Once Again, NO ONE is above the law – except those who are in charge of enforcing such laws

Please read Mark’s letter below.. Mark reached out to me some 8-9 yrs ago as the MT medical board was starting to “go after him.”

As I understand it, one or more large practices in Maine have decided that all pain pts will be treated with Buprenorphine for pain management.

In Reading the Maine’s Pain Management Policies. It would seem that -collectively – Maine’s legal and healthcare professionals are violating their own law in regards to at least Brandy.

Opioid Prescribing Limits**: Maine’s 2017 law restricts opioid prescriptions to ≤100 morphine milligram equivalents (MME)/day for chronic pain, with exceptions for palliative care, cancer, and substance use disorder treatment

Here is:  Maine’s Pain Management Policies

Maine’s approach to pain management does not mandate the universal use of buprenorphine for all pain patients, but its regulations encourage cautious opioid prescribing while allowing flexibility for evidence-based treatments. The literature supports buprenorphine’s efficacy in managing chronic pain, particularly in high-intensity cases, with studies showing sustained pain relief and reduced tolerance development. For patients with high CYP-450 metabolism, pharmacokinetic interactions are manageable and rarely clinically significant.

### Maine’s Pain Management Policies
– **Opioid Prescribing Limits**: Maine’s 2017 law restricts opioid prescriptions to ≤100 morphine milligram equivalents (MME)/day for chronic pain, with exceptions for palliative care, cancer, and substance use disorder treatment[1].
– **Non-Opioid First Approach**: Clinicians must prioritize non-opioid therapies and use “Universal Precautions” (risk assessment, monitoring) when prescribing controlled substances[2][3].
– **Buprenorphine in Practice**: While not explicitly mandated, buprenorphine is permitted under exceptions for medication-assisted treatment (MAT) and chronic pain[1][3].

### Buprenorphine’s Efficacy in Pain Management
– **Chronic Pain**:
– A 36-month study of transdermal buprenorphine patches demonstrated sustained pain reduction (NRS scores decreased by 4.2–5.1 points) and high patient satisfaction (PGIC scores improved by 76%)[5].
– Systematic reviews found buprenorphine rotation from full opioids maintained or improved analgesia in 53–83% of patients, with fewer adverse effects than traditional opioids[10].
– **High-Intensity Pain**:
– Perioperative protocols recommend continuing buprenorphine and supplementing with short-acting opioids for acute pain, as abrupt discontinuation risks withdrawal[4].
– Partial agonism at µ-opioid receptors provides a “ceiling effect,” reducing respiratory depression risk while maintaining analgesia[11].

### CYP-450 Metabolism Considerations
– **Pharmacokinetics**: Buprenorphine is metabolized primarily by CYP3A4 and CYP2D6, with inhibitory effects on both enzymes[6][7][13].
– **Drug Interactions**:
– **Inhibitors (e.g., ciprofloxacin)**: Increase buprenorphine exposure by 33–44% but are unlikely to require dose adjustments[8][12].
– **Inducers (e.g., rifampin)**: Reduce exposure by 28%, which may necessitate monitoring[8].
– **High/Ultra-High Metabolizers**: Limited data suggest therapeutic doses remain effective, as buprenorphine’s high receptor affinity offsets rapid metabolism[6][8].

### Key Recommendations
1. **Chronic Pain**: Consider transdermal buprenorphine for long-term management due to its stable efficacy and low tolerance risk[5][10].
2. **CYP-450 Interactions**: Monitor patients on concurrent CYP3A4 inhibitors/inducers, though dose adjustments are rarely needed[8][12].
3. **Acute Pain**: Maintain buprenorphine and add short-acting opioids rather than discontinuing therapy[4].

Buprenorphine’s pharmacological profile and clinical evidence position it as a safer alternative to full opioids, aligning with Maine’s emphasis on risk mitigation without compromising pain control.

Citations:
[1] https://academic.oup.com/ajhp/article/73/12/854/5101528
[2] https://regulations.justia.com/states/maine/02/380/chapter-21/section-380-21-4/
[3] https://www.maine.gov/boardofnursing/laws-rules/Chapter%2021%2005.27.20.pdf
[4] https://www.painphysicianjournal.com/current/pdf?article=NTAwMQ%3D%3D&journal=109
[5] https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2024.1454601/full
[6] https://pubmed.ncbi.nlm.nih.gov/12756210/
[7] https://www.jstage.jst.go.jp/article/bpb/25/5/25_5_682/_pdf
[8] https://pubmed.ncbi.nlm.nih.gov/33750027/
[9] https://www.themainewire.com/2025/02/mainecare-spending-on-suboxone-has-surged-since-2019/
[10] https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2784021
[11] https://en.wikipedia.org/wiki/Buprenorphine
[12] https://www.drugs.com/drug-interactions/buprenorphine-with-ciprofloxacin-438-0-672-0.html?professional=1
[13] https://go.drugbank.com/drugs/DB00921
[14] https://www.maine.gov/sos/cec/rules/10/144/ch101/c2s089.docx
[15] https://library.samhsa.gov/sites/default/files/pep21-06-01-002.pdf
[16] https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/me-sud-care-initiative-midpoint-assessment-03282024.pdf
[17] https://mesudlearningcommunity.org/wp-content/uploads/2023/02/Prior-Authorization-Processes-Buprenorphine-FAQ-July2021.pdf
[18] https://lawatlas.org/sites/default/files/2025-03/VS%20Buprenorphine%20Policy%20Brief_March2025_final_3.26.25.pdf
[19] https://www.azdhs.gov/documents/prevention/womens-childrens-health/injury-prevention/opioid-prevention/appendix-b-state-by-state-summary.pdf
[20] https://www.maine.gov/boardofnursing/news.html?id=10822550
[21] https://www.mainehealth.org/care-services/behavioral-health-care/substance-use-disorder-care-addiction/opioid-use-disorder-care-mainehealth-behavioral-health/opioid-provider-resources-mainehealth-behavioral-health
[22] https://www.samhsa.gov/substance-use/treatment/find-treatment/buprenorphine-practitioner-locator
[23] https://www.federalregister.gov/documents/2025/01/17/2025-01049/expansion-of-buprenorphine-treatment-via-telemedicine-encounter
[24] https://www.mainehealth.org/health-care-professionals/clinical-guidelines-protocols/substance-use-disorder-clinical-guidelines
[25] https://pmc.ncbi.nlm.nih.gov/articles/PMC8163969/
[26] https://pmc.ncbi.nlm.nih.gov/articles/PMC8567798/
[27] https://pcssnow.org/wp-content/uploads/2022/03/PCSS-GuidanceTreatmentOfAcutePainInPatientsReceivingBup.Fiellin-SrivastavaUpdate_03_24_22.pdf
[28] https://www.ncbi.nlm.nih.gov/books/NBK459126/
[29] https://www.dovepress.com/frontline-perspectives-on-buprenorphine-for-the-management-of-chronic–peer-reviewed-fulltext-article-JMDH
[30] https://accpjournals.onlinelibrary.wiley.com/doi/10.1002/phar.2676
[31] https://academic.oup.com/painmedicine/article-abstract/25/12/691/7716541
[32] https://academic.oup.com/painmedicine/article/21/4/714/5699282
[33] https://www.va.gov/formularyadvisor/DOC_PDF/CRE_Buprenorphine_for_Chronic_Pain_MAR_2024.pdf
[34] https://www.tandfonline.com/doi/full/10.2217/pmt-2020-0013
[35] https://pmc.ncbi.nlm.nih.gov/articles/PMC4675640/
[36] https://pmc.ncbi.nlm.nih.gov/articles/PMC4283787/
[37] https://www.recoveryanswers.org/research-post/tried-true-methadone-shows-superiority-buprenorphine/
[38] https://www.tandfonline.com/doi/full/10.1080/00325481.2016.1128307
[39] https://www.oaepublish.com/articles/jtgg.2020.35
[40] https://www.bccsu.ca/wp-content/uploads/2022/06/Buprenorphine-Naloxone-Drug-Drug-Interactions.pdf
[41] https://www.jstage.jst.go.jp/article/bpb/25/5/25_5_682/_article/-char/en
[42] https://academic.oup.com/cid/article/43/Supplement_4/S216/282268
[43] https://bpspubs.onlinelibrary.wiley.com/doi/full/10.1002/prp2.271
[44] https://legislature.maine.gov/legis/statutes/22/title22sec3174-UU.pdf
[45] https://micismaine.org/wp-content/uploads/2019-MICIS-Opioid-Law-Presentation-11.2019.pdf
[46] https://www.samhsa.gov/substance-use/treatment/statutes-regulations-guidelines/mat-act
[47] https://mainedrugdata.org/focus-area-2023-2025-treatment/
[48] https://pubmed.ncbi.nlm.nih.gov/38340973/
[49] https://pmc.ncbi.nlm.nih.gov/articles/PMC7709797/


Answer from Perplexity: pplx.ai/share

 

To whom it may concern:

