The DEA War on
Chronic Pain Patients
The DEA's intimidation tactics against doctors causes billions of
dollars of additional healthcare expenses for patients, billions of
dollars in lost productivity because of untreated pain, and is actively
destroying or severely limiting the quality of life for tens of millions
of people in America every single day.
According to the American Academy of Pain Medicine, seventy-six million
Americans suffer from chronic, daily pain, and at least nine million
have daily pain that is severe enough to interfere significantly with
their jobs and relationships.
An estimated 20% of American adults (61.5 million people) report that
pain or physical discomfort disrupts their sleep a few nights a week or
more.
The annual cost of chronic pain in the United States, including
healthcare expenses, lost income, and lost productivity, is estimated to
be $100 billion.
More than half of all hospitalized patients experienced pain in the last
days of their lives and although therapies are present to alleviate
most pain for those dying of cancer, research shows that 50-75% of
patients die in moderate to severe pain.
In a recent survey, 50% of chronic-pain patients had, at one time or
another considered suicide to escape the unrelenting agony of their
pain. There are no statistics on the number of suicides attributable to
untreated pain, but various studies carried out over the past decade
have found that fear of pain is what lies behind the majority of
requests for doctor-assisted death.
Untreated pain also raises blood pressure, and researchers have found
that every 10mm increase in systolic blood pressure results, on the
average, in a 40 percent increase in risk of stroke and a 30 percent
increase in risk of heart attack.
The DEA campaign against prescription drug abuse has stigmatized
patients in need of pain medication. DEA intimidation tactics and sting
operations against doctors have created a climate of fear, with the
predictable result that many doctors now won't prescribe opiates at all
or are only willing to prescribe amounts that are totally inadequate. As
a result, many more people die from not having the prescription pain
medications they need, than die from the drug abuse the government is
trying to prevent. The DEA is actually killing chronic pain patients by
intimidating their doctors.
One of the major causes of those deaths is the overuse of OTC NSAIDS
like acetaminophen (Tylenol) and ibuprofen (Advil, Motrin) by people who
are desperate for pain relief. The Food and Drug Administration
estimates that 200,000 cases of gastric bleeding occur each year,
resulting in nearly 20,000 deaths.
Background
Americans are a generous and compassionate people. But they have been
brainwashed their entire lives by the constant drumbeat of anti-drug
propaganda coming from drug warriors, law enforcement and the criminal
justice system, and endlessly parroted by self-serving politicians and
the media.
Less than 10 years ago, the DEA made prescription drug abuse its primary
mission after its survival was threatened because of its failure to
have any impact on the availability of street drugs. The DEA ginned-up a
lot of bogus statistics about deaths supposedly due to prescription
drugs and they cranked-up their propaganda machine in concert with their
allies in various public and private agencies who all have one thing in
common; they owe their existence to the war on drugs. The media accepts
press releases from these agencies and does stories on them without any
critical examination of the claims being made. Mothers who lost their
children to drug abuse are invited to testify before Congress, giving
our representatives an opportunity to exploit their grief in a national
spotlight for political gain.
The DEA has focused on doctors who prescribe a lot of pain medications
to chronic pain patients because they are easy targets. Doctors keep
good records and they have a lot of assets that can be seized. And the
DEA is far more interested in seizing assets than they are in seizing
illegal drugs. Doctors who prescribe narcotics are now living under the
constant threat that they will be arrested by the DEA and prosecuted as
if they were running a drug cartel.
Once arrested and stripped of all his assets, a doctor will be charged
with tens, if not hundreds of individual crimes, so that they will be
under tremendous pressure to plead guilty to lesser charges in order to
avoid a lengthy prison sentence. Many doctors who are totally innocent
cave-in and accept a plea bargain because they know the odds are stacked
against them.
In a criminal trial, a jury of ordinary people are asked to decide
whether a doctor's care was appropriate, based on the testimony of
competing experts on both sides. Prosecutors who want to portray a
compassionate doctor as a common drug dealer will hold up bags of pills
and argue that the doctor was operating "outside the bounds of
legitimate practice." One way they do that is by trying to confuse the
jury about what the legal definition of "Standard of Care" really means.
"Standard of Care" aka Reasonable Physician Standard of Care is legally
defined as being based on what the science (as reflected in the medical
texts and journals) indicates is appropriate care.
But prosecutors and their hired-gun experts attempt to use "Community
Norms" to show that the doctor is operating way out on the fringes --
beyond what "most doctors" would do. Community Norm is defined as what
most doctors would do, but most doctors are afraid to do the right thing
because of the chilling effects of DEA intimidation tactics.
Doctors who aggressively treat the patients who need the most pain
relief are actually doing the right thing, based on any reasonable
interpretation of the science. That puts those doctors outside the norm,
and in the DEA's crosshairs, because most doctors won't prescribe ANY
narcotics for chronic pain. Only a small percentage are willing to
prescribe narcotics for the treatment of chronic pain, and the
overwhelming majority of those will only prescribe to their comfort
level, rather than their patient's. The tiny percentage of doctors who
are courageous enough to put their patients welfare first are under
constant surveillance by the DEA and routinely subjected to DEA sting
operations.
You can make a difference, and you should try, because you and everyone
you care about is at risk for having their life destroyed by untreated
pain. Do not accept without question what is being spoon-fed to you
daily by those who profit from denying pain medications to people who
need it the most.
Tuesday, September 18, 2012
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