Opioids Political Issues

Tuesday, January 4, 2022 1:56:05 AM

Opioids Political Issues



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Opioid epidemic: the medical industry created a public health crisis - Chris Johnson, MD - TEDxEdina

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This lack of political leadership is costing lives every day. The result was increased access to treatment, physician training, and quality of care, and outcomes improved. As just one example, AIDS mortality dropped by half within two years. Research has produced FDA-approved medications for opioid use disorder as well as many effective behavioral therapies, but for the most part, physicians remain ignorant about these types of care. Access to treatment remains artificially constrained, and very few evidence-based policy, regulatory or financing changes have been implemented. Therefore, the number of opioid-related deaths has not subsided and the burden of addiction continues to grow.

The presidential candidates have noted the devastating problems of opioid and other addictions — but only while debating other topics. This is not sufficient. Addiction is so societally pervasive, dangerous and expensive that it should not be relegated to a sidebar in debates about health care and criminal justice reform. The public should demand that their candidates become as knowledgeable and conversant on effective approaches to addiction as they now are on matters of climate change, job growth and education reform. The only large-scale response to opioid addiction thus far has been a broad campaign to determine who caused this crisis and to make those primarily responsible e. While not comprehensive in scope, these guidelines attempt to control and regulate opioid prescribing.

Each federal agency has a unique role in helping to stem the burgeoning opioid misuse epidemic. The DEA, working with the Department of Justice, has enforcement power to prosecute pill mills and physicians for illegal prescribing. The FDA has authority to approve new and safer formulations of immediate- and long-acting opioid medications. More importantly, the FDA can also ask pharmaceutical companies to cease manufacturing a drug. Additionally, state agencies play a critical role in reducing overdose deaths, protecting the public safety, and promoting the medically appropriate treatment of pain. However, facts must still matter.

Few Americans realize, for instance, that the DEA sets annual production quotas for opioids. Then there is the VA. This initiative put into practice federal policies that in hindsight failed to implement the proper safety protocols. Finally, CMS created federal procedures that linked pain management to Medicare reimbursement. This official connection to payment had the unintended consequence of encouraging many physicians to treat normal aches and pains with potent opioids meant to control the high-level pain associated with more serious conditions.

If understanding the root causes of the opioid crisis should inform the policy prescriptions we use to try to fix it, then these facts matter. Treating pharmaceutical companies like the tobacco industry of yesteryear does nothing to advance medical progress or to alleviate the epidemic of opioid abuse. The great irony here is that government officials are suing pharmaceutical companies over a health-care crisis that government officials helped create. Meanwhile, many of these same politicians are refusing to have honest — and more difficult — policy discussions over important, albeit provocative, issues such as how lapsed border control and Medicaid expansion are serving to fuel the opioid crisis.

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