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	<title>Comments on: Not a War on Patients</title>
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	<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/</link>
	<description>It rankles me when somebody tries to tell somebody what to do.</description>
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		<title>By: MamaLiberty</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4160976</link>
		<dc:creator>MamaLiberty</dc:creator>
		<pubDate>Sat, 17 Nov 2012 18:14:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4160976</guid>
		<description><![CDATA[Thank you, Hugh! I do appreciate the offer, but I will never fly again until the ticket agent is free to offer me complimentary frangible ammunition for my carry gun...

And I don&#039;t see that happening - at least not any time soon. :)

Would love to talk... mamaliberty - at - rtconnect - dot - net]]></description>
		<content:encoded><![CDATA[<p>Thank you, Hugh! I do appreciate the offer, but I will never fly again until the ticket agent is free to offer me complimentary frangible ammunition for my carry gun&#8230;</p>
<p>And I don&#8217;t see that happening &#8211; at least not any time soon. :)</p>
<p>Would love to talk&#8230; mamaliberty &#8211; at &#8211; rtconnect &#8211; dot &#8211; net</p>
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		<title>By: albatross</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4153541</link>
		<dc:creator>albatross</dc:creator>
		<pubDate>Fri, 16 Nov 2012 21:17:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4153541</guid>
		<description><![CDATA[John:

I just don&#039;t understand it.  We put a guy in charge of an agency full of armed goons and give him the title of &quot;czar,&quot; and it doesn&#039;t make him behave nicely.  Who could have forseen this?]]></description>
		<content:encoded><![CDATA[<p>John:</p>
<p>I just don&#8217;t understand it.  We put a guy in charge of an agency full of armed goons and give him the title of &#8220;czar,&#8221; and it doesn&#8217;t make him behave nicely.  Who could have forseen this?</p>
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		<title>By: John C. Randolph</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4152296</link>
		<dc:creator>John C. Randolph</dc:creator>
		<pubDate>Fri, 16 Nov 2012 18:12:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4152296</guid>
		<description><![CDATA[&quot; The productive question is, why can’t the DEA come up with more objective guidelines that make more sense,&quot;

Because that&#039;s not the DEA&#039;s purpose.  The DEA is a terrorist organization, whose mission is to strike fear into anyone who disobeys the government.  

-jcr]]></description>
		<content:encoded><![CDATA[<p>&#8221; The productive question is, why can’t the DEA come up with more objective guidelines that make more sense,&#8221;</p>
<p>Because that&#8217;s not the DEA&#8217;s purpose.  The DEA is a terrorist organization, whose mission is to strike fear into anyone who disobeys the government.  </p>
<p>-jcr</p>
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		<title>By: John C. Randolph</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4152267</link>
		<dc:creator>John C. Randolph</dc:creator>
		<pubDate>Fri, 16 Nov 2012 18:08:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4152267</guid>
		<description><![CDATA[It doesn&#039;t surprise me in the least that an apparatchik with the title of &quot;czar&quot; is a sadistic son of a bitch.

-jcr]]></description>
		<content:encoded><![CDATA[<p>It doesn&#8217;t surprise me in the least that an apparatchik with the title of &#8220;czar&#8221; is a sadistic son of a bitch.</p>
<p>-jcr</p>
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		<title>By: Joe</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4151114</link>
		<dc:creator>Joe</dc:creator>
		<pubDate>Fri, 16 Nov 2012 15:24:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4151114</guid>
		<description><![CDATA[as someone who actually has a steady prescription for opiates, i must ask one question:

80 Oxycontin a day? i am surprised this did not end up in huge vomiting sessions every day or an overdose.

anyone who requires that much Oxy needs to revisit what meds he is taking, i mean for Pete&#039;s sake, that is almost 5 an HOUR. I take 5 a day (have for the past three years) and i can tell you two things happen everyday: 1. heavy nausea by the last dose; and 2. i get the nods and unfocused vision.

