The Opioid Crisis

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de officiis
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The Opioid Crisis

Post by de officiis » Wed Nov 22, 2017 6:47 am

It seems as though almost every day a new story comes across my legal news feeds about developments on this problem. Seems to me that a thread about it is long overdue. Here are a few stories, just from this week. I would be curious to hear about local news from our board members about how this problem is affecting their communities.

Two Escambia County hospitals sue pharmaceutical companies over opioid epidemic
Two Escambia County hospitals have filed a lawsuit against national health care and pharmaceutical companies in an effort to recoup the costs of treating opioid-addicted patients.

Baptist Hospital and Jay Hospital, both owned by Baptist Health Care, are named as plaintiffs in the federal lawsuit filed Tuesday that alleges the 23 companies or subsidiaries have played a part in the increased need to treat patients for opioid addictions in Escambia County.

Many of the companies refute the claims, saying the role of pharmaceutical companies in the nationwide opioid epidemic is misunderstood.

Many municipalities across the country have started suing pharmaceutical companies for the strain and cost that treating opioid-dependent patients takes on paramedics, ambulances and other resources.
Reno doctor in pill mill case sentenced to 10 years in prison
RENO, Nev. (News 4 & Fox 11) — The Reno doctor behind an illegal drug ring has been sentenced to 10 years in prison.

Dr. Robert Rand, 54, was sentenced in federal court on Monday, November 20., following a court hearing that lasted hours.

His sentence also carries a $25,000 fine and $11,960 in restitution to the family of Michael Yenick, whose death resulted in the manslaughter charge. He will be subject to three years of supervised release after his sentence ends.

"According to the plea agreement, Rand admitted that he acted with gross negligence by prescribing an excessive amount of oxycodone to a patient in reckless regard for the patient’s life," the U.S. Attorney's office for Nevada said in a statement.

Rand faced up to 20 years for unlawful distribution of a controlled substance and eight years for an involuntary manslaughter charge.
OP pain doctor facing charges
BUFFALO, N.Y.--- An Orchard Park doctor is facing federal charges after using his patients to prescribe himself drugs, according to the U.S. Attorney's Office.

Dr. Paul Biddle, 43, of Amherst, was arrested and charged with obtaining controlled substances through fraud and identity theft. U.S. Attorney James P. Kennedy, Junior announced Biddle's arrest Tuesday.

Prosecutors say Biddle was prescribing medication for 23 of his patients, two of whom were dead, through a Tampa, Florida pharmacy. Those prescriptions were then sent either to Biddle's Amherst home or his Orchard Park office.

The U.S. Attorney's Office states that between November 11, 2013 and October 16, 2017, Biddle wrote and received 888 prescriptions for opioids. The prescriptions include hydromorphone, HCL, fentanyl citrate, and morphine sulfate.

According to evidence collected from Biddle's trash, the U.S. Attorney Office stated that it appears he received the opioids and marijuana fraudulently, and the drugs were being used illegally at his home.

"Sadly, it appeared that Dr. Biddle here, used his medical license as a license both to steal patient information, as well as to divert drugs to himself," U.S. Attorney James P. Kennedy Jr. said. "And today's arrest reminds us that no one is immune from the deleterious effects of drug addiction in our community."

Biddle pleaded not guilty to the charges before U.S. Magistrate Judge Jeremiah J. MCCarthy Tuesday. He was released under the conditions the he would not practice medicine or write prescriptions, pending his next court appearance on November 27, 2017.
AG Ferguson, Joined By The State Patrol And Prosecutors, Releases Opioid Report Recommending Strategies To Combat Opioid Epidemic
OLYMPIA — Attorney General Ferguson today released a report recommending specific policies to reduce the supply of opioids in Washington state. The report recommends a comprehensive approach to the problem, addressing prevention, treatment and enforcement. Ferguson is also unveiling three opioid-related bills he will take to the Legislature in January.

The Attorney General’s Office, Washington State Patrol and the Washington Association of Prosecuting Attorneys developed the report based on information shared at the Summit on Reducing the Supply of Opioids in Washington State in June 2017.

