Boy Denied Life-Saving Treatment Because He Used Cannabis Oil To Treat Seizures

Boy Denied Life-Saving Treatment Because He Used Cannabis Oil To Treat Seizures

www.mommingschool.com/boy-denied-life-saving-treatment-because-he-used-cannabis-oil-to-treat-seizures/

Despite increasing evidence that CBD (cannabidiol), a nonpsychoactive cannabinoid, can help treat severe seizure disorders, a thirteen-year-old Virginia boy suffering from a rare disease has been denied treatment for his use of the plant.

Kaden Hartman suffers from Niemann-Pick disease, also dubbed “Child Alzheimer’s.” According to the National Niemann-Pick Foundation, it is a rare disorder that affects lysosomal storage and metabolism and can cause symptoms including progressive loss of early motor skills, slurred speech, seizures, and hypersensitivity to touch. Most children diagnosed with Niemann-Pick do not live past age 20.

Kaden’s mother, Kathy, contacted High Times magazine to tell his story after he was denied access to an experimental medication he has been taking for three years after the coordinating hospital found out he had also been taking CBD. He has been using the plant-based treatment since he first began experiencing symptoms.

She says Cyclodextrin, the experimental treatment, has been effective in treating his disorder. It was approved directly by the FDA. “When there’s nothing else out there to save his life, the FDA will approve an experimental medicine, and he’s been on it for almost three years,” Kathy told High Times.

She says it’s “definitely working.”

She also believes the CBD is helping reduce his seizures. He has been using it under the supervision of his primary neurologist and initially received a prescription for it from his pediatric neurologist, Dr. Ralph Northam, who is now the governor of Virginia (in Virginia, cannabis oil was approved to treat “intractable epilepsy in 2015, and lawmakers are currently crafting legislation to allow the use of non-psychoactive cannabis oils for a broader range of conditions). You can see this for the best marijuana products in town! This prescription has allowed him to access a more potent version of the drug. Kathy says she told Kaden’s primary neurologist that it “seems to be working great” and says CBD comes with far fewer side effects than traditional anti-seizure medications. You can also click here to go on Missouri Green Team, to get the right information about medical marijuana.

But when Virginia Commonwealth University Medical Center contacted her to tell her Kaden would be taken off Cyclodextrin if he continued to take CBD, Kathy removed CBD from his regimen. “Off CBD, Kaden experiences many seizures. He has since fractured his skull, concussed himself, and developed two blood clots in his brain,” High Times summarized.

“Not only was this 13-year-old denied life-saving treatment because he used CBD oil, but CBD oil itself was a lifesaving treatment for seizures.”

Nevertheless, VCU Medical Center warned Kathy that she had to take her son off the medication. According to her, after they sent the warning letter, they called her, saying “Your son is on CBD oil. He is terminated from the clinical trial. Don’t bother ever showing up again,” she summarized.

She showed up to his next two appointments, anyway, concerned that if she didn’t, the FDA would terminate Kaden’s participation altogether. VCU terminated his spinal tap appointments, which were held every other Monday.

VCU eventually amended their previous statements, saying that “once they have approval from the FDA, the International Review Board (IRB), and the pharmaceutical company,” Kaden could go back on Cyclodextrin.

But, as High Times summarized, “Mrs. Hartman says that they don’t need any of these approvals due to the nature of Kaden’s treatment and that they shouldn’t be sharing information with the pharmaceutical company in the first place.”

She believes doing so could warrant a medical malpractice suit. Worse, getting the approval VCU is demanding could take months. “The FDA only meets once a month. The IRB only meets maybe quarterly or once a month,” Kathy said, worrying that because the company that manufactures the medication has already been bought out twice, Kaden may never be able to go back on it despite the fact that, according to Kathy, he doesn’t even need FDA approval.

He’s not part of a formal clinical trial. He’s a single patient under the compassionate use law,” she said. Further, she says the trial never forbade CBD. Besides, as Dr. Rebecca Caffrey, a friend of the Hartman family pointed out, “[Kaden] has received many meds not on the protocol, like steroids for the swelling in his fractured skull and pain meds during his recovery from that injury.”

High Times notes that other patients participating in similar drug trials for Niemann-Picks have been able to take CBD with no trouble.

“All they have to do is write a two-paragraph letter to the FDA saying FYI we put him on this medicine,” Kathy says (however, cannabidiol does remain illegal at the federal level, and current compassionate use stipulations direct potential patients to a pharmaceutical version of cannabis). According to her, the doctor in the trial never attempted to do that.

According to 10-WAVY, a regional outlet, the hospital declined to comment on Kaden’s case despite having commented on him previously. The hospital spokesperson cited patient privacy.

In the meantime, Kathy worries that the suspension of Kaden’s trial treatment is endangering his life. She says her friend’s son, who also suffered from the disease, missed two doses of Cyclodextrin and ultimately died. Kaden has missed multiple doses already.

“First do no harm. By doing nothing, you’re creating harm,” as Kathy says she told Dr. Syndi Seinfeld of VCU, who is responsible for Kaden’s treatment.

Or, more bluntly, as she told VCU, “You take him off the study…you just killed my child.”

This article is full on contradictions…  first it is stated that he is part of a clinical trial and secondly he is being given the medications because of COMPASSIONATE USE LAW…

The hospital declined to comment on Kaden’s treatment after they had previously made comments.

