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Treating Doctors as Drug Dealers: The DEA's War on Prescription Painkillers
CATO.ORG ^ | JUNE 5, 2005 | Ronald T. Libby

Posted on 06/06/2005 8:17:01 PM PDT by CHARLITE

The medical field of treating chronic pain is still in its infancy. It was only in the late 1980s that leading physicians trained in treating the chronic pain of terminally ill cancer patients began to recommend that the "opioid therapy"(treatment involving narcotics related to opium) used on their patients also be used for patients suffering from non terminal conditions. The new therapies proved successful, and prescription pain medications saw a huge leap in sales throughout the 1990s. But opioid therapy has always been controversial. The habit-forming nature of some prescription pain medications made many physicians, medical boards, and law enforcement officials wary of their use in treating acute pain in non terminal patients. Consequently, many physicians and pain specialists have shied away from opioid treatment, causing millions of Americans to suffer from chronic pain even as therapies were available to treat it.

The problem was exacerbated when the media began reporting that the popular narcotic pain medication OxyContin was finding its way to the black market for illicit drugs, resulting in an outbreak of related crime, overdoses, and deaths. Though many of those reports proved to be exaggerated or unfounded, critics in Congress and the Department of Justice scolded the U.S.Drug Enforcement Administration for the alleged pervasiveness of OxyContin abuse.

The DEA responded with an aggressive plan to eradicate the illegal use or "diversion" of OxyContin. The plan uses familiar law enforcemet methods from the War on Drugs, such as aggressive undercover investigation, asset forfeiture, and informers. The DEA's painkiller campaign has cast a chill over the doctor-patient candor necessary for successful treatment. It has resulted in the pursuit and prosecution of well-meaning doctors. It has also scared many doctors out of pain management altogether, and likely persuaded others not to enter it, thus worsening the already widespread problem of underrated untreated chronic pain.

Full analysis (PDF): http://www.cato.org/pubs/pas/pa545.pdf


TOPICS: Constitution/Conservatism; Crime/Corruption; Culture/Society; Government; News/Current Events; Philosophy; Politics/Elections
KEYWORDS: addictions; addictive; dea; doctors; medication; oxycontin; painkiller; physicians; prescription; prosecution; wodlist
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1 posted on 06/06/2005 8:17:41 PM PDT by CHARLITE
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To: CHARLITE

Rush needs to respond to this.


2 posted on 06/06/2005 8:19:58 PM PDT by A CA Guy (God Bless America, God bless and keep safe our fighting men and women.)
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To: CHARLITE
I guess those in pain are supposed to score Black Tar Heroin, or maybe the WOD trash just likes the idea of hundreds of thousands of people in constant excruciating pain.

No consequence of legalizing all drugs would be as bad for society as the consequences we suffer now from the WOD.

SO9

3 posted on 06/06/2005 8:21:33 PM PDT by Servant of the 9 (Trust Me)
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To: mikebake
ping

They wouldn't like the Opiate/Eskatrol cocktails for terminal cancer patients either.

4 posted on 06/06/2005 8:22:32 PM PDT by Slump Tester (John Kerry - When even your best still isn't good enough)
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To: CHARLITE

In America 140 years ago there were no drug laws, and there were no meaningful drug problems. How bright does anybody need to be to figure that one out?


5 posted on 06/06/2005 8:22:42 PM PDT by tahotdog
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To: Servant of the 9

I agree.


6 posted on 06/06/2005 8:22:52 PM PDT by wingnutx (Seabees Can Do!)
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To: CHARLITE
I don't know why this is such a big deal. Those of us that take opiates regularly don't really have a problem. We can quit anytime we want...........
7 posted on 06/06/2005 8:23:14 PM PDT by Jaysun (No matter how hot she is, some man, somewhere, is tired of her sh*t)
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Comment #8 Removed by Moderator

To: A CA Guy

There is a pain killer that is non-narcotic, non-addictive, and has never killed anyone by overdose. Oh, nevermind, the SC just voted to prosecute anybody using it.


9 posted on 06/06/2005 8:32:24 PM PDT by Nachoman
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To: CHARLITE

from the DEA agent's perspective and the federal prosecutors perspective..its an easy score..the doc does'nt shoot back, if he's any good at all there's some great local TV face time.......and usually some cash somewhere to clean out


10 posted on 06/06/2005 8:35:02 PM PDT by mo
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To: CHARLITE
The poor old MSM just doesn't get it.

Medical bills keep going up and is proportionate to the amount of government interference into how patients are treated.

Activists judges, crazy juries and exorbitant awards are the price that the general public is paying for runaway sue happy lawyers.

Go into the emergency room with an ingrown toenail and your liable to end up with bill out of this world.