“The opioid epidemic is devastating Washington families,” Ferguson said. “This report makes it clear we have a crisis, and provides concrete, evidence-based solutions. I am proposing some of these common-sense changes as legislation in the upcoming session, including limiting new opioid prescriptions and using the existing Prescription Monitoring Program to empower providers with a more complete picture of their patients’ history before writing new prescriptions. It is time for the Legislature to take action.”

On average, two people die each day from opioid overdoses in Washington state. In 2011, at the peak of overall sales in Washington, more than 112 million daily doses of all prescription opioids were dispensed in the state — enough for a 16-day supply for every woman, man and child in Washington.

At the opioid summit in June, Ferguson pledged he would put forward legislation consistent with the report’s recommendations. Today Ferguson announced he is introducing three agency request bills this session consistent with policy recommendations in the report.

One bill requires health care providers to check the state’s prescription-monitoring database before prescribing opioids. Another limits the number of opioids a provider can initially prescribe. A third bill gives the Attorney General’s Office Medicaid Fraud Control Unit more authority to investigate and prosecute opioid-related Medicaid fraud cases.
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K@th
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Re: The Opioid Crisis

Post by K@th » Wed Nov 22, 2017 7:25 am

From my POV, this shit is getting ridiculous.

Our son, with Aspberger's, can only get a 30 day supply of his medication. The renewal script has to be hand-delivered to the pharmacy every 30 days, not 29 days. Every 90 days, we have to drive back to the doctor to get three more hand-written scripts.

On our most recent road trip. we had to show the pharmacist our confirmed reservation for a hotel in Chicago, in order to fill his script ONE DAY early.

He has Aspberger's, so of course, once in awhile, he loses a pill. It's too bad, so sad land for him.

The government has way too much control over our lives, and it sickens me. People want to OD on drugs? Let them. Quit fucking up life for the rest of us. We have got to stop legislating to the lowest common denominator.

As a side note, I was taking a semi-synthetic opiate for five years that helped with my own condition. (An off label usage.) Never took too much, never had to beg the doctor for more, but because of this bullshit, I can no longer get it. The alternatives work, but not nearly as well, so I am permanently stuck without helpful medications because the government is here to help. Fuck them.
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Re: The Opioid Crisis

Post by SuburbanFarmer » Wed Nov 22, 2017 8:12 am

Well we certainly can't expect for-profit medical institutions to have any sort of responsibility, now can we? We might threaten the Profitsssssss. No, instead, we'll just regulate and restrict medication, because plebs can't be trusted with their own sugar supplies.
SJWs are a natural consequence of corporatism.

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Re: The Opioid Crisis

Post by Zero » Wed Nov 22, 2017 8:38 am

GrumpyCatFace wrote:Well we certainly can't expect for-profit medical institutions to have any sort of responsibility, now can we? We might threaten the Profitsssssss. No, instead, we'll just regulate and restrict medication, because plebs can't be trusted with their own sugar supplies.

Opioids, precious.

Profitsssssss

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Re: The Opioid Crisis

Post by K@th » Wed Nov 22, 2017 8:44 am

GrumpyCatFace wrote:Well we certainly can't expect for-profit medical institutions to have any sort of responsibility, now can we? We might threaten the Profitsssssss. No, instead, we'll just regulate and restrict medication, because plebs can't be trusted with their own sugar supplies.
How is it the drug companies fault? People are running from doctor to doctor to get more and more scripts to feed their habits. In Florida, we've "solved" this by making drugs nearly impossible to get. Which is helpful. Not.
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Re: The Opioid Crisis

Post by SuburbanFarmer » Wed Nov 22, 2017 8:47 am

Kath wrote:
GrumpyCatFace wrote:Well we certainly can't expect for-profit medical institutions to have any sort of responsibility, now can we? We might threaten the Profitsssssss. No, instead, we'll just regulate and restrict medication, because plebs can't be trusted with their own sugar supplies.
How is it the drug companies fault? People are running from doctor to doctor to get more and more scripts to feed their habits. In Florida, we've "solved" this by making drugs nearly impossible to get. Which is helpful. Not.
So let them. If someone's that hard up to get pain pills and pay for them, go ahead.

