Richard Paey Speaks

An interview with the paraplegic man sentenced to 25 years in prison for treating his own pain.

Radley Balko | November 20, 2007

(Page 3 of 3)

Paey: I’m being given access because I’m a high profile case.

reason: So still today, a chronic pain patient not named Richard Paey would have the same problems you did obtaining these drugs at the doses they need, and might face the same sort of prosecution if they tried to get them?

Paey: That’s right.

reason: Governor Crist and Florida Attorney General McCullom both not only voted for your pardon, they both expressed regret that perhaps mandatory minimums and zero tolerance drug laws had gone too far—pretty notable statements coming from two stalwart advocates of the drug war. Are you aware of any efforts by them or the Florida legislature to reform these laws?

Paey: I don’t know if those two in particular are doing anything. I know that advocates here in Florida including people from Families Against Mandatory Minimums and the November Coalition are pushing legislation to deal with the problem. One bill would I think would remove prescribed opiates from the drug trafficking statutes. I believe the November Coalition wants to use my case as a platform to go after mandatory minimums both in Florida and in other states—to point to my case as an example of the absurd results that can come from these laws. I’m not aware of anything the governor or anyone in Tallahassee in particular are doing to remedy the problem that brought my case to their attention.

reason: Many people have compared your case to that of Rush Limbaugh. Some have said Limbaugh was let off because of his political affiliation. But reason’s Jacob Sullum has suggested Limbaugh was let off because he played the drug warrior’s game—he admitted he was an “addict,” and took his punishment. But you refused to say you were an addict, or concede that you’d done anything wrong. You insisted you needed painkillers to live a normal life. Sullum believes that’s why Limbaugh got a slap on the wrist, while you got 25 years.

Paey: I think Sullum’s take is pretty accurate. Mr. Limbaugh chose to label himself an addict. What I didn’t understand when I went to trial is that there is a tremendous fear of addiction in this country. The prosecutor in my case didn’t see me as a patient, despite incontrovertible evidence that I was indeed a patient with a long history of medical records showing that I needed this medication. In the prosecutor’s mind, this was simply too much medication for one patient. He didn't want to hear about tolerance or high-dose therapy. The fact that I had taken the medication for more than a few years made me an addict in his mind. That became the prosecution’s theme—that I was an “addict.” He repeated the term “drug addict” eight times in his closing argument. He didn’t call me a “chronic pain patient.” Even though he was forced to recognize during the trial that I had legitimate medical problem, and had a legitimate medical history, I was still an “addict."

This is a serious problem we have in this country—this fear of addiction, and how we perceive the use of prescription drugs. There are lots of myths and misconceptions out there.

Whoever was counseling Rush Limbaugh gave him good advice. Admitting he was an addict played to his favor. I was convicted because the prosecutor hammered away at the jury that I was an addict and that my doctor was a pusher. I was sort of blindsided when the prosecutor started to make that argument—that I was nothing more than an addict. I can’t think of a worse slur to attach to a person.

reason: And once you were in prison, the state of Florida then administered an opioid painkiller to you at doses higher than those for which the same state had just labeled you an addict and convicted you.

Paey: Right. It became a comedy of bureaucracies. One agency prosecutes me for taking too much medication. And that was their explanation—that my dose was too high for one person to be taking, therefore I must be selling it. Even though they conceded they had no evidence of that. Then I get to prison, and the doctors examine my records and my medical history, and they decide that as doctors, they have to give me this medication, and in fact it was in higher doses than what I’d been getting before.

It certainly was an irony that I was prosecuted for taking too much medication, then the state went ahead and gave me more once I was in prison. And I think that irony made many people take a second look at my situation. It raised a red flag in many peoples’ minds that something strange was going on, here.

reason: What was the first thing you did after you were released?