Brandy Stokes reached out to me by referral through Steve Ariens.
At the time she was in the middle of a forced taper instituted by Eva Quirion, Np, DNP.
This was reported to be a “compassionate taper“, and indeed it was slow. But it was not compassionate. Brandy metabolizes  opiates and super rapid ultra metabolism.
Prior to the forced taper, she had been stable on 30 mg oxycodone 30 tablets a day. She was started on this regimen by all the smart doctors in Boston that took care of her after her ankle fracture osteomyelitis pick line sepsis, endocarditis valve replacement and diffuse complex regional pain syndrome.
Dr. Loeffler took care of her for over eight years and she was stable. Disabled but stable. She formally taught eighth grade. She raised three boys as a single mother, and I’ve never met anyone with the persistence and tenacity that this patient demonstrates.
At any rate, she was down to 22 tablets of 30 mg oxycodone a day and she was in active withdrawal:
She had blood pressure levels over 220/180.
Chest pain at a level above nine out of 10, and was forced to go to bed, unable to care for herself.
Naturally, she was suicidal at this time.
She’s a very religious person and would not or could not complete suicide without violating her most core values.
In considering taking her on as a Pain refugee,
I spoke to Dr. Loeffler, Dr. Adams , and nurse practitioner Matthews.
I spoke to her pharmacy, Hannaford pharmacy, and the pharmacist there was quite compassionate and eager to restore Brandy’s previous level of pain, relief and functionality.
I believe her name is Grace.
I queried Grace about the prescription drug registry and Grace! told me that Brandi had used one pharmacy and a stable dose of these pain pills for years. There were no early refills, etc.
She was highly trusted and highly responsible according to Grace the Hannaford pharmacist.
I asked Grace if she was willing to fill the prescription if I sent one in and she said yes.
I was then of course, disturbed saddened, and upset when the prescription was canceled by Dr Quirion. I did not think she had the authority to override a prescription from another physician. I suspected a HIPAA violation had occurred, and I immediately reported it to the board of pharmacy in Maine.
Hannaford then pharmacy refused to fill any prescription from me for Brandy.
At this point, she was having trouble keeping her blood pressure under control and she couldn’t get anyone to fill her blood pressure medication’s either.
We were able to find a Walgreens pharmacy to Phil one weeks worth of her medication’s to keep her alive.
Brandi had already notified Dr. query on that she was seeking help from someone who would treat her palliative care, under MAINe palliative care program B. ( due to Brandy’s advocacy. The palliative care program was already in place.)
I made it clear to the Hannaford pharmacy people and their supervisors up the line that I was considering that she was abandoned by this pharmacy, arbitrarily and capriciously.
At any rate for the next year, Brandi was able to beg and plead for one or two weeks of her life-saving medication from numerous compassionate pharmacies in Maine. That would only treat her for that one week or two.
Ultimately, she was able to find for herself a pharmacy in New Hampshire that would fill three weeks worth of her medication’s prescribed by me.
Brandi now travels four hours each way to New Hampshire to fill her prescriptions every three weeks.
Because of the severity of her pain and hypertension and flare of her complex, regional pain syndrome, Brandy developed swelling, blisters, and weeping lesions on her lower extremities, which were very difficult to manage and disqualify her from WATER physical therapy.
Once her pain management regimen was restored, she was able to heal these circumstances.
It took months for her legs to heal.
I attribute this difficult. To the interruption of her stable pain regimen. I suspect it also relates to the hypertension that was secondary to her pain. This hypertension was unfortunately unresponsive to the limited amount of blood pressure medicine. She was still able to use from her stash.
I SAY THIS IN NO UNCERTAIN TERMS: BECAUSE SHE WAS FIRED FROM THE ST. JOHN’S MEDICAL GROUP BY Eva, she was unable to get any of her standard medication‘s
In other words, she was completely abandoned for all her medical needs, would you curse to me as retribution.
She was given the diagnosis of chronic persistent, opioid dependence, CPOD.
There is no DSM code for this diagnosis and it is not been accepted by DSM five in the psychiatric diagnostic and statistical manual.( BY THIS I MEAN IT’S A NEW MADE UP DIAGNOSIS.)
It’s an unnecessarily redundant term given that her pain is chronic and persistent and her opioid dependence is obvious. She is dependent, but not addicted to the pain medication’s. That keep her alive.
In the time that I’ve been taking care of her, she has shown remarkable resilience and determination to stay alive.
She has been sorted by not having enough medication’s to travel to South Carolina to visit her two grandchildren, born 18 months and two weeks ago.
She’s dependent in many other ways also.:
She dependent on the generosity of random pharmacist throughout the state of Maine.
She depending on her son to drive her to New Hampshire every three weeks.
She’s depended on the compassion of her pharmacist in New Hampshire. Who sees many other Payne refugees from Maine who are not getting what they need.
And, of course, she’s dependent on my tenuous medical license.
The state of Maine sent me a cease and desist letter to get me to abandon Brandy.
We responded to the cease-and-desist letter by making sure that she and I meet in New Hampshire on video every time she gets her prescriptions filled in New Hampshire.
Brandy and I appeared on a panel discussing Pain Refugees with The Cato Institute, led by Dr Jeffrey Singer.
There are 
No more Pain  refugees in my practice that I can count.
Brandy is too strapped financially to pay for more than one or two of my visits over the last almost 2 years.
I have committed to standby Brandi as long as I possibly can. Because she’s lost three different providers, I’m aware that the same fate could land on me.
She has not been able to find anyone to assume her care within the state of Maine.
She’s not an addict.
An addict’s life falls apart when they take their substance.
A pain patient’s life comes back together when they get their relief.
Since her pain treatment has been restored, she’s become one of our leading advocates in the movement to protect patients in pain.
IF SHE LOSES HER PAIN CARE, HER RISK OF DEATH IS GREATER THAN 50%. HER BLOOD PRESSURE WAS OUT OF CONTROL AND SHE WAS NEAR DEATH WHEN I MET HER.
We have plenty of evidence of the harm caused to her by her forced  taper, which is categorically and undeniably counter to the flawed CDC guidelines of 2016 and 2022
I remain at Brandi’s service, and I remain in awe of her tenacity and commitment to not only help herself but the likely 400,000 people suffering in Maine from the same fate.
I am eager to speak with anyone who reads this.
I’m also eager to rebut any accusations made by the Attorney General of the state of Maine, who asked me to break main law by abandoning Brandy.
By the way, I am now fully compliant with the seasoned assist order. I’m no longer treating Brandy in the state of Maine. Her prescriptions are filled in New Hampshire and she stands on the ground in New Hampshire when I visit with her.
She and I have also met in person within the last month.
Be advised that I’ve been operating under the Covid emergency guidelines extended by the dea through 2025. This allows for telemedicine for scheduled prescriptions, which began during Covid. These guidelines have been extended annually for the last five years.
Here’s the science behind Genetic pleomorphism:
It’s settled science. Anyone ignoring the fact that some patients metabolize opiates in an ultra rapid fashion is in denial or lying.
According to multisystem reviews, the chance of addiction for pain medication’s is less than one percent.
Those claiming that pain pills lead to risk of overdose death ignore the risk of untreated pain.
Ask yourself this question:
If there’s over prescribing, then statistically there has to be under prescribing as well.
This is a term that’s never been defined by dea skateboards of Medicine or any critic of pain management
Feel free to see below my book and movie about these topics.
I stand by Brandi and I stand ready to assist anyone who reads this and understanding the cruel ignorant and evil campaign against her and her doctors.
MarkIbsenMD 
406–4 39–0752

 

Bestselling Author: Dr Bison’s Fables, An Allegory of The American Pain Refugee Crisis.
 CDC: “24-126 million Americans in chronic pain”
Pain Warriors 2020 documentary, international Award-Winner,  featuring Mark Ibsen MD

War on Doctors: Tricks Used in Prosecutions

War on Doctors: Tricks Used in Prosecutions

https://aapsonline.org/war-on-doctors-tricks-used-in-prosecutions/

This is a very long article about how our federal judicial system functions in getting any “targeted prescriber” convicted. To boil down their basic tactics… they raid and shut down a prescriber’s practice and confiscate all the prescriber’s assets under our Civil Asset Confiscation law. This leaves the prescriber with no income and no assets to hire an excellent law firm to defend the prescriber and maybe get the prescriber found not guilty.  I remember a particular prescriber in Montana who – as I remember – was charged with 400 counts over the patient records of 9 patients. Each count was worth a 20 yr prison sentence. The prescriber ended up using a PUBLIC DEFENDER and ended up pleading guilty to a single charge and ended up with a 20 yr prison term.

Dr. Chris Arthur Christensen, 68 y/o, a physician from Montana, was convicted and sentenced to prison for multiple violations of the Controlled Substances Act. His case involved serious allegations of improper medical practices, including the overprescribing of narcotics.

In 2015, Dr. Christensen faced 400 felony charges, including two counts of negligent homicide related to patient overdoses, nine counts of criminal endangerment, and hundreds of counts of illegal drug distribution. Investigators alleged that he prescribed controlled substances outside the scope of legitimate medical practice and operated a “cash-only” clinic that attracted patients from multiple states. Two patients reportedly died from overdoses linked to his prescriptions[1][2].

After a trial in 2017, Dr. Christensen was convicted on several counts, though his negligent homicide convictions were later overturned by the Montana Supreme Court due to insufficient evidence directly linking his actions to the deaths. However, the court upheld other convictions, including criminal endangerment and illegal drug distribution, as it found he was operating outside the bounds of professional medical standards[3].

In 2018, he was sentenced to 20 years in prison, with 10 years suspended. Following appeals, he began serving his sentence in November 2020[2].

