From the Prophets Hosea and Norm we learn:
“My people are destroyed
from the lack of knowledge
Because you have rejected knowledge,
I will also reject your”
“ignorance which can support irresponsibility and irresponsibility is not forgiven”
NORMAN J CLEMENT RPH., DDS, NORMAN L.CLEMENT PHARM-TECH, MALACHI F. MACKANDAL PHARMD, BELINDA BROWN-PARKER, IN THE SPIRIT OF JOSEPH SOLVO ESQ., IN THE SPIRIT OF REV. C.T. VIVIAN, JELANI ZIMBABWE CLEMENT, BS., MBA., IN THE SPIRIT OF THE HON. PATRICE LUMUMBA, IN THE SPIRIT OF ERLIN CLEMENT SR., WALTER F. WRENN III., MD., JULIE KILLINGWORTH, WILLIE GUINYARD BS., JOSEPH WEBSTER MD., MBA, BEVERLY C. PRINCE MD., FACS., RICHARD KAUL, MD., LEROY BAYLOR, JAY K. JOSHI MD., MBA, ADRIENNE EDMUNDSON, ESTER HYATT PH.D., WALTER L. SMITH BS., IN THE SPIRIT OF BRAHM FISHER ESQ., MICHELE ALEXANDER MD., CUDJOE WILDING BS, MARTIN NDJOU, BS., RPH., IN THE SPIRIT OF DEBRA LYNN SHEPHERD, BERES E. MUSCHETT, STRATEGIC ADVISORS
See Action Against Pain Physicians Link below
from the London Files:
“Reducing opioid prescriptions has not reduced opioid deaths, rather they have skyrocketed”
A HISTORY OF MASSIVE GOVERNMENT INTRUSION INTO YOUR MEDICAL CARE
On December 20, 2021, Mike Ludwig of “Truthout Magazine wrote:
“Since 2010, states have set up databases tracking controlled-substance prescriptions from the doctor’s office to the patient’s home address.
Bamboo Health, a company formerly known as Appriss, combined Prescription Drug Monitoring Databases (PDMPs) with a plethora of personal health data to develop Narxcare, an artificial intelligence system designed to alert doctors to “drug-seeking” patients and those at risk of overdose.
Reporting for Wired, journalist Maia Szalavitz revealed how Narxcare’s algorithms have a “disparate impact” on women and people of color, singling out those with complex health needs and histories of trauma and even sexual abuse.
According to the algorithm, trauma puts patients at higher risk of addiction, but advocates say prescribing decisions should be made by doctors and patients, not AI.
Bamboo Health says its algorithms are not discriminatory, and the company clashed with Szalavitz after she reported that Appriss controls criminal records data that may be built into Narxcare, which could implicate people of color who are more likely to be targeted by police.
Regardless, experts say the effects of prescription surveillance are mixed. While PDMPs are associated with fewer prescription opioid-related overdoses in some states, the decrease is offset by an increase in deaths from heroin, according to Wakeman and other researchers.
PDMPs do not address the “underlying social and political forces” that contribute to addiction and overdose, Wakeman wrote, and could push patients into the illicit drug market.”
June 2006, Freddy Williams MD died of cancer at the Federal Prison facility at Butner, NC. his attorney, Michael Ufferman had been unable to secure him a compassionate release:
“His case made what is the cutting edge of this prosecutorial push to criminalize medicine. The appeals courts made no bones about it-negligence, in the context of pain treatment is criminal and punishable by life in prison.“
Visit http://stopthedrugwar.org/chronicle/341/freddiewilliams.shtml Freddy Williams MD case.
“His case was perhaps the most successful government railroad I have seen to date. Because he was running a less than tight ship, and he had extraordinarily incompetent counsel, Dr. Williams became the object of the government’s campaign of demonization.“
“That he was black, made it all the easier. That he had a ‘prior’ made it easier still”
THE LONDON BRIEF
EXCERPTS FROM Cathleen London, MD 3rd year law student in her dissertation “The London Briefs,” DOJ Overreach Prosecuting Physicians December 20, 2021, which has been clearly referenced and Foot Noted:
Reducing opioid prescriptions has not reduced opioid deaths, rather they have skyrocketed.69 Prescription opioid deaths have been stable since 2010 but the DOJ continues to use the same playbook. “The DOJ is aggressively fulfilling its vow to use every criminal, civil and regulatory tool possible to target, prosecute and shut down entities whose conduct it deems unlawful.”
The investigations are funded through asset forfeiture. “[P]hysicians had their assets seized before even being charged . . . such forfeitures [often] result in plea bargains or civil settlements, given that the cases can drag on for years, and the asset seizure leaves the accused with no means to live, much less to pay attorney’s fees and court costs.”71
The DEA does not track the number of clinicians investigated. The program is self-financed and they are immune from oversight since they ever need to go to Congress for appropriation. By classifying pain patients as “addicts” they continue to pursue doctors as “dealers”.
