Recently at Reason.tv: When Cops Play Doctor—How the drug war punishes pain patients
The steady stream of celebrity stories about prescription drug abuse makes Americans keenly aware of the dangers of overdosing on medications like OxyContin and Vicodin. And from President Obama's Drug Czar to California Attorney General Jerry Brown, politicians are calling for greater power to monitor doctor-patient relationships in order to fight the "epidemic" of prescription drug overdosing.
But maybe the real epidemic is underdosing. Countless Americans suffer with severe chronic pain because doctors are afraid to treat them properly.
Michael Jackson's death unleashed a flurry of media stories about all aspects of the pop star's life, including his alleged prescription drug abuse. On the same day countless millions watched Jackson's star-studded memorial service, reason.tv interviewed another musician.
Seán Clarke-Redmond, a man who enjoyed an active live before the neurodegenerative disease ALS, often referred to as Lou Gerig's disease, rendered him nearly immobile-he can no longer even play the piano.
The disease also left him in almost constant pain. Redman is prescribed some medication, but not nearly enough to keep his pain under control. Dr. Frank Fisher says Redman's case is an appallingly common one.
"Chronic pain in America is an enormously under treated disease," says Fisher, a Harvard-trained physician. "It's a public health disaster."
Pain specialists like Fisher and patients' groups like the Pain Relief Network battle law enforcement officials who are forever on the lookout for "pill mills" and patients who misuse pain medicine. Fisher notes that the same medications so often associated with celebrity addiction are the same medications that combat pain most effectively.
Fisher has treated his patients with high doses of opioids-that is, until a swat team raided his clinic and threw him behind bars.
"They were trying to give me 256 years to life," says Fisher who argues that fear of prosecution often prevents doctors from treating chronic pain patients effectively.
What allows doctors' medical decisions to be overruled by police?
"What we're dealing with is a mass insanity," says Fisher. "We call it the war on drugs."
"When Cops Play Doctor" is written and produced by Ted Balaker and hosted by Nick Gillespie. Director of Photography is Alex Manning, Associate Producers are Hawk Jensen and Paul Detrick.
Approximately five minutes. For embed code, downloadable versions, and more, go here.
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What we need is for the cops to have some better guidelines for what is and what is not excessive proscribing.
Excellent points, I agree wholeheartedly. After we defeat Obamacare I would like to go after the medical license boards and FDA. Has anyone done a comparitive study demonstrating how these two practices quash INNOVATION?
The fact that regular folks face SERIOUS obstacles to practicing medicine is what's killing us. If regular folks could practice medicine, it would break the NAZI deathgrip monompoly that doctors and nurses have over the system. Imagine if you could go to an amazing clinic where the FREE MARKET delivered innovative inventions and new medicines for 1/2 the cost! Screw the AMA!
The FDA has also done irreperable damage to healthcare for America. The FDA is basically the US Post Office of pharma reg. DEFUND IT! Give us more medicine, for LESS!
What we need is for the cops to have some better guidelines for what is and what is not excessive proscribing.
I say the cops keep their noses completely the fuck out of it. It is between me and my doctor. When a cop goes and gets his M.D. ( which he or she won't because they are too studip...that's why they are cops), then I will give a fuck what a cop has to say.
I say the cops keep their noses completely the fuck out of it. It is between me and my doctor. When a cop goes and gets his M.D. ( which he or she won't because they are too studip...that's why they are cops), then I will give a fuck what a cop has to say.
Yes but they are the experts on diversion.
Guidelines to identify diversion DO exist, and they are faulty. But really, why try to identify "diversion" in the first place? I do not understand why it's in your interest to tell me how much medicine I can take.
What we need is to abolish laws requiring prescriptions to obtain pain medication.
We also need to abolish the police. If there were no police...
Yes but they are the experts on diversion.
Then I suggest they pursue diversion when they have evidence that is occurring, evidence that does not require violating the physician/patient privilege.
What people don't realize is that effective pain medication dosage varies widely among individuals, especially individuals with chronic pain.
Someone who has been using pain meds regularly for a long period can not only tolerate, but need, a dose that could be fatal to a newbie.
Someone who has been using pain meds regularly for a long period can not only tolerate, but need, a dose that could be fatal to a newbie.
Pain meds should not be used long term, because they are addictive. It is illegal to prescribe to an addict. How can a doctor ascertain if a patient is an addict before prescribing? This is why we need a database of records.
Pain meds should not be used long term, because they are addictive.
Er, John, you might want to familiarize yourself with the concept of "chronic pain."
It is illegal to prescribe to an addict.
