opioids
Legislative and Research Efforts to Reduce Opioid Exposure: Progress, Challenges, and Emerging Threats
This article, in a slightly edited form, first appeared in Pain Medicine News on October 15, 2025. The United States continues to face an opioid crisis marked by persistently high rates of opioid use disorder (OUD) and overdose deaths. In 2023, 8.6 million adults misused prescription analgesics. Prescription opioids can cause harm, and the risks…
Read MoreContinued Blaming of Purdue Pharma Won’t Solve the Opioid Crisis
This article, in a slightly edited form, first appeared on Pain News Network on July 23, 2025 On July 15, The Washington Post published an editorial urging states to use opioid settlement funds to expand naloxone access and addiction treatment programs. These are sound public health goals. But the editorial’s framing — tying these investments…
Read MoreCDC Revised Opioid Prescribing Guideline Falls Short of What People in Pain Need
The updated guideline contains beneficial changes. Among them, certain prescription duration limits and the upper MME dosage threshold have been removed. There is some acknowledgment that pain treatment is indeed important. Yet, the inappropriate usage of the 2016 guideline and policies created in its image to harass, prosecute and even jail clinicians must be specifically and adequately addressed. The MME threshold now in the revised version is no more scientifically sound than the ones in the previous version, and it has already been shown that dosage levels are too easily interpreted with rigidity by policymakers and payors. Until these issues are resolved, the fallout has the potential to harm patient care into the future.
Read MoreCrime of the Century: Addiction Is Not That Simple
Crime of the Century had the opportunity to debunk myths about addiction. Instead, it confuses the terms addiction and physical dependence and propagates misinformation.
Read MoreTrading One Crisis for Another Is No Answer to the Opioid Epidemic
This article, in a slightly edited form, first appeared in the Salt Lake Tribune on May 20, 2021. Many years ago, I took on an unforgettable patient (“Jack”) who was on a high dose of physician-prescribed opioids. He wanted me to continue his high dosage. But I was unsure whether the benefit of doing…
Read MoreWhat HBO’s “Crime of the Century” Doesn’t Tell You
The use of opioids was not a crime then, nor is it today. However, the failure to appropriately treat chronic pain when it is possible to do so should be a criminal offense.
Read MoreConsequences of the CDC Guideline for Prescribing Opioids for Chronic Pain
In my view, it was a mistake for the CDC to publish the CDC Guideline for Prescribing Opioids for Chronic Pain in 2016.
Read MoreA Drug Problem Isn’t a Moral Failing
We may never know why Rush Limbaugh made the choices he did. But, just as we would never think of berating him for falling victim to the lung cancer that took his life, we also shouldn’t chastise him for misusing painkillers.
Read MoreAre We Living in the Matrix?
A recent Netflix documentary, “The Social Dilemma,” illustrates how social media networks are selling each of us as commodities to advertisers. Tristan Harris, a former Google employee, points out that platforms such as Reddit, Facebook, Twitter, and Instagram make money by allowing advertisers to target only those who are interested in their messages or products
Read MoreThe American Medical Association Takes on the CDC Opioid Guidelines
The new recommendation offered by the AMA holds to a long-held belief by many physicians with expertise in pain and addiction medicine that patients with a current, or a history of an, opioid use disorder should receive effective pain care, including opioid therapy, when clinically indicated and in consideration of known risks and benefits.
Read More