Monday, June 11, 2007

HOW CAN WE STOP "DOCTOR DRUG DEALERS"?


Death by drug overdose, also known as drug poisoning, increased by 68.3% between 1999 and 2004 according to a report by the Center for Disease Control. The majority of those deaths were legal prescription drugs and the majority of those drugs were prescribed to the person who died. In fact, prescription painkillers by themselves now kill more people than Cocaine or Heroin. There has been a recent surge in prescription drug abuse in America and shady Doctors are behind a great deal of it. In this article, I'm going to decipher for you what has been going on and how little the law seems to want to do about it.


This problem strikes home for me, I have a younger brother who has been battling drug addiction most of his life and it will probably surprise most of you that he has always gotten most, if not all, of his drugs through doctors, not drug dealers. A few years back his problem had gotten so bad I was convinced he would end up being one of the thousands of deaths that occur each year here in the U.S.. In fact, once he overdosed at my Mom's house and we fought to keep him alive while we waited for an ambulance. At the hospital, the police summoned me into a private room and questioned me about the montage of various drugs that we had turned over to them that he was carrying on his person. They asked me if he did any Cocaine, "No" I replied. "Does he smoke Pot?" they questioned. "He didn't O.D. on Pot." I informed them. "Does he do any other illegal drugs?" They continued. Frustrated, I pointed to the vial filled with Oxycontin's, Vicodins, Valiums, and other drugs I couldn't even name and shouted, "Those are his drugs! That's what he O.D.'d on. What the hell are you grilling me about this other crap for?" I pointed out the Doctor's name on the vial, "That's your dealer, that's the guy who's killing him, go after him!" That's when I was baptised into the reality of our crazy drug distribution system, a system so crazy, that if you know the right Doctor you can have a script for anything you want. You can even charge it all to Medicaid.


The officer then proceeded to inform me about how, even when they know the Doctors who are creating these "Script Mills", there is very little they can do about it. For those of you that are uninitiated, it may seem like I have to be making this up, but I can assure you, it's true, and it's going on everywhere.


The problem stems from the fact that Doctors go through a great deal of education and debt to get their degrees, and the American Medical Association lobbies hard to make sure that it's very hard to take that profession away from them. They fear that Doctors can get in trouble by simply trying to do their job, relieving the pain that their patients claim that they're suffering, and that they shouldn't be held responsible for the fraction of people who lie to get the prescription and then abuse the drugs they're given. While I can certainly sympathize with that justification, the doctors I'm referring to seem to me to be easy to separate from the decent doctors that are obeying their oaths of office.


Let me run a little scenario by you for a point of reference. A doctor from another country, let's call him Dr. Hindu Bin Ladin, comes to this country with his PHD in Medicine from a prestigious Mid-Eastern University. He sets up shop in a poverty stricken big city in the U.S. and immediately begins writing scripts to any Joe who complains about back pain for Vicodin. Word gets out quickly among the local addicts, many of whom are on Medicaid, and soon a line forms. Dr. Bin Ladin charges all of them for an office call and then refers them to his brother-in-law who runs a local pharmacy to fill the scripts. Soon he's making in excess of $500,000 a year. Local law enforcement gets wind and starts filing complaints (assuming that they even waste their time) and the long 4 to 5 year process of getting his license revoked begins. Since the complaints usually aren't coming from his patients, the AMA moves slowly and when he finally can't write anymore scripts, he gathers his millions and heads back to his home country to practice medicine in his new office paid for by U.S. addicts and taxpayers. Not a bad scam.


However, it's not only foreign doctors writing these bad scripts for profit. Take a look at this long list of doctors being disciplined for abusing their Hippocratic oath.



So what can we do to put the brakes on all this abuse? Well, to start with, we can change our culture of believing that a pill is the answer to all that ails you. While I certainly wouldn't want people to refrain from getting the help they need, the problems you can create for yourself by abusing drugs can be as bad as the problem you started with if not worse. Often, once you are addicted to painkillers or opiates, the need for more may drive you to dealing with people you wouldn't normally even associate with. The cost of maintaining your habit can push you into poverty and bankruptcy. Better oversite of these "Script Mills" can help, better education of doctors wouldn't hurt either. A lot of the time, the only info doctors are getting comes from the pharmaceutical industry itself that down plays the addictive qualities of the drug. To much money is being made both by the doctors, and the pharmaceutical industry for them to monitor themselves, so obviously we need more oversite. But with the problem getting bigger every day, we need to do something soon. H.C.

4 comments:

Anonymous said...

Good article.

You didn't really touch base on it H.C., but wow, the pharmaceutical industry itself has a really *BIG* hand in this. Not once during any portion of my on-going clinicals have I not seen a pharm rep on the floor. The amount of incentives ($$$$, among others) that Doctors are getting to not only promote trade-named pharmaceuticals over generics, but to have a "prescribe, prescribe, prescribe" attitude is absolutely ridiculous. This is so very harmful to our society on 132,627 different levels...it would simply take me a lifetime to address them all.

-n

Anonymous said...

H.C.
You point to another problem people here in the U.S. have to deal with in this posting. I had two conversations that sort of touch upon this same subject just today ,before reading your posting .
One conversation was about how many kids in schools are being branded as having "ADD" or "ADH" and put on drugs that make them zombies.If kids show too much energy teachers want them doped up. If kids misbehave it is now a chemical imbalance and the cure to this drugs. Better education though chemistry I suppose. The other conversation is how now all problems we have can be seemingly helped with medication.Here is what I think sums up the medical establishment's approach . Thinking too much about your future,actually feeling nervous about it? NO PROBLEM ,take Prozac. Not your speed? How about Zoloft? Or is Xanax more to your liking? Cool! we can help. And now we can see that all human problems are just chemical in nature,so MORE chemicals ,randomly applied is the cure. Silly humans,thinking that some of your problems may actually be best addressed by ,,well,,thinking things through. Sheesh,don't "sweat the small stuff" (like what career to go into,how to save for retirement,who to marry,if you should get married) just go to a doctor and get some pills!
Sorry to ramble. It is the fact your posting just was so timely and hit so many nerves for me.Anyone know a good pill to take for having consciousness?

The H.C. said...

Hey Nic,
Without a doubt the pharmaceutical industry promotes this crap. Everytime I go to the doctor he reaches into this HUGE closet full of just-released pills and hands me something or another. Very seldomn does he look for the cause of any problem, instead he trys to handle the results. I suffered from ulcers for 20 years and then heard (not through my doctor) that the cause might be H. Pylorie bacteria. After getting a test which my doctor claimed was pointless, I tested positive and had it cured with antibiotics. All that after eating my own weight in pills prescribed by him for the ulcers. I often wonder if they would cure anything if they had their way. Thanks for your comments.

The H.C. said...

Hey John,
I read somewhere that 180 million Americans have some kind of psychological illness. That's nearly 2/3 of us. The pharmaceutical industry must drool over the prospects of having all those people on Zoloft or Prozac. Maybe a better answer would be to try to find out why we're all so neurotic, but that's not nearly as profitable. Don't worry about rambling, we encourage it here. It brings on more ideas. Thanks as always for your thoughts.