If Kaden is part of a clinical trial, being on a medication that is unknown to those supervising the clinical trial could – at some later point in time – call to questions of the outcomes of the clinical trial.

If he is receiving this medication as part of a “compassionate law” and nothing to do with a clinical trial.. that is a whole another story.

I smell that some attorney has gotten involved in this issue..  because it is stated in the article that CBD oil is still consider an “illegal substance” by the DEA .. regardless of state’s law.

If this hospital – like most hospitals – get a large portion of their revenue from Medicare, Medicaid.. could there have been a “veiled threat” from someone in the Federal judicial system regarding the hospital being able to be able to continue to treat Medicare and Medicaid pts if they continue to allow one of their pediatric pts to receive/take what our federal judicial system considered a ILLEGAL PRODUCT.

Could this child’s quality of life – or life itself – have little meaning to those in our judicial system or whatever entity that has put the “fear of the feds” into the hospital’s administration and caused this reaction.  Much like the same reactions that has caused untold thousands of chronic pain pts into living in a torturous level of pain and some of them deciding that the only relief that they can get from their unrelenting pain is SUICIDE.

 

Medical Treatment Denial and Malpractice Lawsuits

Medical Treatment Denial and Malpractice Lawsuits

https://www.injuryclaimcoach.com/treatment-denial.html

Can you sue a doctor or hospital for refusing treatment? The answer is…it depends. State and federal laws vary widely on the issues of medical treatment denial. If you’re considering legal action against a doctor or hospital for refusing to treat, you should consult with an experienced attorney. These cases are complex.

Refusal of medical treatment usually occurs in emergency rooms and urgent care clinics. A trained medical technician’s or nurse’s assessment of a medical condition, known as triage, determines the priority of an injured person’s medical need. People with life threatening injuries may be seen immediately, while those with lesser injuries may have to wait.

For example, a patient with chest pains, which may indicate the onset of a heart attack, will receive immediate medical care. Those with head trauma, serious burns, or other life threatening injuries will also be high on the list. Someone with a sprained ankle, however, may have to wait for several hours before being seen.

There are times when a patient may be rightfully denied emergency medical care. Some of the most common reasons include:

  • The patient exhibits “drug seeking behavior.” Most emergency room doctors and nurses are trained to identify those who likely have a drug problem.
  • The patient is deluded, believing she is seriously ill when there is no real illness.
  • The patient displays destructive or dangerous behavior while waiting to be seen.

If you don’t fall under one of the above categories, you will still be able to see the emergency room doctor, even if you don’t have a medical emergency (due to liability reasons). You may have to wait until every patient with a more serious condition is seen, even if they arrived at the E.R. hours after you did, which is a legitimate exercise of emergency care triage.

The Emergency Medical Treatment and Active Labor Act

The Federal Emergency Medical Treatment and Active Labor Act (EMTALA), is part of the Consolidated Omnibus Reconciliation Act (COBRA). EMTALA.com offers a summary of its provisions. The Act applies to all hospitals in the United States and its territories. It sets out the laws governing facilities that provide emergency medical care.

The EMTALA requires hospital E.R. staff to provide medical treatment to all people with real emergency medical conditions, regardless of the person’s ability to pay (or provide medical insurance). Illegal denial of treatment may subject the medical provider to disciplinary action.

Under EMTALA, an emergency medical condition is defined as:

…one that manifests itself by acute symptoms of sufficient severity (including severe pain, psychiatric disturbance, and/or symptoms of substance abuse) such that the absence of immediate medical attention could reasonably be expected to result in the following:

  • placing the health of the individual (or unborn child) in serious jeopardy
  • the serious impairment of a bodily function
  • the serious dysfunction of any bodily function or part
  • the inadequate time to effect a safe transfer of a pregnant woman to another hospital before delivery, or, that the transfer may pose a threat to the health or safety of the woman or unborn child.”

Under EMTALA, people with medical emergencies must be treated to the extent their condition is stabilized. Stabilized means the patient is placed in a position so that discharge from emergency care will not adversely affect or otherwise cause a “material deterioration” of the patient’s condition.

This includes the time that passes during the patient’s return home, or to another medical facility. For women, this includes waiting until a baby is delivered.

Under the Federal Civil Rights Act of 1964, and subsequent federal laws, hospital emergency rooms and registered clinics can’t deny treatment to patients based on race, color, creed, age, or sexual preference, presuming the patient has a true medical emergency.

Once stabilized, the EMTALA permits the medical facility to legitimately deny the patient medical care. Denial of care can be based on a number of legitimate reasons (barring descrimination), including inability to pay for services, lack of insurance, type of illness, and other practical reasons.

What to do if you were denied emergency medical treatment:

If you were denied treatment for legitimate reasons at an emergency room or urgent care center, you may have no legal recourse. If, however, you learn from a credible medical provider your condition did require emergency care, and you were turned away from an E.R., you may have the basis of a medical malpractice claim.