Alternatives:
- we could enact a large-scale registry of pain pill prescriptions (bad idea).
- we could regulate the shit out of it, and deny a lot of people their meds (current idea)
- we could remove the profit-motive from healthcare (impossible, without becoming Communist, I'm told)
- we could just let this run its course, and Darwin will sort out the weak. (best idea).
SJWs are a natural consequence of corporatism.

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Re: The Opioid Crisis

Post by K@th » Wed Nov 22, 2017 8:50 am

GrumpyCatFace wrote:
Kath wrote:
GrumpyCatFace wrote:Well we certainly can't expect for-profit medical institutions to have any sort of responsibility, now can we? We might threaten the Profitsssssss. No, instead, we'll just regulate and restrict medication, because plebs can't be trusted with their own sugar supplies.
How is it the drug companies fault? People are running from doctor to doctor to get more and more scripts to feed their habits. In Florida, we've "solved" this by making drugs nearly impossible to get. Which is helpful. Not.
So let them. If someone's that hard up to get pain pills and pay for them, go ahead.

Alternatives:
- we could enact a large-scale registry of pain pill prescriptions (bad idea).
- we could regulate the shit out of it, and deny a lot of people their meds (current idea)
- we could remove the profit-motive from healthcare (impossible, without becoming Communist, I'm told)
- we could just let this run its course, and Darwin will sort out the weak. (best idea).
Agreed. Still not clear on how this problem is the drug manufacturers fault.
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Re: The Opioid Crisis

Post by SuburbanFarmer » Wed Nov 22, 2017 8:51 am

Kath wrote:
GrumpyCatFace wrote:
Kath wrote: How is it the drug companies fault? People are running from doctor to doctor to get more and more scripts to feed their habits. In Florida, we've "solved" this by making drugs nearly impossible to get. Which is helpful. Not.
So let them. If someone's that hard up to get pain pills and pay for them, go ahead.

Alternatives:
- we could enact a large-scale registry of pain pill prescriptions (bad idea).
- we could regulate the shit out of it, and deny a lot of people their meds (current idea)
- we could remove the profit-motive from healthcare (impossible, without becoming Communist, I'm told)
- we could just let this run its course, and Darwin will sort out the weak. (best idea).
Agreed. Still not clear on how this problem is the drug manufacturers fault.
They regularly, and as a matter of course, lobby doctors and hospitals to over-prescribe. There's an entire sub-industry of direct marketing, and offering "perks" to those that agree to play ball. I know you've heard of this.
SJWs are a natural consequence of corporatism.

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Re: The Opioid Crisis

Post by K@th » Wed Nov 22, 2017 8:53 am

GrumpyCatFace wrote:

They regularly, and as a matter of course, lobby doctors and hospitals to over-prescribe. There's an entire sub-industry of direct marketing, and offering "perks" to those that agree to play ball. I know you've heard of this.
Are the doctors required by law to take the perks? Why are doctors intentionally helping their patients overdose? For money?

Would you intentionally harm someone for money?
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Re: The Opioid Crisis

Post by Okeefenokee » Wed Nov 22, 2017 8:55 am

Kath wrote:
GrumpyCatFace wrote:
Kath wrote: How is it the drug companies fault? People are running from doctor to doctor to get more and more scripts to feed their habits. In Florida, we've "solved" this by making drugs nearly impossible to get. Which is helpful. Not.
So let them. If someone's that hard up to get pain pills and pay for them, go ahead.

Alternatives:
- we could enact a large-scale registry of pain pill prescriptions (bad idea).
- we could regulate the shit out of it, and deny a lot of people their meds (current idea)
- we could remove the profit-motive from healthcare (impossible, without becoming Communist, I'm told)
- we could just let this run its course, and Darwin will sort out the weak. (best idea).
Agreed. Still not clear on how this problem is the drug manufacturers fault.
Kath is right. People aren't popping pills because they want the companies to get rich. :lol:

Are you on drugs?
GrumpyCatFace wrote:Dumb slut partied too hard and woke up in a weird house. Ran out the door, weeping for her failed life choices, concerned townsfolk notes her appearance and alerted the fuzz.

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