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Welcome to Pain Management Big Brother Style!

By Joel Drotts

So, I was just sort of scooting around on-line, checking out some things, when I happened upon a link to “How Government is protecting Federal Employees from opioid addiction.” So, you know I had to click on it, because any time the government claims to be keeping us safe, protecting us, or speaks of a need to further enhance safety or protection, you know for a fact they’re taking away rights, plan to take rights, tread on rights, and/or otherwise actually diminish and weaken our safety and protection from if not the only thing, at least the primary thing all American’s actually need protection from… Any guesses??? Anyone??? Where am I headed with this??? You guessed it the answer is of course the government. The government is the thing most American’s these days need protection from, and when you read about the program below for government workers (And no, I did not change or add anything!), you begin to realize exactly why American’s need protection from the government, and now!!!

So, go ahead and peruse the article yourself, come back, and we’ll break it all down together. What’s the issue(s), here’s a hint… It rhymes with Doctor Patient Confidentiality, but that’s merely the tip of this very scary iceberg. Go do the reading, so we can all have an informed conversation. I mean its almost fitting I find this the day after Halloween, cause it scares the shit out of me!!!

So, are you back? Mind blown, head-hurting, asking yourself what the fuck? Yeah, me too. So, for those of you too stupid or trusting to not notice the red flags going up in this program, don’t worry cause daddy’s here to edumacate’ you on all of it. Where to start??? How about with the human aspect first. To that end, what the fuck is the government thinking. Not all injuries are the same, not every one’s pain tolerances are the same, and how bad a thing hurts or how long to different people is wildly variant. Therefore, never could there be a dumber more insensitive idea that after exactly a week or whatever it is, your doctor must go get a special permission to give you more pain killers. You can’t just say, “Well, it’s ten days, and day eleven you officially have a problem and a habit!”

What fucking moron came up with that plan. It shows just an unbelievably large lack of knowledge about addiction, how it works, how it gets started, and how to diagnose addiction. The plan literally seems like a kindergartener created the plan, or possibly Mr. Mackie from South Park, “Drugs are bad mmkay… If you do drugs you’re bad mmkay…” So now the governments big plan for its government workers is to protect them from addiction by making them suffer in pain after surgeries or accidents. Thanks Uncle Sam… I’m sure they feel safer already.

So, aside from the Mr. Mackie approach to addiction and drug use, there’s another huge fucking problem. That is the United States Government is not qualified to practice medicine, prescribe pain killers, nor determine just how many pills an individual should or should not get, and at what point that pill use is no longer for pain, but for recreational purposes. I don’t care what the hell their new super cool, high-powered computer program thinks it can pinpoint in the population, or what “behaviors” it thinks it can track to determine valid pain maintenance from recreational usage. If any one is actually capable of diagnosing addiction, because “addiction” itself is a very fluid and subjective idea in of itself, but if their were maybe some people whom were at least possibly qualified to diagnose addiction (aside from yours truly) I’m going to go with fully trained medical doctors, and not the computer program which utilizes only God knows what sort of data to arrive at its highly questionable “diagnoses.”

Again, utilizing computer programs to “diagnose” addiction, is also just a bonehead maneuver! However, we’re not even done. This program means to stand in between its employees and their doctors and claims to have a right to the information. What about HIPPA people??? Or are we no longer pretending that matters or works anymore? No, ok. Then we’ll just rely on plain old common law doctor patient confidentiality, coupled with the hypocritic oath. However, the implications of this program and report are huge beyond most people’s worst nightmares. Think about what they are proposing, they literally mean that should Federal Employees have a need for pain killers that the permission needs to be obtained from the OWCP. Then they may only have a ten-day supply of those pain pills. Moreover, while taking their prescription the OWCP will violate HIPPA and a dozen other privacy laws by (a) monitoring your behavior to see if they “act addicted.”

This is plain old putting Uncle Sam in a room, he has absolutely no business being in. There are several rooms likes this in America. For example, the bedroom of consenting adult Americans; the confessional booth, your lawyers office, any place limiting the foods you can buy (but we want the government in there as cleanly police, just not putting a “sin” tax on sugar or fat), true American Constitutionalists would argue your local gun store (As do I.), and one of the main other rooms you don’t want or need Uncle Sam sticking his big fat red, white, and blue nose is in the examining or treatment room of your doctors office! If the State has granted a doctor their license, and then I pay that person for his or her expert medical opinion on whatever may be ailing me at the time, then that person should be allowed to prescribe to me whatever the hell he or she thinks I need, and in amounts that they believe in their expert opinion to be necessary or appropriate. I certainly never ought to have to ask Uncle Sam if the meds prescribed are “OK” with Uncle Sam, and certainly not in the name of protecting me from addiction…. Whatever Uncle Sam’s twisted notion of what they believe addiction to be!

Aside from unwanted monitoring and studying of the actions of Federal employees, the OWCP also plans to single out those they believe to be addicted and force them into some sort of treatment program. Not to mention have their names added to the “druggy list.” Moreover, the OWCP cares little for what the doctor believes to be needed or best, and cares even less for any pain suffered by patients. OWCP effectively places themselves into the examination or surgery rooms with doctors and their patients, and then proceeds to second guess and over-rule the doctor’s medical opinion, while suspiciously monitoring the patient for “addictive behavior.”

