Alicia Smith took her own life on March 16
because she
couldn't stand the chronic pain any longer.1 When federal
agents arrested her physician, Dr. William Hurwitz, Alicia couldn't
find anyone else willing to prescribe the large dose of opiates she needed
to survive.
All over the country patients with chronic pain say they are having
trouble finding adequate and proper medication. This is a public health
catastrophe that cries out for reform.
Because prescription medicine now ranks number two among drugs most
abused by adults and young people, the federal government plans to
dramatically ramp up enforcement, ostensibly going after doctors who do
not follow "sound medical practice".2 Doctors have
become so gun shy that the Association of American Physicians and Surgeons
now advises its doctors not to prescribe opiates at all.3
The medical profession itself is part of the problem. In medical school,
doctors get little if any training in pain management, so they either
under-medicate or avoid chronic pain patients altogether. Patients with
legitimate need for heavy medication, victims - of cancer, bone disease,
botched surgery, etc. - seek out those few doctors like William Hurwitz
who are willing to help. This raises a red flag for law enforcement since
these doctors seem to be prescribing heavy doses for too many patients.