Additionally, you may report the emergency provider’s action to Medicare. They will investigate your claim, and if they find you were denied emergency medical care in violation of EMTALA, the facility may be subject to:

  • Termination of their lucrative Medicare provider agreement
  • Fines up to $50,000 per violation ($25,000 for a hospital with fewer than 100 beds)
  • Physician fines of $50,000 per violation, including on-call physicians

If you are wrongly denied treatment in an emergency room setting, ask to see the person responsible for operations. State that you are familiar with EMTALA regulations and you’re sure refusing to treat you is a violation. Cite the reasons you were wrongfully denied treatment, such as not having insurance, or being unable to pay the costs of treatment.

You have no rights to any fines levied against the hospital for violation of EMTALA. However, if you can prove their treatment denial resulted in an unnecessary aggravation of a pre-existing condition, or was responsible for unnecessary physical pain and suffering, you may have the basis of a medical malpractice case.

If the hospital was fined or censured by the government for violating EMTALA, those violations will go a long way towards supporting a malpractice claim.

If you were refused medical treatment based on discrimination, as set out under the Federal Civil Rights Act, the violation can be reported to your state attorney general’s office, or the local office of the United States Attorney.

Can private doctors refuse to treat patients?

The short answer is, yes. A private doctor isn’t subject to the provisions of EMTALA, and can dismiss you as a patient at any time (barring discrimination), for just about any reason, without fear of credible legal reprisals. Doctors in private practice are basically small business owners. In a sense, a sign stating “No Shirt, No Shoes, No Service” can be applied to doctors, as well as to your local restaurateur.

A doctor can refuse to treat a patient because:

  • The doctor’s practice is so busy she is unable to accept new patients.
  • The doctor doesn’t have a working relationship with your health insurance company.
  • The doctor chooses not to treat patients with the illness or injury you suffer from.
  • You can’t pay for the costs of treatment.
  • You or your spouse is a medical malpractice attorney.

Your doctor can refuse to continue treating you because:

  • You haven’t paid your bill.
  • The doctor has stopped doing business with your health insurance provider.
  • You continue to exhibit drug seeking behavior.
  • You are a disruptive patient.
  • For reasons of conscience (including religious, contraceptive, or palliative care beliefs, or deciding not to prescribe narcotics for pain management).
  • The doctor learns you or your spouse is a medical malpractice attorney.

There is an exception:

You can’t be discharged if it will result in your medical condition worsening before you find another doctor, or will result in another medical condition.

If your doctor says she has to stop treating you, you must try to find another doctor as soon as reasonably possible. Whether or not your doctor can discharge you as a patient after giving you adequate time to find another doctor, and you refused to do so, is a question for the courts.

If your doctor refuses to continue to provide treatment, and as a direct result your condition worsens, you may have the basis of a medical malpractice claim.

Get an Attorney

If you believe you were wrongfully denied medical treatment by a doctor or emergency care facility, and that denial caused you further injury, you must seek the advice and counsel of an experienced medical malpractice attorney.

Malpractice cases are complex, and can sometimes take years to resolve. Hospitals and doctors pay millions of dollars in malpractice insurance premiums. Any malpractice claim will be defended aggressively by “take no prisoners” attorneys working for the insurance company. Only an experienced attorney can handle a case like this and properly represent your interests.

If the treatment denial occurred in an emergency room setting, you should retain an attorney with experience in EMTALA violations. Most malpractice attorneys don’t charge for an initial consultation. In almost all cases, you won’t have to pay any legal fees or other costs until, and unless your attorney wins your case.

WE THE PEOPLE Restoring Due Process

WE THE PEOPLE

Restoring Due Process

Would you accept our judiciary deciding that we no longer have a right of free speech, or privacy or right to bear arms?  Of course not!  So of course you cannot accept the fact that we no longer have a right of due process.

This cause is about restoring our right of DUE PROCESS that has been usurped by our corrupt legal profession.  WE THE PEOPLE, here assembled, do not reflect our political party affiliation.  DUE PROCESS is essential to all free people.  The term “republican” is used on this website to describe our form of government NOT PARTY AFFILIATION.

Think back to our pledge of allegiance…  “I pledge allegiance to the flag of the United States of America, and to  the republic for which it stands, one nation under God, indivisible,  with liberty and justice for all.” 

Become a Co-Plaintiff

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What WE THE PEOPLE are about

 

We are going to bring the people of this country together and join  hands and demand reform of our governments.  We are not asking!  We are  asserting our right to do so.

This demand will be made in the  form of a lawsuit filed directly in the Supreme Court Of The United  States (SCOTUS).  A “Petition For An Extraordinary Writ In The Nature of  Mandamus” pursuant to Sup. Ct. Rule 20.

The SINGLE purpose of this site is to assemble THE PEOPLE in this type of “class action” lawsuit filed directly in SCOTUS.

We are going to file this Extraordinary Writ as co-plaintiffs  (“Petitioners” in SCOTUS lingo) numbering hundreds of thousands strong.

Corrupted Legal System

Our corrupt judiciary, made up in large part of corrupt attorneys wearing black robes (costumes), have FORSAKEN PUBLIC TRUST.  Our judiciary is unwilling to provide objective oversight of themselves and the legal profession, resulting in rampant rights violations and federal crimes perpetrated under color law.

We are going to assert our right to REFORM our government and return power to the people and RESTORE DUE PROCESS.  We are going to demand an end to judicial corruption routinely occurring during court proceedings.

You only need add your name as co-petitioner and DEMAND reform.  It is  time to stop whining and complaining without taking action.  The time is  now to STAND UP and FIGHT for your CONSTITUTIONAL RIGHTS!!

