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Six Detroit area doctors indicted in $500M health care fraud

fox2detroit.com

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Re: Six Detroit area doctors indicted in $500M health care fraud

#71

Post by markdown »

crshstsh wrote: post #61
markdown wrote: post #52

Earlier quoted context omitted.

Kratom is great as medicine to wean people off opiates. However, it absolutely shouldn't be used in a recreational setting as it currently is, served in kratom bars (though they like to use the name "Kava" in an attempt to fly under the radar). See /r/quittingkratom

Why would they sell it as Kava when Kratom is more expensive? I am on day 5 of getting off of Kratom. This smy second time around, and the first was horrendous. A couple of months ago a doctor prescribed Gabapentin and I've literally experience only 5% of the side effects of withdrawal. All the intense symptoms disappeared and I glided through this week. I wonder why doctors prescribe Suboxone and Methadone, both hig…

Kava actually costs more than kratom.

But I never said people sell kava as kratom. Selling Kratom in bars is against the law. Instead they set up “kava” bars in which they sell kratom and kava.

Re: Six Detroit area doctors indicted in $500M health care fraud

#72

Post by markdown »

pstuart wrote: post #68
markdown wrote: post #52

Earlier quoted context omitted.

Kratom is great as medicine to wean people off opiates. However, it absolutely shouldn't be used in a recreational setting as it currently is, served in kratom bars (though they like to use the name "Kava" in an attempt to fly under the radar). See /r/quittingkratom

Any arguments like this that don't also call for banning alcohol and tobacco are specious at best. Society has "agreed" that while those substances are dangerous, it is up to the individual to determine how they are consumed. So this then becomes an argument of "I don't like your vice and I'm going to decide whether or not you can partake".

True that I didn’t call for alcohol to be banned. Are you arguing that opioids should be served recreationally in bars?

At some point we need to draw a line.

Re: Six Detroit area doctors indicted in $500M health care fraud

#73

Post by DanBC »

pstuart wrote: post #68
markdown wrote: post #52

Earlier quoted context omitted.

Kratom is great as medicine to wean people off opiates. However, it absolutely shouldn't be used in a recreational setting as it currently is, served in kratom bars (though they like to use the name "Kava" in an attempt to fly under the radar). See /r/quittingkratom

Any arguments like this that don't also call for banning alcohol and tobacco are specious at best. Society has "agreed" that while those substances are dangerous, it is up to the individual to determine how they are consumed. So this then becomes an argument of "I don't like your vice and I'm going to decide whether or not you can partake".

> Society has "agreed" that while those substances are dangerous, it is up to the individual to determine how they are consumed.

Unless you're under a certan age, or driving a car, or piloting a plane the next day, or etc etc.

And there is strong societal pressure against pregnant women drinking any alcohol at all despite there being no evidence that small amounts of alcohol are harmful during pregnancy.

Re: Six Detroit area doctors indicted in $500M health care fraud

#74

Post by pstuart »

markdown wrote: post #72
pstuart wrote: post #68

Earlier quoted context omitted.

Any arguments like this that don't also call for banning alcohol and tobacco are specious at best. Society has "agreed" that while those substances are dangerous, it is up to the individual to determine how they are consumed. So this then becomes an argument of "I don't like your vice and I'm going to decide whether or not you can partake".

True that I didn’t call for alcohol to be banned. Are you arguing that opioids should be served recreationally in bars? At some point we need to draw a line.

I'm arguing against making drugs illegal to "protect" people.

I use kratom both for pain management and at times to take the edge off. That would be "recreational" at that point. I don't want you to be my nanny.

> Are you arguing that opioids should be served recreationally in bars

Maybe, actually. When my brother died of a heroin overdose it was ultimately his mistake but the "market" failed him because there were no standards for purity or strength.

Bear this in mind: heroin is illegal. My brother is dead. What protection was offered there? The cops laughed at another dead junkie.

Do you drink alcohol? Are you fat? Do you ride a bike without a helmet? Smoke cigars? Do rock climbing? Ride motorcycles? Skydive? etc. etc. etc. If so, you must now stop. I'll let you know what you can there going forward, thank you very much.

Are you aware of the history of drug prohibition in the fact that it had absolutely nothing to do with preventing self harm but was an excuse for using the laws for oppressing the underclass.

I know you are arguing in good faith with good intentions but you are horribly, dangerously wrong.

Re: Six Detroit area doctors indicted in $500M health care fraud

#75

Post by pstuart »

DanBC wrote: post #73
pstuart wrote: post #68

Earlier quoted context omitted.

Any arguments like this that don't also call for banning alcohol and tobacco are specious at best. Society has "agreed" that while those substances are dangerous, it is up to the individual to determine how they are consumed. So this then becomes an argument of "I don't like your vice and I'm going to decide whether or not you can partake".

> Society has "agreed" that while those substances are dangerous, it is up to the individual to determine how they are consumed. Unless you're under a certan age, or driving a car, or piloting a plane the next day, or etc etc. And there is strong societal pressure against pregnant women drinking any alcohol at all despite there being no evidence that small amounts of alcohol are harmful during pregnancy.

