiative for Marijuana Legalization Now Third Most Successful in Austrian History. A parliamentary citizen initiative asking for marijuana legalization has now been signed by 22,392 Austrians, making it the third most successful such petition in the country's history. "This huge success motivates us to organize a parliamentary hearing in order to reduce information deficits as most Austrian politicians still reject any legalization moves," said Bernhard Amann, chairman of Legalize!Ã–sterreich.
Hundreds of Vietnamese Drug Users Flee Compulsory "Rehabilitation Center." At least 400 inmates at a compulsory drug treatment "rehabilitation center" escaped on Sunday after breaking down the gates of the center near Hai Phong City. Drug users in Vietnam are regularly arrested and sent to compulsory treatment programs, a practice that has been denounced by human rights groups. A local official was quoted as saying that the men had escaped to pressure authorities for "better policy." They can be held for up to three years in the treatment centers, which Human Rights Watch has called "little more than forced labor camps."
(This article was published by StoptheDrugWar.org's lobbying arm, the Drug Reform Coordination Network, which also shares the cost of maintaining this web site. DRCNet Foundation takes no positions on candidates for public office, in compliance with section 501(c)(3) of the Internal Revenue Code, and does not pay for reporting that could be interpreted or misinterpreted as doing so.)
The Drug Enforcement Administration worked with pain
management specialists to develop pain prescription guidelines
so that law enforcement could do its job and physicians could
do theirs. A month later,
DEA pulled the guidelines.
In a letter, 30 state attorneys general take DEA to task
over withdrawal of pain management prescription guidelines.
Check out this
public service ad
on the letter.
OxyContin has been the center of controversy
as pain management has moved to the front of
the public consciousness. Much of what's been
reported is exaggerated.
Click here for more news and information about
Oxy and pain management issues.
"By demonizing physicians as drug dealers and
exaggerating the health risk of pain management,
the federal government has made
physicians scapegoats for the failed drug war.
Even worse, the Drug Enforcement
Administration's renewed war on pain
doctors has frightened many physicians out of
pain management altogether, exacerbating an
already serious health crisis - the widespread
undertreatment of intractable pain."
"Experts agree that tens of millions of Americans
suffer from undertreated or untreated
pain ... According to one 1999 survey, just
one in four pain patients received treatment
adequate to alleviate suffering."
"The medical evidence overwhelmingly
indicates that when administered properly,
opioid therapy rarely, if ever, results in 'accidental
addiction' or opioid abuse."
"Pain specialists make an important distinction
between patients who depend on opiates to
function normally - to get out of bed, tend to
household chores, and hold down jobs - and
addicts who take drugs for euphoria, and
whose lifestyles deteriorate as a result of taking
opiates, instead of improving. The DEA
makes no such distinction."
"The relationship between a doctor and his
patient is crucial to the proper assessment and
treatment of the patient's condition. The
DEA's aggressive investigative procedure
poisons the doctor-patient relationship from
"The DEA continues to lower its evidentiary
standards, making it nearly impossible for many
doctors to determine what is and isn’t permitted."
"Large quantities of narcotics routinely go
missing en route from manufacturers to wholesalers
and from wholesalers to retailers. The
DEA itself acknowledges this problem.
Given the poor job the DEA is doing of
monitoring the narcotics it's charged with
overseeing ... DEA's attempt to blame physicians
for the drugs' street availability seems
arbitrary, unjustified, and capricious."