This history should make us wary of government’s increasingly heavy hand in health care.
...But it’s important for Americans to understand that the initial over-prescription of opioid drugs was no accident.
For one thing, the Veterans Health Administration was one of the earliest adopters of a pain management strategy called “Pain as the Fifth Vital Sign,” originally advocated by the American Pain Society."
...Doctors outside of the VHA system faced pressure from the government as well: The Center for Medicaid and Medicare Services included questions about pain management in patient satisfaction surveys that were linked to payment, encouraging a standard of patient-pleasing over good medicine.
This — along with the example set by VHA policy — fostered a culture that encouraged health-care providers to offer pain-relieving prescriptions, popular with patients, without adequate regard for the potential long-term consequences.
...Our public health crisis in opioid addiction is, in part, the sad result of government policies with good intentions but harmful consequences.
This should be a powerful warning against enabling government to make sweeping decisions about our health going forward.
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