If you would like to learn more, ask questions about this project, interact with thousands who have joined this cause, find someone to invite you to the “secret” Facebook group  WE THE PEOPLE v. THE FIFTY UNITED STATES, you must be invited by a FB friend to join this group of patriots who are committed to peaceful reform of our broken and corrupt legal system.

I want to be a co-plaintiff / co-petitioner

Are you ready for reform?  Hold onto your seats! If you want to be a co-petitioner on the most historic and most important lawsuit ever presented to the Supreme Court of the United States – Enter your email address below and “Become Co-Plaintiff”   Our team will pay all the legal costs, all costs of filing.  

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Drug OD’s had been growing exponentially for 15 yrs BEFORE OXYCONTIN WAS INTRODUCED TO THE MARKET

Drug Overdose Epidemic Has Been Growing Exponentially For Decades

https://www.news-line.com/PH_news27263_enews

 

 

 

 

 

 

 

 

 

 

Death rates from drug overdoses in the U.S. have been on an exponential growth curve that began at least 15 years before the mid-1990s surge in opioid prescribing

suggesting that overdose death rates may continue along this same historical growth trajectory for years to come, according to a University of Pittsburgh Graduate School of Public Health analysis published today in Science.

The type of drug and the demographics of those who die from overdoses has fluctuated over the years. When the use of one drug waned, a new drug filled in, attracting new populations from different geographic regions at faster rates. These findings suggest that, to be successful, prevention efforts must extend beyond control of specific drugs to address deeper factors driving the epidemic.

“The current epidemic of overdose deaths due to prescription opioids, heroin and fentanyl appears to be the most recent manifestation of a more fundamental, longer-term process,” said senior author Donald S. Burke, M.D., Pitt Public Health dean and UPMC-Jonas Salk Chair of Global Health. “Understanding the forces holding these multiple individual drug epidemics together in a tight upward exponential trajectory will be important in revealing the root causes of the epidemic, and this understanding could be crucial to prevention and intervention strategies.”

Burke and his team collected all the accidental drug poisoning – overdose – deaths reported through the U.S. National Vital Statistics System since 1979, when drug overdoses began to be reported in their own category. In the past nearly four decades, the drug overdoses plot as a near-perfect curve, with each yearly data point falling almost exactly on the smooth upward exponential curve.

“This remarkably smooth, long-term epidemic growth pattern really caught our attention,” Burke said. “If we can figure it out, we should be able to bend that curve downward.”

The team then examined overdose death rates for individual drug types, such as cocaine, heroin and prescription opioids, which began to be reported in 1999. What they found was far from perfect.

“There is no regular or predictable pattern to the overdose rates for any of these drugs. Cocaine overdose death rates curved down and up and down and back up over the past 20 years. Methadone deaths have been on a downturn since the mid-2000s. Prescription opioids have been on a fairly steady, steep climb. Heroin deaths shot up in 2010, followed in 2013 by synthetic opioids, such as fentanyl.

Methamphetamine appears to be on the verge of its own dramatic climb,” said lead author Hawre Jalal, M.D., Ph.D., assistant professor of health policy and management at Pitt Public Health. “Nonetheless, when we plot the annual sum of all drug overdoses, we get a remarkably smooth, inexorable exponential curve.”

The team also explored the underlying demographics – age, race, gender and geographic location – of the people who died of drug overdoses. Again, they found great variability depending on the type of drug. Heroin and cocaine impact urban populations, whereas prescription opioids and methamphetamine skew a bit more rural. Cocaine has higher death rates in black men than other populations. When it comes to heroin, younger whites and older blacks have higher death rates.

But, when the overall demographics are combined for all types of drugs, a clear picture emerges of growing death rates spreading across people ages 20 through 65 as the years tick by.

When overdoses are plotted on a U.S. map, certain drugs dominate different areas.

But, when taken as a whole, almost every region in the country is a hotspot for overdose deaths from one or more drugs, with the exception of the north central states.

None of these analyses suggest an obvious mechanism as to how multiple, drug-specific sub-epidemics have merged into a single, tight, exponential curve. However, the researchers believe that improved communications and supply chains, efficiencies in drug manufacturing, expanding drug markets and lower prices could all be making illicit drugs more available, while sociological and psychological forces, such as loss of purpose, dissolution of communities and despair, could be accelerating demand.

“This is a paradox – inexorable growth in the aggregate, composed of variable sub-epidemics,” said Burke. “But it should be solvable. Evidence-based public health responses have contained past epidemics. If we understand and address these root causes at the same time that we take on the opioid crisis, we should be able to curb the epidemic for good.”

Co-authors of this research are Jeanine M. Buchanich, Ph.D., and Mark S. Roberts, M.D., both of Pitt Public Health; Lauren C. Balmert, Ph.D., of Pitt Public Health and Northwestern University; and Kun Zhang, Ph.D., of the U.S. Centers for Disease Control and Prevention (CDC).

This research was supported in part by CDC grant IPA1605230, National Institutes of Health grant 1KL2TR0001856 and Robert Wood Johnson Foundation grant 72858.