Paey: It occurred so fast, and it was so unexpected. I think Linda and I both thought it would take weeks. And after the pardon, they rushed me out of the prison. The first thing I did was grab my kids and hug them. Knowing that I’m here, at home, was beyond anyone’s wildest dreams. We’re still in a kind of euphoria. I have to keep reminding my family that I’m here, and they have to remind me that I’m not in prison anymore. We still have a hard time believing this is happening—that this isn’t imagination. I’m just thrilled to be home with my family.

Radley Balko is a senior editor for reason.

Comments

|11.20.07 @ 8:13AM|#

My only hope is that Charlie Crist will look at this case and rethink his position on the WoD.

I keep hearing in the Florida media how wonderful the governor is, but this pardon is really the only thing I've seen from him that I agree with.

Hopefully, a case like this will be enough to make Crist think, "hey, something wrong is going on here."

|11.20.07 @ 8:32AM|#

I think we need to make a new rule: No Balko posts until after noon. Or maybe it's better if we don't.

Taktix,
This case is over, Crist will go back to beating the War drums.

|11.20.07 @ 8:53AM|#

I'd love to get a hold of some buccal swabs from Mr. Paey. I can almost guarantee there is a genetic explanation for his high-dose needs.

I wonder how long it will take his family to recover from this? I imagine they never will, not completely.

ed|11.20.07 @ 9:02AM|#

That's a truly horrifying account of Paey's ordeal. Has anyone contacted him regarding book or movie rights? It would make a compelling story and a powerful argument against the war on drugs. Not to mention helping his family financially. I hope something is in the works.

Russ 2000|11.20.07 @ 9:13AM|#

Wow. Tobias Beecher and Augustus Hill all rolled into one.

And the government is still jerking him around regarding his "benefits". He's due 4 years of benefits he didn't get while in prison, too.

|11.20.07 @ 9:17AM|#

This nightmare would shock Kafka. The story about the SS being unable to deal with a pardon really strikes a chord with me.

Good thing poor Mr. Paey didnt have a dog for them to murder.

|11.20.07 @ 9:36AM|#

The sadistic treatment of prisoners is a grossly neglected issue. Those 'shocking' photos out of Abu Ghraib, were in no small part due to prison guards who has already learned to dehumanized the inmates here in the states. Unfortunately too many people think prison should be a living hell.

|11.20.07 @ 9:37AM|#

Speaking of Crist, the third paragraph of Radley's article begins,

Christ and Florida's pardon board ...

Unless Radley was trying make some pun-like comment with Crist as the saviour, I think it's a typo.

LarryA|11.20.07 @ 9:42AM|#

Christ and Florida's pardon board issued...

Well, I'd agree that He was probably involved, but I think you meant the governor.

While we're at it, The fan they transfer you in has no air conditioning...

Another good one.

Dang. Two minutes late.

BakedPenguin|11.20.07 @ 9:48AM|#

I don't want this to become a threadjack, because the Richard Paey story needs to be heard and discussed, but if someone out there knows how to block individual posters, could you share that information?

I am f**king sick of Donderoooo, Edweirdo & TLB / Lonewacko.

|11.20.07 @ 9:51AM|#

Most enlightening quote:

I found I had more fear of some of the officers who worked in the system and engaged in behaviors that we'd like to think don't go on in the prison system.

I'm with Warren. No Radley posts until after Noontime. I'd at least like to keep my breakfast down.

|11.20.07 @ 9:54AM|#

Baked Penguin,

Do what I do: whenever you see the name of a moron you skip over the post. It works quite well.

VM|11.20.07 @ 10:07AM|#

BakedP:

Eric the 1/2 a Bee has a greasemonkey filter for Firefox that comes highly recommended.

BakedPenguin|11.20.07 @ 10:30AM|#

tarran - that's what I've been doing, but when it gets to be page after page, it's hard to avoid, and keeping the conversational threads of non-idiots becomes difficult.

Moose - thx. If you have a link, could you email me? If not, I'll ask Eric when I see him on a thread.

Everyone, sorry for the threadjack, and congratulations to Richard Paey.

