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this post was submitted on 23 Oct 2023
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Just let doctors prescribe painkillers fucking christ. Kicking legit patients off meds drives this entire issue.
I had minor surgery last year and the sent me home with an opiate prescription. I didn't take it because the effects to me are worse than the pain, but they did give it to me.
Exactly. My partner has chronic pain from an old car accident. Their neck is full of screws and bolts. Medications like oxycontin are literally the difference between them having a tolerable active life, and being in constant excruciating pain. Yeah I know a lot of people abuse it. But all the regulatory responses are just trying to make it harder to get, it's like performing brain surgery with a sledgehammer and people like my partner get caught in the crossfire.
If they want to fix the problem they should address pharmaceutical advertising, both to doctors and patients. Get rid of the kickbacks.
There also needs to be a differentiation between different levels of pain. The case like you described seems like one where opioids are warranted. An opioid addiction is the lesser of two evils here. But if someone has chronic back pain because they sit all day and are overweight (not trying to shift blame here), opioids are an overkill and all painkillers can only be stopgap measures to tackle the root issues.
Exactly. And that's what a doctor is supposed to do. That is why certain medications require a prescription. Much in the same way that it's considered better to let five criminals go free than to unjustly punish one innocent, I think it's better to let five people who arguably don't need it get medication than to deny it to one person who truly does need it.
There is an attitude in this country that if something is being abused, especially medication, that the best and only response of government and society should be to make that thing harder to get. But that doesn't stop abuse. It has literally never worked in the past, and it does not work now. If someone is addicted to prescription painkillers and you deny them the prescription, they aren't going to say 'aw shucks I guess it's time to clean up my life and get a job'. They're going to get their fix somewhere else.
And the result is that real patients get harmed. My partner is lucky to have a good medical team. But you hear lots of stories of people who go for surgery and get literally cut open and are sent home with basically Tylenol because the surgeon is terrified to have too many opiates on his prescription record. That isn't okay. Our solution to one problem is not only making it worse it is causing another problem.
This is an oversimplification.
And so is the legislative response that put us here.
Doctors prescribing painkillers is exactly how this got so bad. As someone who came of age in the mid '00s and watch this all start unfolding firsthand in many of my peers, 100% of them began their addiction using prescription painkillers like Vicodin, Percs, and Oxy. Literally all of us knew someone selling them, family members who had extra and would give them out, friends/coworkers who'd share with you, etc because they were so easy to get a (or multiple) prescriptions for and you could sell the rest.
I know personally at least half a dozen people who wound up ODing and dying. I know at least two dozen more who battled through it, did jail, did rehab, lost jobs, or became homeless. Many made it through and stopped using, but now 5, 10, or 15 years later still have the cloud hanging over them and have to actively manage the cravings.
If you're a 'legit patient' and you turn to heroin just because you can't get painkillers, you're already addicted to opioids. That's not driving the issue, it is the issue.