No, its not. Addicts have the same legal right to medical care as anyone else.
How can a doctor ascertain if a patient is an addict before prescribing? This is why we need a database of records.
And here we are, assuming our conclusions. Perhaps there doesn't need to be a database because pain medication should not be any business of the law enforcement-industrial complex?
And here we are, assuming our conclusions. Perhaps there doesn't need to be a database because pain medication should not be any business of the law enforcement-industrial complex?
I am sure it would prevent over-prescribing and diversion, which is a function of government. Maybe all scheduled prescriptions should be pre-approved by the DEA. And police should be notified of all those in the area that are on prescriptions, so these people can be monitored, like Meighans law.
I am sure it would prevent over-prescribing and diversion, which is a function of government.
That's where we disagree.
But I think you're pulling my leg. The whole "DEA should pre-approve all prescriptions" thing is just a little over the top. Good trolling, John.
The old folks who suffer now as a result of misguided policy they promoted, deserve what they got. Its a shame that the $80 billion a year we pay, plus the previous $1 trillion since 1914 is on our shoulders and not theirs.
Greatest Generation? I don't think so. This isn't new information. They had the chance to say something, which is why 30 years ago an anti-prohibition group specializing in pain treatment was formed, named MAMAS.org and why we now have Law Enforcement Against Prohibition. LEAP has spoken out about failed drug war policy and the underdosing of chronic pain sufferers. To bad these old and crippled people can't support these organizations now that they need them.
He did well, starting off with semi-reasonable assertions you might hear from your average liberal or conservative, then drawing it out to full-blown drug-warrior idiocy. A little too fast with the database and the DEA pre-checking prescriptions, though. But with no BLOCKCAPS or gratuitous insults - I give it an A- overall.
/DEA troll on
People in pain is a feature not a bug. Suffering is the normal human condition, those who try to escape shall be punished.
/DEA troll off
"People in pain is a feature not a bug. Suffering is the normal human condition, those who try to escape shall be punished."
I know this was intended as a joke but I think there may well be some people who actually believe this sort of thing. A kind of evil thinking that takes pleasure in human pain. How else do you explain this problem? If there are no people who actually believe this?
I suspect that John is trolling, but I am not amused.
Every see someone you love writhing in pain, John? For hours?
Ever watch it happen while they still have some of their pills but have been under dosing because you've moved and they are only allowed to hold a months supply and it can take three months to find another doctor who is willing to risk taking on pain patients, so they need to stretch that supply as far as it will go?
Fuck you, John.
With all my heart, fuck you very much. You and every politician or bureaucrat who has a hand in it and everyone who supports them
Some Saturdays I feel like I'm sitting around picking my nose while Ted is off changing the world. Good job dude!
Here's what I would like to see next... Get a panel of drug warriors, from street level DEA agents to police chiefs to maybe a Congressman and have them screen and react to half an hour's worth of these clips. It would be interesting to see if there's even room for discussion with them.
politicians are calling for greater power to monitor doctor-patient relationships in order to fight the "epidemic" of prescription drug overdosing.
Ha. Told you so. Recently, in a 'medical marijuana' thread, where I (again) suggested the inherent dangers of 'medicalizing' marijuana, someone smugly noted that there was no danger because what medication your doctor prescribed was (laughably) between you and your doctor.
It is between me and my doctor. When a cop goes and gets his M.D. ( which he or she won't because they are too studip...that's why they are cops), then I will give a fuck what a cop has to say.
It's not a cop that needs the M.D., it's the legislator. And unfortunately for you, some of them are M.D.'s.
One of the main things I liked about the internet was that,in contrast,I never had the attention span to watch TV and video.
omeone who has been using pain meds regularly for a long period can not only tolerate, but need, a dose that could be fatal to a newbie.
I wished pigs understood this concept. But they don't.
Maybe all scheduled prescriptions should be pre-approved by the DEA. And police should be notified of all those in the area that are on prescriptions, so these people can be monitored, like Meighans law.
God I hate this kind of reasoning. The fucking idea that a fucking pig has to be in the chain at all of ameliorating my suffering. Fuck pigs, and fuck this reasoning.
Congress should just require a license to be in pain. So people suffering pain, unlicensed, will just have to stop. Problem solved.
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Um, hello people incapable of thinking.
Police have nothing to do with the drafting of law or it's prosecution. You're looking in the wrong place. That would be the legislature and the county attorneys.
Think, people. Stupidity is disgusting.
That's weird. Former California District Attorney Bill Lockyer's wikipedia page doesn't mention anything about his failed case against Dr. Frank Fisher.