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Who is to blame with regards to the prescription drug dependency in America

Posted on 6/1/16 at 11:48 am
Posted by tiger1014
Member since Jan 2011
12509 posts
Posted on 6/1/16 at 11:48 am
Hard to really pin it down to one group. I'm referring to pain killers mainly.

Is it the insurance companies who put emphasis on patient satisfaction surveys where if patients don't get what they want they just complain and reimbursement goes down?

Is it the patients for not heeding the doctor's advice that they're not indicated for their pain and Doctor shopping until they get one who will do it?

Is it the doctor's fault for being a candy shop? Or are they just so sick of the patient satisfaction surveys and patients who won't stop badgering them until they get what they want. And then once they're addicted to the pain killers and the patients can't get them anymore, they turn to heroin.

It's all multifactorial. But all of this is about to come to a head now that it's becoming harder to both prescribe and obtain these drugs. Now the guidlelines for chronic opioid pain killers have gotten so strict that if you start going against them and prescribing them for patients and they OD, their family would likely have a case to sue the doctor I would imagine.

Not to mention now NPs and PAs can't prescribe them on their own anymore.
Posted by Displaced
Member since Dec 2011
32702 posts
Posted on 6/1/16 at 11:50 am to
quote:

Is it the doctor's fault for being a candy shop?

Yes
Posted by Breesus
House of the Rising Sun
Member since Jan 2010
66982 posts
Posted on 6/1/16 at 11:50 am to
quote:

Hard to really pin it down to one group


The doctors who knowingly over diagnose and write the prescriptions with too many pills and too many refills.

It's not that hard to pin it down
Posted by terriblegreen
Souf Badden Rewage
Member since Aug 2011
9593 posts
Posted on 6/1/16 at 11:50 am to
Drug lobbies.
Posted by High C
viewing the fall....
Member since Nov 2012
53729 posts
Posted on 6/1/16 at 11:51 am to
Having trouble getting your pills?
Posted by Cole Beer
Baton Rouge
Member since Aug 2008
4583 posts
Posted on 6/1/16 at 11:51 am to
Combination of a lot of stuff. But local, state and federal governments should also catch a lot of heat.

Why? Because legalizing weed in all forms would seriously curb this opioid epidemic.
Posted by LucasP
Member since Apr 2012
21618 posts
Posted on 6/1/16 at 11:52 am to
Considering how much training doctors go through, it's pretty clear that they are infallible and off the hook on this one.

So by process of elimination, I'd blame it on the nurse practitioners. And the Jews.
Posted by stlslick
St.Louis,Mo
Member since Nov 2012
14054 posts
Posted on 6/1/16 at 11:53 am to
Doctors have become drug dealers, pushing pills for the Pharmaceutical companies.

Posted by lsunurse
Member since Dec 2005
128950 posts
Posted on 6/1/16 at 11:54 am to
Posted by Lucky_Dog
Member since May 2016
785 posts
Posted on 6/1/16 at 11:54 am to
quote:

Doctors have become drug dealers, pushing pills for the Pharmaceutical companies.

Agreed but no one is forcing you to take them.
Posted by ULSU
Tasmania
Member since Jan 2014
3931 posts
Posted on 6/1/16 at 11:55 am to
You forgot the manufacturers who create misleading and false information about what their drugs can do. For instance, Fentanyl is ONLY allowed for cancer patients with break through pain; however, they market that Fentanyl is effective for back pains, arthritis, etc....
Posted by High C
viewing the fall....
Member since Nov 2012
53729 posts
Posted on 6/1/16 at 11:56 am to
The Jews? They only loan money to the addicts and then make movies about addicts. They're completely tangential.
Posted by AnonymousTiger
Franklin, TN
Member since Jan 2012
4863 posts
Posted on 6/1/16 at 11:56 am to
quote:

Is it the doctor's fault for being a candy shop?


Yes. The insurance companies try everything they can to get patients off of these expensive drugs.
Posted by PillPusher
Gulf Coast
Member since Oct 2009
5706 posts
Posted on 6/1/16 at 11:57 am to
Doctors. Pure and simple. They can stop it right now if they wanted to.
Posted by Lakeboy7
New Orleans
Member since Jul 2011
23965 posts
Posted on 6/1/16 at 11:57 am to
Not hard at all, big Pharma.
Posted by LucasP
Member since Apr 2012
21618 posts
Posted on 6/1/16 at 11:57 am to
quote:

PillPusher


How apt.....


Posted by Eightballjacket
Member since Jan 2016
7311 posts
Posted on 6/1/16 at 11:59 am to
Patients have to shoulder some of the blame. We have become conditioned to expect that a treatment or medication is necessary for every ache or pain.
Posted by MSMHater
Houston
Member since Oct 2008
22774 posts
Posted on 6/1/16 at 12:01 pm to
Mostly the physicians who write them.

Then patients.
Posted by PillPusher
Gulf Coast
Member since Oct 2009
5706 posts
Posted on 6/1/16 at 12:01 pm to
quote:

We have become conditioned to expect that a treatment or medication is necessary for every ache or pain.



At which point the doctor should intervene.
Posted by LSU1NSEC
Member since Sep 2007
17243 posts
Posted on 6/1/16 at 12:04 pm to
Seems genetic to me. Some people become addicted easily. Other people can't stand taking any kind of pain meds (myself included).
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