Chronic pain drives millions of Americans to suicide: CDC report reveals rise in patients with cancer, arthritis, and back pain taking their own lives

https://www.dailymail.co.uk/health/article-6152779/Chronic-pain-drives-millions-Americans-suicide.html

  • CDC researchers analyzed suicide data on 18 states between 2003 and 2014
  • They found the rate of people with chronic pain taking their own lives went up
  • Firearm-related injuries were the most common cause of death in all suicide cases, but more common among pain patients than those without pain
  • Researchers say this shows a clear need for suicide prevention for pain patients, even if they don’t seem at risk 

Chronic pain from cancer, arthritis, and other conditions drives millions of people to suicide every year, a new report warns. 

The mortal implications of pain have been widely discussed in recent years since the opioid epidemic showed painkillers can drive anyone to overdose, whether intentionally or not. 

But a new report by the CDC warns overdoses account for a minority of deaths among people who suffer from chronic pain. 

In recent years, the number of chronic pain patients intentionally taking their own lives has soared, with most cases committed using a firearm. 

The researchers warn their findings highlight that suicide prevention should be a fundamental element of care for chronic pain patients, especially when their treatment involves highly-addictive, potentially lethal drugs. 

CDC researchers analyzed suicide data on 18 states between 2003 and 2014. They found the rate of people with chronic pain taking their own lives went up (file image)

CDC researchers analyzed suicide data on 18 states between 2003 and 2014. They found the rate of people with chronic pain taking their own lives went up (file image)

Pain is a daily reality for at least 25 million Americans, according to national data. At least 10.5 million suffer severe pain on a daily basis. 

New data compiled by researchers at the Centers for Disease Control and Prevention, published today in the journal Annals of Internal Medicine, hammer home why there is more to it than habitual discomfort.

Looking at just 18 states between 2003 and 2014, lead author Emiko Petrosky and colleagues found 123,181 people had committed suicide. A staggering nine percent of them (10,789) had been battling chronic pain, particularly from things like arthritis, cancer and back pain.

It was a connection that became stronger and stronger over the years. In 2003, 7.4 percent of suicide cases were tied to chronic pain. By 2014, that figure had risen to 10.2 percent.     

Firearms are the most common cause of death for all suicides in America, but this study shows it is more common for people with pain (53.6 percent) than those without (51 percent). Meanwhile 16.2 percent of pain patients who committed suicide died by overdose.

The study also found chronic pain patients were more likely than others to have been diagnosed with anxiety and depression, and were much more likely than to have opioids in their system at the time of their death than those who were not suffering from pain (whether the drugs were a cause of death or not).

Writing in an editorial released in tandem with the study, Dr Mark Ilgen, of the department of psychiatry at the University of Michigan, says the findings show a clear need to ‘raise hope in persons with chronic pain’.

‘Suicide prevention involves making effective pain interventions more available,’ he says, but warns that that is, clearly, not enough. 

These interventions, Dr Ilgen explains, ‘extend beyond providing access to opioids and should also include, if appropriate, other medications, interventional programs, physical therapy, and psychosocial approaches.’ 

‘These pain-related interventions need to be supplemented with mental health treatment in persons with pain and depressive and anxiety-related symptoms to foster hope and help address suicidal thoughts and plans.’ 

  • For confidential support in the US, call the National Suicide Prevention Line on 1-800-273-8255 
  • For confidential support in the UK, call the Samaritans on 116123 or visit a local Samaritans branch, see www.samaritans.org for details. 
  • For confidential support in Australia, call the Lifeline 24-hour crisis support on 13 11 14

Does this report suggest that the war on drugs and substance abusers has/is causing chronic pain pts to commit suicide because of their unrelenting, unbearable pain ?  Where is the media with their outrage of all of these otherwise preventable deaths.. as you do with substance abuser who die from a OD ?

Has the deaths/suicides of those in the chronic pain community became ACCEPTABLE to our society while we try to prevent those who abuse some illegal substance OD are so unacceptable that our society is pulling out all the stops in an attempt to prevent those OD’s… and yet the number of deaths are increasing both by chronic pain pts committing suicides and substance abusers that are ODing

where is the OUTRAGE by the media and the families of those who are committing suicide and/or ODing from using/abusing an illegal substance ?

Perhaps this suggests where the media and others “fighting the war on drugs”  has their “head”

The Link Between Drug Policy and Access to Medicines

The Link Between Drug Policy and Access to Medicines

https://www.opensocietyfoundations.org/explainers/link-between-drug-policy-and-access-medicines

How does drug control policy undermine access to medicines?

Virtually all governments have laws and regulations that control the public’s access to substances judged to be potentially harmful. Some of these controlled substances may have medical or scientific uses, yet they are inaccessible to people who could benefit from them. The result is that tens of millions of people suffer because they lack access to essential medicines.

What is the impact on people’s health?

Some 75 percent of the world’s population—about 5.5 billion people—live in mostly low- and middle-income countries in which effective pain-relieving medicines are largely inaccessible.

For instance, more than five million terminal cancer patients and one million end-stage AIDS patients suffer from severe pain every year. Still others are forced to upend their lives to access the medicines they need—two-year-old Tristan Forde suffered 20 seizures a day until his family moved from rural Ireland to Colorado to legally access the medical marijuana that finally eased his suffering.

Many of these patients could benefit from morphine, the gold standard for the treatment of severe pain. Morphine is not expensive, but many governments severely limit its use. Over 90 percent of all morphine is used in a small number of high-income countries that are home to only 17 percent of the world’s population.