if someone requires 80 pills a day, they have the wrong meds or should be inpatient. i cannot for the life of me understand how someone can take that many pills and NOT overdose. again, this is coming from someone who takes this stuff everyday]]></description>
		<content:encoded><![CDATA[<p>as someone who actually has a steady prescription for opiates, i must ask one question:</p>
<p>80 Oxycontin a day? i am surprised this did not end up in huge vomiting sessions every day or an overdose.</p>
<p>anyone who requires that much Oxy needs to revisit what meds he is taking, i mean for Pete&#8217;s sake, that is almost 5 an HOUR. I take 5 a day (have for the past three years) and i can tell you two things happen everyday: 1. heavy nausea by the last dose; and 2. i get the nods and unfocused vision.</p>
<p>if someone requires 80 pills a day, they have the wrong meds or should be inpatient. i cannot for the life of me understand how someone can take that many pills and NOT overdose. again, this is coming from someone who takes this stuff everyday</p>
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		<title>By: Hugh</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4143293</link>
		<dc:creator>Hugh</dc:creator>
		<pubDate>Thu, 15 Nov 2012 20:49:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4143293</guid>
		<description><![CDATA[MAMALIBERTY - you are wise.
Thanks for explaining real life so clearly.
Next time you are in Portland OR look me up and my wife and I will take you out to dinner.]]></description>
		<content:encoded><![CDATA[<p>MAMALIBERTY &#8211; you are wise.<br />
Thanks for explaining real life so clearly.<br />
Next time you are in Portland OR look me up and my wife and I will take you out to dinner.</p>
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		<title>By: Rick H.</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4135568</link>
		<dc:creator>Rick H.</dc:creator>
		<pubDate>Wed, 14 Nov 2012 23:29:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4135568</guid>
		<description><![CDATA[glasnost:  I&#039;m not an expert on prescription opioids. But I am an addict who&#039;s been off heroin for 21 years, and I can say that your airplane anecdote, and the conjectures you&#039;re making, ring false to me. 

Just a few comments: I&#039;ve spoken with thousands of addicts in recovery, and honestly only maybe two or three of them have ever used the &quot;I was prescribed these pills, and next thing I knew I was shooting smack&quot; explanation for their habit. I wouldn&#039;t call it a myth, since I&#039;m sure it does happen, but it plays right into the narrative of &quot;pure, innocent _______ getting unwittingly corrupted by the evil dope&quot; that&#039;s long been part of this country&#039;s toxic, racist history of prohibition.

Other people here have made the point that for pain relief, opioids are the best (and, were it not for the WOD, cheapest) way to go. These drugs don&#039;t cause liver and kidney damage, ulcers or tremors, like non-opioids usually do. In fact, as part of Nixon&#039;s drug war, our wonderful government encouraged the addition of acetaminophen to vicodin, basically poisoning patients&#039;s livers to discourage prescribing of the drug (after decades, the FDA seems to be slowly backpedaling on that one). 