Some of the tactics used are the same as used with drug kingpins like El Chapo. Prosecutors approach the medical staff and patients in a doctor’s office and threaten that they will be co-defendants if they do not testify against the physician. They are then pressured to give
Dr. Masoud Bamdad emigrated with his wife from Iran. He was a certified pain management specialist. He opened a practice in California in 1999. He is now in prison on a 25-year sentence.
He believed (and continues to) that he is innocent, so he did not take a plea deal. The judge gave him a high sentence for lack of remorse. Dr. Bamdad was confident that he was following guidelines like other physicians in his position.
Action Against Pain Physicians
The DOJ accused him of being a ‘pill mill’ as he was one of the state’s highest prescribers. Data analytics are driving investigations and prosecutions even though the algorithms are faulty.73
The DOJ counts on the vague definition in the CSA of “legitimate medical purpose” to prosecute, even though agents admit they do not know what that is. The government uses this legal ambiguity to their advantage and the result is policing and terrorizing physicians.74
In 2004, after much urging, the DEA released guidance on opioid administration. Less than two months later, the support of the guidelines was withdrawn, and it was removed from the website. “The DEA has refused to explain why it withdrew its support, and the agency has issued no further guidance.”75
The timing of the withdrawal curiously coincided with the trial of one of the early pain specialists prosecuted, William Hurwitz, MD who openly cooperated with law enforcement.
Investigators continued to let Dr. Hurwitz prescribe to known dealers who were lying to him and diverting to the black market. The DOJ later offered the lying patients lenient sentences in exchange for testimony against Dr. Hurwitz.76 “
The jury’s foreman told the Washington Post that Hurwitz was sloppy, a bit cavalier and that no, he wasn’t running a criminal enterprise. Yet the jury convicted Hurwitz of ‘conspiracy to distribute controlled substances and trafficking.’”77
Per the DEA neither malicious intent nor profit is necessary for a conviction of doctors. “[T]he federal government has made physicians the scapegoats for the failed drug war . . .legitimate, well-meaning professionals who keep accurate records, pain physicians also present a better target than underground, black market drug dealers.”78
Acquittals are an aberration, and attributable to the prosecutions’ failure to flip witnesses.79
It is a flawed argument that people became accidentally addicted to a prescription for pain medication. It is misleading as the vast majority of non-medical use of opioids has been in people who obtained the drugs from friends, relatives, or dealers.80
As far as pharmaceutical pain medication being a ‘gateway drug’ the government’s own data refutes this; approximately 4% of people who abuse prescription drugs go on to use heroin.81
Cochrane reviews show addiction rates to pain medication at about one percent.82
There is a tendency, even amongst medical professionals to conflate physical dependence with addiction. “Addiction is a compulsive behavior whereas physical dependence describes the symptoms abrupt withdrawal will cause.”83
Tolerance and physical dependence are predictable results of opioid prescribing. It is why doses need to increase over time for the same analgesic effect.84
Addiction on the other hand is not a predictable result of opioid prescribing. “Cardinal features of addiction include a pronounced craving for the drug, obsessive thinking about the drug, erosion of inhibitory control over efforts to refrain from drug use, and compulsive drug-taking.”85
The behavioral changes are associated with structural changes in the brain.
FOR NOW, YOU ARE WITHIN
66 London supra
67 See generally Benjamin Barron, Strategies for Investigators and Prosecutors in Prescription Drug Diversion Cases, United States Attorneys Bulletin, September 2016.
68 Gurman, S & Randazzo, S, Dozens of Medical Professionals Charged in Opioids Sting” WSJ April 17, 2019 https://www.wsj.com/articles/dozens-of-medical-professionals-charged-with-illegally-prescribing-opioids- 11555533761
69 Jeffrey Singer et al Today’s nonmedical opioid users are not yesterday’s patients; implications of data indicating stable rates of nonmedical use and pain reliever use disorder. Journal of Pain Research 2019:12 617-620
70 Michael Barnes, “A More Sensible Surge: Ending DOJ’s Indiscriminate Raids of Healthcare Providers,” Legislation and Policy Brief: Vol. 8 : Iss.1, Article 3.
71 Id p 15.
73 London, supra
74 Harvey Silverglate, “When Treating Pain Brings a Criminal Indictment”, WSJ, June 12 2015.
76 Libby, supra
79 Silverglate, supra
80 Heroin Trafficking in the United States Congressional Research Service Feb. 14, 2019
82 Jeffrey Singer Dopesick Resurrects an Opioid Narrative That is ‘Neat, Plausible, and Wrong’ Reason 10/27/2021https://reason.com/2021/10/27/dopesick-resurrects-an-opioid-narrative-that-is-neat-plausible-and-wrong.