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New York City To Restrict Prescription Painkillers In Public Hospital's Emergency Rooms
http://www.nytimes.com/ ^ | January 11,2013 | Anemona Hartocollis

Posted on 01/11/2013 2:25:04 AM PST by Biggirl

Some of the most common and most powerful prescription painkillers on the market will be restricted sharply in the emergency rooms at New York City’s 11 public hospitals, Mayor Michael R. Bloomberg said Thursday in an effort to crack down on what he called a citywide and national epidemic of prescription drug abuse.

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; News/Current Events; US: New York
KEYWORDS: bloomberg; drugs; drugwar; littledictator; nyc; painschmainwinthewod; publichealth; sourcetitlenoturl; warondrugs; wod; wodlist; wosd

1 posted on 01/11/2013 2:25:23 AM PST by Biggirl
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To: Biggirl

The abuse of Vicodin or OxyContin or Percocet is legendary. No one in the medical industry cares...most political folks don’t care....and public doesn’t care. As for Bloomberg’s effort? Well...folks will just go and make reservations every three days to get their prescription...so doctors will make another ten to twenty percent on profit per year.


2 posted on 01/11/2013 2:39:46 AM PST by pepsionice
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To: Biggirl
Some of the most common and most powerful prescription painkillers on the market will be restricted sharply in the emergency rooms at New York City’s 11 public hospitals, Mayor Michael R. Bloomberg said Thursday in an effort to crack down on what he called a citywide and national epidemic of prescription drug abuse.

Tinhorn f***ing dictator. Better they should writhe in pain, right? Bloomberg, you are Obama/Mao writ small.

3 posted on 01/11/2013 2:44:19 AM PST by Lazamataz (LAZ'S LAW: As an argument with liberals goes on, the probability of being called racist approaches 1)
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To: Lazamataz

What is left for this guy to restrict? I guess the percentage of alcohol in beer is his next target.


4 posted on 01/11/2013 2:47:11 AM PST by Buddy Sorrell ( John Boehner is our Pierre Laval. We need a Charles DeGaulle.)
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To: Biggirl

A doctor should be able to decide what is best for his patient and if that be morhpine or oxcycodone, or even fentanyl then so be it. If anything the hosptials need to have narcotic review boards and punish doctors who overprescribe or overoder medication.


5 posted on 01/11/2013 2:51:18 AM PST by LukeL (Barack Obama: Jimmy Carter 2 Electric Boogaloo)
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To: Biggirl
Financial-Media Guru, Nutritionist, Physician, Constitutional Scholar, in the arena of the 2nd Admendment, gee how did he ever have time for girls in College... ( sarcasm off )...

I am so sick of this know-it-all petty Dictator, perhaps he can take Hugo's place, lets give him a Country, and give us back NY.

6 posted on 01/11/2013 2:54:03 AM PST by taildragger (( Tighten the 5 point harness and brace for Impact Freepers, ya know it's coming..... ))
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To: pepsionice
Well...folks will just go and make reservations every three days to get their prescription.

I am surprised New Yawk is far behind the times. Hospitals on the Mississippi Coast imposed similar restrictions to drug seekers in the early 1990s. They (the six larger hospitals) maintain and share a database of known drug seekers.

ER physicians are NOT primary care doctors and should prescribe only meds to treat acute ailments.

This is a common sense move for Bloomberg to make. This is the first thing he's done I can agree with.

7 posted on 01/11/2013 3:04:53 AM PST by Islander7 (There is no septic system so vile, so filthy, the left won't drink from to further their agenda)
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To: Islander7

I can’t disagree with him on this action either, especially since we all have health insurance now. Ok just a little sarcasm there....

But truly, if they are writing a 7-10 script for pain meds that is way too much to be walking out the ER door with. If one is still in that much pain post 3 days, one needs to be seen by a regular doctor for further treatment or should be admitted for further diagnostic care.