Also, the idea that &quot;nonpoor people...have historically avoided severe addiction problems&quot; is totally false. Addicts come from all economic classes. It&#039;s just that money and status can buy someone a degree of social insulation from many horrible government policies; poorer folks don&#039;t have such a luxury.]]></description>
		<content:encoded><![CDATA[<p>glasnost:  I&#8217;m not an expert on prescription opioids. But I am an addict who&#8217;s been off heroin for 21 years, and I can say that your airplane anecdote, and the conjectures you&#8217;re making, ring false to me. </p>
<p>Just a few comments: I&#8217;ve spoken with thousands of addicts in recovery, and honestly only maybe two or three of them have ever used the &#8220;I was prescribed these pills, and next thing I knew I was shooting smack&#8221; explanation for their habit. I wouldn&#8217;t call it a myth, since I&#8217;m sure it does happen, but it plays right into the narrative of &#8220;pure, innocent _______ getting unwittingly corrupted by the evil dope&#8221; that&#8217;s long been part of this country&#8217;s toxic, racist history of prohibition.</p>
<p>Other people here have made the point that for pain relief, opioids are the best (and, were it not for the WOD, cheapest) way to go. These drugs don&#8217;t cause liver and kidney damage, ulcers or tremors, like non-opioids usually do. In fact, as part of Nixon&#8217;s drug war, our wonderful government encouraged the addition of acetaminophen to vicodin, basically poisoning patients&#8217;s livers to discourage prescribing of the drug (after decades, the FDA seems to be slowly backpedaling on that one). </p>
<p>Also, the idea that &#8220;nonpoor people&#8230;have historically avoided severe addiction problems&#8221; is totally false. Addicts come from all economic classes. It&#8217;s just that money and status can buy someone a degree of social insulation from many horrible government policies; poorer folks don&#8217;t have such a luxury.</p>
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		<title>By: joeNTexas</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4135401</link>
		<dc:creator>joeNTexas</dc:creator>
		<pubDate>Wed, 14 Nov 2012 23:02:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4135401</guid>
		<description><![CDATA[As someone well acquainted with pain and a long term user of opiates, I think that people confuse the terms addiction and dependance. 

, I know full well that my body has a physical depandance from that use. The goal of my taking any of the multiple drugs I take daily, is too 1) stay alive a Tad bit longer and 2) having the mind numbing pain I life with controlled just a bit. 

If my goal were to be pain free, I can forget it. Wont happen. But after many years of trying various combinations of drugs from over the counter at one end to opiates on the other, I found just the right balance of function and pain relief that works for me. It took me, working with my doctors, almost four years before I got to opiates. I take the lowest possible level that works for me. I have many times, with doc supervision, changed my plan to see if the underlying issues are still really needing the opiates. 

I do have a physical dependance, just as I do with the several cardiac drugs I take every day. In fact it is more so with the cardiac drugs. Without them I die.]]></description>
		<content:encoded><![CDATA[<p>As someone well acquainted with pain and a long term user of opiates, I think that people confuse the terms addiction and dependance. </p>
<p>, I know full well that my body has a physical depandance from that use. The goal of my taking any of the multiple drugs I take daily, is too 1) stay alive a Tad bit longer and 2) having the mind numbing pain I life with controlled just a bit. </p>
<p>If my goal were to be pain free, I can forget it. Wont happen. But after many years of trying various combinations of drugs from over the counter at one end to opiates on the other, I found just the right balance of function and pain relief that works for me. It took me, working with my doctors, almost four years before I got to opiates. I take the lowest possible level that works for me. I have many times, with doc supervision, changed my plan to see if the underlying issues are still really needing the opiates. </p>
<p>I do have a physical dependance, just as I do with the several cardiac drugs I take every day. In fact it is more so with the cardiac drugs. Without them I die.</p>
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		<title>By: Supreme Court Declines to Tackle Prosecutorial Misconduct Case - Unofficial Network</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4135206</link>
		<dc:creator>Supreme Court Declines to Tackle Prosecutorial Misconduct Case - Unofficial Network</dc:creator>
		<pubDate>Wed, 14 Nov 2012 22:34:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4135206</guid>
		<description><![CDATA[[...] regular e-mails from patients suffering due to the feds’ scrutiny of prescribing doctors. His latest letter, about a man suffering in agony for the last three months of his life, is a real [...]]]></description>
		<content:encoded><![CDATA[<p>[...] regular e-mails from patients suffering due to the feds’ scrutiny of prescribing doctors. His latest letter, about a man suffering in agony for the last three months of his life, is a real [...]</p>
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		<title>By: albatross</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4134764</link>
		<dc:creator>albatross</dc:creator>
		<pubDate>Wed, 14 Nov 2012 21:09:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4134764</guid>
		<description><![CDATA[I wonder how many of the people being treated with opiates for pain, longish-term, are actually socially problematic if they become addicted.  I&#039;m assuming someone in a nursing home or hospice who is addicted to morphine or something is not actually a big social problem, since he&#039;s not going to be, say, driving a car while doped up, or messing up his career because of his drug habit, or leaving his wife and kids unsupported as a result of his drug habit.  I assume it&#039;s easier to give opiates in these cases (I know they&#039;re commonly used to treat terminal cancer patients), but I don&#039;t really know.  