LibertyPlease|11.20.07 @ 10:43AM|#

That's a truly horrifying account of Paey's ordeal. Has anyone contacted him regarding book or movie rights? It would make a compelling story and a powerful argument against the war on drugs. Not to mention helping his family financially. I hope something is in the works.

A mainstream movie or documentary would do wonders for waking people up. The only results the WoD produces are constant tragedies.

|11.20.07 @ 10:46AM|#

BakedPenguin -

If you haven't already gotten the link, send me an email and I'll direct you there (remember to remove the nospam bit from my email addy).

Girl Montag|11.20.07 @ 11:28AM|#

", but if someone out there knows how to block individual posters, could you share that information? "

You sound like someone over at Salon.com. None of those people want to hear things they disagree with either.

|11.20.07 @ 12:07PM|#

I was hoping for some mention of the FLA supreme court judge who gave the dissenting opinion when Paey was sentenced.
He happens to be the bro-in-law of an old college chum of mine.

|11.20.07 @ 12:12PM|#

Dan Umanoff, M.D.

National Association for the Advancement and Advocacy of Addicts, Inc.

Re: Richard Paey Speaks, http://reason.com/news/show/123589.html

This is a horrendous case with a good ending for Richard Paey at least, but not for the rest of the addicts in this country. The funny thing about this mess is that Richard understands that he went to prison because there are misunderstandings and misperceptions about addictions and drugs (the wrong addiction paradigm rules the world of drugs and addictions) but the people and groups who thankfully helped get him (one person out of a half-million addicts in jail) out of prison don't want to deal with this critical issue. They merely want to fight each individual case, most of which are lost or never done to begin with.

The conversation went like this:

"reason: Many people have compared your case to that of Rush Limbaugh. Some have said Limbaugh was let off because of his political affiliation. But reason's Jacob Sullum has suggested Limbaugh was let off because he played the drug warrior's game-he admitted he was an "addict," and took his punishment. But you refused to say you were an addict, or concede that you'd done anything wrong. You insisted you needed painkillers to live a normal life. Sullum believes that's why Limbaugh got a slap on the wrist, while you got 25 years.

Paey: I think Sullum's take is pretty accurate. Mr. Limbaugh chose to label himself an addict. What I didn't understand when I went to trial is that there is a tremendous fear of addiction in this country. The prosecutor in my case didn't see me as a patient, despite incontrovertible evidence that I was indeed a patient with a long history of medical records showing that I needed this medication. In the prosecutor's mind, this was simply too much medication for one patient. He didn't want to hear about tolerance or high-dose therapy. The fact that I had taken the medication for more than a few years made me an addict in his mind. That became the prosecution's theme-that I was an "addict." He repeated the term "drug addict" eight times in his closing argument. He didn't call me a "chronic pain patient." Even though he was forced to recognize during the trial that I had legitimate medical problem, and had a legitimate medical history, I was still an "addict."

This is a serious problem we have in this country-this fear of addiction, and how we perceive the use of prescription drugs. There are lots of myths and misconceptions out there.

Whoever was counseling Rush Limbaugh gave him good advice. Admitting he was an addict played to his favor. I was convicted because the prosecutor hammered away at the jury that I was an addict and that my doctor was a pusher. I was sort of blindsided when the prosecutor started to make that argument-that I was nothing more than an addict. I can't think of a worse slur to attach to a person."

I don't think Mr. Paey actually knows the science behind why "this is a serious problem." His supporters don't care why. I've argued this with them many times and, trust me, they don't care why. They refuse to even look into this argument. They choose to fight the policies rather than the theory, the theory that ensures this country will continue to persecute addicts and people they believe are addicts as well as demonize drugs. Many years ago I wrote an article about this for an anti-drug war conference: the drug war war, #4 at: http://www.nvo.com/hypoism/articlesbyandforhypoicspage2/ [in this article the P/R - psychobabble/religious - paradigm is synonymous with the hijacked brain hypothesis, HBH, the current scientifically wrong addiction theory pushed by NIDA that supports the government's drug war and everything that happened to Mr. Paey)] The conference completely ignored this article and took the same tact as Paey's supporters - We don't care about the theory. We want to fight the policies. I never have understood this but this attitude is rampant in the anti-drug war community. The results of this attitude is the perpetuation of the HBH, the perpetaution of the misunderstanding and misperception of drugs and addicts, and the perpetuation of the mess in addictions, the drug war, and the demonization of drugs and addicts.

