Chronic pain patients and human rights violations

Unfortunately, chronic pain patients have become the most abused patient population. This is incredibly unfounded because they also have the lowest rate of abuse, addiction, and diversion at a mere 0.3%! The rate among the general population is still fairly low at 3.0 %.

This doesn’t seem to have any affect on the United States government, many healthcare providers, healthcare staff, insurance companies, large medical groups. Some oncology practice rely on “mindfulness”, distraction, music, exercise, psychotherapy, and psychopharmacology instead of pain medication, even in the later stages of cancer!  It’s ludicrous.

“Recognizing the intrinsic dignity of all persons and that withholding of pain treatment is profoundly wrong, leading to unnecessary suffering which is harmful; we declare that access to appropriate opioid pain medication for chronic pain is a basic human right.”
The United Nations

Now, you will encounter those who will say, “But the United States consumes 80% of the world’s opioids and other countries don’t have access to needed opioid pain medications.

Again, this is patently false!

CDC admitted to inflating the numbers of overdose deaths

Sources regarding CDC admitting to grossly inflating the numbers:

https://www.painnewsnetwork.org/stories/2018/3/21/cdc-admits-rx-opioid-deaths-significantly-inflated

https://www.acsh.org/news/2018/03/19/cdc-quietly-admits-it-screwed-dishonestly-counting-pills-12717

https://www.practicalpainmanagement.com/resources/news-and-research/cdc-opioid-overdose-death-rates-over-reported-half

And yet the government, while admitting to Inflated numbers out of one side of their collective mouths, they continue to report pure propaganda regarding the “epidemic of opioid “related” and continue to push for more legislation geared at decreasing PRESCRIPTION OPIOIDS!

The following is just one example of the problem…
Source:  https://www.washingtonpost.com/opinions/are-restrictions-on-opioids-a-threat-to-human-rights/2018/04/30/42c7ac32-4c86-11e8-af46-b1d6dc0d9bfe_story.html?noredirect=on&utm_term=.bd5a2018a02e

“Fatal overdoses of prescription opioids were rare before 1999. Then doctors, influenced by pharmaceutical industry marketing, began prescribing them for chronic non-cancer pain. By the end of 2016, prescription opioids — not illicit heroin or fentanyl — had claimed 200,000 lives.”

This is either ignorance and a failure to do their due diligence, or it’s propaganda. The fact of the matter is this reporter is reporting on those same grossly inflated numbers the CDC has admitted to reporting.
These are all drug overdose deaths related to opioids! This includes the 88 year old man with cancer who dies with a normal level of a prescription opioid in his system.
It also included someone using ILLICIT fentanyl (not prescription Fentanyl), who overdoses. Why? Because, although fentanyl is an illegal drug (coming into the US primarily from primitive drug labs in China), illicit fentanyl is an analogue of PRESCRIPTION Fentanyl. There’s much more to the CDCs faulty reporting, primarily because of the way death’s are reported by medical examiners, hospitals, nursing homes, etc…
Regulations are not uniform and more often than not, where opioids are involved, you’ll find faulty practices.

The United Nations Single Convention on Narcotic Drugs

The United States is also in violation of  The United Nations Single Convention on Narcotic Drugs, which the United States became a signatory in 1972.

https://criminal.findlaw.com/criminal-charges/the-single-convention-on-narcotic-drugs.html

Other countries and pain management policies:

Australia

https://www.apsoc.org.au/PDF/Publications/DeclarationOfMontreal_IASP.pdf

Canada and members in 130 countries:

http://www.iasp-pain.org/DeclarationofMontreal

The refusal of the US government to care for wounded veterans with life-restoring prescription opioid analgesics

The US government should be required to inform all people who are considering enlisting in the military that if they do enlist, serve, and get injured they won’t have access to life-restoring prescription opioid analgesics to manage pain. 

