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Link to original postBy R Carter
This update on trends reflects changes on how chronic pain has been viewed and managed as America’s struggle with opioids continues. It’s often insightful to look back at how our government viewed chronic pain and compare that to how they have responded. This report from the CDC published thirteen years ago in 2006 stands in stark contrast to the 2016 CDC Guidelines for Chronic Pain Management, at a time when anti-opioid zealots had clearly gotten the upper hand. More importantly is how our healthcare system has responded, indicating what appears to be an effort to cherry pick the data which fits an ideological point of view.
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By R Carter
Newton's third law of motion states that for every action (force) in nature, there's an equal and opposite reaction. In other words, if object A exerts a force on object B, then object B also exerts an equal but opposite force on object A, or Fa = -Fb. Notice that force is exerted on both objects and in both directions even if one is resting and not in motion. This force is often expressed as work, work is defined as the product of force, so regardless of whether we’re talking about objects moving through space or something more abstract like a healthcare system, the principle remains because the universe, at the level in which we operate, is based on cause and effect. And if we’ve modeled our system completely, the net effect for a force applied to another system is always zero, they cancel each other out.
Richard A Lawhern, Ph.D., Andrea Trescot, M.D., Stephen E Nadeau, M.D.
Point papers are a long-standing tradition in military and government policy making circles. Unlike most medical journal papers, they are formatted with a minimum of verbiage to summarize an issue for decision making. The authors write in that tradition, adding references for key points. We speak on behalf of millions of people in pain and their healthcare providers, who have been predictably and unnecessarily harmed by the 2016 CDC Guidelines on prescription of opioids to adults with chronic non-cancer pain.