My major article on the correct science of addictions is: http://www.nvo.com/hypoism/hypoismhypothesis/

Again, we have a choice. We can ignore the theory issue and fight policies, mostly losing, or we can join together and fight the theory war, win it, and have the policies automatically change to those we want.


"Love is an action not a feeling.
Integrity is an action not a thought.
Anything less is too little." ---
Dan F. Umanoff, M.D.
Author of Hypoic's Handbook - The Hypoism Paradigm of Addiction.
http://www.hypoism.com
President and founder of The National Association for the Advancement and Advocacy of Addicts, Inc. (N4A), a not-for-profit 501 (c) (3) organization of addicts for addicts offering free educational and legal services to discriminated against and abused addicts of all varieties, "substances" and "behavioral," and their families.
http://www.nvo.com/hypoism/thenationalassociationfortheadvancementandadvocacyofaddicts/
8779 Misty Creek Dr.
Sarasota, FL 34241
941-929-0893

dbust1|11.20.07 @ 12:13PM|#

In regards to Paey's treatment at the hands of sadistic guards, it was unquestionably horrible, and I think most would agree with that. But I would have a harder time feeling sorry for a child molester, rapist or multiple murderer (a la the Petit Family in CT) receiving the same treatment. Any thoughts out there?

matt|11.20.07 @ 12:22PM|#

dbust1: reducing yourself to the level of a criminal is not the way to go. Just because someone committed a horrific, inexcuseable act does not mean their prison guards should assume the right/need to abuse them further.

I don't think they have to be overly friendly, but methinks the "little man" syndrome that seems to plague others' accounts of prison guards and police officers could stand to go the way of the betamax.

|11.20.07 @ 12:38PM|#

Radley: 1,000 thanks for obtaining and publishing this important interview.

Paey strikes me as someone who is remarkably poised, reflective, and fair-minded considering the horrible ordeal he went through.

His case should become a rallying point to end the (at least) the worst excesses of the War on Drugs.

I hope 60 Minutes does a follow-up and I hope his financial situation gets squared away.
Also, I hope that Crist and McCollum get praise and are encouraged to ferret out injustice in the sentencing and treatment of prisoners.

Russ 2000|11.20.07 @ 1:06PM|#

Mr. Umanoff,

They choose to fight the policies rather than the theory,

I am not a scientist, so I can't argue for or against a theory. I CAN argue for or against policy.

In my experience, people pick the policies they want first then go and find any theory, crackpot or not, to back them up. (I've been tangentially involved with the wrong-headed medical diagnosis of brown recluse spider bites. Getting doctors, who allegedly are scientists, to look at scientific data that disputes their diagnoses is akin to talking to a brick wall; it is even more futile to get elected officials to look at scientific data.)

Arguing science with bureaucrats is a complete waste of time. You need to first get the scientific community on your side of the theory, the policymakers won't change their attitude toward HBH until the scientific community overwhelmingly disavows it. Good luck to you.

Paul|11.20.07 @ 1:21PM|#

My only hope is that Charlie Crist will look at this case and rethink his position on the WoD.

Yeah, right... anyhoo.

So, what's up with the jury that handed down this conviction? And I haven't read the whole history on Paey, but he alluded to the fact that his doctor was painted with the "pusher" label by the prosecution. What happened to the doctor? I would assume that he got life in prison?

allan|11.20.07 @ 1:31PM|#

I managed to win a very short free trip to Terminal Island federal back in the '80s for pissing off the feds by trespassing on a nuclear missile facility...