8 posted on 01/11/2013 3:53:53 AM PST by EBH (0bama is guilty of willful neglect of duty.)
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To: Biggirl

Bloomie will never sit in an ER waiting area for 3 hours waiting for Xrays, with multiple fractures, and without powerful pain relief, as did my spouse 3 weeks ago


9 posted on 01/11/2013 3:55:53 AM PST by silverleaf (Age Takes a Toll: Please Have Exact Change)
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To: Biggirl
Outlaw medicine.
Stop interfering with the will of Allah!
10 posted on 01/11/2013 4:18:09 AM PST by MrBambaLaMamba (This Message Contains Privileged Attorney-Client Communications)
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To: Biggirl
Having worked for *many* years in a big city ER (not NYC) I've seen "drug seeking behavior" on a regular basis.The physicians and nurses were all tuned into it,particularly with the "regulars" (all big city ER's have regular customers).Our hospital's legal department even went to the point of informing one of our regulars...an addict with genuine health issues..that he was always welcome to seek care at our facility but he would no longer receive narcotic analgesics in the ER.We never saw him again.

A proclamation like this is bound to result in serious trouble...legal trouble,particularly...for the hospitals involved.

11 posted on 01/11/2013 4:19:18 AM PST by Gay State Conservative (When Robbing Peter To Pay Paul,One Can Always Count On Paul's Cooperation)
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To: Islander7
ER physicians are NOT primary care doctors and should prescribe only meds to treat acute ailments.

Tell that to the millions of people who see the ER as a walk in clinic that *never* closes and that *must* see you and who get most,if not all,of their health care there.I saw exactly that over a 20 year career in hospital ER's.

12 posted on 01/11/2013 4:24:30 AM PST by Gay State Conservative (When Robbing Peter To Pay Paul,One Can Always Count On Paul's Cooperation)
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To: silverleaf

Sorry your spouse had such a bad experience - hope things are improving. Unfortunately, once Obunglercare is fully implemented, a 3 hour wait will sound like paradise.


13 posted on 01/11/2013 4:31:15 AM PST by Mygirlsmom (If bad plastic surgeons were banned, then Bob Costas' normal face would still be alive.)
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To: Biggirl

I guess it all depends on how the restrictions are enacted. Since faking a medical crisis and going to the ER is a common way for addicts to get their fixes, a policy that manages to address that while still giving appropriate care to actual patients is a good measure to take.

However, I have no idea how Bloomberg plans to implement this, and he has a history of being a petty dictator. So, for all I know, this could turn out to be a burden for the hospitals and end up harming patients.

As an aside, I went to the ER for chest pains (I still don’t know the cause). The first thing I told the staff was “No narcotics!”


14 posted on 01/11/2013 4:36:09 AM PST by exDemMom (Now that I've finally accepted that I'm living a bad hair life, I'm more at peace with the world.)
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To: Lazamataz

——— Bloomberg, you are Obama/Mao writ small. ———

I would argue he sees himself as Obama Redux.

His efforts are but prelude to those of President Bloomberg


15 posted on 01/11/2013 4:39:20 AM PST by bert ((K.E. N.P. N.C. +12 .....The fairest Deduction to be reduced is the Standard Deduction)
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To: Gay State Conservative

I have noticed the big signs in spanish at the local ER that pretty much says all are welcome, payment optional.


16 posted on 01/11/2013 4:39:50 AM PST by wrench
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To: taildragger

Many would gladly give him New York and everything north and east if they would split off and leave the real America alone.

Rather than New England, they can be called New Europe

They can still be Yankees an thought of with utter disdain


17 posted on 01/11/2013 4:42:46 AM PST by bert ((K.E. N.P. N.C. +12 .....The fairest Deduction to be reduced is the Standard Deduction)
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To: bert
His efforts are but prelude to those of President Bloomberg

Not likely. Obama ain't leaving.

Seriously.

18 posted on 01/11/2013 4:44:38 AM PST by Lazamataz (LAZ'S LAW: As an argument with liberals goes on, the probability of being called racist approaches 1)
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To: EBH
But truly, if they are writing a 7-10 script for pain meds that is way too much to be walking out the ER door with. If one is still in that much pain post 3 days, one needs to be seen by a regular doctor for further treatment or should be admitted for further diagnostic care.

I agree to some extent but then I wonder if an ER doc proscribes you only a few day supply of an opiate pain killer and then you go to your primary care doctor a few days later and he writes you another partial or full scrip for the same pain killer, that you won’t end up in some data base as a “doctor shopper”.

And I would add it may not always be necessary to follow up with a primary care doctor after a visit to the ER for some types of injury if it doesn’t require follow up or further treatment and it can sometimes take a week or more to be seen by a lot of primary care docs and even more by some specialists.

