Topic: prescription medications
This goes back to a problem in assessing pain. There’s no physical test for what is essentially a subjective experience.
Eventually it’s the business that adapts to a changed environment. But before they do, some will go to great lengths to prop up the revenue from their current opioid products.
As the old chief says in the movie Little Big Man: “Sometimes the magic works, sometimes it doesn’t.”
Substance Use Disorders don’t appear overnight. People who develop them may use for months or years or even decades before they seek help.
…actually more of an issue now than in the 80’s, because of the presence of super-powerful opioids like fentanyl or carfentanil, and the growing risk of unintended overdose.
Shame always plays a role. Not just the shame of discovery, but the shame of having a problem in the first place.
Here was a physician who regularly committed an assortment of crimes without considering himself a criminal. To his way of thinking, he was the victim.
Most people don’t expect to have a criminal enterprise operating in public, under the guise of a community resource.
“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.