Citations:
[1] https://www.dea.gov/es/node/4327
[2] https://doctorsofcourage.org/chris-a-christensen-md/
[3] https://law.justia.com/cases/montana/supreme-court/2020/da-18-0268-0.html
[4] https://www.casemine.com/commentary/us/montana-supreme-court-upholds-criminal-liability-for-physicians’-unlawful-drug-distribution-practices/view
[5] https://www.kpax.com/news/ravalli-county/former-florence-doctor-finally-behind-bars-4-years-after-conviction
[6] https://juddocumentservice.mt.gov/getDocByCTrackId?DocId=306890
[7] https://caselaw.findlaw.com/court/mt-supreme-court/2085987.html
[8] https://doctorsofcourage.org/chris-a-christensen-md-2/
[9] https://bitterrootstar.com/2020/09/montana-supreme-court-overturns-christensens-homicide-convictions/
[10] https://flatheadbeacon.com/2020/11/23/convicted-montana-pain-doctor-ordered-prison-march/
[11] https://medicalmalpracticelawyers.com/montana-supreme-court-overturns-negligent-homicide-convictions-of-opioid-prescribing-doctor/
[12] https://www.spokesman.com/stories/2020/sep/16/justices-overturn-doctors-convictions-in-overdose-/
[13] https://scholarworks.umt.edu/cgi/viewcontent.cgi?article=2497&context=mlr
[14] https://bitterrootstar.com/2017/11/guilty-verdict-in-opioid-over-prescription-case-an-analysis/



Answer from Perplexity: pplx.ai/share

 

By Andrew L. Schlafly, Esq.,

“Show me the man and I’ll find you the  crime”  is  a famous saying from the communist Soviet Union, where prosecutions of innocent people, and over-prosecutions of people for minor infractions, were routine.

Similar  sayings  have  existed  in  the  United  States,   as  in how a  prosecutor  can  persuade  a  grand  jury  to  “indict  a ham sandwich.”1 (Ironically, the judge who coined that expression was himself later indicted.) As  any  prosecutor can confirm, if a grand jury appears reluctant to issue an indictment requested by a prosecutor, then he can simply convene another grand jury, and then another, until he gets the indictment he wants.

So much for the safeguard of the grand jury as supposedly guaranteed by the Fifth Amendment to the U.S. Constitution: “No person shall be held to answer for a capital, or otherwise infamous crime, unless on a presentment or indictment of a grand jury.” The grim reality is that many prosecutors today have virtually unlimited power to decide whom to indict, with no meaningful check and balance by any grand jury. Occasionally there is news about a grand jury declining to indict someone in a high-profile case, such a shooting by police of an unarmed minority teenager, but even those decisions not to indict are typically the result of the prosecutor intentionally leading the grand jury to that conclusion. In cases where there is a public outcry and the prosecutor does not feel the evidence justifies a criminal indictment, then he can lead the grand  jury to  non-indictment,  and  the  public is better mollified by such a decision by  a  grand  jury than by a solitary prosecutor. But whenever a  prosecutor  wants an indictment against someone, then he will get it, as any prosecutor would confirm privately.

State and Federal Systems

The U.S. Constitution established a system of dual sovereignty, with the federal and state governments wielding power over their overlapping spheres of authority. Supreme Court Justice Anthony Kennedy  asserted  in  a  landmark case that the dual sovereignty enhances liberty, but many would dispute that. “Though on the surface the idea may seem counter-intuitive, it was the insight of the Framers that freedom was enhanced by the creation of two governments, not one.”2

In fact, the dual sovereignty means that the federal government can prosecute a defendant even after he was acquitted in state court for the very same conduct, despite the prohibition by the Double Jeopardy Clause in the Fifth

Amendment to the U.S. Constitution: “…nor shall any person be subject for the same offence to be twice put in jeopardy  of life or limb.” A physician who is acquitted of a crime  in state court could still be prosecuted for the same conduct in federal court, and it is important to be aware of fundamental differences between the two systems.

Originally, state court is where virtually all crimes were tried. “The Constitution grants the federal government jurisdiction over only three crimes: treason, counterfeiting, and piracy,”3 as Texas Rep. Ron Paul, M.D., famously observed on the floor of the U.S. House of Representatives. Everything else was tried exclusively in state court for most of American history.

In state  and  local  government,  there  is  a  check  on  that power in the form of political accountability for the prosecutor, and in the form of real limitations on the resources available. District Attorney offices are not overflowing with spare staff and extra funding, and local police do not have  the time or interest in pursuing nonexistent crimes. Out of political and economic necessity, real crimes take priority over political agendas. Prosecutors who overstep their role can be held accountable for it, as prosecutor Michael Nifong was for his role in the wrongful indictments of three Duke University lacrosse players for rape.

Additional factors tend to limit overzealous prosecution at the local  or  state  level.  Local  prosecutors  are  part  of the community in which they  work,  and  many  of  them grew  up  there.  They  have  long-time   acquaintances   in   the neighborhood on both sides of the law. These local prosecutors are typically not seeking publicity to propel an ambition to run for higher office, which might induce them  to seek targets for political purposes. Of course, there are some instances of prosecutorial abuse of power within the state and local system, as the Duke lacrosse case illustrated. Physicians too, such as Dr. James Graves in Florida, languish in prison for decades, possibly the rest of their lives, as  victims of a local prosecution that made them a scapegoat for a tragedy, often, as in the Dr. Graves case, related to drug abuse.

But many so-called“healthcare crimes” and other offenses are prosecuted in federal, not state courts today, contrary to the text of the U.S. Constitution. Federal prosecutions lack the essential checks and  balances in  the  state  system,  and  it is at the federal level at which the War on Doctors is at its worst. Resources available for these prosecutions are virtually unlimited, and there is almost no political accountability for overstepping reasonable bounds. Federal prosecutors are appointed, not elected, and have never been impeached by Congress, although they could be. The  only elected person in the chain of command of a federal prosecutor is the President, and no presidential election is likely to have its outcome determined based on the track record of a federal prosecutor.

An example of a widely criticized federal prosecution was the case against Aaron Swartz, a prodigy who while still a teenager had helped develop the widely used RSS service for individualized news feeds, and also Reddit, the immensely popular informational website.4  Aaron is no longer with us because the full weight and unlimited resources of federal prosecutors hounded him relentlessly, with threats of lengthy prison sentences, until he committed suicide shortly before trial. This was all because he had allegedly downloaded numerous copyrighted scientific articles at MIT, which he arguably had a right to do. As Professor Lawrence Lessig explained in a heartfelt criticism of the federal  prosecution  of Aaron:

The “property” Aaron had “stolen,” we were told, was worth “millions of dollars” — with the hint, and then the suggestion, that his aim must have been to  profit from  his crime. But anyone who says that there is money to be made in a stash of ACADEMIC ARTICLES is either an idiot or a liar. It was clear what this was not, yet our government continued to push as if it had caught the 9/11 terrorists red-handed [emphasis in original].5

Yet there was no political accountability for the federal prosecutors who perpetrated this, or the trial judge who allowed it. Unlike the state system, in which both face elections and other meaningful review of their records, federal criminal justices are insulated from political accountability.

With less publicity than the federal injustice against, and then tragedy of Aaron Swartz, numerous physicians  have also felt compelled to commit suicide when trapped in the vise of overzealous federal prosecution. Benjamin R. Moore, D.O., for example, had been working in locum tenens for 7 years when he was placed by an agency in a temporary job  at a chronic pain center in Myrtle Beach, S.C. Dr. Moore was the most conservative prescriber of opiates there, according to a letter he sent without avail to the U.S. Attorney General.6 It did not matter. Federal prosecutors went after numerous physicians in the  clinic and  charged them with conspiracy to distribute illegal drugs, which makes each defendant legally responsible for the actions of every other defendant. Another physician, Deborah Bordeaux, M.D., who had been working there for only 57 days, was initially sentenced to 8 years in jail, although she was fortunate enough to have the term reduced later in an unusual re-sentencing.7 Dr. Moore committed suicide before trial.

Many victims of overzealous prosecution in the federal system feel compelled to accept plea bargains or commit suicide, regardless of their guilt, because the odds of conviction in a federal trial are so high, and the prison sentences are so long if a jury does not acquit on each and every count of  an  indictment.  Unlike  state  court,  where  the odds of acquittal are substantial, in federal court the likelihood of an acquittal on all counts is only about one percent of all federal prosecutions brought.

Typically, federal prosecutors will pile on dozens or even hundreds of counts against a physician, and the jury may think it is holding mostly for the physician if it acquits on most of the charges. But the prison sentence is just as long    if a jury convicts on only one count out of 150 counts as if it had convicted on every count.

One federal prosecutor publicly declared that his office sought “to root out [certain doctors] like the Taliban. Stay tuned.”8 But physicians are not flying airplanes  into  the  World Trade Center. Physicians  are,  however,  much  easier  to prosecute than real criminals are. Physicians tend to cooperate with investigations, and will even readily admit shortcomings about their record-keeping   or   dealings with patients. Unlike real drug dealers, physicians trust undercover agents who wear wires attempting to entrap the target. Physicians also tend to consent to searches of their offices even when a government agent lacks a warrant.

The clincher for making physicians a top  target for federal prosecutors is this: indicting a physician grabs bigger headlines than indicting a real criminal does. The fall of a good man makes for a story that is scintillating to the public. More than a century ago Fyodor Dostoyevsky observed this same phenomenon in The Brothers  Karamazov:  “Man  loves to see the downfall and disgrace of the righteous.”9 The suggestion that a physician, a man of great trust in society, may actually be a horrific criminal is something that sells newspapers and attracts television viewers. The physician used his position of trust to exploit unsuspecting patients, the story goes, and a white knight in the form of a prosecutor protected society against the scoundrel by locking him up and throwing away the key.

If the physician were a real criminal, the case would be easy to prove, and it would not be necessary for a prosecutor to resort to any tricks to achieve his goal. Undercover sting operations, for example, would hardly be necessary if a physician were truly exploiting his position.

Trial by Jury
 

A brief history of trial by jury is necessary for readers to understand the tactics prosecutors use against physicians.

