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	<title>Comments on: Dr. Volkman: Why DEA Goes After Pain Docs</title>
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	<description>Addiction, Pain, and Public Health website (doctordeluca.com)</description>
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		<title>By: James Stacks</title>
		<link>http://doctordeluca.com/wordpress/archive/volkman-dea-targets-pain-docs/comment-page-1/#comment-2225</link>
		<dc:creator>James Stacks</dc:creator>
		<pubDate>Wed, 13 Jun 2007 08:11:58 +0000</pubDate>
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		<description>&lt;p&gt;In response to: Dr. Volkman: Why DEA Goes After Pain Docs;
Why DEA Goes After Pain Doctors (Source); Paul H. Volkman, M.D., Ph.D.; Comment in Response to: Opening Salvos in the Hurwitz Trial; John Tierney; TiernayLab; NYTimes; 2007-04-01.&lt;/p&gt;

&lt;p&gt;Regarding the motives for the war on pain meds, there may be other explanations. The motivations, of course, should be studied thoroughly -- perhaps with the help of economics and government experts, as well as other professionals who have the expertise and tools to do more than speculate. My speculation is a little more complex, but I think your explanation has some appeal, too. It is common knowledge that there is a history of corruption in drug enforcement. Driving up demand and prices by cutting off other sources would make a lot of sense. Using contraband laws to generate and enrich black markets has a long history, and your explanation is defintely not out of the running. But I don&#039;t think low-level corruption of that type would drive such a massive policy effort, which obviously comes from very highly placed policy decisions. I think larger political/economic forces are at work -- BIG money. Since this administration has proven it&#039;s overall governing philosophy to be the selling of government influence to big corporate buyers, I think I have a better idea. My guess is that this war is the political will of the pharmaceutical corporations -- to stamp out opioids because they cannot patent them. This creates a lot of pain, and a lot of medicating with expensive (patented) NSAIDS. The chronic untreated pain creates a lot of complaints, a lot of office visits, and a lot of prescriptions written in an effort to find a solution. Palliative care for chronic pain cuts into their profits, so they are adjusting their market through political manipulation. Just a thought. More work is needed in this area. I even have a way that I can force the recent Purdue Oxycontin case to fit this model -- without a long stretch of imagination. If my explanation doesn&#039;t make any medical sense, I would surely like to know that and know why before I spend any more time on it.&lt;/p&gt;
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		<content:encoded><![CDATA[<p>In response to: Dr. Volkman: Why DEA Goes After Pain Docs;
Why DEA Goes After Pain Doctors (Source); Paul H. Volkman, M.D., Ph.D.; Comment in Response to: Opening Salvos in the Hurwitz Trial; John Tierney; TiernayLab; NYTimes; 2007-04-01.</p>

<p>Regarding the motives for the war on pain meds, there may be other explanations. The motivations, of course, should be studied thoroughly &#8212; perhaps with the help of economics and government experts, as well as other professionals who have the expertise and tools to do more than speculate. My speculation is a little more complex, but I think your explanation has some appeal, too. It is common knowledge that there is a history of corruption in drug enforcement. Driving up demand and prices by cutting off other sources would make a lot of sense. Using contraband laws to generate and enrich black markets has a long history, and your explanation is defintely not out of the running. But I don&#8217;t think low-level corruption of that type would drive such a massive policy effort, which obviously comes from very highly placed policy decisions. I think larger political/economic forces are at work &#8212; BIG money. Since this administration has proven it&#8217;s overall governing philosophy to be the selling of government influence to big corporate buyers, I think I have a better idea. My guess is that this war is the political will of the pharmaceutical corporations &#8212; to stamp out opioids because they cannot patent them. This creates a lot of pain, and a lot of medicating with expensive (patented) NSAIDS. The chronic untreated pain creates a lot of complaints, a lot of office visits, and a lot of prescriptions written in an effort to find a solution. Palliative care for chronic pain cuts into their profits, so they are adjusting their market through political manipulation. Just a thought. More work is needed in this area. I even have a way that I can force the recent Purdue Oxycontin case to fit this model &#8212; without a long stretch of imagination. If my explanation doesn&#8217;t make any medical sense, I would surely like to know that and know why before I spend any more time on it.</p>]]></content:encoded>
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