https://www.newsweek.com/2017/10/20/va-fueled-opioid-crisis-killing-veterans-681552.html

https://medium.com/@robertdrosejr/christian-marine-father-or-drug-addict-d3b35a4618b4 


https://medium.com/@robertdrosejr/my-comment-to-the-fda-74985f51b5d


https://medium.com/@robertdrosejr/rep-phil-roe-r-tn-perjures-himself-in-federal-court-56d61543856

The CDC’s conflicts of interest and lack of transparency regarding the “guidelines”

The CDC conflicts of interest and lack of transparency regarding the “guidelines”: 

 https://www.painnewsnetwork.org/stories/2017/5/24/legal-group-calls-for-transparency-in-medicare-opioid-policy

https://www.painnewsnetwork.org/stories/2017/5/24/legal-group-calls-for-transparency-in-medicare-opioid-policy 

 https://bit.ly/2RwTsfd

Boxed Warnings

Most people aren’t aware that the United States is currently in the midst of a massive prescription opioid shortage.  Those who continue to call for cutbacks in prescription opioids are primarily government agencies, in particular the DEA, CDC, the Veteran’s Administration. Politicians are ignorant of the facts as presented by experts in pain management and addiction. Worse yet, they ignore the facts as presented by those same experts. On state levels various state medical boards and state pharmacy boards have taken those “guidelines” as irrefutable law, which they are not, placing both doctor’s practices and patients lives in jeopardy. Pharmacists are now refusing to fill valid prescriptions for patients with verifiable chronic pain conditions, even cancer. What right do they have to override a doctors orders? Once again, the FDA steps in to play doctor with their “Risk Evaluation and Mitigation Strategy” (REMS) plan, which offers training to pharmacists and nurses, including refusing valid prescriptions. They’ll have boxed warning and precautions. 

Here’s a list of readily prescribed medications which received boxed warnings in 2015 through January of 2019. Where’s the outcry over these medications:

 

Lies they tell the public

I’d like to start off with a lie regarding prescription opioids perpetuated by Claire McCaskill. It’s gone viral ever since it was stated on March 28, 2017. The US NEVER “consumed” 80% of the worlds opioids. At the time McCaskill made that statement, the US had access to 30% of the worlds opioids. No one can definitively state that the US consumes any particular percentage of opioids because not everyone takes their medications, the DEA has their “take-backs”, there are public and private disposals, etc…

I’ve sent messages to McCaskill numerous times, however, she’s not interested in the truth. She’s only interested in her own political gain or she would’ve retracted her statement and taken a good hard look at those she’s hurting – the chronic pain community. She’d fight for chronic pain patients because they have the lowest rate of addiction and abuse of all patient populations.

 

Because of irresponsible statements like those of Claire McCaskill and others who’ve perpetuated her lie, the US is currently experiencing a severe prescription opioid shortage. We need to hold our policy-makers and media outlets accountable for continuing to incite panic among the general population. We should insist they do their due diligence before making public statements. 

If McCaskill had actually cared enough to do her due diligence, she could’ve easily found that her facts were glaringly incorrect. Instead, in my opinion, McCaskill had her own political agenda.

The International Narcotics Control Board has statistics for every country, which are readily available. Perhaps McCaskill  simply isn’t intelligent enough to interpret the information but that’s no excuse for starting a rumor that’s grown exponentially via social media and those who just don’t bother to check their facts, including other politicians, journalists, and laypeople alike.


https://www.politifact.com/missouri/statements/2017/may/10/claire-mccaskill/mccaskill-cites-long-disproven-figure-opioid-use/

More on the SEVERE prescription opioid shortages

Severe prescription opioid shortages:

https://www.statnews.com/2018/03/15/hospitals-opioid-shortage/

https://www.asra.com/asra-news/article/97/the-crisis-of-drug-shortages-in-regional

https://www.healio.com/hematology-oncology/practice-management/news/print/hemonc-today/%7Bae9614d6-5bcc-4fb2-bd4b-b0b54f998aca%7D/urgent-action-necessary-to-address-opioid-drug-shortage

https://www.painnewsnetwork.org/stories/2018/5/9/critics-say-dea-plan-could-worsen-opioid-shortages