Jury trials are nearly unique to the Anglo-American system of jurisprudence, dating back to 13th-century England. Trial by jury originated not as improvement over trial by  judge,  but  to   replace   the   outdated   approaches of “compurgation” or “ordeal.” Under “compurgation,” a defendant could be acquitted of an accusation by obtaining a sufficient number of sworn statements by members of the community to support him. The “ordeal,” as its name implies, was less pleasant. It required the accused to stick his hand into a pot of boiling water to pick out a stone, while in the presence of clergy, and afterward his wound was observed for several days. The idea was seek divine intervention to give a sign as to guilt or innocence depending on how the wound festered or healed. By the 1200s the Church banned participation by clergy in this inhumane process, which was being used rarely and only for the most heinous alleged crimes anyway.

The rationale for switching to trial by jury was to give the community a voice in determination of  guilt or  innocence,  as the community (or God) were supposed to have in the ancient methods of compurgation and ordeal. All these methods contain an element of arbitrariness, some might say. Juries were not initially considered to be any more reliable, consistent, or rational than the approaches that trial by jury replaced. But juries are to speak with the voice of the community, or neighborhood, and to express their view with unanimity in order to convict.

The primary reason that the right to a trial by jury is  in  the  U.S.  Constitution,  however,  is  because  juries  provide an essential check against overzealous prosecutions by government. It was a jury that established  the  foundation for our First Amendment, in the criminal libel case brought against John Peter Zenger in 1735 for defaming the governor of New York, William Cosby.10 That remarkable jury trial also set the precedent for the American doctrine that truth is an absolute defense against  a  charge  of  defamation.  Zenger in his New York Weekly Journal had published some highly critical assertions against the powerful governor, who then brought the full power of his government down  on  Zenger in retaliation. Truth was not recognized as a defense against   a charge of criminal defamation at that time, and conviction seemed inevitable. But Zenger’s lawyers Andrew Hamilton and William Smith, Sr., argued successfully, the jury acquitted Zenger, and American freedom of the press was born as a result.

Note that the Founders did not believe  in  democracy and never thought that the collective opinion of random members of society would yield  the  correct  answer  to  every question. Quite the contrary, the Founders were very skeptical of the public being able to do what is right and just. The Founders include a “right” to a  jury trial for  the  benefit of an accused, not a “requirement” of a jury trial. Then, as now, ordinary people are vulnerable to the influences of demagoguery, prejudice, and careless error, as the Founders were well aware.

No Right to a Trial by a Judge?

The Constitution’s Sixth Amendment states:

In all criminal prosecutions, the accused shall enjoy the right to a speedy and public trial, by an impartial jury of the State and district wherein the crime shall have been committed, which district shall have been previously ascertained by law, and to be informed of the nature and cause of the accusation; to be confronted with the witnesses against him; to have compulsory process for obtaining witnesses in his favor, and to have the Assistance of Counsel for his defence.11

This establishes a right, not a requirement, to have a jury trial.

In addition, the body of the original Constitution contains the following at Art. III, § 2:

The Trial of all Crimes, except in Cases of Impeachment, shall be by Jury; and such Trial shall be held in the State where the said Crimes shall have been committed; but when not committed within any state, the Trial shall be at such Place or Places as the Congress may by Law have directed.

This provision, although ostensibly requiring trial by jury in cases brought in federal court for the three crimes that the U.S. Constitution allowed the federal government to prosecute, is again obviously intended to protect the rights of the accused, not to protect the power of government.

In colonial America, defendants were able to waive their right to a jury trial in many areas, and in Maryland the prevailing standard for 150 years was to hold criminal trials before a judge rather than a jury. In 1930, the U.S. Supreme Court held in Patton v. United States that a criminal defendant has a right to waive trial by jury, but then the Court unjustifiably added that “before any waiver can become effective, the consent of government counsel and the sanction of the court must be had, in addition to the express and intelligent consent of the defendant.”12

Intuitively, most criminal defendants think they are better off with a jury  hearing  their  case.  The  instinctive  reaction of nearly everyone is to exercise their rights, as one might exercise his right to free speech when faced with an injustice.

But studies have shown that some defendants are better off choosing a trial before a judge than a jury, and clever attorneys realize that a trial by judge might be fairer than a trial by  jury,  particularly  when  the  government  is  relying  on demagoguery to advance its case. As the next section explains, the government is increasingly relying on arguments designed to inflame prejudice against physicians, rather than sticking only to facts relevant to a claim of wrongdoing.

The Federal Rules of Criminal Procedure states in its Rule 23 that:

  • Jury Trial. If the defendant is entitled to a jury trial, the trial must be by jury unless:
    • the defendant waives a jury trial in writing; (2) the government consents; and (3) the court

In other words, the Federal Rules deny a criminal defendant his right to have a non-jury criminal trial unless both the prosecutor and the court itself consent to the defendant’s request.

The constitutionality of  requiring  a  criminal  defendant  to have a jury trial was subsequently tested and decided in   an unfortunate way. A defendant was convicted of a mail  fraud scam “to dupe amateur songwriters into sending him money for the marketing of their songs,” and the defendant appealed on this issue as a way to get out of his conviction.13 He requested a non-jury trial “for the purpose of shortening the trial,” rather than for a weightier reason such as to avoid prejudice against him by the jury. This case reached the

  • Supreme Court in 1964, when defendant-friendly Chief Justice Earl Warren was presiding, but he failed to recognize and address the significance of the issue. The “Warren Court,” as it was called, rendered many major decisions in favor of defendants, but missed its opportunity this

Writing for the Court, Chief Justice Warren correctly observed that criminal trials by jury were common at the time of the ratification of the Sixth Amendment. But evidently jury trials were not universal, or else there would have been little reason for the Founders to include the protection of a right to a jury trial. In missing obvious truths universally acknowledged with respect to other parts of the Constitution, such as how the right to free speech necessarily entails the right not to speak, the Court ruled that a constitutional right to have a jury trial does not imply a right not to have a jury trial.

The Court first recounted several compelling arguments for a right to be able to waive a trial by jury:13, pp 25-26

  • “At common law the right to refuse a jury trial preceded the right to demand ”
  • “Both before and at the time our Constitution was adopted criminal defendants in this country had the right to waive a jury ”
  • “The provisions [in the Constitution] relating to jury trial are for the protection of the ”
  • “Since a  defendant  can  waive  other   constitutional rights without the consent of the Government, he must necessarily have a similar right to waive a jury trial and that the Constitution’s guarantee of a fair trial gives defendants the right to safeguard themselves against possible jury prejudice by insisting on a trial before a judge ”
  • “The Fifth, Sixth, Ninth, and Tenth Amendments are violated by placing conditions on the ability to waive trial by ”

Yet the Warren Court rejected all the above arguments and held that both a federal prosecutor and the court itself each has a veto right over a defendant’s attempt to waive a trial by a jury that may be prejudiced against him.

Accordingly, federal prosecutors know that they can always insist on a trial by jury, and they tailor their prosecutorial strategy accordingly. Irrelevant or inflammatory arguments that should never persuade a judge could potentially mislead a jury to convict. With that in mind, we turn to the latest tricks and traps in the prosecutions of physicians.

Tricks and Traps in Prosecutions of Physicians

“Just the facts, ma’am,” is the  famous phrase attributed to Sgt. Joe Friday, the detective played by Jack Webb in the popular TV series Dragnet that  portrayed  law  enforcement in glowing light in the 1950s and 1960s. If prosecutors of

physicians properly stuck to“just the facts,”unjust convictions and unfair plea bargains would be less frequent.

Unfortunately, some prosecutors go beyond the relevant facts in their quest for convictions, based on the end justifying the means. According to the utilitarian  mindset that is increasingly common in the federal criminal justice system, why does it matter whether the defendant is really guilty or not? The stated purpose of the prosecution and lengthy sentencing is to deter wrongdoing, and that goal is met whether a guilty or an innocent man is locked up. As  long as the public is persuaded that  a  crime occurred,  and  as long as the public is told that  the  criminal  was  caught and severely punished, the desired effect of deterrence is satisfied regardless of the underlying innocence of the man imprisoned.

Prosecutions of physicians today are typically accompanied by harsh public statements made by the government against the defendant physician. A recent news story about the federal prosecution of a Eugene J. Gosy, M.D., in the Buffalo area illustrates several tricks used in the war on doctors.14