There are indeed some scary guys inside. But Paey's observation is right on the money, what you are incarcerated for DOES matter. If you are in prison for fighting against the system the prisoners have a huge amount of respect for that.

Outstanding interview, props to Radley and a big "welcome home" to Richard paey.

|11.20.07 @ 2:36PM|#

Our drug laws are evil. They are an affront to personal freedom, and they actively harm otherwise innocent people. Jury members have a moral duty to refuse to convict.

And if the prosecution asks you beforehand if you believe in jury nullification, you must lie and say "Jury what? Never heard of it."

|11.20.07 @ 2:50PM|#

The courts should be required to advise juries of jury nullification.

|11.20.07 @ 3:47PM|#

Russ 2000

In your comment above you said
"I've been tangentially involved with the wrong-headed medical diagnosis of brown recluse spider bites."

In what way? Down here in Georgia, everyone that comes in with an abscess (risin', boil, etc.) says they think they were bit by a spider, usually a brown recluse. This gets written down in their medical record (usually by the ED doc) and is so enshrined. I've only seen 2 that really met the physical exam criteria to really suspect a brown recluse. What's your experience?

|11.20.07 @ 4:42PM|#

BladeDoc,

Having trouble posting, so I'll make this short. My father was misdiagnosed - doctors wasted a full day treating a spider bite rather than leukemia (CMML). My sister is a director at Harvard Med School, mentioned it passing to a doc who said he just read an article regarding brown recluse misdiagnoses - we've been in contact with an entomologist who works tirelessly on the subject. Your experience sounds typical.

http://spiders.ucr.edu/necrotic.html

|11.21.07 @ 3:53AM|#

But there are other kinds of abuse that you wouldn't think about. There were only a handful of officers that were bad, but those few can really do a lot of harm. The kind of thing that goes on today is less noticeable, but it's damaging. Things like leaving the lights on 24 hours a day. I went more than 30 days in solitary where the lights were on the entire time. It was this callous indifference of a particular officer. And other things, like slamming the doors when they do security checks. They come by every hour and give your door a loud kick. When you're inside a cell and someone comes by and gives that big iron door a kick once an hour, the sound just ricochets between your ears. So systematic sleep deprivation is common. I would see men go into solitary and when they came out weeks later, their hair would be completely gray.

Man this shit makes me angry.

Niels|11.21.07 @ 7:35AM|#

Me to, it's not good.
Niels

|11.21.07 @ 12:59PM|#

I'm sorry, but it's high time we nuke Florida.

|11.21.07 @ 8:26PM|#

Florida is in a world of it's own, they're like that guy that sits at a green light daydreaming. I'll take any positive news outa my home state whenever I can. Reason is hard to come by, commonsense nearly impossible.

|11.22.07 @ 8:06AM|#

The war on drugs is so fucking sadistic it just makes me want to vomit.

-jcr

|11.23.07 @ 9:32AM|#

This is my first time here. As a wife of an inmate who has down 25 years of a 25 to life sentence I would like to tell you all that there is certainly alot of horrible abuse that comes from the officers. My husbands life was threatened by the officers because he faught for Native American spiritual rights. Yes, abuse is a common thing in Floridas prisons! The unfortunate ones are the ones without loved ones in the free world who watch and monitor and put up a fight. Inmates die due to medical cutting off their medications such s for diabeties. The food is slop! Anybody for potato salad with mustard..no mayo! Mystery meat. Everything is watered down to save the State money. These human beings look like they live in a consentration camp! When an inmate is in confinement their given what is called "maagement loaf". This is where all the portions of a meal(for example: meat, starch, vegs, jello) are all ground together and served in a loaf. Not fit for an animal! The amount of food that you had on your Thanksgiving diner..that portion was enough to feed a man for one week! There is no air conditioning or heat unless it's in a private prison! Imagine that in Florida!Up in Northern Florida it does get very cold. Cel temps in the summer go well beyond the 100's.Animals have more rigts to not be left in hot cars, but these human beings are left to suffer. Animals have more rights than these human beings.They are dehumanized from the moment they walk in. The inmates have to help eachother.Then there is the issue of legalized slavery! These human beings are forced to work for private corporations, if they refuse they're beaten and put into confinement. The top pay is around 30 cents per hour. Not enough to even buy a soda if they thirst. Then there is the Parole Board...corruption at it's best!!! Only 1% of imates gets paroled per year! They only look at the ancient crimes, never at what accomplishments the inmate has done. The crime can never be changed! How do I know this? Not only do I speak to many inmates and do my research...my husband was given a proposed release date of 2100 despite all of his accomplishments, of which they never even considered.I won't take up much more space here, but I assure you that our prison system is more horrible than you can ever imagine! So far what you have found is only scratching the surface. The abuse goes much deeper!