Back in around 2003, I a relative took me to the ER one evening because my back pain and back muscle spasms were so bad that I couldn’t stand up straight without severe pain – I initially didn’t want to go BTW, but she convinced me. The ER doc did an examination, asked a lot of questions and determined I had a “slipped disc” and a pinched nerve and the pain was causing the muscle spasms which in turn were exasperating the inflammation. He sent me home with an Rx for muscle relaxers (1 every 4 hours), Percocet (1 every 6 hours), enough for about 7 days and a steroid for the inflammation and at the ER gave me a shot of an anti-inflammatory drug. Boy those drugs knocked me out but they also worked. I ended up not taking all the muscle relaxers and Percocet, only took them for about 4 days and I did follow up with an orthopedic (I had to wait two weeks to be seen BTW). By the time I saw him I wasn’t in eructating pain anymore and didn’t need pain meds but he did write a new Rx for the muscle relaxers with instructions on when and how to take them and only if necessary and wrote a script for what he called “Back School”, i.e. physical therapy. If the ER doc had only wrote a script for a day or two worth of pain meds, considering how long it took to be seen by the ortho, I might have likely ended up back at the ER, missed more than 4 days of work and would have suffered needlessly. Just saying.

19 posted on 01/11/2013 4:46:34 AM PST by MD Expat in PA
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To: Lazamataz

Think Caligula


20 posted on 01/11/2013 4:48:32 AM PST by bert ((K.E. N.P. N.C. +12 .....The fairest Deduction to be reduced is the Standard Deduction)
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To: silverleaf

I am so sorry that happened to your wife, silverleaf. I know it was hard for you to watch as well. I hope she is doing well now. What concerns me about this is the “shotgun” management approach. Are there people who go to the E.R. complaining of “pain” to get a script? Sure. However, many people need pain killers to deal with broken bones, stitches, whatever. My GP told me some years ago that pain medications aren’t just for the pain. If the body is undergoing pain, it doesn’t heal as fast/quickly. Liberals like to look at the problem group (no matter what low % it may be) and puts everyone into that group. We’re seeing it with our 2nd amendment... now we’re seeing it with pain medications.


21 posted on 01/11/2013 4:49:49 AM PST by momtothree
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To: Biggirl
(1) - he is doing this in the public hospitals where the mayor is the boss. Not acting outside his authority.

(2) - I agree with the posters up-thread who think this is not an inappropriate response to the tsunami of drug seekers who hit the city ED's every single day.

22 posted on 01/11/2013 4:54:44 AM PST by Notary Sojac (Ut veniant omnes)
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To: Lazamataz

Until 2016 for Obama.


23 posted on 01/11/2013 4:58:00 AM PST by Biggirl ("Jesus talked to us as individuals"-Jim Vicevich/Thanks JimV!)
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To: Islander7

Mayor Bloomberg needs to stop being a quack doctor and do something about NYC’s infrastructure which is falling apart. He needs to get rid of the homeless and reduce crime (it still exists although you would never know it from Bloomie’s press releases), he needs to get rid of that stupid open mall at Times Square which frustrates taxi drivers, buses and trucks and, most of all, he needs to LEAVE THE ORDINARY TAXPAYER ALONE!


24 posted on 01/11/2013 5:00:13 AM PST by miss marmelstein ( Richard Lives Yet!)
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To: Notary Sojac

Actually, I have a friend who is the head of a public hospital in mid-town. I’d just love to see Bloomberg tell HIM what to do! My friend is not afraid of anyone, especially a tin-pot dictator.


25 posted on 01/11/2013 5:11:19 AM PST by miss marmelstein ( Richard Lives Yet!)
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To: MD Expat in PA

If the ER doc had only wrote a script for a day or two worth of pain meds, considering how long it took to be seen by the ortho, I might have likely ended up back at the ER, missed more than 4 days of work and would have suffered needlessly. Just saying.

**
Problem is, there is a MILE WIDE difference between you and the type of patients who seek drugs everyday at our hospitals. As a new RN, as i was shocked — many of them literally just focus their lives on getting admitted and getting a hit of dilaudid or whatever the drug is they seek. It’s unreal.

I’m for this, as our nation’s true drug seekers need to find another way to keep themselves occupied. Once Obamacare hits, there will be no funds for their habits. OR, he’ll give them what they want and deny painkillers to those who truly need them ...esp old white guys who need them.