Why because the doctor is trying to protect his butt from those people who are trying to make it to easy street through a large judgment.

Hospitals are running unnecessary test to protect themselves and that is driving up the cost of health for the average Joe.
11 posted on 06/06/2005 8:35:48 PM PDT by OKIEDOC (LL THE)
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To: Nachoman

That isn't much of a pain reliever, has connections to schitzophrenia and often gets mixed with other drugs as it's uses gets familiar.

Pain management is tough, and though people will get shorter lives with lots of prescribed pain medication, often doctors prescribe it because the alternative is they try and kill themselves form the pain.


12 posted on 06/06/2005 8:39:17 PM PDT by A CA Guy (God Bless America, God bless and keep safe our fighting men and women.)
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To: Servant of the 9

I agree it seems like sadism to keep painkillers away from people in pain.


13 posted on 06/06/2005 8:41:59 PM PDT by ran15
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To: CHARLITE
As a person that has severe chronic pain, and as anyone else that suffers from it will tell you that pain medication taken for a specific purpose is not habit forming. The DEA needs to study the problems of chronic pain. Just as with any medication. If it is not taken for the intended use, yes it becomes a illicit drug. The one thing that gives me some relief and helps make my medication more effective are injections in my back. Guess what, my insurance fights me on this, and it is just not worth the fight. The DEA uses the old canard that if you stop taking the medication you have increased pain, therefore you are addicted. My Doc tried me on Vicadan, but I can't tolerate the acetominophen (Tylanol).

My next thing is a nerve block.

I get sick of people that know nothing of chronic pain trying to make laws with regards to it's treatment.

14 posted on 06/06/2005 8:42:30 PM PDT by marty60
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To: CHARLITE

They should just merge the FDA and the DEA. At least it would be more honest, merging the scientific and propagandist with the propagandist and militarist.


15 posted on 06/06/2005 8:42:42 PM PDT by microgood
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To: A CA Guy

Doctors prescribe pain killers because thats all they know how to do. Too bad doctors don't know half as much as they think they do.


16 posted on 06/06/2005 8:45:51 PM PDT by Nachoman
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To: tahotdog
In America 140 years ago there were no drug laws, and there were no meaningful drug problems

The Drug War dates to about the end of Prohibition. Can't disemploy the JBTs can we?

These people are enemies of the Constitution and of freedom. They deserve the fate of the Tories in the revolutionary times.

17 posted on 06/06/2005 8:54:45 PM PDT by Haru Hara Haruko
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To: tahotdog
In America 140 years ago there were no drug laws, and there were no meaningful drug problems. How bright does anybody need to be to figure that one out?

Good point. The brain washing in our society by our rulers in the vast government bureaucracies is nearly complete. 99% of Americans today have no idea of true Liberty of the government our Founders intended. Many Freepers are even taken in by the so called WOD. It is a colossal failure and an affront to our Liberties. The WOD is another cancer that is eating at the foundation of our Republic. What most people don't understand is that since these vast bureaucracies have been created they are expanded each year with added monies (usually obscene amounts) and added personnel. To maintain the stranglehold over such a significant amount of our income these so called "servants" must justify their existence to the citizens. They do this through finding so called bad seeds. Raids are highly publcized as "protecting the citizens." It would be funny if it wasn't so tragic. I know many in law enforcement and most, if they are honest, tell you the WOD is a waste. But, heck, it's a job! Many in law enforcement partake of illegal substances too, showing another hypocrisy of this WOD. If our country can survive the cancer of Liberalism, it will have to survive the other highly corrosive cancer attacking our freedoms -- the unwinnable WOD. Most of the problems associated with drugs is because of the very "illegality" of the drugs and not the drugs themselves. This has all be much better explained by the likes of Milton Friedman and other brilliant thinkers.

18 posted on 06/06/2005 8:57:56 PM PDT by liberty2004
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To: Nachoman
"There is a pain killer that is non-narcotic, non-addictive, and has never killed anyone by overdose. Oh, nevermind, the SC just voted to prosecute anybody using it. "

Ain't that the truth! Can you imagine the economic impact legalizing Pot would have.
19 posted on 06/06/2005 9:01:30 PM PDT by devane617
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To: Nachoman
For many, weight loss would help a bunch.
Some who have real spine damage really don't have lots of alternatives to drugs.
One of my friends is an orthopedic surgeon who was rather prominent here in California, then his back ended his career. Nothing can be done, he has severe spine damage from being required to help remove patients from the operating table.
It's a tortured life, and I don't envy people in that condition.

I had a broken neck once by a drunk driver that ruined me for several years of recovery, though I used no drugs, I am familiar with the pain.
20 posted on 06/06/2005 9:02:57 PM PDT by A CA Guy (God Bless America, God bless and keep safe our fighting men and women.)
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