it is important to our other pain management patients to understand what our President is doing to help chrontic pain patients vs, drug addicts being treated by Pain Managment doctors. It is to reduce the number of pill mills, & treat real chronic pain patients & not drug abusers. This was enacted by our President, & sounds fair to all of us as it will close the pill mills & we as chronic pain patents will still be able to be treated fairly. Hope this helps:
Latest News N.C. Program Slashes Opiad 'Drug Overdoses by:
Daivd Pittman a Washington Correspondent:
A drug overdose prevention program in North Carolina cut overdose deaths by 69% in 2 years while prescribing levels for addictive painkillers remained flat, community leaders there said Wednesday.
In 2007, Wilkes County, N.C., had the third highest drug overdose death rate in the country. But it used an innovative program working with physicians, pharmacists, law enforcement, public health officials, and community leaders to address the issue, producing 28 straight months of declines in overdose deaths.
Now, officials are trying to spread the project throughout the entire state with hopes it could be set up as a model in other states throughout the nation. Gil Kerlikowske, President Obama's top drug policy officer, spoke at a forum in Wilkesboro, N.C., Wednesday morning, publicizing the administration's goal to cut unintentional drug overdose deaths by 15% over the next 5 years.
Highly addictive opioids are a major cause of prescription-drug addiction and overdoses. A centerpiece of Project Lazarus, Wilkes County's overdose prevention program, has been advocating the use of naloxone, an antidote used in emergency medical settings to reverse respiratory depression due to opioid toxicity. Although increased use of the drug has helped, it's only produced by one manufacturer and is in short supply.
The project also has developed educational tool kits for emergency department and primary care physicians on chronic pain treatment, said Fred Wells Brason II, Project Lazarus chief executive.
Michael Lancaster, MD, a Raleigh psychiatrist, said the public health community is trying to change the standard of care for pain management. North Carolina's Medicaid program now employs chronic pain coordinators to help manage opioid use.
Sara McEwen, MD, MPH, executive director of the Governor's Institute on Alcohol and Substance Abuse, said the state has taken efforts to train physicians on identifying at-risk patients, keeping patients from having problems, and educating patients on proper opioid medication use.
"We're having trouble keeping up with the need," she said at the forum with Kerlikowske.
The North Carolina Medical Board endorsed Project Lazarus in 2008. The board increased its monitoring of unnecessary opioid prescribing and educational efforts about overdose.
The program also has the standard pill take-back program with pharmacies and works with law enforcement to enact drug diversion programs.
Importantly, Project Lazarus has produced a great deal of community awareness on the issue, creating a cultural change, Brason said.
The federal government funded drug control programs -- including drug interdiction -- to the tune of $10.1 billion in fiscal 2012, with an increased emphasis on prevention and treatment. Obama's drug control strategy has moved away from the "war on drugs" as it has tried to medicalize drug addiction, treating it as a disease rather than a crime.
"We can't arrest our way out of this," Kerlikowske said.
As an example of the emphasis on medicalization, insurance coverage for substance abuse treatment is mandatory under the Affordable Care Act. The White House's 2010 National Drug Control Strategy calls for reducing prescription drug diversion, expanding state-based prescription drug monitoring, increasing provider education, and reducing "pill mills" and doctor shopping through enforcement.
I believe if read correctly it can only help us that are treated for chronic pain. Lets so hope so..Mary632009