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house Bill H.R. 4641

Do Best Practices For Prescribing Opioid Pain Medications Need to be Updated?

Argument in favor

Best practices for prescribing opioid pain medications help save lives from addiction or overdose. It would be beneficial for the medical community, state medical boards, and federal agencies to work together in reviewing and updating them.

David's Opinion
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05/11/2016
Opioids are becoming a major issue, contributing to the massive amount of overdoses occurring in teens as well as adults. Too many people become addicted as a result of a simple medical procedure such as getting wisdom teeth removed, and so, in order to ensure a minimal amount of people experience opioid addiction, prescription regulation reform is necessary.
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bhiguma's Opinion
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05/11/2016
Opioid addiction is a clear problem in the United States. As long as this bill only provides resources for opioid addiction research and does not mandate certain requirements that healthcare providers must meet, then I think that it is a good idea. Healthcare providers will be able to use this research to improve the quality of their care.
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Jarrod's Opinion
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12/10/2016
They do need to be updated. Restricting opioids only serves to hurt individuals with chronic pain that is difficult to manage. Less than 1% of individuals who are properly screened develop an addiction to opioid analgesics. The CDC should release guidelines that considers this information.
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Argument opposed

There needs to be a way to ensure that doctors and pharmacists are in compliance with these best practices after they’re published, and this bill doesn’t do anything to that end. Not only that, but they’ll need to be checked or updated regularly.