26 posted on 01/11/2013 5:12:26 AM PST by LibsRJerks
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To: Gay State Conservative
Tell that to the millions of people who see the ER as a walk in clinic that *never* closes and that *must* see you and who get most,if not all,of their health care there.I saw exactly that over a 20 year career in hospital ER's.

I agree with you that way too many people abuse ER’s in that manner. But with that being said and the other side of the coin, I and people I know have had experiences where we’ve been very sick with bronchitis and or a sinus infection or pneumonia and called our doctor’s office to make an appointment, describing just how ill we are and been told “Sure, we can see you – the earliest appointment is a week from tomorrow.” When telling them “I can’t wait that long”, I have been told, “You should go to the ER then”. Or some are sick during a weekend or a long holiday weekend when the regular doctor’s office is closed.

Some hospitals now run Urgent Care walk-in clinics that are separate from the ER and don’t take ambulances and life threatening cases and they are great for those situations when you can’t get in to see your regular doc but aren’t “critical” and they typically aren’t billed like an ER visit. There are also privately run Urgent Care clinics that fill that need but they require either insurance (if they are even part of your insurance company’s plan, when I was working for a company in Maryland but living in PA, my insurance plan didn’t cover a lot of doctors or walk-in clinics in PA but did cover ER visits) or cash payment up front.

But unless I have absolutely no other choice and can't wait a week or more to see my PCP, I avoid hospital ER’s like the plague.

27 posted on 01/11/2013 5:14:18 AM PST by MD Expat in PA
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To: Buddy Sorrell

His list of ‘targets’ is longer than a 1,000-sheet roll of Scott’s TP; he’s only gotten started. Once he’s declared **Mayor For Life***, he’ll get earnest. Glad I left that lib-dem shithole 25yrs ago.


28 posted on 01/11/2013 5:20:53 AM PST by carriage_hill ("I meant to say maggot, but I have a lisp.")
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To: Biggirl
No. You don't get it. Well, maybe you do. But just in case, let me elucidate:

Obama is planning to implement the Assault Weapons Ban (at a maximum) or the Magazine Ban (at a minimum), WITHOUT involving Congress or the Senate.. If he is willing to completely upend the legislative process, what makes you believe he's willing to leave office???

29 posted on 01/11/2013 5:25:25 AM PST by Lazamataz (LAZ'S LAW: As an argument with liberals goes on, the probability of being called racist approaches 1)
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To: Lazamataz

Yes I do get it.

I sense “2016” when instead of Obama leaving as he is supposed to, it could be the begining of a second American civil war, no doubt, if one is not underway by then.


30 posted on 01/11/2013 5:30:54 AM PST by Biggirl ("Jesus talked to us as individuals"-Jim Vicevich/Thanks JimV!)
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To: LibsRJerks
Problem is, there is a MILE WIDE difference between you and the type of patients who seek drugs everyday at our hospitals. As a new RN, as i was shocked — many of them literally just focus their lives on getting admitted and getting a hit of dilaudid or whatever the drug is they seek. It’s unreal.

I recognize this is a very real problem but then I liken this to the arguments for gun control. Are their people who use guns irresponsibly and or in the commission of crimes? Yes. But should we outlaw or severely restrict gun ownership just because a very few do this when the vast majority of gun owners are responsible and never commit any crimes? We should punish people who commit crimes, not the people who don’t.

It is IMO, the same with pain killers. Sure there are drug addicts but there are also people with chronic painful conditions and late stage cancer patients for instance who need pain killers to function, don’t abuse them, are not addicts and are made to needlessly suffer because of those people who illegally seek drugs; we are “criminalizing” pain meds and the people who do really need them and are not addicts and criminals. Punish the criminal, not outlaw or criminalize the drug.

I’m for this, as our nation’s true drug seekers need to find another way to keep themselves occupied. Once Obamacare hits, there will be no funds for their habits. OR, he’ll give them what they want and deny painkillers to those who truly need them ...esp old white guys who need them.

So you are for more government regulation in our lives? Do you really want to place more restrictions on doctors who are ethically and responsibly caring for their patients because of a few who don't? As far as Obama, I recall him saying something to the effect of “Granny needs an expensive hip replacement? Maybe it would be better for her to just take a pain pill”. Of course you are probably right in that no grannies will get hip replacements under Obamacare but only welfare grannies and Holder’s people will be able to get pain meds.