I guess the group of people that everyone worries about wrt addiction is relatively young and healthy people.  If they either have some visible injury that requires oxycontin, or have some hard-to-see cause of pain (like back problems, which can be extremely painful and very hard to do anything about), they can become dependent on the pain medicine both because of ongoing pain and because of addiction, and then this can cause them a lot of problems later on.  (Of course, one big source of those problems is the difficulty of getting more oxycontin, which could be resolved by legalization.)]]></description>
		<content:encoded><![CDATA[<p>I wonder how many of the people being treated with opiates for pain, longish-term, are actually socially problematic if they become addicted.  I&#8217;m assuming someone in a nursing home or hospice who is addicted to morphine or something is not actually a big social problem, since he&#8217;s not going to be, say, driving a car while doped up, or messing up his career because of his drug habit, or leaving his wife and kids unsupported as a result of his drug habit.  I assume it&#8217;s easier to give opiates in these cases (I know they&#8217;re commonly used to treat terminal cancer patients), but I don&#8217;t really know.  </p>
<p>I guess the group of people that everyone worries about wrt addiction is relatively young and healthy people.  If they either have some visible injury that requires oxycontin, or have some hard-to-see cause of pain (like back problems, which can be extremely painful and very hard to do anything about), they can become dependent on the pain medicine both because of ongoing pain and because of addiction, and then this can cause them a lot of problems later on.  (Of course, one big source of those problems is the difficulty of getting more oxycontin, which could be resolved by legalization.)</p>
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		<title>By: albatross</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4134668</link>
		<dc:creator>albatross</dc:creator>
		<pubDate>Wed, 14 Nov 2012 20:52:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4134668</guid>
		<description><![CDATA[The war on painkillers is actually pretty easy to separate from the war on drugs.  You could have an entirely consistent position that says:

a.  Narcotics should be illegal.

and

b.  Police, prosecutors, and judges should be extremely reluctant to get between a patient and his doctor and try to micromanage how the patient&#039;s pain is managed.

My guess is that the majority of people would agree with (a) and (b), and that the war on painkillers is the result of bureaucratic and prosecutorial overreach, in a world where they have too much power and not enough adult supervision.  So while I suspect drug legalization is a fight we&#039;ll go on losing for awhile, rolling back the DEA harassment of pain doctors is something that would have substantial popular support if it caught a lot of peoples&#039; attention.]]></description>
		<content:encoded><![CDATA[<p>The war on painkillers is actually pretty easy to separate from the war on drugs.  You could have an entirely consistent position that says:</p>
<p>a.  Narcotics should be illegal.</p>
<p>and</p>
<p>b.  Police, prosecutors, and judges should be extremely reluctant to get between a patient and his doctor and try to micromanage how the patient&#8217;s pain is managed.</p>
<p>My guess is that the majority of people would agree with (a) and (b), and that the war on painkillers is the result of bureaucratic and prosecutorial overreach, in a world where they have too much power and not enough adult supervision.  So while I suspect drug legalization is a fight we&#8217;ll go on losing for awhile, rolling back the DEA harassment of pain doctors is something that would have substantial popular support if it caught a lot of peoples&#8217; attention.</p>
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		<title>By: Brandon</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4134128</link>
		<dc:creator>Brandon</dc:creator>
		<pubDate>Wed, 14 Nov 2012 19:03:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4134128</guid>
		<description><![CDATA[Wow, glasnost. Arrogant, nonsensical and stupid. You&#039;ve almost hit for the cycle.]]></description>
		<content:encoded><![CDATA[<p>Wow, glasnost. Arrogant, nonsensical and stupid. You&#8217;ve almost hit for the cycle.</p>
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		<title>By: Supreme Court Declines to Tackle Prosecutorial Misconduct Case - Hit &#38; Run : Reason.com</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4133741</link>
		<dc:creator>Supreme Court Declines to Tackle Prosecutorial Misconduct Case - Hit &#38; Run : Reason.com</dc:creator>
		<pubDate>Wed, 14 Nov 2012 17:53:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4133741</guid>
		<description><![CDATA[[...] regular e-mails from patients suffering due to the feds’ scrutiny of prescribing doctors. His latest letter, about a man suffering in agony for the last three months of his life, is a real [...]]]></description>
		<content:encoded><![CDATA[<p>[...] regular e-mails from patients suffering due to the feds’ scrutiny of prescribing doctors. His latest letter, about a man suffering in agony for the last three months of his life, is a real [...]</p>
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		<title>By: glasnost</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4132914</link>
		<dc:creator>glasnost</dc:creator>
		<pubDate>Wed, 14 Nov 2012 15:23:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4132914</guid>
		<description><![CDATA[The people pointing out that nonopoids don&#039;t do the job sometimes for various medical reasons.. okay, I get it. The productive question is, why can&#039;t the DEA come up with more objective guidelines that make more sense, avoid intimidating doctors who want to fill real need, and continue to disincentivize prescribing opoids for broken ankles (this guy&#039;s anecdote) if there&#039;s a perfectly good alternative?

