Violation of 4th Amendment Rights

Warrants to search doctors’ offices, pharmacies, and who knows who will be next are issued by judges without just cause.

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Problems with Pain Management

and What to Do About It!!

Problem #1:  Misleading Professional Guidance

Using the Federation of State Medical Boards’ Model Policy for the Use of Controlled Substances for the Treatment of Pain, you’d think you would be safe from attack.  WRONG!!!

Adopted in April 1998, the Model Guidelines were endorsed by the American Academy of Pain Medicine, the Drug Enforcement Administration, the American Pain Society, and the National Association of State Controlled Substances Authorities. Many states adopted pain policy using all or part of the Model Guidelines.

Statements in the policy include:

1. Chronic pain continues to be undertreated. Many terminally ill patients unnecessarily experience moderate to severe pain in the last weeks of life.

2. The under-treatment of pain is recognized as a serious public health problem that results in a decrease in patients’ functional status and quality of life.

Circumstances that contribute to the prevalence of undertreated pain include:

1. Lack of knowledge of medical standards, current research, and clinical guidelines for appropriate pain treatment;

2. The perception that prescribing adequate amounts of controlled substances will result in unnecessary scrutiny by regulatory authorities;

3. Misunderstanding of addiction and dependence; and

4. Lack of understanding of regulatory policies and processes.

5. The successful implementation of state medical board pain policy varies among jurisdictions.

In April 2003, the Federation membership called for an update to its Model Guidelines to assure adequate attention to the under-treatment of pain. The revised policy notes that the state medical board will consider inappropriate treatment, including the under-treatment of pain, a departure from an acceptable standard of practice. The title was changed from Model Guidelines to Model Policy to better reflect the practical use of the document.

The Model Policy was designed to communicate certain messages to licensees:

1. Pain management to be an important and integral part of the practice of medicine;

2. Opioid analgesics may be necessary for the relief of pain.

3. The use of opioids for other than legitimate medical purposes pose a threat to the individual and society and physicians have a responsibility to minimize the potential for the abuse and diversion of controlled substances

4. Physicians will not be sanctioned solely for prescribing opioid analgesics for legitimate medical purposes.

5. In addition, this policy is not meant to constrain or dictate medical decision-making.

Through the Model Policy, the Federation emphasized the legitimate medical uses of controlled substances for the treatment of pain while stressing the need to safeguard against abuse and diversion.

State medical boards were encouraged, in cooperation with their state’s attorney general, to evaluate their state pain policies, rules, and regulations to identify any regulatory restrictions or barriers that may impede the effective use of opioids to relieve pain.

So if physicians have been following the Federation policy, Why, then, are we being attacked?

As a Professional, What Can YOU Do?

You need to be informed as to the illegality of these actions,
and what we can do about it. Our lives, our families,
and our patients’ lives depend on it.
You can literally believe that it is as case of:

Membership in DoC will give you the information you need to practice safely, and the resources to use in case you become a target.

An example of what you can learn on DoC, here is a summarization of the Federation Policy:

The (name of state board) recognizes that principles of quality medical practice dictate that the people of the State have access to appropriate and effective pain relief. The appropriate application of up-to-date knowledge and treatment modalities can serve to improve the quality of life for those patients who suffer from pain as well as reduce the morbidity and costs associated with untreated or inappropriately treated pain. For the purposes of this policy, the inappropriate treatment of pain includes non-treatment, under-treatment, overtreatment, and the continued use of ineffective treatments.

The diagnosis and treatment of pain is integral to the practice of medicine. Physicians should view pain management as a part of quality medical practice for all patients with pain, acute or chronic. All physicians should become knowledgeable about assessing patients’ pain and effective methods of pain treatment, as well as statutory requirements for prescribing controlled substances.

Inappropriate pain treatment may result from physicians’ lack of knowledge about pain management. Fears of investigation or sanction by federal, state and local agencies may also result in inappropriate treatment of pain. Appropriate pain management is the treating physician’s responsibility. As such, the Board will consider the inappropriate treatment of pain to be a departure from standards of practice.

The medical management of pain should consider current clinical knowledge and scientific research and the use of pharmacologic and non-pharmacologic modalities according to the judgment of the physician. Pain should be assessed and treated promptly, and the quantity and frequency of doses should be adjusted according to the intensity, duration of the pain, and treatment outcomes. Physicians should recognize that tolerance and physical dependence are normal consequences of sustained use of opioid analgesics and are not the same as addiction.

In order to offset the possibility of the use of opioid analgesics for other than legitimate medical purposes, the Board expects that physicians incorporate safeguards into their practices to minimize the potential for the abuse and diversion of controlled substances.

Physicians should not fear disciplinary action from the Board for ordering, prescribing, dispensing or administering controlled substances, including opioid analgesics, for a legitimate medical purpose and in the course of professional practice. The Board will consider prescribing, ordering, dispensing or administering controlled substances for pain to be for a legitimate medical purpose if based on sound clinical judgment. All such prescribing must be based on clear documentation of unrelieved pain. To be within the usual course of professional practice, a physician-patient relationship must exist and the prescribing should be based on a diagnosis and documentation of unrelieved pain.