Dinnerandamurder's Opinion
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05/12/2016
There is a difference between Dependence and Addiction! This over regulating is preventing chronic pain suffers from access to the medication they depend on to live a semi normal life. We do not get high on our medications. We just need relief from constant debilitating pain. As it is, I am required to go to a Dr I can barely afford every month to get the prescription I need to continue running my business and caring for my family. More regulation is not the answer. How about making treatment more accessible to true addicts and stop interfering in chronic pain suffers lives?
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Tracey's Opinion
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05/12/2016
This has got to stop. Humans who are already vulnerable (chronically ill and in pain) are being harmed and even dying from all this stifling government bureaucracy that is interfering with their ability to continue their pain management regime they've been stable on for years, even decades. These "guidelines," regulations, and laws (including state laws) are keeping those in constant severe pain from obtaining the treatment they NEED to continue to function and have a small quality of life. I already know of 8 people who've committed suicide since the beginning of this year. These people committed suicide because their doctors decided they were in too much fear of these stifling regulations and the power of the DEA to continue prescribing the medications they've taken for so long. They could not take the ongoing, never-ending constant physical pain that plagued them every second of the day. Of course, we need accessible, affordable treatments for those afflicted with addiction, as they are chronically ill and deserve compassion. But those with constant pain deserve that same compassion, as they are also chronically ill. This country can help those afflicted with addiction without further harming (and killing) those who experience constant pain - pain that would bring many of us, including you, to our knees. I'm begging you to start listening to all the voices that are getting drowned out, as these voices belong to those who are just hanging on by a thread, ready to sink. Please allow our doctors to treat us without drilling the fear of God into them. They're already scared enough of the federal and state governments as it is. My dad, who was the best dad and best friend I could ever ask for, physically suffered so much from constant severe pain for the five years prior to his death. One week prior to being placed on hospice care and three weeks prior to his death, he was denied pain medication during his stay in our local hospital. He was in a great deal of pain, but the nurse told my mom the doctor "feared addiction" and that my dad was a "clock watcher." Heck, yes, he was watching the clock! He was in SEVERE PAIN and the doctors in this hospital fear addiction so much that my dad, bound to a wheelchair 24/7, on oxygen 24/7, deep infection set within his body because the 8 or so hip surgeries he'd had just on one hip over the course of 30 years had stayed infected for that long. He had large, open wounds with visible pus up and down his legs due to the diabetes that spun out of control within a year of his pain medication being taken away from him five years prior to that hospital stay. We no longer have compassionate doctors who take that oath "Do no harm" any longer. We have scared doctors, knowing the DEA is looking over their shoulders, watching their prescribing habits and this is making so many suffer. Please quit this war on pain patients!
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Imangryatnews's Opinion
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05/12/2016
State and federal Government have already made a mess of this. Dr's are afraid to prescribe pain medication even to patients who need it and do not abuse it.
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    Opioids are becoming a major issue, contributing to the massive amount of overdoses occurring in teens as well as adults. Too many people become addicted as a result of a simple medical procedure such as getting wisdom teeth removed, and so, in order to ensure a minimal amount of people experience opioid addiction, prescription regulation reform is necessary.
    Like (21)
    Follow
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    There is a difference between Dependence and Addiction! This over regulating is preventing chronic pain suffers from access to the medication they depend on to live a semi normal life. We do not get high on our medications. We just need relief from constant debilitating pain. As it is, I am required to go to a Dr I can barely afford every month to get the prescription I need to continue running my business and caring for my family. More regulation is not the answer. How about making treatment more accessible to true addicts and stop interfering in chronic pain suffers lives?
    Like (66)
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    State and federal Government have already made a mess of this. Dr's are afraid to prescribe pain medication even to patients who need it and do not abuse it.
    Like (49)
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    This has got to stop. Humans who are already vulnerable (chronically ill and in pain) are being harmed and even dying from all this stifling government bureaucracy that is interfering with their ability to continue their pain management regime they've been stable on for years, even decades. These "guidelines," regulations, and laws (including state laws) are keeping those in constant severe pain from obtaining the treatment they NEED to continue to function and have a small quality of life. I already know of 8 people who've committed suicide since the beginning of this year. These people committed suicide because their doctors decided they were in too much fear of these stifling regulations and the power of the DEA to continue prescribing the medications they've taken for so long. They could not take the ongoing, never-ending constant physical pain that plagued them every second of the day. Of course, we need accessible, affordable treatments for those afflicted with addiction, as they are chronically ill and deserve compassion. But those with constant pain deserve that same compassion, as they are also chronically ill. This country can help those afflicted with addiction without further harming (and killing) those who experience constant pain - pain that would bring many of us, including you, to our knees. I'm begging you to start listening to all the voices that are getting drowned out, as these voices belong to those who are just hanging on by a thread, ready to sink. Please allow our doctors to treat us without drilling the fear of God into them. They're already scared enough of the federal and state governments as it is. My dad, who was the best dad and best friend I could ever ask for, physically suffered so much from constant severe pain for the five years prior to his death. One week prior to being placed on hospice care and three weeks prior to his death, he was denied pain medication during his stay in our local hospital. He was in a great deal of pain, but the nurse told my mom the doctor "feared addiction" and that my dad was a "clock watcher." Heck, yes, he was watching the clock! He was in SEVERE PAIN and the doctors in this hospital fear addiction so much that my dad, bound to a wheelchair 24/7, on oxygen 24/7, deep infection set within his body because the 8 or so hip surgeries he'd had just on one hip over the course of 30 years had stayed infected for that long. He had large, open wounds with visible pus up and down his legs due to the diabetes that spun out of control within a year of his pain medication being taken away from him five years prior to that hospital stay. We no longer have compassionate doctors who take that oath "Do no harm" any longer. We have scared doctors, knowing the DEA is looking over their shoulders, watching their prescribing habits and this is making so many suffer. Please quit this war on pain patients!
