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Anyone think these become the de facto treatment guidelines?
There's awareness at all levels that the Core Expert Group that brokered the CDC Guidelines had ideological conflicts of interest. The recommendation that the 2016 CDC guidelines be updated with broader stakeholder input is wise.
Draft Report on Pain Management Best Practices
"An unintended consequence of the guideline is the forced tapering or patient abandonment that many patients with chronic pain on stable long-term doses of opioids have experienced. The Task Force received public comments indicating that many patients have experienced access issues related to provider fears and concerns with how the guideline would be interpreted and have caused some to consider obtaining opioids from illicit sources or suicide. PCPs should be encouraged to refer to or seek input from pain specialists and (potentially) addiction specialists in complex or high-risk patient scenarios. The CDC guideline, along with concern about undue burdens of investigation and prosecution by drug enforcement, has been cited in part by doctors and other key health care providers when deciding to limit or not to provide pain treatment.13 Experts have also noted that the CDC guideline does not sufficiently emphasize that optimal pain management begins with identification of the cause of the pain and the biopsychosocial mechanisms that contribute to its severity and associated disability."
The draft looks very reasonable.
Other interesting points are encouraging insurance coverage of interventional procedures early in the treatment course, and encouraging that the procedures to be performed outside of the hospital setting.
So, if we do our usual political debate on this:
This comes from Trump's Dept. of HHS. Current head of HHS clerked for Antonin Scalia, worked at HHS under the most recent Bush administration, then was at Eli Lilly for about 10 years.
Opinions on how the best practices report might be different under other administrations?
Well this is refreshing. The authors clearly had input from pain experts.
Can someone summarize this. The document is long as hell.
Common procedures done by highly trained Pain Specialists, including ESIs, MBBs, RFAs, can help people and can help alleviate the opioid epidemic...Can someone summarize this. The document is long as hell.
Making global unsupported assumptions again, eh?
That is a Total misinterpretation...Common procedures done by highly trained Pain Specialists, including ESIs, MBBs, RFAs, can help people and can help alleviate the opioid epidemic...
Um no. Did you read the pain section?That is a Total misinterpretation...
But you were being facetious, right?
I've read enough of AOC's statements to know she's an intellectual lightweight who makes up for her lack of wisdom and common sense with extremely strong skills of persuasion among her radical socialist base and millennials. That makes her dangerous enough that she should not to be underestimated.Read the DNC platform on health care and follow Alexandria Ocasio-Cortez on twitter and tell me what you think. This is the future of the Progressive movement.
People who align themselves with Democratic Party causes and policies, tend to enjoy imagining doctors working for the Post Office. In other ways, they despise private enterprise.