But there is a problem with the current construction of State Medical Boards. The crux of the problem is stated in the Model Policy “in cooperation with their state’s attorney general.” You see, Medical Boards are no longer a group of peers interested in the well-being of the citizenry. They have become an arm of the Department of Justice.  They don’t follow the Federation of State Boards Model Policy. They charge innocent doctors with “prescribing without legitimate medical practice and outside the usual course of practice” so that the Department of Justice can then criminally charge the doctor.  It’s a paper trail. And don’t believe the words of a consent order: “I neither agree with nor deny the charges”. By signing a consent order, you are agreeing to the charges. It might not be stated, but in a court of law it becomes evidence against you.

A question that I have: What do the members of Boards of Medicine get out of illegally attacking their peers without just cause?  Is it money?  There has to be some kind of reward for them to go against their Hippocratic Oath and charge doctors for illegitimate practice for doing their job appropriately.

So any doctor reading this Model Policy would feel comfortable learning appropriate pain management and incorporating it in their practice—especially small, rural practices. There is no medical reason for pain management to be allowed only by specialists trained in doing invasive procedures that don’t help, especially when, as you’ll see later, opioids are NOT the cause abuse.

Fifty percent of doctor’s visits are because of pain and as African missionary Albert Schweitzer has stated, “Pain is a more terrible lord of mankind than even death himself.”

In fact, chronic pain patients now being abandoned by their doctors because of fear, or thrown to the streets by the government shutdown of their doctor’s office are now dying from suicide, both intentional and unintentional.  The responsibility of these deaths lies with the DEA, HPPS, and DOJ.

The most reasonable place for pain to be treated is in the primary care office.  Doctors who have taken on this responsibility care for their patients. They are compassionate. They attend conferences, learn how to treat pain, and are exemplary physicians—not the dregs of society that the DOJ has painted them to be.

And yet the government has created, through their out-of-control illegal government overreach, an atmosphere of constant fear for doing our job.

WE NEED YOU!!  YOUR PATIENTS NEED YOU!!

To STAND UP and SHOW YOUR SUPPORT!!

Learn what you can do to stop these horrendous attacks on compassionate physicians.

Become a DoC member.

May the FORCE be with you!!

Problem #2: ILLEGAL USE of the Law

I remember when I saw articles in the paper before my attack of a doctor being charged with “distribution of oxycodone”, I literally saw them standing on the street corner selling to addicts. And I believed that they deserved what they got. Little did I know that, in order to use the Controlled Substance Act against doctors, they had lumped all drugs under the one name “oxycodone”, and “distribution” simply meant “prescribing to a legitimate patient”.

This is the perfect example of government use of propaganda to make the American people believe what isn’t true. We are now in a Hitler Era. As Hitler said when he chose to blame the Jews for the state of the economy,

“Make the lie big, make it simple, keep saying it, and eventually they will believe it.”

When you become a member of DoC, you automatically get the download of the ebook Using the Law Illegally Against Doctors.  This will open your eyes. Every doctor in the country should purchase the DVD (which you will also get at 20% savings when you join), and play it, along with The REAL Cause of Drug Abuse in their waiting rooms.

Without going into the detail (available for free with membership), the government is using the Controlled Substance Act illegally.

Learn the truth—HOW PROPAGANDA IS BEING USED TO CONVICT PHYSICIANS—and join us to work together in exposing this propaganda for what it is.

Problem #3: BLAMING OPIOIDS FOR ABUSE AND ADDICTION

As mentioned in the beginning, drugs were the scapegoat of a political movement against minority citizens, primarily Blacks and Orientals. Blame the drugs, put the minorities in prison because they are the primary users, and political parties maintained their power.

In spite of over 100 years of making innocent drugs illegal, the percentage of addicts in the country is still approximately 1-2%. The percentage is climbing, mostly over the last 50 years, but the cause is still not the drugs.

Definition of insanity: Repeating the same action while expecting a different result.

Charging more people with crimes, putting more people in jail, limiting legitimate pharmaceuticals in the farce of blame for addiction will NOT reduce addiction. Instead, it will continue to climb, now exponentially, because the cause is the toxicity of our lifestyle.

A detailed explanation of The REAL Cause of Drug Abuse is available HERE.  But again, join DoC and you can get this DVD at 20% off.  This information is CRITICAL if we want to stem the tide of addiction in the world

How do we get this important information out to the general public?  With your support we can spread the word to your patients. This could go viral, and the problem with attacks on physicians could stop overnight. It is my goal that within the next year, we will succeed in acquitting all doctors being charged, and release all doctors incarcerated.

With your help through membership, we will be able to:

1. Send out information to physicians across the country

2. Provide speakers to medical organizations

3. Man tables at conferences

4. Provide expert witnesses for doctors being tried.

5. Provide financial support for defense to physicians who have had their assets forfeited.

Financial support for defense and expert witnessing at cost are benefits of membership.  For doctors who aren’t members who need these services, we will be happy to provide them, but at standard fees. So it is a substantial benefit to be a member for any physician, because they can charge anyone they target with these “crimes”
Now, if you still haven’t seen the value in becoming a member of Doctors of Courage, let me leave you with one last thought