Unless you think we&#039;re storming the barricades soon, the point of this advocacy is to convince the bureaucracy that changes are needed, so a demonstration that there are no feasibility hurdles would be useful.]]></description>
		<content:encoded><![CDATA[<p>The people pointing out that nonopoids don&#8217;t do the job sometimes for various medical reasons.. okay, I get it. The productive question is, why can&#8217;t the DEA come up with more objective guidelines that make more sense, avoid intimidating doctors who want to fill real need, and continue to disincentivize prescribing opoids for broken ankles (this guy&#8217;s anecdote) if there&#8217;s a perfectly good alternative?</p>
<p>Unless you think we&#8217;re storming the barricades soon, the point of this advocacy is to convince the bureaucracy that changes are needed, so a demonstration that there are no feasibility hurdles would be useful.</p>
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		<title>By: glasnost</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4132885</link>
		<dc:creator>glasnost</dc:creator>
		<pubDate>Wed, 14 Nov 2012 15:19:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4132885</guid>
		<description><![CDATA[Well, an anecdote from a guy on a plane is not exactly equivalent to a peer-reviewed study. So I could be wrong. I can tell a story where most new heroin addicts plausibly come from legally prescribed opoids, based on two assertions:

#1. Overwhelming knowledge that heroin use is more or less suicide, less awareness of the opoid nature of various painkillers and the risk potential.
#2. A drug that starts out expensive and gets steadily more so, thus requiring a user base of nonpoor people, which correlates roughly with people who have historically avoided severe addiction problems. (again, don&#039;t know).

Not exactly conclusive, I&#039;d love to see data.

Maybe industry has no stake in the issue either way, I don&#039;t know. Nonlibertarians can agree that the guy in this story ought to have been able to get whatever he needed to deal with his issue.