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    Congress has a job, and that job is not to play doctor. They have no business dealing with medicine.
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    If revising means tightening the grip on doctor's who are safely prescribing opioids, then it will do more harm than good. All further revision will do is put chronic pain patients in more pain, because they will no longer have a way to manage it. It may not be "politically correct" but opioids are a MIRACLE MEDICATION for people in chronic pain. Addicts will always find a way to get high (just look at what they are currently doing to immodium) but pain patients will have nowhere to get relief. Until you've lived with chronic, unrelenting pain, you don't know how debilitating it truly is. For some of us, opiates are the only thing that allows us to get out of bed, go to work, take care of the kids, etc. Without it, some of us are effectively bedridden, and that is no way to live when there IS AN ALTERNATIVE. I beg you, PLEASE learn the difference between DEPENDENCE and ADDICTION because they couldn't be more different. And talk to some pain patients before casting your vote. Hear our pleas.
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    Opioid addiction is a clear problem in the United States. As long as this bill only provides resources for opioid addiction research and does not mandate certain requirements that healthcare providers must meet, then I think that it is a good idea. Healthcare providers will be able to use this research to improve the quality of their care.
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    I am a chronic pain patient that has used narcotics responsibly, for almost two years for Occipital Neuralgia. It does not take all the pain away, but with the opioids I am able to have some quality of life. Instead of suffering through unbearable pain all the time- I am now able to go to the grocery store, see my niece sometimes, and get out of bed most mornings. These are huge accomplishments for a chronic pain patient. Without the ability to have the moderate amount of relief I get from these drugs, I am not sure what I would do. Like many other's, a life condemned to suffering without any pain relief -one where you can't get out of bed at all- does not seem worth living. My Dr's, as a last resort and when all other treatments failed, gave me narcotics to help with pain. It is the only thing that has helped me. I am a patient and not an addict. Do not treat me as if I am one. Do not take away medicine that like mine, helps millions of Americans. Stand up for our disabled and most vulnerable, the chronic pain patient community, by saying no to any bills that would jeopardize our access to care. Prohibition has never stopped addicts, and now is not the time to try this failing theory again when it's on the backs of millions of patients that get relief from these medicines. The ramifications to innocent people would be enormous. Thank you.
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    People are already suffering and dieing due to these new rules. Chronic pain patients are not drug seekers. We need these medications to try to live a "normal" life. Just to go grocery shopping is a huge chore for those of us suffering with a chronic pain condition.
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    Not by Congress, no. This is an issue for the medical community. Let them decide. Congress's job is legislation, not updating the best practices and recommendations of any industry, medical or otherwise. I have no idea if the guidelines need to be updated, and neither does Congress. Let private accrediting organizations and professional associations decide these things and make their recommendations. This is not Congress's job.
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    Medicine should be left to medical professionals not congress.
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    Let me know what should be updated and on what you think would be a good practice and then I shall evaluate your update. Sounds like a monster paperwork program. Less patient care all around.
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    They do need to be updated. Restricting opioids only serves to hurt individuals with chronic pain that is difficult to manage. Less than 1% of individuals who are properly screened develop an addiction to opioid analgesics. The CDC should release guidelines that considers this information.
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    The government is in the people's business way way too much! A patient, their appointed caretaker/helper and their doctor should be the only ones involved in the patients treatment plan. Far too often patients suffering from debilitating pain can't get the medicine they need due to already over burdensome government interference. People that abuse drugs are going to always find a way to get them. Until USA grows up puts in place legal ways to manage and control drugs (like we have done with alcohol) we will never solve abuse. We must provide care and treat addiction like we do diabetes.
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    This is for the medical community to decide. Congress, stop trying to do everyone else's job, but your own. Give us a budget, a Supreme Court justice and fill the other open judge slots. That is your job!!
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    Doctors understand this better than legislators
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    Redundant! Leave this for the state governments.
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    So now Congress wants to substitute its medical judgment for NIH. And that is what is fundamentally wrong with the bill.
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    With the most recent Guidelines For Opioid Prescribing being put in place from the CDC; the backlash to the Chronic Pain Patient has been the collateral damage. At this time, I do not believe anymore legislature is necessary. Please focus the research into how to help those who suffer from unrelenting chronic pain. There is no "one size fits all" when it comes to medical treatment; generally, a treatment plan is best left to the dr and patient.
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    First you have to provide an accountability measure for doctors. Then we can focus on best practices for pharmaceuticals.
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