Response to NYT bogus editorial regarding pain medications and Medicare
cheap viagra overnight t size-full wp-image-35939″ />By Sandy L. Sullivan,WWH – Living in chronic pain is frustrating enough without having bogus articles written by the NYT claiming patients are committing fraud and prescription drug abuse all funded with Medicare. Anyone that is a CPP patient knows how hard it is to get treated with respect by a doctor.
It can be hard enough to even get treatment but whether you have Medicare Part D or private insurance one thing we all know – regardless of the type of medication, you can never get a prescription filled early, let alone 5 different doctors in the same month writing the max dosage for the same medication and your insurance company filling it. In fact, you would get arrested at the pharmacy by doctor #2! That was before Florida had it’s new database – which helps weed out “doctor shoppers” – who pay CASH to commit fraud to obtain multiple prescriptions pain medications in a single month. Unlike the editorial which claimed it was all paid for by Medicare part D!
There wasn’t a way to comment on the article it’s self but I took the time to write the writer at the above link, below is my letter – edited only slightly.
Hi! Your report on “Medicare Prescription Drug Abuse” just doesn’t
make sense. It simply would not be possible to use Medicare or any
insurance in that way to obtain scheduled medication.
The only way one could do what you claim in your article is with
“cash only” transactions – not through any insurance and especially
not Medicare. If one is prescribed by a doctor a 28 day supply of
oxycodone and attempted to fill more – regardless of pharmacy it
would come back as “refill too soon” on the computer. Then, you
would get arrested!!
Even before the Fl “database” went into effect on Sept 1st 2011; if
I had attempted to see 2 docs in the same month with insurance AND
tried to get narcotics filled I would have been flagged.
The primary problem that had been going on was in South Florida’s
clinics. Owned by 2 ne’er do well brothers of a wealthy real-estate
father, they opened 10-15 clinics (FYI I’m in NE FL but this has
been in the news all year). They owned the clinics, without having
so much as a degree, hired doctors and paid them quite well to over
prescribe. Often getting legit patients hooked so they would return
by prescribing the MAX dosage.
Those clinics and any like them ran on “cash only” the local
pharmacies turned them away but eventually they would find
somewhere to fill it. It would simply be impossible to do on
insurance. Call your local pharmacy and ask!
The database here in Florida now sorts that issue out as even if
using cash – your name, DOB, picture ID etc is entered in and
connects with other databases through out the state and the many
other states that use such programs. Any attempt at getting another
scheduled drug filled would flag the system and you would be
Those South Florida clinics are now closed.
The bad news is real pain patients, who go by the book – using
their insurance, good doctors etc are getting shafted.
Once sided articles are terribly damaging to those of us that suffer
under chronic pain. The problem of chronic pain in the US is huge;
misunderstood, often under treated due to fear and ignorance of the
Many do no know what chronic pain means and the names behind the
faces that suffer in silence – lest they be judged.
We pay the price physically and emotionally for lack of proper media
focus on our plight. Would love to see a write up that addressed
Be sure to check out: http://www.painfoundation.org/