31 posted on 01/11/2013 5:42:36 AM PST by MD Expat in PA
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To: MD Expat in PA

I can empathize with your sceanrio as I have spent 9 weeks flat out on my back and literally unable to even walk to the bathroom on my own. In my case I too went through an ER visit and it was determined I had literally sprained my back.

When I followed up with the ortho to make an appt. a few days later I told them my situation via the ER. The doctor saw me the next day. Sometimes, you have to tell the appt. maker the crisis level. If I would have had to wait? Yeah...it would have been another trip to the ER for more pain meds. or a demand from my doctor’s office to at least review the ER records and refill the script until our appointment time.

Now, with the new electronic records their supposed to have access too, some of this kind off stuff should be able to be eliminated.


32 posted on 01/11/2013 5:49:54 AM PST by EBH (0bama is guilty of willful neglect of duty.)
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To: EBH

their=they’re


33 posted on 01/11/2013 5:51:28 AM PST by EBH (0bama is guilty of willful neglect of duty.)
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To: MD Expat in PA

Points noted. However, another thing that complicates this, is the “rule” in healthcare (and it’s a relatively new rule, all having to do with the newer trends in “patient centered” care ....Pain is whatever the patient says it is ....so, if they are saying they’re in pain (and maybe 1/10 is really faking it), you HAVE to treat them.


34 posted on 01/11/2013 5:52:27 AM PST by LibsRJerks
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To: Notary Sojac

You can buy all sorts of painkillers “on the street”. You don’t need to go to an ER to get them.


35 posted on 01/11/2013 5:57:54 AM PST by ilovesarah2012
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To: Islander7

This is already going on in lots of places. Those entitled to free ER care (i.e. the homeless) are major offenders in getting the drugs and selling them. In Orlando, they are forced to take those types of meds before leaving the hospital.

While I agree that this is, for the most part, a common sense move, it should be done by individual hospital policy, not another blanket edict by a despotic leftist. I know, despotic leftist is redundant.

Even when Bloomberg does something right (very rare) it’s done the wrong way.

Another example of the new Amerika where our overlords restrict the rights and privileges of the responsible majority to (theoretically) protect a minority of dubious value.


36 posted on 01/11/2013 6:33:16 AM PST by ChildOfThe60s (If you can remember the 60s.....you weren't really there)
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To: LibsRJerks
Points noted. However, another thing that complicates this, is the “rule” in healthcare (and it’s a relatively new rule, all having to do with the newer trends in “patient centered” care ....Pain is whatever the patient says it is ....so, if they are saying they’re in pain (and maybe 1/10 is really faking it), you HAVE to treat them.

Pain and pain tolerance is rather subjective and as far as I know, there is no diagnostic test that can reliably confirm how much pain any patient is really feeling. Some people have a high tolerance for pain where as others have a much lower threshold. But a good experienced diagnostician however should be able to detect a faker.

For instance, when I went to the ER for my severe back pain the doctor asked a lot of questions and had me lay on my back and then lifted my legs and moved them in different positions to determine my pain level and whether or not I was faking it. He had me move in certain positions and asked me to rate my pain on a scale of 1 to 10. If I had been faking it and just seeking pain meds, I would have answered at least an 8 or more every single time but with a “slipped disc” some movements would be relatively painless while others would result in severe pain. The doc was able to determine that I wasn’t faking my pain based on my reactions. While a very good faker could fool some doctors, an experienced doctor is usually able to tell if someone is faking pain where there shouldn’t be any.

37 posted on 01/11/2013 6:36:10 AM PST by MD Expat in PA
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To: Lazamataz

Wonder how the liberal fools like their buddies now?


38 posted on 01/11/2013 8:21:36 AM PST by F15Eagle (1 John 5:4-5, 4:15, 5:13; John 3:17-18, 6:69, 11:25, 14:6, 20:31; Rom10:8-11; 1 Tim 2:5; Titus 3:4-5)
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To: MD Expat in PA; LibsRJerks
Problem is, there is a MILE WIDE difference between you and the type of patients who seek drugs everyday at our hospitals. As a new RN, as i was shocked — many of them literally just focus their lives on getting admitted and getting a hit of dilaudid or whatever the drug is they seek. It’s unreal.

