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Opioid makers made payments to one in 12 U.S. doctors

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Re: Opioid makers made payments to one in 12 U.S. doctors

#101
post #33

Earlier quoted context omitted.

Your ignoring the fact that up until recently, pain was considered to be the fifth vital sign and was just as important to treat as things like a fever. Medicine as a field is largely about removing discomfort, as many medical conditions could be relatively debilitating. Think how many times taking an ibuprofen/acetaminophen just made it possible for you to go on with your day, rather than needing to lay in bed in ag…

>. For people with chronic pain, or those coming out of surgery, perceived recovery time can be a big thing for people Chronic / serious pain yes. I read that 1/3 of people in the US are on (or perhaps have taken?) an opiod prescribed pain killer. If true, that is insane! That is not chronic pain. * Drs have over prescribed opiate based painkillers. Fact. * Big Pharma corporations have pushed opiate painkillers reckl…

Big Pharma companies are the problem of US health care crisis. They have figured out ways to manipulate the doctors and the patients for gains.

If you are a drug addict,there is a pill for that.

If there are side-effects to the pill you are taking to get you off addiction,there is a pill for that.

And if you take too much pills,there is a pill for that one too.

Re: Opioid makers made payments to one in 12 U.S. doctors

#102
post #73

"the average payment to physicians was $15, the top 1 percent of physicians reported receiving more than $2,600 annually in payments" Neither is enough to sway most physicians IMO. This seems to me like trying to stir up a scandal where there really isn't one. I did hear on the radio today that 90% of prescription opiates are sold in USA and Canada, with the bulk of that being the USA. Other countries treat pain more…

The question I immediately had, is which drug companies DON'T have an opiate in their lineup? Because as profitable, and easy to make as they are, I'd imagine most would qualify, and then saying "Opiod Makers".. becomes a bit misleading.

Re: Opioid makers made payments to one in 12 U.S. doctors

#103
post #60

Earlier quoted context omitted.

I'm not saying that everyone should meditate. I'm only bringing it up because I think it sheds a light on the true nature of pain and why simply removing it with chemicals at all costs is a very dangerous thing to be doing. We need to better understand that nature of pain and understand how to deal with it both physiologically and psychologically rather than taking the naive approach using chemicals, because a mind-b…

>We need to better understand that nature of pain Pain science is a very well-researched field that gets plenty of funding and is worked on by some of the best scientists and doctors in the world who have no corrupt agenda. There is no conspiracy. Just doctors over-prescribing opioids, patients lying to get them, and a few very corrupt "pain management" shops - primarily in Florida - handing them out like candy.

> Pain science is a very well-researched field that gets plenty of funding and is worked on by some of the best scientists and doctors in the world who have no corrupt agenda.

Perhaps, but there is a fundamental problem with a purely scientific approach to a problem like this.

Science has a measurement problem when it comes to pain. You can take an entirely disciplined approach to studying the problem but there is no way to measure pain that isn't subjective on the part of the patient. There's no way to separate actual pain from psychosomatic pain, no matter how good the scientists and doctors are or how non-corrupted their agendas. It's only when you start to realize that pain is primarily a mental illness, not a physical one, that can even begin to understand it. And that's a conclusion that is very difficult to reach from a purely scientific perspective, especially since you can cause pain so easily through physiological means. I've only been able to arrive at that point through my own subjective experience in seeing just how effective an approach based on disciplined thought can be.

You know what's also a very well-researched field that gets plenty of funding and is worked on by some of the best scientists and doctors in the world? Depression. And, like pain, depression is a condition that can only be measured subjectively by the patient. Scientists can (and have) deluded themselves into thinking they're measuring it more accurately, with fMRI scans and other non-subjective physiological responses, but it's just as likely they're measuring second-order responses in the brain rather than the primary symptoms.

And, like pain killers, those doctors and scientists largely favored an approach using medication, since that approach is most amenable to being studied scientifically. But what's been realized in the past decade is that medication is no more effective than mindfulness practice, despite having significantly more side effects. And, even more recently, there's now pretty good evidence that depression may not even be a problem of the mind and, instead, may be primarily a problem in a patient's gut bacteria. Scientists, in their belief that everything mental originates in the brain, have very possibly misunderstood for decades the basic nature of the problem they were studying.

Science isn't magic. It's a way of refining our thinking on a subject, but it doesn't automatically arrive at correct conclusions when those conclusions are difficult to conceive. My personal experience with pain leads me to believe this is one of these situations. It's no knock against scientists, but given the damage that we're seeing from the side effects of pain medications, I do believe it's long past time to expand the scope of the problem they're studying.

Re: Opioid makers made payments to one in 12 U.S. doctors

#104
post #19

Earlier quoted context omitted.

Free lunches, pens, merchandise, cruises...all of these tactics work and have proven ROI for the drug manufacturers. They've known for years that they're worthwhile investments. It's not really the doctor's fault, it's just reality until there's stricter regulation.

It is absolutely a doctor's fault if they prescribe medications that are unnecessary because of kickbacks.

It's not really their fault if companies exploit their subconscious biases. They aren't taking any meaningful bribe and acting on it, they are just interacting with those companies.

Re: Opioid makers made payments to one in 12 U.S. doctors

#105
post #81

Payments may affect prescribing, but I think that system factors count for more than many people realize. By way of an example, imagine the following case, which is reasonably common at the outpatient medicine office I am rotating through: A 46 yo M with diabetes, hypertension, a 30 pack year smoking history, and low back pain that has been treated with oxycodone ever since a failed back operation 1.5 years ago prese…

Car mechanics tell you that you need a new transmission when you need a new transmission.
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