President Obama “declined to endorse” proposal to limit opioid pain medication


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OBAMA: LIMITING OPIATE PRESCRIPTIONS WON’T SOLVE CRISIS

 AP (2/22, Nuckols) my emphasis in red:

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“Obama was cool to the idea at a meeting with the governors he hosted at the White House on Monday, noting that [pain medications] are sometimes the only realistic treatment option for people in rural communities.”

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Obama said any attempt to limit the number of pills that can be prescribed has to be part of a comprehensive approach. But he also expressed sympathy with rural Americans who cannot afford surgery or other costly, time-consuming treatment for painful injuries or illness.

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Dr. Steven Stack, president of the American Medical Association, said Obama was right to question the potential consequences of restraints on doctors.

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“The complexity of the problem makes it difficult to create a successful one-size-fits-all approach,” Stack said in a statement on Monday.

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Governors Devise Bipartisan Effort to Reduce Opioid Abuse,

New York Times (2/21)

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Mr. Dreyfus, the president of Blue Cross Blue Shield “said, the Blue Cross Blue Shield plan has reduced claims for short-acting opioid painkillers like Vicodin and Percocet by 25 percent and reduced claims for long-acting opioids like OxyContin by 50 percent, by switching patients to short-acting pain treatments.”

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BINGO! There you have it. Proof in numbers.

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And taking away the 20 mg of daily morphine from my 93 year old patient can have the consequence of preventing her from walking when she already has limited ability to walk with arthritic knees or playing cards 5 times per week despite end stage frozen shoulders.

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“Dr. Patrice A. Harris, the chairwoman-elect of the American Medical Association, said doctors welcomed the opportunity to work with governors on solutions to end this public health problem. But she added, “The A.M.A. wants to make sure that prescribing decisions — the decision to prescribe or not to prescribe — stay in the hands of physicians.”

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“A monograph prepared by the National Governors Association acknowledges the difficulties that its members face.”

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“Reducing the opioid pill supply, for example, can have the unintended consequence of increasing heroin use,” it said. “Laws aimed at unscrupulous providers can make ethical providers less willing to prescribe out of fear of scrutiny from law enforcement.” And “one state’s successful efforts to reduce illicit sources of prescription drugs can shift illegal activities to neighboring states.”

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Policy Analysis, Ronald Libby 2005:

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Pain patients are

far more likely

to suffer from the

scarcity caused

by the DEA’s

crackdown than

are the common

drug abusers the

agency claims it is

targeting.

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The new mission offered in practicing physicians a pool of registered, licensed, cooperative targets who kept records, paid taxes, and filled out a variety of forms.

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…the task force arrests five doctors a year in the Cincinnati area alone.

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Besides assess forfeiture at the start of investigation of a doctor, even if criminal charges are never filed, a police department can still bring a civil action against a suspected doctor to recover the cost of an investigation.

 

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This site is not for email.

If any questions, please schedule an appointment with my office.

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The material on this site is for informational purposes only.

It is not a substitute for medical advice, diagnosis or treatment

provided by a qualified health care provider.

Relevant comments are welcome.

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For My Home Page, click here:  Welcome to my Weblog on Pain Management!

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Please be aware any advertising on this free educational website is

NOT advocated by me and NOT approved by me.

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