  1. Statistical profiling: “He was the No. 1 prescriber in New York,” declared an agent in charge of the DEA’s office in Buffalo, to the press. The fallacy is that there will always be a “No. 1 prescriber in New York.”Why should that statistic shock anyone? Yet it does tend to prejudice the average person who hears After prosecutors destroy the No. 1 prescriber in a state, then the No. 2 prescriber will become No. 1. Will that statistic make him guilty too? Of course not. Moreover, high volume does not imply guilt. Popularity breeds more popularity, in any line of work. The company Apple is not guilty of anything because its iPhone is popular.
  2. Saying the doctor was “out of the country” when prescriptions were written: This allegation is a favorite of prosecutors, and we’ve seen it used again and again against They compare billing records to the physician’s passport, and check the dates against each other. The argument sparks jealously and improperly creates a picture of a supposedly cavalier attitude by the  traveler. The  fallacy is that nothing wrongful can  be  inferred  about  someone for merely traveling outside of the country. Sometimes that world travel is to establish contacts for medical mission trips to impoverished lands; other times the travel is merely  to visit family in a foreign country. But even if the travel were pure leisure, that is not a bad thing that should be used to create prejudice. The government could simply say that the physician was not in the office, rather than smearing him by saying he was out of the country. Moreover, mistaken dates in billing records are inevitable, particularly in a high-volume practice. In a prior civil lawsuit against a physician, the government claimed he billed more than 24 hours in a day, when it was merely a mistaken billing date that was the reason.
  1. Trumpeting the doctor’s wealth—such as a “$126,000 Ferrari and a $103,000 Ford GT coupe”: The government seized these  assets  and  apparently  told  the  newspapers  all about it, so it was featured prominently in the publicity against the physician. The fallacy is that it is not a crime for a successful practicing physician to earn money and spend it on a nice car or two. The type of car that a physician drives is not evidence of any wrongdoing. Prosecutors commonly exploit class warfare in their war on doctors. The government wants to portray the physician as obscenely wealthy and incredibly greedy, for prejudicial effect. The reality is that practicing physicians, even the  highest compensated ones,  make only  a pittance compared with insurance company executives, while working many times harder than executives do. An executive at a specialty society profiting from Maintenance  of Certification (MOC) has publicly bragged about his rare car collection, yet the government has taken no action against him.
  1. Emphasizing the large sum of false claims alleged, say “more than $241,000”: Prosecutors and the newspaper report such a number as though it is shocking, but  they omit the all-important The fallacy is that the absolute amount of alleged fraud is virtually meaningless unless represented as a percentage of total billings. If a physician billed $25 million over five years, then the alleged fraud of $241,000 is less than 1 percent of his billings. Error rates in most billing services are probably higher than that. By failing to  disclose  the  denominator,  the  publicity  fails to mention that the allegation is  merely  that  1  percent  of his billings were fraudulent. The public would be far less impressed by an allegation of an error rate of 1 percent than by an alleged amount of $241,000.
  2. Mentioning that “Like [the indicted physician], five other doctors have found themselves investigated,” and two of them pled guilty: The fallacy is that physicians often plead guilty because they face life in prison, or at least 20 years, if they take a case to trial and a jury mistakenly finds them Moreover, taking a case to trial can cost millions of dollars. When innocent physicians are offered plea bargains of less than 10 percent of the lengthy prison sentences, and can avoid a million-dollar loss to their retirement assets, then innocent physicians might plead guilty. An offer of only 2 or 3 years in prison can look very good to an innocent physician whose assets have  been seized and  who  cannot even  hire   a good attorney to  defend  himself.  The  guilty  plea  does not mean the defendant was really guilty, as the negative publicity falsely implies.

Effect on the Community

At the time of this writing, Dr. Gosy is awaiting trial with his New York medical license intact but his ability to practice crippled by the negative publicity against him and loss of his DEA registration to prescribe controlled substances. Despite the vigorous public relations effort by the government that thoroughly smeared Dr. Gosy’s reputation, the reaction by the community was swift and intensely negative against the government.  Dr.  Gosy  was  forced  by  the  indictment to close his practice, which stranded between 8,000 and 10,000 active patients in need of pain medications. Other physicians are obviously terrified to treat them with the threat of decades in prison hanging over them if they do. “At this point, we’re at a public health crisis,” observed Dr. Gale R. Burstein, county health commissioner.15 But this prosecution is by the federal government, and federal officials have no accountability for the devastating effect this has caused to the local community.

Conclusion

The Founders would  be  shocked at  the  degree  to  which the federal government is pursuing prosecutions of physicians and others, and the tactics employed to attain convictions. At least physicians can become more aware of the tricks being used.

Andrew L. Schlafly, Esq., serves as general counsel to AAPS. Contact: aschlafly@aol.com.

REFERENCES

  1. Levin J. The judge who coined “indicting a ham sandwich” was himself indicted. Slate, Nov 25, 2014. Available at: slate.com/blogs/lexicon_ valley/2014/11/25/sol_wachtler_the_judge_who_coined_indict_a_ ham_sandwich_was_himself_indicted.html. Accessed May 27, 2016.
  2. United States Lopez, 514 U.S. 549, 576 (1995) (Kennedy, J., concurring).
  3. Paul R. Crime. Book of Ron Paul. 2000 Ron Paul 71:5. Available at: http:// ronpaulquotes.com/concordance/crime.html. Accessed May 27,
  4. Bombardieri The inside story of MIT and Aaron Swartz. Boston Globe, Mar 30, 2014. Available at: https://www.bostonglobe.com/metro/2014/03/29/ the-inside-story-mit-and-aaron-swartz/YvJZ5P6VHaPJusReuaN7SI/story. html. Accessed May 28, 2016.
  5. Lessig L. Prosecutor as bully. LESSIG Blog, v2. Available at: http://lessig.com/post/40347463044/prosecutor-as-bully. Accessed May 28, 2016.
  6. Moore B. Letter to Attorney General John Ashcroft. Available at: aapsonline.org/painman/mooreashcroft.htm. Accessed May 28, 2016.
  7. Victimized Doctors. Available at: http://deasucks.com/essays/docwar3. Accessed May 28, 2016.
  8. Serkes K. Administration Declares war on doctors — vows to treat like Taliban. Drug war ensnares doctors, not dealers. Press Release. Available at: aapsonline.org/press/hurwitz929.htm. Accessed May 28, 2016.
  9. Dostoevsky Chapter 2. The Brothers Karamazov. Translated by Constance Garnett. Available at: www.magister.msk.ru/library/dostoevs/dostf01e. htm. Accessed May 28, 2016.
  10. John Peter Zenger Trial; 1735. Available at: http://law2.umkc.edu/faculty/ projects/ftrials/zenger/zenger.html. Accessed May 28,
  11. Sixth Amendment. U.S. Constitution. Available at: http://constitution.com/amendment6.html#sthash.MNPP2yPO.dpuf. Accessed May 28, 2016.
  12. Patton United States, 281 U.S. 276, 312 (1930).
  13. Singer United States, 380 U.S. 24, 25 (1965).
  14. Fairbanks Amherst pain doctor faces federal charges. Buffalo  News, Apr 26, 2016. Available at: www.buffalonews.com/city-region/ amherst-pain-doctor-faces-federal-charges-20160426. Accessed May 28, 2016.
  15. Tan ‘What are we supposed to do?’ opioid patients ask after feds shut down doctor. Buffalo News, May 5, 2016. Available at: www.buffalonews. com/city-region/what-are-we-supposed-to-do-opioid-patients-ask- after-feds-shut-down-doctor-20160505. Accessed May 28, 2016.

Employee shot and killed at Walgreens in Madera identified

MADERA, Calif. (KFSN) — The employee who was shot and killed at a Walgreens in Madera on Monday has been identified as Erick Velasquez.

Police say the shooting happened at the location on Cleveland and Schnoor just after 9:30 pm.

EDITOR’S NOTE: The video above is from a previous broadcast and will be updated.

When police arrived, they found Velasquez inside the store, where he was pronounced dead.

Police say the suspect, Narciso Gallardo Fernandez, went to Madera from Pixley and went inside the store with a handgun.

After the shooting, police say Fernandez fired at other employees as they were leaving the store. No one else was hit.

He was taken into custody in the parking lot.

Customers were also inside the store at the time of the shooting.

Police do not believe that Velasquez and Fernandez knew each other.

Walgreens released a statement on the incident, saying, “We are deeply saddened by last night’s tragic event, which resulted in the death of one of our team members. Our thoughts and prayers are with their loved ones during this difficult time. The safety of our customers and team members is our top priority, and we are working with local authorities in their investigation.”

Anyone with more information is asked to contact police.

When are disabled people going to get a DAY OF VISIBILITY? Where is the equity?

Today is

Transgender Day of Visibility: Honoring Trans Heroes and Sharing Stories of Resilience

https://www.hrc.org/press-releases/transgender-day-of-visibility-honoring-trans-heroes-and-sharing-stories-of-resilience

According to this:

Approximately 1.6 million people in the United States identify as transgender, representing around 0.6% of the population aged 13 and older. This includes about 1.3 million adults (0.5% of the adult population) and 300,000 adolescents aged 13 to 17 (1.4% of that age group)136.

While estimates vary slightly depending on the methodology and data source, this figure is consistent across multiple studies and surveys, including those conducted by the Williams Institute and other research organizations159.

Citations:

  1. https://www.newsweek.com/how-many-transgender-people-athletes-living-united-states-2030241
  2. https://pmc.ncbi.nlm.nih.gov/articles/PMC5227946/
  3. https://williamsinstitute.law.ucla.edu/wp-content/uploads/Trans-Pop-Update-Jun-2022.pdf
  4. https://apnews.com/article/how-many-transgender-intersex-laws-0218b75a197f07d8c51620bb73495d55
  5. https://www.nbcmiami.com/news/local/politifact-how-many-trans-people-are-there-in-the-u-s-and-why-do-we-overestimate-it/3074621/
  6. https://williamsinstitute.law.ucla.edu/publications/trans-adults-united-states/
  7. https://usafacts.org/articles/what-percentage-of-the-us-population-is-transgender/
  8. https://www.pewresearch.org/short-reads/2022/06/07/about-5-of-young-adults-in-the-u-s-say-their-gender-is-different-from-their-sex-assigned-at-birth/
  9. https://www.reuters.com/world/us/new-study-estimates-16-million-us-identify-transgender-2022-06-10/

Answer from Perplexity: pplx.ai/share

According to www.perplexity.ai:

The number of people in the United States considered disabled varies depending on the criteria and data source:

  1. Adults with Disabilities: Over 70 million adults in the U.S., or more than 1 in 4 (28.7%), reported having a disability in 2022, according to the CDC’s Behavioral Risk Factor Surveillance System17.

  2. All Ages (Non-Institutionalized Population): Approximately 42.5 million Americans, or 13% of the civilian noninstitutionalized population, had a disability in 2021, based on U.S. Census Bureau data310.

  3. Survey of Income and Program Participation (SIPP): This survey estimates that around 54 million Americans have a disability, though it uses broader definitions and methodologies4.

