The Corner

Health Care

Sacrificing Pain Patients to Prevent Opioid Abuse

Bottles of prescription painkiller OxyContin sit at a local pharmacy in Provo, Utah, April 25, 2017. (George Frey/Reuters)

We certainly have an opioid addiction epidemic in this country that requires government action. But I worry that we may sacrifice the legitimate medical needs of patients in severe pain to protect people who abuse these powerful drugs from themselves.

That seems to be happening in California where the medical board has launched aggressive investigations into doctors whose patients died of an overdose — even if the drugs that caused death were not prescribed by that physician. Many doctors worry that this will create a significant chilling effect, leading to legitimate pain patients remaining untreated. From the California Healthline story:

Using terms such as “witch hunt” and “inquisition,” many doctors said the project is leading them or their peers to refuse patients’ requests for painkiller prescriptions — no matter how well documented the need — out of fear their practices will come under disciplinary review.

The project, first reported by MedPage Today, has struck a nerve among medical associations. Dr. Barbara McAneny, the American Medical Association president and an Albuquerque, N.M., oncologist whose cancer patients sometimes need treatment for acute pain, called the project “terrifying.” She said “it will only discourage doctors from taking care of patients with pain.”…

The crackdown on doctors has created fear, said Dr. Robert Wailes, a pain medicine specialist in Encinitas and chair of the California Medical Association’s Board of Trustees. “What we’re finding is that more and more primary care doctors are afraid to prescribe and more of those patients are showing up on our doorsteps,” he said.

As I reported here last year, the same chilling phenomenon seems to be happening in Nevada.

This is most unfortunate. Doctors should not be allowed to use their M.D. license as a cover for drug pushing. But responsible physicians should also not be punished for prescribing aggressively when there is no other practical means of providing effective medical relief. Surely, the benefit of the doubt in judging should go to alleviating pain.

And how’s this for a bitter irony? The same California doctors who could face punishment for prescribing pain pills to a patient outside the standard of care, can prescribe opioids to the terminally ill for use in suicide without worry since the only legal standard for death doctors is to act in “good faith.” Good grief, patients who can’t obtain adequate pain medication because of this aggressive enforcement action could conceivably be driven to seek such lethal prescriptions as the only readily available way out of their pain.

Most Popular

Law & the Courts

The FBI’s Corrupt Cops

White-collar criminals should hope for one thing this Christmas: that they get to live under the Horowitz rules. Michael Horowitz has testified that he found no evidence of political bias on the part of the decision makers who, under the Obama administration, relied on hilariously implausible “evidence” ... Read More
Law & the Courts

The FBI’s Corrupt Cops

White-collar criminals should hope for one thing this Christmas: that they get to live under the Horowitz rules. Michael Horowitz has testified that he found no evidence of political bias on the part of the decision makers who, under the Obama administration, relied on hilariously implausible “evidence” ... Read More
Elections

Diversity Panic Hits the Democratic Field

Stop me if you’ve heard this one before. An Asian guy, two black guys, three white women (one of whom spent much of her life claiming to be Native American), a Pacific Islander woman, a gay guy, a Hispanic guy, two elderly Caucasian Jews (one a billionaire, the other a socialist), a self-styled Irishman, and a ... Read More
Elections

Diversity Panic Hits the Democratic Field

Stop me if you’ve heard this one before. An Asian guy, two black guys, three white women (one of whom spent much of her life claiming to be Native American), a Pacific Islander woman, a gay guy, a Hispanic guy, two elderly Caucasian Jews (one a billionaire, the other a socialist), a self-styled Irishman, and a ... Read More
White House

Is Trump the Only Adult in the Room?

Donald Trump certainly is mercurial at times. He can be uncouth. But then again, no president in modern memory has been on the receiving end of such overwhelmingly negative media coverage and a three-year effort to abort his presidency, beginning the day after his election. Do we remember the effort to ... Read More
White House

Is Trump the Only Adult in the Room?

Donald Trump certainly is mercurial at times. He can be uncouth. But then again, no president in modern memory has been on the receiving end of such overwhelmingly negative media coverage and a three-year effort to abort his presidency, beginning the day after his election. Do we remember the effort to ... Read More
Film & TV

A Film for All Christians

‘The growing good of the world is partly dependent on unhistoric acts,” wrote George Eliot in Middlemarch, “and that things are not so ill with you and me as they might have been, is half owing to the number who lived faithfully a hidden life, and rest in unvisited tombs.” The passage provides the title ... Read More
Film & TV

A Film for All Christians

‘The growing good of the world is partly dependent on unhistoric acts,” wrote George Eliot in Middlemarch, “and that things are not so ill with you and me as they might have been, is half owing to the number who lived faithfully a hidden life, and rest in unvisited tombs.” The passage provides the title ... Read More