Ok. I'm over 21, not pregnant and not operating a vehicle under the influence.

What's your point?

Re: Six Detroit area doctors indicted in $500M health care fraud

#76

Post by DanBC »

pstuart wrote: post #75
DanBC wrote: post #73

Earlier quoted context omitted.

> Society has "agreed" that while those substances are dangerous, it is up to the individual to determine how they are consumed. Unless you're under a certan age, or driving a car, or piloting a plane the next day, or etc etc. And there is strong societal pressure against pregnant women drinking any alcohol at all despite there being no evidence that small amounts of alcohol are harmful during pregnancy.

Ok. I'm over 21, not pregnant and not operating a vehicle under the influence. What's your point?

My point is that society has not said you can do what you like with alcohol, and should not do so for opioids, and that the restrictions for opioids are going to be stronger than the restrictions for alcohol even if opioids become freely and legally available to all who need them.

Re: Six Detroit area doctors indicted in $500M health care fraud

#77

Post by markdown »

pstuart wrote: post #74
markdown wrote: post #72

Earlier quoted context omitted.

True that I didn’t call for alcohol to be banned. Are you arguing that opioids should be served recreationally in bars? At some point we need to draw a line.

I'm arguing against making drugs illegal to "protect" people. I use kratom both for pain management and at times to take the edge off. That would be "recreational" at that point. I don't want you to be my nanny. > Are you arguing that opioids should be served recreationally in bars Maybe, actually. When my brother died of a heroin overdose it was ultimately his mistake but the "market" failed him because there were n…

I'm sorry about your brother, but had there been no heroin to consume, he would never have been in a position to make the "ultimate mistake", as you put it.

People are stupid, kids are dumb, people are in great pain and want oblivion, people are bored, people just want to have a good time. There are numerous reasons people abuse drugs.

The greater the access to drugs, the greater the potential damage to drug consumers and people around them.

> I'm arguing against making drugs illegal to "protect" people.

Contrary to your comment on society not deeming alcohol worth banning, we actually ban those things in most situations due to the damage they do. We do that to protect people. Riding a bike without a helmet is against the law where I live, thankfully.

I like that there are laws that restrict what I, a grown man, can do. I don't think there's an inherent need to have the freedom to do anything I want. I can't shoot a man in the head, I can't rape and pillage, I can't take some drugs that science has proven that many humans don't have the capacity to safely consume on a recreational basis.

"It's my body and I'll do what I want with it. You're not my mom!!" isn't something I'd ever say. I live in a community. I have a family and friends.

We'll have to agree to disagree.

Re: Six Detroit area doctors indicted in $500M health care fraud

#78

Post by pstuart »

markdown wrote: post #77
pstuart wrote: post #74

Earlier quoted context omitted.

I'm arguing against making drugs illegal to "protect" people. I use kratom both for pain management and at times to take the edge off. That would be "recreational" at that point. I don't want you to be my nanny. > Are you arguing that opioids should be served recreationally in bars Maybe, actually. When my brother died of a heroin overdose it was ultimately his mistake but the "market" failed him because there were n…

I'm sorry about your brother, but had there been no heroin to consume, he would never have been in a position to make the "ultimate mistake", as you put it. People are stupid, kids are dumb, people are in great pain and want oblivion, people are bored, people just want to have a good time. There are numerous reasons people abuse drugs. The greater the access to drugs, the greater the potential damage to drug consumer…

> we actually ban those things in most situations due to the damage they do

We can disagree on personal liberties but not on history. The history of drug prohibition is rife with the oppression of minorities. Here's something to consider: http://www.drugpolicy.org/issues/race-and-drug-war

> "It's my body and I'll do what I want with it. You're not my mom!!"

That's really patronizing and doesn't help your argument at all.

It's clear your mind is made up so I won't push the issue, but while you are well-intended you appear to be rather naive about this subject.

Being that your attitude helps prop up this madness and actually contributes to more misery, I can't help but strongly resent your nanny-state inclinations.

Re: Six Detroit area doctors indicted in $500M health care fraud

#79

Post by CaliforniaKarl »

Omniusaspirer wrote: post #47
CaliforniaKarl wrote: post #3

Ugh. I’m going on for surgery next Thursday, for a laparoscopic partial colon resection, and one of the things I’m most worried about will be post-surgery pain killers. Hearing stories about excessive pain killer use and prescription really make me want to avoid them, but on the other hand I’ll need to be up & moving around ASAP to speed my recovery, and pain would get in the way of that.

I work as a nurse on a general surgery floor- exactly where you'll be after you leave the PACU. Your procedure is planned laparoscopic, which will considerably lessen your pain and recovery time. I've had several patients in your situation not take any opiates at all. Ask your physicians to consider a regimen of scheduled ketorolac or ibuprofen, acetaminophen, and gabapentin. Any opiates will be prescribed PRN (as ne…

Sorry to be late catching this, I hope you come across it! It's awesome that there's a nurse reading HN! Thanks much for all of the info, I've never heard of ketorolac or gabapentin before. I know there's no way to know exactly what'll happen until the day, but it's good to hear from the "boots on the ground" that this is not at all unusual.
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