  4. Working-Age Population (18–64): About 22 million working-age Americans (11% of this demographic) reported having a disability in 2022, according to the American Community Survey5.

These figures highlight differences in how disabilities are defined and measured across various surveys and contexts.

Citations:

  1. https://www.cdc.gov/media/releases/2024/s0716-Adult-disability.html
  2. https://www.ssa.gov/policy/docs/statcomps/di_asr/2021/sect01.html
  3. https://www.pewresearch.org/short-reads/2023/07/24/8-facts-about-americans-with-disabilities/
  4. https://adata.org/faq/how-many-people-united-states-have-disability
  5. https://askearn.org/page/statistics-on-disability
  6. https://www.researchondisability.org/sites/default/files/media/2024-03/2024-annual-report-a11y-1.pdf
  7. https://www.cdc.gov/disability-and-health/articles-documents/disability-impacts-all-of-us-infographic.html
  8. https://www.census.gov/newsroom/facts-for-features/2024/disabilities-act.html
  9. https://miusa.globaldisabilityrightsnow.org/infographic/disability-usa/
  10. https://www.census.gov/library/stories/2023/06/disability-rates-higher-in-rural-areas-than-urban-areas.html

Answer from Perplexity: pplx.ai/share

Did you know that the primary FDA medication that is used by females who wish to transition to being a male? TESTOSTERONE – A C-3 CONTROLLED SUBSTANCE. The DEA – to date – has not imposed any pharma production limitations. Apparently, the only reason that it is classified as a C-3 is to try to prevent/limit athletes and bodybuilders from using it. 

There is nothing that ever suggested that politicians and bureaucrats function with logic and common sense.

Have you ever been ASKED?

Have you ever been asked by your practitioners and/or a staff member?

Have you ever considered harming yourself?

In all the years that I have been doing my blog, I now notice that the number of ESTIMATED suicide and attempted suicides published by the CDC has remained unchanged. 2012 when I started my blog, and today the USA population abt 9%. Mental health issues tend to be a rather fixed percentage of a population.

It is also interesting that around 2010-2012 is when the Rx opioids peaked, and today, the number of Rx opioids has been reduced abt 50%.

We know that many chronic pain patients have committed suicide because their pain meds have been involuntarily reduced, and an untold number of PREMATURE DEATHS from various reasons caused by under/untreated pain. While those numbers may or may not be documented, I have not seen a number being published.

Does this STRONGLY SUGGEST that there is a COVERT GENOCIDE going on?

Maybe chronic pain pts should take a copy of the graphic below with them to their doctor’s appointment?

When ASKED THE QUESTION… Suicide ideation can be caused by increased anxiety and depression, which can be caused by chronic pain pt’s pain management being forcibly reduced.

Should the chronic pain pt’s answer to THE QUESTION BE?

It may all depend on how much my pain management is reduced! Point to the bottom line on the chart! Might say something about the fact that aren’t doctors/practitioners supposed to be HEALERS?  As my pain management is reduced, I can expect the average intensity of my pain to increase, and my QOL is going to be compromised. I don’t look forward to being under “house arrest” because my pain will confine me to my house, chair, or bed. The CP pt might also express their concerns about all the other comorbidity issues that may be made worse and/or cause the pt to experience NEW COMORBITIY ISSUES not top of all the comorbidity issues they are already dealing with.

Right now, I can answer the questions with a NO, but suicide is generally somewhat impulsive. As my QOL deteriorates in line with my pain management being reduced, I can’t say what tomorrow brings.

Read this and weep – AGs and National Opioid Agreement – nicely put CPs OUT IN THE COLD

If the opioid settlement agreements result in shortages of prescription opioids for patients with legitimate medical needs, those patients may face significant challenges in pursuing legal recourse against the participants in the agreement. Here are key considerations:

1. Legal Protections for Settlement Participants

  • The settlement agreements were designed to resolve litigation and include provisions that shield participating companies from future lawsuits related to their role in the opioid crisis. These protections likely extend to claims stemming from the terms of the settlement itself, such as restrictions on opioid distribution17.

  • The agreements include measures like enhanced monitoring of opioid distribution and stricter controls on suspicious orders to prevent diversion, which could indirectly contribute to shortages12.

2. Challenges for Patients Seeking Recourse

  • Causation: Patients would need to prove that the settlement terms directly caused their inability to access necessary opioids, rather than other factors like supply chain issues or prescribing practices.

  • Intent and Liability: The agreements aim to address public health concerns by reducing opioid misuse and diversion. Courts may view these measures as reasonable efforts to combat a public health crisis, making it difficult for patients to argue negligence or harm by the participants.

3. Potential Public Health Concerns

  • Shortages of prescription opioids could push some patients toward illicit alternatives, increasing risks of overdose and other harms3. This underscores the need for careful implementation of settlement terms to balance public health goals with legitimate patient needs.

4. Alternative Avenues for Patients

  • Patients facing shortages may be able to advocate through healthcare providers, pharmacists, or policymakers for adjustments in distribution practices or exceptions for certain cases.

  • Healthcare providers can explore alternative pain management strategies or appeal to regulatory agencies if shortages become widespread and harmful3.

In summary, while patients affected by shortages might face difficulties in holding settlement participants legally accountable, they can advocate for improved policies or seek alternative solutions within the healthcare system.

Citations:

  1. https://www.naag.org/issues/opioids/
  2. https://www.texasattorneygeneral.gov/globalopioidsettlement
  3. https://www.pharmacytimes.com/view/opioid-drug-shortages-affect-patients-health-systems
  4. https://www.naccho.org/uploads/downloadable-resources/OpioidSettlementsPDFFinal.pdf
  5. https://www.texasattorneygeneral.gov/news/releases/opioids-maker-teva-agrees-425-billion-settlement-preliminary-agreement-will-provide-cash-and
  6. https://www.ncbi.nlm.nih.gov/books/NBK458653/
  7. https://www.casscountymi.org/1574/Opioid-Settlement-Funds
  8. https://ncdoj.gov/attorney-general-josh-stein-announces-26-billion-agreement-with-opioid-distributors-manufacturer/
  9. https://www.congress.gov/bill/115th-congress/house-bill/6
  10. https://nationalopioidsettlement.com/executive-summary/
  11. https://www.justice.gov/archives/opa/pr/justice-department-issues-guidance-protections-people-opioid-use-disorder-under-americans
  12. https://journalofethics.ama-assn.org/article/how-should-physician-respond-patients-pain-when-new-opioid-prescribing-laws-limit-shared-decision/2019-10
  13. https://micounties.org/opioid-settlement-resource-center/
  14. https://www.jnj.com/media-center/press-releases/johnson-johnson-statement-on-nationwide-opioid-settlement-agreement-
  15. https://www.michigan.gov/opioids/nel/laws
  16. https://nationalopioidsettlement.com
  17. https://ag.ny.gov/press-release/2022/attorney-general-james-secures-585-million-top-opioid-manufacturer-mallinckrodt
  18. https://www.ashp.org/drug-shortages/shortage-resources/injectable-opioid-shortages-faq
  19. https://www.in.gov/attorneygeneral/about-the-office/complex-litigation/opioid-settlement/
  20. https://oag.ca.gov/fentanyl/opioidslitigation

Answer from Perplexity: pplx.ai/share

US Government Sues Pharmacy Chains CVS and Walgreens for Their Alleged Role in the Opioid Epidemic AGAIN

I find it interesting that in this article this statement As for Walgreens, recent litigation revealed that the pharmacy used an “honor system” rather than conducting regular audits of pharmacists’ prescribing patterns

Pharmacists do not have prescriptive authority and has neither the training nor facilities to do an in-person exam, but make some sort of  the appropriateness of the prescription for the pt.

And it seems that they are working with some on data that was over a decade old. It is claimed that the USA gets 17 million new chronic painers every year. Is the trouble with proper treatment of chronic pain pts going to get worse or is the “powers to be” trying to use covert genocide to reduce the number of existing chronic painers we now have?

US Government Sues Pharmacy Chains CVS and Walgreens for Their Alleged Role in the Opioid Epidemic

https://www.doximity.com/collections/43b4c0fa-83e6-4c62-989d-f157d619bc81

In the span of 30 days, the US Department of Justice (DOJ) sued both CVS and Walgreens, along with dozens of their state subsidiaries. The country’s largest pharmacy chains—which collectively operate more than 17 000 storefronts—aided and abetted the opioid epidemic, the federal lawsuits—filed last December and this January, respectively—allege.

The civil lawsuits by the DOJ rest on the allegation that the pharmacy chains violated both the Controlled Substances Act (CSA) and the False Claims Act (FCA).

The CSA states that narcotics can only be used for “a useful and legitimate medical purpose.” By filling prescriptions that were invalid, the pharmacies “made choices that caused these millions of violations of federal law,” the DOJ alleged in the Walgreens lawsuit. The FCA, for its part, states that entities cannot knowingly present a “false or fraudulent claim” for government payment—either due to “deliberate ignorance” or “reckless disregard” of the claim’s falsehood. The DOJ alleged that by requesting reimbursement from Medicare and Medicaid for illegitimate prescriptions, the pharmacies broke the law. They unlawfully dispensed “massive quantities of opioids and other controlled substances to fuel its own profits at the expense of public health and safety,” the lawsuit against CVS stated.

To substantiate its claims, the government unsealed more than 800 pages associated with the civil complaints that included thousands of “false or fraudulent” prescriptions filed by the pharmacy giants between 2012 and 2024, including hundreds written by clinicians known to operate so-called “pill mills.”

In doing so, the pharmacies not only defrauded taxpayers under the FCA but also helped exacerbate the country’s ongoing fatal overdose crisis by routinely dispensing “extremely high doses and excessive quantities of potent opioids that fed dependence and addiction,” the DOJ alleged in its CVS complaint.

