More treatment. Stronger oversight. And above all, bolder leadership.

Oxycodone is a narcotic pain reliever, an ingredient of painkillers that have contributed to the current opioid crisis. Photograph: Education Images/UIG via Getty Images
~ Foreword ~
This following article lacks understanding of cause and effect. The government caused the opioid crisis. They made pain the 4th vital sign. Every clinic and hospital was evaluated, surveyed, and rated on whether a pain score was done on each patient and if the pain was helped by the doctor. Ratings and financial rewards were tied to the outcome. ( sounds like the VA scandal doesn’t it? ) Every doctor with a working brain thought this was foolish and would lead to addiction. The Electronic Medical Record has continued this as a performance standard. Babies have their pain score recorded in ER notes. Here is my solution: 1. Dump the pain score. 2. Dump the EMR that depersonalizes medicine. 3. Teach your children that pain during life if normal. 4. Stop pretending that we can prescribe narcotics and they will not be addicting. ~ Rosemary Stein, MD
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