https://khn.org/news/the-other-opioid-crisis-hospital-shortages-lead-to-patient-pain-medical-errors/

https://www.webmd.com/pain-management/news/20180502/the-other-opioid-crisis-shortages-at-hospitals

https://nurse.org/articles/us-hospitals-shortage-of-pain-medication/

https://www.healio.com/internal-medicine/practice-management/news/online/%7B973e1cb9-ae49-4b95-8dc2-5614bfd9026c%7D/ama-declares-drug-shortages-a-public-health-crisis

https://academic.oup.com/painmedicine/article/17/10/1785/2270355

https://www.healio.com/internal-medicine/pharmacology/news/online/%7Bf36f5135-6c28-4386-a3aa-55371540d2b1%7D/drug-prices-rise-twice-as-fast-during-shortages

https://www.nejm.org/doi/full/10.1056/NEJMp1807117

https://www.pharmacist.com/article/grappling-national-saline-and-opioid-shortages

https://www.cnn.com/2018/03/19/health/hospital-opioid-shortage-partner/index.html

https://www.aana.com/news/hot-topics/opioid-crisis-news

If you meet someone who’s not concerned with the basic rights of humans to receive pain control, it’s also affecting our pets!


http://www.pharmaciststeve.com/?p=27304

https://www.avma.org/News/JAVMANews/Pages/180701a.aspx

Chronic pain, increasing suicide rates, and the palliative care exemption for chronic pain patients

Chronic pain patients and the ever increasing suicide rates:


https://medium.com/@ThomasKlineMD/opioidcrisis-pain-related-suicides-associated-with-forced-tapers-c68c79ecf84d

http://annals.org/aim/fullarticle/2702063/pain-opioids-suicide-mortality-united-states 

https://www.foxnews.com/health/as-opioids-become-taboo-doctors-taper-down-or-abandon-pain-patients-driving-many-to-suicide

http://www.lynnwebstermd.com/suicide-and-chronic-pain/ 

 https://acpinternist.org/weekly/archives/2018/09/11/1.htm

Palliative care exemption:

 https://medium.com/@ThomasKlineMD/when-does-pain-treatment-become-protected-palliative-care-treatment-339d29024b57


https://medium.com/@ThomasKlineMD/palliative-care-certificate-form-to-accompany-article-when-does-pain-treatment-become-palliative-f5ab526188cb



Is it really addiction?:


https://medium.com/@ThomasKlineMD/opioid-addiction-is-it-rare-or-not-abaa3722714

The United States currently has a severe prescription opioid shortage!

As you’ll see from the information below, the US in very serious trouble. The severe opioid shortage is of serious concern to doctors, surgeons, medical groups, etc… Cancer patients, US Veterans, patients with MS, ALS, Ehlers-Danlos Syndrome, and all other patients suffering with intractable chronic pain.

Human Rights Watch and WHO are considering bringing charges against the US with regard to how chronic pain patients are being denied the basic human right to relief of chronic pain with prescription opioid pain medications. The AMA, TX State Medical Board, The National Institute of Health’s Inter-agency Pain Research Coordinating Committee, the Alliance for the Treatment of Intractable Pain,The American Association of Anesthesiologists,

https://www.painnewsnetwork.org/stories/2015/12/4/fed-panel-opposes-cdc-opioid-guidelines 

 http://www.lynnwebstermd.com/asa-expresses-concern/

 
https://www.hrw.org/report/2009/03/03/please-do-not-make-us-suffer-any-more/access-pain-treatment-human-right

https://www.painnewsnetwork.org/stories/2018/3/15/human-rights-watch-investigating-treatment-of-pain-patients

https://www.painnewsnetwork.org/stories/2017/6/6/who-lists-fentanyl-as-essential-medicine?rq=WHO

https://www.hrw.org/news/2009/03/03/un-stop-needless-suffering

 Alliance for the Treatment of Intractable Pain

https://wlflegalpulse.com/2017/05/24/as-cms-considers-restricting-access-to-pain-medication-greater-opportunities-for-public-input-are-required/#more-12950