New narcotics law a headache for doctors, worse for patients
In about six months, on Aug. 27, a new regulation requires physicians to go online to a New York website to check the history of any patient for whom they are going to prescribe a [controlled substance]. The goal is to decrease the number of deaths from overdoses. I have been treating opioid-dependent patients for the past decade, and the vast majority, over 90 percent, haven’t obtained their narcotics from physicians. They have bought them on the “street.” Therefore it is dubious that this regulation will have the desired effect. The cost! If I can spend as little as six minutes online for each patient, and being semi-retired have 50 patients, it will waste five hours of my time each month. For those at the legal limit of 100 patients, the cost will be 10 hours each month. This is a good deal of unpaid time which will require me to increase my fee, and I assume others as well. Worse is the number of patients who will be rejected because we won’t have the time to see them. If the approximately 3 percent or 2,000 physicians in New York who can treat opioid dependence with Buprenorphine [were] to reduce their patient load by even 15, we would have 30,000 patients who will remain addicted and unable to obtain treatment. (How many of these will die from an overdose?) Already, potential patients who call me report making 25 calls to physicians who are already at their limit. I have patients who are motivated enough to drive four and a half hours each way because they can’t find a doctor who can treat them in their area, or in Massachusetts. How this will affect the 65,000 physicians in New York who don’t prescribe Suboxone is another question. I wish there were a regulation requiring the people who make these decisions to consult with the New York Medical Society.
Doctor Underwood is a very distinguished and intelligent man. If he doesn't understand the logic behind these new regulations, that means there isn't any. Kind of like the new gun laws. Criminalize people who aren't doing anything wrong, invade privacy, for what? I think perhaps law enforcement wants a new source of revenue, if marijuana gets decriminalized. Either that, or health insurance companies don't wantpeople with chronic pain to have all the relief they need, because it's expensive. So make it so much of a hassle that doctors won't prescribe them, andpatients won't ask for them because of the shame and embarrassment. Bureaucrats keeping a man from helping vulnerable needy people. How disgusting.
no problem...............if these folks are in real pain OR just plain old addicted....they can and WILL get their meds on the streets!!!
nothing like the government turning over the customers and profits to the drug dealers!!!
the government medical agency has been in the business of 'legal' drug dealing FOREVER...............why stop now???
When the INSANE are running the ASYLUM In individuals, insanity is rare; but in groups, parties, nations and epochs, it is the rule. -- Friedrich Nietzsche
“How fortunate for those in power that people never think.” Adolph Hitler
AGREE FULLY BT.....NOW ON THE OTHER HAND....THERE ARE THOSE WHO NEVER SEE THEIR PATIENTS AND ARE STILL ABLE TO GET THEIR PRESCRIPTIONS ONCE A MONTH.......TRUE FACT.
THERE IS A DEFINITE NEED FOR NARCOTIC LAWS THAT WILL PRESENT THOSE FROM BUYING STREET DRUGS.....BUT THEN AGAIN....WHERE IS THE LAW TO GET THESE DEALERS OFF THE STREETS...?? ..
IT IS JUST AS IMPORTANT TO HAVE A DRUG TASK FORCE FOR THE STREET DRUGS.....NO ONE REALLY KNOWS HOW MUCH THEY ARE MAKING AND HOW THEY OPERATE UNTIL THEY HAVE BEEN IN THE MIX
DRUG DEALERS ARE WORSE THAN THE DOCTORS PRESCRIBING THESE DRUGS.....
I think perhaps law enforcement wants a new source of revenue, if marijuana gets decriminalized. Either that, or health insurance companies don't want people with chronic pain to have all the relief they need, because it's expensive.
The new source of revenue, and more police job creation is the likely reason.
Old school opiates are cheap.
10mg hydrocodone/oxycodone are less than 50 cents a piece. $15/30 tablets 15mg morphine is around $6 for 30 tablets.
Oxycontin is a different story at $100 or more depending on the dosage.
AGREE FULLY BT.....NOW ON THE OTHER HAND....THERE ARE THOSE WHO NEVER SEE THEIR PATIENTS AND ARE STILL ABLE TO GET THEIR PRESCRIPTIONS ONCE A MONTH.......TRUE FACT.
THERE IS A DEFINITE NEED FOR NARCOTIC LAWS THAT WILL PRESENT THOSE FROM BUYING STREET DRUGS.....BUT THEN AGAIN....WHERE IS THE LAW TO GET THESE DEALERS OFF THE STREETS...?? ..
IT IS JUST AS IMPORTANT TO HAVE A DRUG TASK FORCE FOR THE STREET DRUGS.....NO ONE REALLY KNOWS HOW MUCH THEY ARE MAKING AND HOW THEY OPERATE UNTIL THEY HAVE BEEN IN THE MIX
DRUG DEALERS ARE WORSE THAN THE DOCTORS PRESCRIBING THESE DRUGS.....
The entire point is that people shouldn't need street dealers for pain meds.
Street dealers often buy prescription drugs from kids who steal them from their homes.
Street dealers will also sell to kids.
Allowing doctor's to determine legitimate needs would take the business away from the street dealers.
Allowing socialist government hysterical knee jerk legislation to force doctors to do anything other than what their medical training has taught them, will empower street dealers.
AGREE FULLY BT.....NOW ON THE OTHER HAND....THERE ARE THOSE WHO NEVER SEE THEIR PATIENTS AND ARE STILL ABLE TO GET THEIR PRESCRIPTIONS ONCE A MONTH.......TRUE FACT.
THERE IS A DEFINITE NEED FOR NARCOTIC LAWS THAT WILL PRESENT THOSE FROM BUYING STREET DRUGS.....BUT THEN AGAIN....WHERE IS THE LAW TO GET THESE DEALERS OFF THE STREETS...?? ..
IT IS JUST AS IMPORTANT TO HAVE A DRUG TASK FORCE FOR THE STREET DRUGS.....NO ONE REALLY KNOWS HOW MUCH THEY ARE MAKING AND HOW THEY OPERATE UNTIL THEY HAVE BEEN IN THE MIX
DRUG DEALERS ARE WORSE THAN THE DOCTORS PRESCRIBING THESE DRUGS.....
we used to count syringes...WASTE OF TIME....same with the narcs....WASTE OF TIME....when people feel bad for whatever freakin' reason NO md/shrink can fix it....a human will do what they think they need to do for themselves.
unfortunately we have 'civilized' ourselves right out of personal wisdom in exchange for washing machines/mcdonalds and politicians who decide what size fu(king soda I can order.
this is what the public FAILS TO SEE:
Quoted Text
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...you are a product of your environment, your environment is a product of your priorities, your priorities are a product of you......
The replacement of morality and conscience with law produces a deadly paradox.
STOP BEING GOOD DEMOCRATS---STOP BEING GOOD REPUBLICANS--START BEING GOOD AMERICANS
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