Dan Umanoff, M.D.|11.26.07 @ 12:18AM|#

Russ: First of all, it's Dr. Umanoff. I'm a board certified internist. Next, you said - "You need to first get the scientific community on your side of the theory, the policymakers won't change their attitude toward HBH until the scientific community overwhelmingly disavows it. Good luck to you."
Russ: I would agree with you except for one thing. That will never happen on its merits. The addiction community, the addiction science community, and the governmental science community (NIDA and NIAAA which dole out essentially all the research money to the science community) all know I am correct about the theory already. However, they don't want my theory. They want the HBH because it pays their bills and agrees with their morality. The entire field is bought and paid for by NIDA and the HBH. This is the biggest medical scandal of all time and is completely unknown by the public. There exists a massive industry based on the HBH which would evaporate under the correct theory of addiction causation. I call this industry the PIMMPAL Complex, similar to the military/industrial complex, which is pictured in the following article written years ago: http://www.nvo.com/hypoism/15replacingalanleshneristheonlywaytoendthedrugwar/ (the problem is that Leshner was replaced but with someone a lot worse than him, Nora Volkow. Remember, Volkow was a political appointee not someone who earned her position by helping addicts in any way whatsoever.) The clinical addiction and addiction science communities will never change paradigms (theories) on their own because of these conflicts of interest. I've been working on this for the last 15 years and know this to be true. That is why I wrote you and your readers. Only when the people openly and forcefully confront the government with the correct science (which they can easily learn from my papers and book) and the fact that the governmental scientists are currently lying to them and the public about this science (why else would our policies be so immoral, inhumane, cruel, and ineffective?) will the correct addiction theory be allowed to exist. And only then will the correct, effective, humane, and helpful policies replace the current fascistic ones. I realize it seems like a difficult task for all of you but I will help. Whatever you need to learn I will teach you and your supporters. Otherwise, it's a lost cause and the crap will continue as it has for the last hundred years. The policy fight will fail under the HBH. Only the people can change this!

|12.2.07 @ 8:09AM|#

Dr. Umanoff, thank you for your thoughts. First, you are not an addiction specialist, so why are you portraying yourself as such? I personally have issue with physicians who have no practical experience in a field (do not deal with such patients regularly) pontificating theories as facts.

The sad truth of the matter is that Richard Paey is not an addict. Richard Paey does have a physical dependence on the medications due to his ailment. Physical dependence and addiction is completely different. If you have a physicial dependence you need certain amounts to function. In Richard's case, he needs a specific amount to block his pain receptors. If Richard was an addict, he would have an uncontrollable need for more and more medication, not the case.

Next thing you know, we are going to be provided the Harrison signs for drug seeking behavior by you. As a point of reference, Harrison stopped publishing these alleged drug signs or red flags as the DEA describes them, since they are junk science. tea leaf reading is better.

As for policy, these cases need to be fought in the courts and around policy. Currently the CSA act is being used to control medical practices illegally. Medicine has always been regulated by the boards and the states, who have medical training and understanding. Now we have the FBI, DOJ, and DEA, three agencies with no understanding of medicine (unless they are med school flunkies) attempting to dictate medicine.