What’s interesting is the “controls” the government believes it ought to place upon doctors and patients, and even more fascinating the OWCP belief that it possesses the authority to undertake the sort of actions contemplated in its notice. What’s more is just how telling it is how government feels obliged to “second use” information, and then wants to act on that information. Here, you got government sponsored or paid health benefits for its employees, and therefore an awareness of what someone gets prescribed because the insurance pays for it. They then mean to utilize that payment information or “data,” and utilize it for a second unpermissioned usage of deducing addiction apparently. That’s just not OK, and if insurance tried this shit in the private sector, I assume that no one would be buying insurance from those sorts of companies, and they’d therefore properly be made to die by the controlling market forces, as precursor Nazi regime was also allowed to die. What’s truly all bad is as the government when they do some crazy and oppressive shit like this, it gives big companies all the excuse they need to also act like assholes. They’re excuse being “It must be OK, cause the Fed’s do it.” I learned by watching you ok, I learned it by watching YOU! It’s just all bad! Just remember any time the government claims to be “protecting you,” it really means to create an even greater need for your Constitutional Protections from that government! But don’t take my word for it. Read it for yourselves below!

Taken from government website

Opioid Policy Four-Point Strategic Plan

OWCP has implemented a four-point strategic plan to combat the opioid epidemic and reduce the potential for opioid misuse and addiction among injured federal workers.

1. Effective Controls Approach: Institute broad general controls followed by targeted controls...

Broad controls set up much-needed boundaries and markers. Because the opioid crisis is a complex problem demanding meticulous attention to a host of different factors, broad controls alone are insufficient. Specific measures that precisely target interrelated variables are necessary. Given its role in processing claims for injured federal workers, OWCP can draw from a broad pool of patient data to identify risk factors and shared characteristics. Opioid duration and dose level, along with specific medical conditions and patient characteristics, will be carefully analyzed. That analysis will equip OWCP with the necessary tools to design and implement impactful controls. This will ultimately lead to successful, long-term solutions for both the individual and the community.

2. Tailored Treatment Approach: Apply a compassionate, individualized treatment approach to every injured federal worker receiving opioids...

Injured federal workers currently receiving an opioid prescription have unique medical needs based on their injuries and medical histories. Determining the appropriate treatment that successfully manages a patient's pain level and addresses any potential opioid use disorder requires a personalized, human touch. OWCP will work in close collaboration with both the individual and the medical provider to encourage a tailored treatment approach. Such an approach will include exploring other pain treatment methods with the goal of eliminating or reducing the use of opioids. Where misuse of opioids or an opioid disorder is present, removing any barriers to treatment will be the primary focus.

3. Impactful Communications Approach: Issue communications using both general and targeted messaging...

General communications through standard media outlets such as the OWCP website, press releases, and bulletins have and will continue to be utilized. However, because OWCP can communicate directly with every injured federal worker receiving opioids and every provider prescribing opioids to its claimant population, the primary focus will be on targeted communications. These targeted communications are often very specific and individualized. The concern generated by the use of opioids in connection with the existing medical condition is identified, the presence of any potential risk factors discussed, and the historical prescribing patterns, if necessary, are provided. Required actions or possible treatment solutions will also be communicated.

4. Aggressive Fraud Detection Approach: Eliminate fraud and abuse in the federal workers' compensation system...

Fraud detection efforts, driven by data analytics and a collaborative team approach with the Department's Office of Inspector General (OIG) (and our agency partners' OIG) are an ongoing, high priority for OWCP. A dedicated team, within the OWCP's Program Integrity Unit, has been tasked with uncovering fraud and quickly setting up controls to prevent any further loss or harm. Our primary focus is on potential provider fraud. Problematic prescriptions involving high volume and/or high dose levels and anomalous billing patterns will be carefully examined.

Opioid Fact Sheet How opioids impact injured workers... President Donald J. Trump has mobilized his entire Administration to address the opioid crisis. Central to the President's Opioid Initiative is reducing demand and preventing over-prescribing through education and awareness. U.S. Secretary of Labor Alexander Acosta, in full support of the President's Initiative, wants every injured federal worker to know the facts about opioid abuse, prevention, and treatment. · The Centers for Disease Control (CDC) reported that more than 40% of all U.S. opioid overdose deaths in 2016 involved a prescription opioid. See CDC – Preventing an Opioid Overdose for more information. · The National Council on Compensation Insurance (NCCI) data shows that injured workers who were prescribed at least one prescription in 2016 received three times as many opioid prescriptions as the U.S. opioid prescribing rate. · While long-term opioid use often begins with the treatment of pain (see CDC - Guidelines for Chronic Pain), a Workers Compensation Research Institute (WCRI) study of workers with low-back injuries shows those who receive longer-term prescriptions for opioid painkillers take significantly longer to return to work than those who are not prescribed opioids. · The National Safety Council (NSC) reports that the Washington State Department of Labor and Industries found that receiving more than a one week supply of opioids or two or more opioid prescriptions soon after an injury doubles a worker's risk of disability at one-year post injury, compared with workers who do not receive opioids. · Very few studies have been conducted that provide evidence to support the long-term benefits of opioid use for chronic pain. See Agency for Healthcare Research and Quality. · Opioid use presents serious risks, including overdose and opioid use disorder. Opioid use disorder is defined as a problematic pattern of opioid use that causes significant impairment or distress. See CDC – Commonly Used Terms. · The point of greatest control is before you take the first opioid. Injured workers should be active participants in their care so they can make an informed decision regarding treatment. Know your options. · Alternative methods for controlling pain may include non-opioid medications, non-pharmacologic treatments, and pain treatment programs. These alternative treatments are more likely to help reduce disability, facilitate the return to work, and decrease instances of opioid misuse. OWCP's FECA policy on Alternative Pain Management and Treatment for Opioid Use Disorder provides greater detail on options available.


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