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Originally Posted by PedOncoDoc
I good look at the roots of the opioid epidemic - fault lies (as it often does) with the pharmaceutical company, the FDA, the push for aggressive pain management from the DHHS and federal mandate, and insurance tying medical reimbursement to patient satisfaction.
Here is an excellent article from last year that sums a lot of it up.
As someone who takes care of children with life-threatening illnesses and children with terminal cancer, I prescribe a lot of narcotics - interestingly, the oncologists typically aren't audited despite being heavy prescribers due to the nature of our practice. |
I hold the American pain society largely responsible with their position that "Pain is what the patient says it is." And making the pain scale, now largely useless, the "6th vital sign".