…lice, are seeing daily reports of serious thoughts about suicide, how to do it, how to plan for it. People with serious medical pain not treated due to irrational fears of addiction and overdose deaths will continue to seek out this final option. Many suicides go unrecorded due to the shame of “drugs” and the shame of suicide itself. It is hard to tell people with constant pain to “shift their focus from pain and move on with their lives” as suggested by CDC consultants and members of the “Physicians for Responsible Opioid Prescribing” a group espousing blanket restriction of all pain medicines for all reasons, a view not widely accepted by practicing physicians, nor in other countries, nor accepted by the World Health Organization policies on relief of suffering. — T.F. Kline MD, ed.
… of the evidence — or lack thereof — and conflate public health goals with individual medical care. The CDC frames the recommendations as being for primary care clinicians and their individual patients. Yet the threat of addiction largely comes from diverted prescription opioids, not from long-term use with a skilled prescriber in a longitudinal clinical relationship. By not acknowledging the role of diversion — and instead focusing on individuals who report functional and pain benefit for their severe chronic pain — the CDC misses the target.