Does drug control policy affect access to medications used for mental health as well?

Yes. Numerous psychotropic medicines, antidepressants, and a wide range of antipsychotic medicines are unavailable to millions with psychosocial disabilities. Medicines prescribed to treat addiction are outlawed in some countries, or so tightly regulated that they are available to very few. Medicines that block psychotropic effects of illegal drugs are prioritized as treatment over those that may be more effective and affordable, but are deemed to have a potentially mood-altering effect. 

How does drug control policy affect research into new medicines?

Drug policy can undermine research that could uncover the medical value of many substances. For example, cannabis and related compounds known as cannabinoids have been shown to treat childhood epilepsy, and relieve pain and nausea associated with cancer and chemotherapy. But the use, sale, and production of medical cannabis remain overly regulated or even unlawful in many countries, and research on their benefits restricted.

Some indigenous peoples have centuries-old traditions that involve ritual or therapeutic use of plant-based psychotropics, including psychedelic substances such as ayahuasca and peyote. Research into the medical benefits of these substances is similarly nonexistent or heavily restricted in most countries.

Aren’t these controls necessary for governments to protect the public from substances that could harm them?

Harmful drug use is certainly a public health problem, but in many countries, drug control policies lean too heavily towards limiting access to medicines for which patients have a legitimate and urgent need.

Of particular concern is access to opioid medicines, such as morphine, oxycodone, hydrocodone, and codeine, all essential medicines for the treatment of pain which are often heavily restricted. Methadone and buprenorphine (also opioid medicines) are essential for treatment of both pain and opioid dependence, but are grossly underused and overregulated.

Ketamine is considered by the World Health Organization (WHO) to be an indispensable anesthetic in low- and middle-income countries. Despite this, China has led global efforts to heavily restrict or even eliminate it, due to its hallucinogenic properties and potential for recreational use.

Who sets the guidelines for how these medicines are controlled?

The vast majority of countries are party to three United Nations drug conventions, which are meant to guide national decisions about which substances should be controlled. The UN is also meant to guide countries in determining whether or not a substance has medical or therapeutic use, and how to ensure availability of controlled substances for licit medical use.

The drug conventions designate WHO as the expert agency for determining the medical value of psychotropic substances, but too often WHO’s opinion is challenged because of security concerns, sometimes misguided.

Why don’t more political leaders and medical professionals challenge these policies?

Many factors conspire to keep controlled medicines inaccessible:

  • Drug control authorities may not be adequately informed about the practical safeguards that can keep controlled medicines in the health system from being diverted to illicit use. 
  • Policymakers, health professionals, and the general public may harbor misinformed fears of addiction, or prioritize control of medicine supply over treatment for those in need.
  • Physicians may fear prosecution under wide-ranging drug laws if they prescribe a controlled medicine that is somehow diverted. 
  • Health professionals may have to jump through so many onerous drug-control hoops—heavy paperwork requirements, limits on the prescription amount or duration, the need for special licenses—that they decide to avoid using controlled medicines altogether. 

In many places, nonuse or underuse of controlled medicines simply becomes an entrenched reality: medical school curricula stop teaching on the subject of controlled medicines, and policymakers are inexperienced in crafting measures to meet the challenge of balancing drug control and access to medicines. In addition, drug manufacturers may compound these barriers by pressuring countries to purchase the most expensive formulations of controlled medicines, and health authorities may be unaware of affordable options.

What can be done to improve access to controlled medicines?

The UN General Assembly Special Session on drug control in 2016 urged governments to adopt balanced drug control policies that could be achieved in part by establishing a strong national authority to estimate the level of need for and ensure availability of controlled medicines, ensure adequate training for health professionals on their use, and establish effective but not unduly repressive antidiversion measures.

These measures are unlikely to succeed, however, unless the governance of drug control policy is also “balanced,” with health and social sectors on par with—and not dominated by—the security and policing sectors.

Using the UN Human Rights System to Advocate for Access to Palliative Care and Pain Relief

Using the UN Human Rights System to Advocate for Access to Palliative Care and Pain Relief

https://www.opensocietyfoundations.org/voices/ukraine-investigates-health-care-abuses-torture

In late 2014, Kseniya Shapoval received a phone call from a young woman named Oksana in Western Ukraine. Oksana’s grandfather, suffering from terminal cancer, was discharged from the hospital three days before his death without pain medication. He died crying in agony. 

Oksana wanted to make sure no one else suffered the way her grandfather did, so she contacted Shapoval after hearing about her work on palliative care with the International Renaissance Foundation, Open Society’s foundation in Ukraine.

Shapoval investigated the situation, and realized further scrutiny was required to understand why Oksana’s grandfather had inadequate access to pain medication.

Thanks to Ukraine’s formal monitoring mechanism, Shapoval was able to take action.

In 2013, the UN Special Rapporteur on Torture found that severe abuses in health care settings amount to cruel, inhumane, and degrading treatment, and even torture. The Special Rapporteur further pointed out that denial of care is also an issue—for example, denial of essential pain relief medications (including morphine or opioids) due to an inadequate supply of medications, or policies that prioritize drug control over patients’ rights.

