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Pain Control and Drug Policy - A Time for Change (Hardcover)
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Pain Control and Drug Policy - A Time for Change (Hardcover)
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This book offers an in indictment of the nation's drug enforcement
approach focusing on the short-sighted policies that often deny
patients suffering from chronic pain the medications they need.
Pain Control and Drug Policy: A Time for Change focuses on
America's national crisis in pain management caused by the widening
divergence between the enormous contributions of opioids
("narcotics") to pain management in the clinical setting and the
mistaken belief that they are dangerous, highly addictive drugs.
After dissecting the strategy and tactics of the War on Drugs from
medical, historical, legal, socioeconomic, and geopolitical
perspectives, Guy Faguet MD indicts the 40-year-long War on Drugs
for having failed to stem the supply of illicit drugs in America
despite expenditures of half a trillion dollars, despite violating
the basic human right to pain relief of tens of millions of
American chronic pain sufferers, and despite fomenting organized
crime, government corruption, racial injustice, and social
disruption in both the United States and the producer countries. He
concludes with a clarion call for the abandonment of the War on
Drugs, disbanding the Drug Enforcement Administration, and
encouraging Congress to repeal the Controlled Substances Act. As a
clinical and research oncologist responsible for the chronic pain
management of thousands of cancer patients over the course of his
30-year career, Dr. Faguet knows that the most effective and safest
way to manage most cases of chronic pain is with opioids. All
modern pain-management textbooks advocate "titration to effect" in
cases where opioids help: that is, gradually increasing the dosage
until either the pain is acceptably controlled or the side effects
begin to outweigh the pain-relief benefits. Yet the vast majority
of doctors don't practice what the medical textbooks teach and
instead prescribe opioids very reluctantly and conservatively. As a
result, only half of all chronic pain sufferers-and fewer than half
of all cancer patients-get adequate pain relief from their doctors.
Why do physicians radically undertreat pain that is susceptible to
opioid analgesics? They fear that if they prescribe Schedule II
opioids in accordance with the professional standards of pain
management set by such medical bodies as the American Pain Society,
they will be investigated by the DEA, stigmatized, prosecuted as
criminals, stripped of their licenses, and sent to jail. Visit Guy
B. Faguet, MD's website here: www.faguet.net.
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