Not really interested in debating the larger issue of medical regulation with the peanut gallery. Good luck with the state med board and the civil lawsuits. Try a quick google on our comparative rate of avoidable medical errors vs. the OECD.]]></description>
		<content:encoded><![CDATA[<p>Well, an anecdote from a guy on a plane is not exactly equivalent to a peer-reviewed study. So I could be wrong. I can tell a story where most new heroin addicts plausibly come from legally prescribed opoids, based on two assertions:</p>
<p>#1. Overwhelming knowledge that heroin use is more or less suicide, less awareness of the opoid nature of various painkillers and the risk potential.<br />
#2. A drug that starts out expensive and gets steadily more so, thus requiring a user base of nonpoor people, which correlates roughly with people who have historically avoided severe addiction problems. (again, don&#8217;t know).</p>
<p>Not exactly conclusive, I&#8217;d love to see data.</p>
<p>Maybe industry has no stake in the issue either way, I don&#8217;t know. Nonlibertarians can agree that the guy in this story ought to have been able to get whatever he needed to deal with his issue.</p>
<p>Not really interested in debating the larger issue of medical regulation with the peanut gallery. Good luck with the state med board and the civil lawsuits. Try a quick google on our comparative rate of avoidable medical errors vs. the OECD.</p>
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		<title>By: Martin</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4132796</link>
		<dc:creator>Martin</dc:creator>
		<pubDate>Wed, 14 Nov 2012 15:00:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4132796</guid>
		<description><![CDATA[This guy on the plane clearly isn&#039;t a physician, or a nurse or pharmacist for that matter. Unless you&#039;re talking headaches or neuropathic pain, nothing comes close to working as well as opioids. Period. In many cases, it&#039;s all we have. And about pharma pushing opioids--maybe some of the newer ones that have fancy extended release packaging or something, but otherwise this is silly. Many opioids are generic and among the cheapest medications available, at pennies per dose. At least in this case, a pharma/medical conspiracy is nonsense. Further, at university hospitals, anyway, pharma can&#039;t push anything anymore (I&#039;m ambivalent about this--physicians of course aren&#039;t immune to bias, but patients, especially the poor, sure miss those free samples).

Most people who become addicted to prescribed opioids have been on them for long periods of time. Opioids do suck for chronic pain. But I think that the best we can do is just be honest w/ patients about the risks, and let them make an informed decision. Pain or risk addiction? We then need to be more proactive about not losing them to follow-up.]]></description>
		<content:encoded><![CDATA[<p>This guy on the plane clearly isn&#8217;t a physician, or a nurse or pharmacist for that matter. Unless you&#8217;re talking headaches or neuropathic pain, nothing comes close to working as well as opioids. Period. In many cases, it&#8217;s all we have. And about pharma pushing opioids&#8211;maybe some of the newer ones that have fancy extended release packaging or something, but otherwise this is silly. Many opioids are generic and among the cheapest medications available, at pennies per dose. At least in this case, a pharma/medical conspiracy is nonsense. Further, at university hospitals, anyway, pharma can&#8217;t push anything anymore (I&#8217;m ambivalent about this&#8211;physicians of course aren&#8217;t immune to bias, but patients, especially the poor, sure miss those free samples).</p>
<p>Most people who become addicted to prescribed opioids have been on them for long periods of time. Opioids do suck for chronic pain. But I think that the best we can do is just be honest w/ patients about the risks, and let them make an informed decision. Pain or risk addiction? We then need to be more proactive about not losing them to follow-up.</p>
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		<title>By: Yizmo Gizmo</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4132630</link>
		<dc:creator>Yizmo Gizmo</dc:creator>
		<pubDate>Wed, 14 Nov 2012 14:39:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4132630</guid>
		<description><![CDATA[As far as “heroin addicts started with legal pain killers”...


Little known fact.
Heroin was invented to replace morphine as a result of the horrible
dependence/addiction that morphine often led to.
Go Ask Alice.]]></description>
		<content:encoded><![CDATA[<p>As far as “heroin addicts started with legal pain killers”&#8230;</p>
<p>Little known fact.<br />
Heroin was invented to replace morphine as a result of the horrible<br />
dependence/addiction that morphine often led to.<br />
Go Ask Alice.</p>
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		<title>By: Boyd Durkin</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4132607</link>
		<dc:creator>Boyd Durkin</dc:creator>
		<pubDate>Wed, 14 Nov 2012 14:33:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4132607</guid>
		<description><![CDATA[&lt;blockquote&gt;
this guy told me that there were nonopoid painkillers that worked just as well as opoid painkillers, and that the medical industry bankrolled the continued use of opoids to their financial benefit.
&lt;/blockquote&gt;

Profits are not limited to opoid pain killers.  Companies are adept at making profits off of just about anything.  Especially with an ambitious DEA on hand to shoot the competition (and not shoot you if you pay up).

