HomeWorld NewsResponse to NYT bogus editorial regarding pain medications and Medicare


Response to NYT bogus editorial regarding pain medications and Medicare — 3 Comments

  1. I am sincerely sorry to hear that you are suffering from chronic pain. And I wish you well.

    We physicians have no “pain-o-meter”. If a Medicare patient relays that that are unable to perform activities of daily living such as walking the dog, carrying groceries, doing laundry etc, due to rampant arthritis, and they have a medical reason NSAIDS or other meds can’t be prescribed, then opioids move closer to the top of list of drugs to prescribe.

    It may be the only thing that limits their living hell. Of course tolerance and dangers are associated with opioids, and therefore great care and excellent communication needs to occur between the doctor and the patient, and strict medication contract rules need to be explicitly adhered to avoid termination. It can be a very burdensome and time consuming endeavor that most of us would rather avoid entirely. Periodic pill counts , Urine drug screens etc etc.

    There are legitimate patients that do divert their meds because they can’t afford to heat their home, or just to make extra money some are elderly, or disabled medicare patients who have gone on to be arrested.

    Is there abuse of medicare dollars and other insurance dollars in this way of course. It is not all or nothing. And slamming the doctors is not the answer.

    I agree that there is a problem with legitimate patients getting what they need when they need it, and a lot of suffering is going on, in my opinion due to the high anxiety in physicians created by the public lynchings of innocent doctors by Medical Boards, FBI, DEA, State and Local Police and the occasional trigger happy, politically motivated DA’s. Do they get some bad guys of the street, sure they do, but there has been a lot of collateral damage. Who wants to spend$100,000.00 to fend of an attack it’s safer to just not prescribe!

    It is a sad state of affairs, and I see no end in sight. My sense is that more honest competent doctors are going to just say no to prescribing controlled meds.

    After 27 years I think I get it right most of the time on those occasions where the decision to prescribe an opioid or other controlled medication arises, however, I have probably denied them to a legitimate patients now and then due to a gut feeling or detail in their “story”. As I said we have no Pain-O-Meter, or for that matter a Lie-Detector plugged in next to the EKG or x-ray machine. It would be nice to have a combined unit to screen people. I may start working on that today!

    I believe, until the physicians are protected by harsher penalties for patients who fraudulently misrepresent their pain level and functional capacity during their history and physical, there will be the tendency for doctors to adopt a no opioid policy due to their uncertainty about the legitimacy of the patient’s complaints.

    A comprehensive approach to the problem with help legitimate patients get what the need and limit the misuse and diversion of controlled medication by fraudulent patients

  2. Hi Sandy if you sign in at Site, or register there then log on again, with your e- mail you can do a letter of response or get into comment thread. There is a awesome discussion there This would be useful to help educate those thinking GOV is paying people to abuse medications. This letter is very good as a article of response. You are correct, major Pharmacies should have people in the computers &synced. Most do. I’m guessing their citing the little Pharmacies on outskirts being used.

    Medicare part D covered medications especially narcotics are classed as to how abusive and misused they are with Medicare D and all Pharmacy Insurances , only allowed to be filled so often, 28 to 30 days standard. I am agreeing if a person had several Rx’s they must be paying cash or going to several Dr’s and facilities but their not using Medicare to get those extra meds.

    Also regarding Medicare D plan, in order to get medications they deem are abused more, one now had to prove a condition warranting that drug and no other drug comparable. So the drug is reviewed under a Prior Authorization , even though your Dr says,(pt has this condition) Independent hired Drs and tests are implemented or Dr has to defend with prior documentation proper test done &Specialists referrals-in that their documentation is now required a visit to a pain Specialist or Clinic. Of course this puts more money in the Govs pocket and more pain and suffering for the pt.

    The only thing I can think of is Dr’s can use CODE A and or CODE D written on controlled substances, to up quantities one says basically pt will die or be in danger of death without the large quantity available to them, the other says pt is going out of Town so a 3 month prescription can be written and some Drs actually will write the highest amount they can prescribe so the pt has the medication longer. Drs usually do this when they know for certain the patient is NOT abusing the drug.
    Thanks for this article
    Peace N love

  3. Thanks for writing that letter! I don’t handle pain meds very well, but sometimes I have to give in and say I need something to break the grip of this unmanageable pain… I know personally, that everything you wrote is true. I wish you could have busted her publicly as a pseudo-journalist who distorts facts to fit the news THEY want the public to read!

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