Ukraine has applied this novel approach to patient rights. It draws upon the state’s obligations under the Convention against Torture and Optional Protocol to prevent acts of torture and other cruel, inhuman, or degrading treatment.

Specifically, the Optional Protocol introduces a system of independent national monitoring bodies collectively known as the National Preventive Mechanism (NPM). The NPM is mandated to conduct regular visits to places where persons are deprived of their liberty. Crucially, the phrase “places where persons are deprived of their liberty” is interpreted more broadly than places of detention, and includes a range of closed facilities. 

Dr. Andrey Rohansky, trained as both a doctor and a lawyer, brings a unique perspective to the challenges surrounding patient rights in his role as executive directive of the Institute of Legal Research and Strategies. Rohansky joined forces with Shapoval and human rights advocates to argue that closed health facilities—where a person is not free to leave—amount to places where people “are deprived of their liberty.”

In 2014, the Ukrainian NPM agreed, and further stipulated that palliative care patients need special rights protection. The NPM determined that palliative care hospices can conditionally be interpreted as places of detention due to the high degree of control exercised over patients’ living conditions.

Around the time of Oksana’s call, the NPM embarked upon its first monitoring visit to a closed health facility. Shapoval and Rohansky joined the group as civil society experts.

At Shapoval’s proposal, the NPM conducted a monitoring visit to Oksana’s grandfather’s hospital in Western Ukraine. The visit revealed a number of significant issues including weak prescription and discharge protocols, which resulted in patients frequently being discharged without pain medication. The NPM official report and recommendations for the hospital were submitted to the Ministry of Health and local government.

A follow-up NPM visit was conducted in March 2015, revealing the district health department had responded to the report and recommendations. This response included terminating the employment of the doctor overseeing the hospital, and conducting training for doctors on prescriptions, record keeping, and pain management for discharged patients.

Proving itself to be a valuable tool for patient rights, the NPM has now monitored eight closed facilities and has followed up with reports and recommendations. This innovative use of the NPM has the potential to improve conditions at a systemic level, and uphold the dignity of the sick and most vulnerable in society. 

Ukraine Applies Anti-Torture Standards to Health Care

In late 2014, Kseniya Shapoval received a phone call from a young woman named Oksana in Western Ukraine. Oksana’s grandfather, suffering from terminal cancer, was discharged from the hospital three days before his death without pain medication. He died crying in agony. 

Oksana wanted to make sure no one else suffered the way her grandfather did, so she contacted Shapoval after hearing about her work on palliative care with the International Renaissance Foundation, Open Society’s foundation in Ukraine.

Shapoval investigated the situation, and realized further scrutiny was required to understand why Oksana’s grandfather had inadequate access to pain medication.

Thanks to Ukraine’s formal monitoring mechanism, Shapoval was able to take action.

In 2013, the UN Special Rapporteur on Torture found that severe abuses in health care settings amount to cruel, inhumane, and degrading treatment, and even torture. The Special Rapporteur further pointed out that denial of care is also an issue—for example, denial of essential pain relief medications (including morphine or opioids) due to an inadequate supply of medications, or policies that prioritize drug control over patients’ rights.

Ukraine has applied this novel approach to patient rights. It draws upon the state’s obligations under the Convention against Torture and Optional Protocol to prevent acts of torture and other cruel, inhuman, or degrading treatment.

Specifically, the Optional Protocol introduces a system of independent national monitoring bodies collectively known as the National Preventive Mechanism (NPM). The NPM is mandated to conduct regular visits to places where persons are deprived of their liberty. Crucially, the phrase “places where persons are deprived of their liberty” is interpreted more broadly than places of detention, and includes a range of closed facilities. 

Dr. Andrey Rohansky, trained as both a doctor and a lawyer, brings a unique perspective to the challenges surrounding patient rights in his role as executive directive of the Institute of Legal Research and Strategies. Rohansky joined forces with Shapoval and human rights advocates to argue that closed health facilities—where a person is not free to leave—amount to places where people “are deprived of their liberty.”

In 2014, the Ukrainian NPM agreed, and further stipulated that palliative care patients need special rights protection. The NPM determined that palliative care hospices can conditionally be interpreted as places of detention due to the high degree of control exercised over patients’ living conditions.

Around the time of Oksana’s call, the NPM embarked upon its first monitoring visit to a closed health facility. Shapoval and Rohansky joined the group as civil society experts.

At Shapoval’s proposal, the NPM conducted a monitoring visit to Oksana’s grandfather’s hospital in Western Ukraine. The visit revealed a number of significant issues including weak prescription and discharge protocols, which resulted in patients frequently being discharged without pain medication. The NPM official report and recommendations for the hospital were submitted to the Ministry of Health and local government.

A follow-up NPM visit was conducted in March 2015, revealing the district health department had responded to the report and recommendations. This response included terminating the employment of the doctor overseeing the hospital, and conducting training for doctors on prescriptions, record keeping, and pain management for discharged patients.

Proving itself to be a valuable tool for patient rights, the NPM has now monitored eight closed facilities and has followed up with reports and recommendations. This innovative use of the NPM has the potential to improve conditions at a systemic level, and uphold the dignity of the sick and most vulnerable in society.

OHIO: Pharma opiate OD’s lowest in 8 yrs… Total opiate OD deaths – EIGHT YEAR HIGH !