As far as &quot;heroin addicts started with legal pain killers&quot;, I can tell you that most prostitutes started with kissing someone.  Not that I want to cast prostitution in a negative light (I do not), but you have to be careful about the conclusions you make.]]></description>
		<content:encoded><![CDATA[<blockquote><p>
this guy told me that there were nonopoid painkillers that worked just as well as opoid painkillers, and that the medical industry bankrolled the continued use of opoids to their financial benefit.
</p></blockquote>
<p>Profits are not limited to opoid pain killers.  Companies are adept at making profits off of just about anything.  Especially with an ambitious DEA on hand to shoot the competition (and not shoot you if you pay up).</p>
<p>As far as &#8220;heroin addicts started with legal pain killers&#8221;, I can tell you that most prostitutes started with kissing someone.  Not that I want to cast prostitution in a negative light (I do not), but you have to be careful about the conclusions you make.</p>
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		<title>By: Boyd Durkin</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4132554</link>
		<dc:creator>Boyd Durkin</dc:creator>
		<pubDate>Wed, 14 Nov 2012 14:24:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4132554</guid>
		<description><![CDATA[Obama&#039;s Drug Czar (in the same article) explained that he ended the &quot;war on drugs&quot; the first day he took the office!  

Good news, everyone!  We&#039;ve just been misinformed!

&lt;blockquote&gt;
Private charity mysteriously does not rush in to fill the gap...
&lt;/blockquote&gt;

&quot;Worst development of 2012&quot;: People are introduced to the term &quot;free market&quot; and immediately start blasting it without knowing what it actually is.  I&#039;m looking at you, John Stewart.]]></description>
		<content:encoded><![CDATA[<p>Obama&#8217;s Drug Czar (in the same article) explained that he ended the &#8220;war on drugs&#8221; the first day he took the office!  </p>
<p>Good news, everyone!  We&#8217;ve just been misinformed!</p>
<blockquote><p>
Private charity mysteriously does not rush in to fill the gap&#8230;
</p></blockquote>
<p>&#8220;Worst development of 2012&#8243;: People are introduced to the term &#8220;free market&#8221; and immediately start blasting it without knowing what it actually is.  I&#8217;m looking at you, John Stewart.</p>
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		<title>By: The Late Andy Rooney</title>
		<link>http://www.theagitator.com/2012/11/13/not-a-war-on-patients-3/comment-page-1/#comment-4132429</link>
		<dc:creator>The Late Andy Rooney</dc:creator>
		<pubDate>Wed, 14 Nov 2012 14:06:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.theagitator.com/?p=26825#comment-4132429</guid>
		<description><![CDATA[glasnost: Even if most heroin addicts started off on legal painkillers, that doesn&#039;t tell us much. It would rather look at how many users of legal painkillers end up on heroin. Very few, I would bet. The claim that &quot;most of the heroin addicts&quot; started on legal painkillers doesn&#039;t tell us much about legal painkillers, though it may say something about heroin addicts (or potential heroin addicts). Some start on legal painkillers, some start with pot or alcohol. But most users of legal painkillers, pot, and/or alcohol don&#039;t become heroin addicts.]]></description>
		<content:encoded><![CDATA[<p>glasnost: Even if most heroin addicts started off on legal painkillers, that doesn&#8217;t tell us much. It would rather look at how many users of legal painkillers end up on heroin. Very few, I would bet. The claim that &#8220;most of the heroin addicts&#8221; started on legal painkillers doesn&#8217;t tell us much about legal painkillers, though it may say something about heroin addicts (or potential heroin addicts). Some start on legal painkillers, some start with pot or alcohol. But most users of legal painkillers, pot, and/or alcohol don&#8217;t become heroin addicts.</p>
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