I recognize this is a very real problem but then I liken this to the arguments for gun control. Are their people who use guns irresponsibly and or in the commission of crimes? Yes. But should we outlaw or severely restrict gun ownership just because a very few do this when the vast majority of gun owners are responsible and never commit any crimes? We should punish people who commit crimes, not the people who don’t.

It is IMO, the same with pain killers.

Amen to all that!

Sure there are drug addicts

Why do we even want to treat them as criminals - where's the justification or benefit?

39 posted on 01/11/2013 8:29:03 AM PST by JustSayNoToNannies ("The Lord has removed His judgments against you" - Zep. 3:15)
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To: Islander7

this has been going on for a long time in most hospitals in the country, they all know who the drug seekers are and have do not give any narco’s to these people lists. saw this in the 70’s in san diego.


40 posted on 01/11/2013 9:25:27 AM PST by markman46 (engage brain before using keyboard!!!)
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To: markman46
They also accuse a lot of people in real pain of being drug seekers. I would be a lot more supportive of a three day restriction if access to doctors allowed for guaranteed access to a doctor in three days.

I still think this should be a decision made by medical directors at the hospital, not an autocratic decision.

A trend is building in this country that is alarming. The mentality for stopping the illegal use of legal products by restricting legal use for all is alarming. Drug seekers abuse prescription narcotics, restrict the access to truly sick patients. People shoot up schools, restrict access for law abiding citizens to guns. Over eaters get fat drinking soda, outlaw the sale of large bottles of soda.

41 posted on 01/11/2013 10:17:50 AM PST by USNBandit (sarcasm engaged at all times)
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To: USNBandit

i am talking about the same people every few days, when one hospital reject them the go to the next and the next.


42 posted on 01/11/2013 10:30:52 AM PST by markman46 (engage brain before using keyboard!!!)
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To: markman46
I've been to the ER and seen those people. The ones the staff knows by name.

I've also been to the ER with my wife who they accused of drug seeking after a botched wrist surgery. The doc told her if she had after hours complications to go the ER. We did, and we were treated like bums off the street. As if my wife would have a complex wrist surgery done just to seek pain meds.

There are a lot of people in this country with chronic pain. Unfortunately, the current models for medicine don't really allow doctors enough time with patients to manage the pain and meds. That is some people get hooked in the first place.

43 posted on 01/11/2013 10:36:59 AM PST by USNBandit (sarcasm engaged at all times)
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To: USNBandit
Over eaters get fat drinking soda, outlaw the sale of large bottles of soda.

Recreational drug abusers mess up their lives, outlaw the sale of drugs to all.

44 posted on 01/11/2013 10:52:11 AM PST by JustSayNoToNannies ("The Lord has removed His judgments against you" - Zep. 3:15)
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To: JustSayNoToNannies

I don’t understand why Nyorkers tolerates this overbearing elected official’s intrusion into their lives.

When I lived in NYC,there were numerous infrastructure failures and imagine they continue to this day.

He’s just another liberal who thinks God appointed him Master of the Universe.


45 posted on 01/11/2013 11:30:42 AM PST by jayrunner
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To: jayrunner
Demonstrating yet again how liberalism and the War On Drugs go hand in hand.
46 posted on 01/11/2013 11:42:38 AM PST by JustSayNoToNannies ("The Lord has removed His judgments against you" - Zep. 3:15)
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To: Gay State Conservative
Tell that to the millions of people who see the ER as a walk in clinic that *never* closes and that *must* see you...

'Those' sort clogged the ER at one small hospital I worked at several years ago. Admin opened a triage area for the hang nail crowd and offered only the bare minimum of service. After a few months, it made a big difference in the work load as the regulars realized they weren't going to get a script. I'm sure some federal agency would have frowned on it.

47 posted on 01/11/2013 2:34:13 PM PST by Islander7 (There is no septic system so vile, so filthy, the left won't drink from to further their agenda)
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To: jayrunner

This sorry assed POS has his peeps hook an air conditioner up to his car so he doesn’t have to get in a hot car in the summer.

No pain fer hizzoner Bloomberg!

NY is full of dumb stooges, they should corral this turd and tar and feather him!


48 posted on 01/11/2013 4:37:21 PM PST by dforest
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