Fatal drug overdoses in Ohio increase to record number

A review of the data shows fentanyl continued to fuel the drug epidemic

https://www.wkbn.com/news/ohio/fatal-drug-overdoses-in-ohio-increase-to-record-number/1468760131

COLUMBUS, Ohio (AP) – Information reported to the state shows fatal drug overdoses increased to a record 4,854 last year in Ohio, a 20 percent rise compared with the previous year.

The Columbus Dispatch reports data on unintentional drug deaths reported to Ohio’s Department of Health show 2017 was the eighth year in a row that drug deaths increased. Ohio’s county coroners logged 4,050 fatal overdoses in 2016.

A review of the data shows fentanyl continued to fuel the drug epidemic. The synthetic opioid accounted for nearly three-fourths of last year’s overdose deaths.

A state Health Department spokesman says there was progress in reducing the number of prescription opioids available for abuse. Reported fatal overdoses from prescription opioids last year totaled 523, the lowest number in eight years.

 

 

 

 

 

 

 

 

 

This report is like a Magician … what you see … challenges what you don’t see..  While legal opiate prescriptions are down as are OD deaths from those particular drugs … but what they are not talking about is the increase in use/abuse of Meth, Cocaine, Crack, Marijuana and other substances.  We are now seeing reduced use/abuse of illegal Fentanyl analogs and Heroin because substance abusers are not necessarily STUPID… they are seeing how LETHAL the mixture of Heroin and a illegal Fentanyl analog that is being sold on the street is… so the typical substance abuser will chose to abuse what is in vogue, is the most available or the least expensive.  But what is not being talked about much is that illegal Fentanyl analogs is now starting to show up in Cocaine that is being sold on the street.

Will the politicians/bureaucrats be able to do what seems to be the “simple math” that legal prescribing of pharma opiates has little/nothing to do with the use/abuse/OD’s of various legal and illegal opiates ? Color me skeptical !!!

This is from FLORIDA… part of the world’s best healthcare system ?

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I didn’t go to ER I went to walk in clinic so but I still think walk in clinics can write a prescription for pain medication if they wanted to. I didn’t ask for any either but they didn’t offer any.

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The CDC and their fabricated data ?

A little CDC.gov forced honesty from their new report released 8/31/18:

Opioid deaths:
14,487 out of a total of 325.7 million people in the US died in 2016 from LEGAL PRESCRIPTION opioids.
That’s .000004% of the population! Now why is there a hysteria over PRESCRIPTION opioids?

Good question!

Especially when alcohol related deaths are
88,000 of 325.7 million. That’s a much BIGGER number!!
Yet… No hysteria over alcohol

1.3 million people are injured with 35,000 that die in car wrecks per year. Just to give you a reference. A WAY BIGGER number. No hysteria over that. (edited.)

Hmmm. 🤔

Maybe it’s because this is how they reported opioid deaths to the media:

‘Drug overdose deaths in 2016 reached a NEW RECORD HIGH.’
‘Drug Overdose Mortality:
A RECORD NUMBER of drug overdose deaths occurred in 2016: 63,632,
A RECORD 19.8 PER 100,000 PERSON’S.’
(19.8/100,000 is still only .0001% but it looks BIGGER reported this way.)

Sounds like everybody is dying from opioids doesn’t it? Now why did they say 66,632 died when I said 14,487 up top? That’s a BIG difference!

Well…CDC combined LEGAL, law abiding citizen prescription opioid deaths, with ILLEGAL heroin, cocaine, and fentanyl deaths!
Why would anybody want to DO that?
It’s kind of misleading isn’t it?
Well…it makes a BIGGER NUMBER.

Where’s all the hysteria and ‘crisis’ for the 1,300,000/325,700,000 each year DYING of car wrecks!!? I can make that sound awful! And it is! But it’s still only .003% of the population and people have decided it’s worth the RISK:BENEFIT RATIO to drive. And the government lets them.

Because of the way the CDC reported opioid deaths, and others’ agendas, a wildfire of hysteria resulted, causing disabled by pain patients to lose their opioid medicine, their ability to function, their dignity as they are treated like drug addicts, and any quality of life. Imagine an Ice cream headache 24/7/365 covering different parts of your body. You can’t think with this type of ceaseless pain. You want to die.

This is something that is personal and each person has to decide the risks they take in life. Risks are everywhere, and people have to decide if something is worth the benefit. It’s called ‘informed consent’ when you know of the risk before you take it.

Shouldn’t people in agonizing pain be able to decide if the RISK:BENEFIT RATIO of .000004% is worth the benefit of being able to get out of bed and function? Work? And not want to die from tortuous pain?

Doesn’t make sense, single moms are facing homelessness as they can no longer work due to unbearable pain, MS, lupus, etc etc; also Vets who risked their lives for our country with painful injuries, now lie there wanting to die. Elderly people lie there sobbing with NO RELIEF, day after day, wishing they would die. Where’s the hysteria over that?

We have no voice. People/media listen to those in power. Not the multitudes suffering at their hands. Please share the TRUTH.

ALL the above information can be found here: Where things are in context. A LOT harder to get information here than in the hysteria promoting news. And they’re counting on that apparently.

Reference CDC.gov 2018 ANNUAL
SURVEILLANCE REPORT OF DRUG-RELATED RISKS AND OUTCOMES