Pharmacists’ Evolving Role in Pain Management

The assertion that pharmacies played a role in stoking the opioid epidemic is not new, according to Dorie Apollonio, PhD, MPP, a professor in the Department of Clinical Pharmacy at the University of California, San Francisco (UCSF).

Pharmacists have an independent legal responsibility under federal law to properly fill prescriptions for controlled substances, but rather than being seen as the critical “backstop of appropriateness of the prescription,” Apollonio said, people tend to think of pharmacists as being limited to “‘lick, stick, count, and pour.’” From the beginning, opioid manufacturers “were not ignorant of the role of pharmacists” in selling their products, she added, and “made a lot of effort to try to convince pharmacists to fill prescriptions they might not have formerly believed that they should.”

The opioid manufacturing industry adopted tactics including offering pharmacists financial incentives and bonuses for filling more and more prescriptions, Apollonio said. But there were also more insidious strategies, like sponsoring continuing medical education sessions for Walgreens’ pharmacists that were led by drug company liaisons. This achieved the dual goal of helping the pharmacist understand the supposed need for high dosage levels and securing exclusive product promotion rights, including “‘guaranteed’ stocking of future products at specific key stores,” according to an email exchange between corporate leaders at Walgreens and opioid manufacturer Purdue Pharma, which was cited in the study about improper opioid dispensing practices that Apollonio coauthored. (Purdue has separately paid out billions of dollars in settlements for its role in stoking the opioid epidemic, as have individual members of the Sackler family, who owned a controlling interest in Purdue.)

Academic scholars, such as Marie Chisholm-Burns, PharmD, PhD, MPH, and her former team at University of Tennessee’s Health Science Center College of Pharmacy, have previously pointed to pharmacists’ complicity with the pharmaceutical industry’s “widespread, aggressive marketing campaign advocating long-term use of opioids…which minimized the risks of addiction and overexaggerated benefits.”

Most notably, experts reference the American Pain Society’s 1995 guidelines for acute pain treatment, which encouraged physicians and pharmacists to provide “attentive analgesic care” to patients. The guidelines would later prompt the society’s campaign to treat pain as the “fifth vital sign.” By late 2000, toolkits like one authored by the Veterans Health Administration specifically identified pharmacists as “critical to the development of a reliable and comprehensive understanding of the patient’s pain and associated problems.”

Looking to Past Settlements

The lawsuits against CVS and Walgreens are not the first for the pharmacy giants. In 2022, 2426 municipalities across all 50 states and 6 additional US territories reached a more than $4.2 billion settlement with CVS for its failure to properly monitor suspicious orders of opiates. Walgreens has made similar settlements, as has Walmart, which operates more than 5000 retail pharmacies.

In contrast to the federal lawsuits—which invoke federal legislation—the state complaints varied in accordance with differences in state legislation.

Many of the state lawsuits cited statutes aimed at preventing consumer fraud. For example, Rhode Island alleged that the pharmacies violated the state’s Deceptive Trade Practices Act by “deceiv[ing] and mislead[ing] prescribers into prescribing and consumers into seeking and taking medically unnecessary and…harmful quantities and strengths of opioids.” In Maryland, Walgreens violated the state’s Consumer Protection Act, for “falsely represent[ing] that the opioids it sold were safe and effective” and failing to undertake “adequate steps to ensure customer safety,” Attorney General Anthony Brown alleged.

Some complaints included additional charges, depending on the particular state law and applicability of additional legislation. For instance, the Rhode Island suit alleged that the pharmacies violated the state’s public nuisance law by “failing to provide effective controls and procedures to guard against diversion of opioids.” The Washington state suit also claimed that several pharmacies violated public nuisance law by contributing to the opiate crisis in a manner “unreasonable and harmful to the health of Washingtonians” that “interferes with the comfortable enjoyment of life.”

The settlements have had some positive impact, largely by obtaining funds for state efforts to address the opioid crisis. These public health initiatives include providing youth education about the risks of opioid abuse, purchasing and distributing naloxone for overdose prevention, and establishing residential detoxification centers, according to an opioid settlement spending tracker maintained by the National Academy for State Health Policy.

The settlement money has also contributed to building out infrastructure for public health surveillance related to opioid misuse. For example, according to the Federation of State Medical Boards, every state now maintains a prescription drug monitoring program (PDMP) designed to deter opioid abuse and diversion. However, as it stands, studies show that the breadth—and enforcement—of PDMPs varies considerably state-to-state in ways that can lead to unintended consequences, like inappropriately “dumping” patients who depend on long-term opioids for pain relief.

Putting Settlement Funds to Work

If the DOJ is successful in its lawsuits—what Peter Neronha, JD, attorney general of Rhode Island, calls an attempt to “get their pound of financial flesh”—the funds may serve to supplement these inconsistently effective efforts. Although Neronha said he was unsure how it could work, he suggested fashioning the settlements “in some way to reach Americans directly” as opposed to allowing that money to flow back to federal agencies without earmarking for specific or regional initiatives.

Scholars like Joshua Sharfstein, MD, and Sara Whaley, MPH, MSW, both at Johns Hopkins University’s Bloomberg School of Public Health, have raised other concerns related to ineffective use of opioid settlement money.

Often, funds are spent right away, “squandering the chance to invest in programs for the long-term,” or they are spent on ineffective or unproven programs, Sharfstein and a coauthor wrote in a 2020 article in JAMA. Similarly, they noted, authorities responsible for spending these funds frequently fail to develop systems that can evaluate on an ongoing basis whether the programs are actually working.

What the settlements do stand to provide is better public knowledge of pharmacies’ role in the crisis. A West Virginia lawsuit, for example, uncovered considerable flaws in CVS’s ability to effectively monitor suspicious orders: an algorithm purported to reduce human error in prescription surveillance was ultimately determined to render analyses that were “for the most part, irrelevant and pointless.”

As for Walgreens, recent litigation revealed that the pharmacy used an “honor system” rather than conducting regular audits of pharmacists’ prescribing patterns—even as there was a “general sense that Walgreens pharmacies may be lacking in some compliance areas.” The lawsuit further identified numerous examples in which patients died of overdoses shortly after filling their prescriptions at Walgreens—and whose autopsies noted intoxication with the very medications they’d been dispensed just a few days prior.

Depending on how federal lawyers choose to pursue the cases, a variety of documents—from emails to board minutes to memos—could further “shed light on what the business practices were” at US pharmacy giants, Neronha said. Those kinds of details could prompt new approaches to monitoring, regulation, enforcement, and future litigation. (The Opioid Industry Documents Archive, a collaboration between Johns Hopkins and UCSF, contains more than 22 million pages from 4 million internal corporate documents obtained in part through litigation.)

But transparency related to historic practices alongside a well-spent national financial settlement may not necessarily mean substantive, or durable, change in the opioid crisis when day-to-day operations of individual pharmacies are not standardized. For instance, research by Apollonio’s team suggests that such procedures as those surrounding “red flag” prescriptions vary immensely between stores, even when owned by the same parent chain.

Furthermore, states have had a limited ability to enact injunctions against harmful actions, beyond garnering financial payments for damages. Studies on other forms of litigation of large-scale public health concerns—including tobacco, asbestos, and lead paint—have likewise demonstrated that efforts to prohibit illegal and detrimental practices have historically taken a back seat to financial remuneration.

And, according to investigations by organizations like the Ohio Board of Pharmacy (OBP), the conditions that led to regularly filling problematic and dangerous prescriptions are deeply ingrained in large chain pharmacies like CVS and Walgreens.

In 2021, data published by the OBP found that 49% of more than 2900 CVS pharmacists across the state disagreed that they had “adequate time to complete [their] job in a safe and effective manner,” and 88% agreed that they “feel pressure” by their employer or supervisor to “meet standards or metrics that may interfere with safe patient care.” Insufficient staffing was also common at chain pharmacies and negatively affected patient care, according to nearly half of respondents.

“Company focus on metrics makes the current practice of pharmacy unsafe and results in high risk of errors,” one respondent wrote. “We are constantly expected to ‘do more’ with less.”

In February 2024, OBP took steps to address these patterns through a settlement with CVS that placed 8 of the pharmacy’s storefronts in the state on probation and, among other provisions, required the chain to address understaffing and reduce the use of quotas to incentivize pharmacist behavior.

Still, according to Cameron McNamee, OBP’s policy and communications director, these actions alone are not enough. The real question, he said, is whether the federal litigation can lead to widespread systematic changes at pharmacies, including changes that state agencies themselves lack the jurisdiction or authority to make.

“The pharmacists are the gatekeepers—they have the keys to the kingdom, and they’re that last stop for the patient,” McNamee said. “They have that obligation [to protect patients] under the law, but whether they follow it is a

As the Trump Admin close more and more of our borders restricting the flow of illegal Fentanyl Consequences?

The Deadly Cost of Drug Busts: How Law Enforcement Fuels the Overdose Crisis

https://www.cato.org/blog/deadly-cost-drug-busts-how-law-enforcement-fuels-overdose-crisis

Two years ago, I reported on a study published in the American Journal of Public Health that examined data from Marion County, Indiana, covering the period from January 1, 2020, to December 31, 2021, to determine whether changes in the number and types of overdose deaths were associated with areas that experienced increases in drug seizures by law enforcement.

The researchers found, “Within 7, 14, and 21 days, opioid-related law enforcement drug seizures were significantly associated with increased spatiotemporal clustering of overdoses within radii of 100, 250, and 500 meters.” They concluded: “Supply-side enforcement interventions and drug policies should be further explored to determine whether they exacerbate an ongoing overdose epidemic and negatively affect the nation’s life expectancy.”

