|
April 29th, 2007. In
response to
Hurwitz Convicted on 16 Counts of Drug Trafficking
- John Tierney; TierneyLab; 2007-04-27.
"MD, ABA,
subspecialty pain, DAPM" writes that "Dr Hurwitz has done more damage to the
field of pain medicine by his insistence on martyrdom than any help he
claimed to be doing."
I have seen this point of view expressed before, but I have to point out
that Dr. Hurwitz is only one of literally dozens of pain physicians
prosecuted in recent years under similar circumstances. His case is the
highest profile, but the others were fairly high profile as well. Unless one
believes that prosecutors around the country would not have brought charges
against those other doctors were it not for Dr. Hurwitz (a rather
implausible belief, in my opinion), I don't see how the argument can hold
up.
It's the GOVERNMENT that is to blame for the damage done to pain control,
not Dr. Hurwitz. Agree with Hurwitz's actions or disagree with them, but
keep it in perspective. - Posted by David Borden,
StoptheDrugwar.org
April 24th, 2007. In
response to
What's an Ethical Doctor to Do? - John
Tierney; TierneyLab; 2007-04-23.
The chilling effect
of prosecutions like this do so much harm as opposed to the few cases of
addiction and/or illegal drug behavior probably caused by the prescriptive
practices of the Doctor involved that it is a good area for juries to
nullify the law. This also connects to the recent discoveries leading to the
high suspicion of politicization of the U.S. Attorney cadre. We need to get
the political will of the near or actual majority of the population that
wishes to overhaul all the drug laws and by act of congress take most or all
drug behavior out of the criminal justice system and go for legal
distribution along with true public education as with smoking and alcohol. -
Posted by robert tichell
April 24th, 2007. In response to
What's an Ethical Doctor to Do? - John
Tierney; TierneyLab; 2007-04-23.
Pain has a long and
distinguished history of serving the moral qualms of others. The religiously
impaired have utilized pain throughout history as a moral purifier, with
countless examples blighting history. Even our intrepid armchair Attorney
General has claimed that pain may be doled out generously without
contravening the Geneva Conventions.
Given that these medieval concepts are alive and well in the USA, it is
hardly surprising that we have been host to many movements to eliminate any
substances that can give a moment’s reprieve from life’s lesser and greater
pains.
When Prohibition was finally imposed, it was universally ignored and
violated, but an adventuresome criminal underclass of rum-smugglers and
distillers were made quite rich in the process...
The main and objective result of criminalizing drug use has been to jail
many minority "users". This has eviscerated countless neighborhoods, while
doing little to "control" drug use. Criminalizing social and medical
problems solves nothing while assuring that the widespread graft and
corruption at all levels of the "drug war" are not endangered. It is not
unreasonable to suspect that removing voters who otherwise might be expected
to support Democratic candidates is an unspoken goal of the drug war, given
the moralizing tone of Republicans on the matter.
What defies all sense is that deaths from illicit drugs are a tiny fraction
of those from alcohol, tobacco, and even legal drugs, both here and in
Britain.
However, as the moral and legal case for criminalizing drug use becomes more
suspect, drug enforcers have sought to widen their search for heretofore
unrecognized criminals in our midst. What could be better for the drug
police than the discovery of a network of medical doctors and patients
intent on circumventing drug laws by contracting and treating chronic pain?
Spreading self-interested fear to doctors who might have the temerity to
suggest that current drug laws are ineffective and even beside the point
clearly serves the interests of those with a vested interest in keeping the
status quo.
And chronic pain patients, by the nature of their afflictions, can never
form an effective political force as long as they are kept in pain.
Most importantly, by mixing up in the public mind fallacious drug policy
with medical judgments, the valid medical arguments against the bogus
policies are weakened, again in service of keeping the failed status quo.
In the meantime, hundreds of thousands languish in prison needlessly,
billions of dollars of public money is wasted, large numbers of patients
fail to be treated for chronic pain and more Republicans are voted into
office, with their moral Schadenfreude unruffled. - Posted by Nicholas
April 24th, 2007. In response to
What's an Ethical Doctor to Do? - John
Tierney; TierneyLab; 2007-04-23.
The ethical dilemma
presented in Dr. Hurwitz’s case illustrates two important facts: One, the
responsibility for the use of pain management medications must fall on the
patient, not on the doctor. Two, the regulation of pain medications (but not
alcohol, which is just as addictive) by the government severely limits
patient’s options.
Putting a doctor in the position of having to police pain medication really
does not empower the patient. It is the patient who must bear responsibility
for his over-use of drugs - not the doctor.
Clearly Dr. Hurwitz made many responsible decisions in his practice. He
shows responsible compassion, which many doctors are lacking, particularly
when it comes to pain.
Again, this case illustrates that patients need more freedom of choice when
is comes to pain medication–and the government should not be the one making
those decisions. - Posted by C. Hosler
[END] |