“If the patient takes them for other reasons, or even resells them on the street– well, nothing I can do about that. It’s the patient’s own fault.”
Modern healthcare, for all its spectacular innovation, still lacks a genuinely safe, effective remedy for certain types of pain.
It usually comes back to the assumption that another problem ‘underlies’ addiction, and therefore will respond to treatment with the “right” drug, if we can figure out what it is.
This isn’t a problem a physician can deal with comfortably in the context of a 12-15 minute office visit.
Would you respond to this information with a concerted effort at self-examination and profound behavior change?
Might be that clinicians can teach patients to activate their own body’s placebo response, in order to feel better.
It’s hard to accept that what began in an effort to help people in pain has turned into this unholy mess.