Today, the Journal of the American Medical Association released a study reinforcing the evidence that police drug seizures lead to increases in overdose deaths. The study, funded by the National Institute on Drug Abuse and the Centers for Disease Control and Prevention, sought to assess whether patterns of law enforcement drug seizures are geographically linked to opioid-related overdose deaths in San Francisco.

The researchers examined records of overdose deaths, including their locations and times, from the Office of the Chief Medical Examiner, along with crime data from the San Francisco Police Department. They investigated whether drug seizures by law enforcement, based on when and where they occurred between 2020 and 2023, were linked to later opioid overdose deaths. Their analysis covered data from January 2020 through September 2023. The study included 2,653 drug seizure events.

The researchers found:

Within the surrounding 100, 250, and 500 meters, drug seizures were associated with a statistically significant increase in the relative risk for fatal opioid overdoses 1, 2, 3, and 7 days following law enforcement drug seizure events.

They concluded:

The findings of this cross-sectional study suggest that the enforcement of drug distribution laws to increase public safety for residents in San Francisco may be having an unintended negative consequence of increasing opioid overdose mortality. To reduce overdose mortality, it may be better to focus on evidence-based health policies and interventions.

As I speculated about the earlier study of Indiana residents, one potential reason is that after law enforcement conducted drug busts, people who use drugs in those neighborhoods had to turn to unfamiliar and potentially less trustworthy suppliers. Without an established relationship, they couldn’t be certain about the strength or purity of the drugs they purchased. In addition, disruptions caused by the seizures may have compelled dealers to alter their supply chains, leading them to change formulations or adjust doses. Both factors could contribute to an increase in overdoses following drug enforcement actions.

I have written many times about how law enforcement pressure pushes drug trafficking organizations to develop and distribute increasingly potent and dangerous drugs—a pattern drug policy analysts refer to as the “iron law of prohibition.” This places people who use drugs at greater risk of overdose. Now we have new evidence of another way in which law enforcement increases the risk of overdose.

This new evidence raises an unavoidable question: how many more lives must be lost before we abandon enforcement-based approaches that fuel the crisis they claim to fight?

Not Even Regulations The CDC’s guidelines alone created increasingly harsh con

Not Even Regulations: The CDC’s guidelines alone created increasingly harsh conditions for Americans with chronic and severe pain.

https://substack.com/home/post/p-159290287

President Trump’s first week in office included an order effective til at least February 1st, suspending all CDC, HHS and NIH communications: regulations, announcements, reports, advisories, updates and online posts. This aligns with pruning federal bureaucracy. But silencing these 3, of hundreds of agencies, is interesting.

Covid was, for many Americans, their first personal experience of vast, unregulated power imposed by federal agencies. Without enforcing laws or interpreting regulations, just publishing claims and data have unrestrained power.

For many Americans, it was shocking and novel seeing suggestions rapidly morph into mandates, while mainstream and social media stripped contradictory evidence and contrary opinions from public discourse. Some citizens were inspired to push others to wear masks.

But covid wasn’t the first time government actions that were neither laws nor regulations, imposed dire consequences on ordinary, law-abiding Americans.

One agency muzzled by Trump, CDC, exemplifies far-reaching federal influence. One example of the profound impact of CDC publications is the 2016 CDC guidelines for pain treatment with opioids. These guidelines — not regulations, not laws — initiated drastic, ongoing reductions in pain care nationwide.

The guidelines discussed pain patients who had never been prescribed opioids. CDC recommended for these patients’ doses below 90MME per day. The guidelines didn’t discuss established patients with severe and chronic pain, or the wide genetic variability of sensitivity to pain and sensitivity to opioids. Although pain is often described as a subjective experience, it’s observable in animals and people unable to verbalize, including infants, coma patients and dementia patients. Four the top ten reasons for US ER visits are pain (abdomen, chest, head and general). Another, back problems, entail pain. Only for Spock, a fictional alien, is pain merely “a thing of the mind.”

Caution introducing new medication sounds reasonable. However, variability in pain and opioid sensitivity makes a one-size dosing, even for one subset of patients, or medical condition, unworkable. Chronic and severe pain often requires much more than 90 MME per day. Individual morphine tablets of 200mg are legally manufactured and prescribed.

Between 2011 and 2021, US opioid prescriptions were down 40%. According to JAMA, from 2016 to 2018, prescriptions were down sharply. This trend began years before the guidelines.

After 2016, many insurers and medical groups, and state governments, drastically reduced prescribing, even for long established, successfully treated patients. The 90 MME limit is currently enshrined in laws in 40 states, often applying to all pain patients. Inpatient palliative care, especially for economically disadvantaged patients, has been significantly reduced.

In 2014, approximately 39.4 million Americans suffered chronic and severe pain. As of 2024, that number was over 60 million. In 2016, 1 in 10 US veterans had chronic pain, and after the guidelines were published veterans complained of insufficient pain treatment, and rising veteran suicides.

Facing widespread criticism, CDC expressed surprise the guidelines had been applied widely and swiftly. In a 2019 paper the guidelines’ authors claimed recommendations were implemented incorrectly and pain patients were deprived of necessary medications. Revised guidelines published in 2022 softened some recommendations, with no effect on post-2016 legislation.

The 2016 guidelines didn’t arise in a vacuum. Years of prior CDC publications featured flawed data. There was a detectable inference that legally-manufactured opioids prescribed by professionals present a uniquely serious threat not only to patients, but to society.

To illustrate how prescription opioid deaths were supposedly under-reported, a 2017 CDC report

discussed Minnesota patients with pneumonia and opioid prescriptions who died between 2006 and 2015. CDC argued these should be counted as opioid deaths, not pneumonia, as they had been.

A 2021 report in the medical journal “Cureus,” examined a decade of CDC publications about opioid-linked deaths. From 2006 to 2016, CDC’s opioid prescription death totals were inflated by counting deaths linked to illicit fentanyl and methadone dispensed for substance abuse treatment. Methadone prescriptions for pain started declining prior to 2016. “What is clear from the authors’ inquiry is that, even today, the CDC has no way of determining the actual number of prescription opioid overdose deaths each year. For more than a decade, the CDC’s erroneous reports went unchallenged while being used by Congress and the Executive Branch as the basis for public policy.”

A 2021 Pain Therapy report shows death attributed to opioids were over-reported by 20-30% — virtually the same percentage by which the CDC claimed opioid deaths were increasing. Almost 90% of deaths attributed to opioids included 1-4 other drugs on the death certificate, most frequently benzodiazepines. A 2021 CDC publication bluntly states that agency efforts to quantify overdose deaths are “falling short.” As of 2021, CDC hadn’t complied with Congress’ mandate to improve its methods for tabulating OD deaths. While one CDC publication reported opioid deaths were up in 2020, another, in 2023, stated they were up for the first time since 2018.

Considering the influence wrought by one publication on one subset of patients, data on that subset might be pertinent. A 2018 study in the BJM studied over two million opioid-naive patients receiving surgery between 2008 and 2016. Their subsequent opioid misuse rate was 0.6%.

In 2016, JAMA published data for 641,941 subjects, with no opioid prescriptions for at least a year, receiving major surgery between 2001 and 2013. The reference sample of 18 million, received no surgery. Depending on the surgery, rates of subsequent misuse ranged from 0.119% following C-sections, to 1.141% for total knee replacement. For the no-surgery control group, the rate was 0.136%.

Despite revised guidelines, and documented flaws in their opioid data, CDC continues to publish flawed data. The influence of the 2016 guidelines continues to spread. We now have a return of opioid-free surgery, as well as the opioid-free emergency room.

Many medical professionals fear prescribing appropriate opioids from misguided belief that opioid prescriptions are uniquely lethally dangerous, or fear facing legal battles like the plaintiffs in the Supreme Court Ruan case.

The influence the CDC exerted via publications alone cannot be undone with publications.

At this point, CDC officials could appear in sackcloth and ashes, on social media blast, vigorously repenting the 2016 guidelines, without affecting the sequela of their work in 2016. For reasonable pain care, we’d need: 1. legislatures in 40 states to repeal post 2016 laws, 2. professional medical education to cease depicting prescribed opioids as uniquely dangerous to patients and society, 3. the White House to stop financial rewards for Hollywood productions pushing narratives crafted by government drug warriors.

Even if all effects of the 2016 guidelines were entirely reversed, it will do nothing for patients and who died by suicide following the sudden withdrawal or forced tapering of their prescriptions. How many there have been has not be the subject of any federal research.

Originally Published by American Thinker February 8, 2025 under the title “The CDC’s Big Mistake”

Of course, Congress cares about your healthcare and its cost – NOT!

Continuing resolution keeps government funded, skips health care, PBM reform

https://ncpa.org/newsroom/qam/2025/03/17/continuing-resolution-keeps-government-funded-skips-health-care-pbm-reform

Last week, the House of Representatives passed the slimmed-down government funding legislation without PBM reform. On Friday, the Senate took up consideration of the funding bill. Senate Democrats threatened to shut down the government, attempting to negotiate potential amendments as well as introducing their own legislation that would fund the government for one month, giving time for additional negotiations regarding President Donald Trump’s spending power. Ultimately, they were unsuccessful. Friday evening, the Senate passed the slimmed-down bill, keeping the government funded, by a vote of 54-46.

While negotiations were occurring, Sens. Ron Wyden (D-Ore.) and Bernie Sanders (I-Vt.) attempted to pass the health care package agreed to in December, which included PBM reform, by unanimous consent, but Sen. Rick Scott (R-Fla.) raised an objection, causing the effort to fail.