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., WILLIE GUINYARD BS., JOSEPH WEBSTER MD., MBA, BEVERLY C. PRINCE MD., FACS., LEROY BAYLOR, JAY K. WALER F. WRENN III., MD., 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
The DEA’s Long Game
By Daily Remedy Team
October 10, 2021
DEA’S STRONG-ARMING OF THE MEDICAL PROFESSION
The canary in the coal mine is a metaphor alluding to the initial sign of an impending calamity.
An apt metaphor for what just transpired. Recently, the Drug Enforcement Agency (DEA) issued a public safety alert informing the public about a “sharp increase in fake prescription pills containing Fentanyl and Meth[amphetamines]”.
The alert was the canary in the coal mine, but the impending calamity is not what we are led to believe. We have known of a rise in counterfeit prescription pills for many years. It was a rise induced directly by DEA policies inflicted upon patients.
“The DEA orchestrated a culture of fear that can be described as medical McCarthyism, in which the fear of prosecution DEFINED THE QUALITY OF CARE.”
The impending calamity is not the risks counterfeit pills pose to the public but the legal liability the DEA faces for its failed policies.
For years federal agencies and physician advocacy groups remained in lockstep on the causes of the opioid epidemic. We heard it all: lax prescription guidelines, overprescribing by willing physicians, and the addictive nature of opioids.
A CULTURE OF FEAR AND INTIMIDATION
Unfortunately, these purported causes proved erroneous at best or deliberately misrepresented at worst. And implementation of policies based on these causes led to a rise in suicide and clinical stigmatization among chronic pain patients and patients with substance use dependencies.
An atrocity the DEA bears direct responsibility for.
The DEA orchestrated a culture of fear that can be described as medical McCarthyism, in which the fear of prosecution defined the quality of care for stigmatized patients. Accusations formed the basis of convictions as we saw physicians imprisoned for providing care and patients abruptly abandoned without legal recourse.
The American Medical Association (AMA) Substance Use and Pain Care Task Force
That is until now.
The American Medical Association (AMA) recently issued a report through its newly formed Substance Use and Pain Care Task Force recommending significant policy changes it believes would address the nation’s opioid epidemic more effectively. Stopping short of outright criticizing the DEA, the report proposes policy recommendations that run diametrically opposite to the DEA’s approach to the epidemic.
All of which makes the public health alert by the DEA even more curious.
It is absurd to believe the DEA is not aware of the clinical consequences of its failed policies. And to issue a public health alert without acknowledging the basis for such an alert is deliberately deceptive – disrespecting the lives of the patients lost through these policies and conveying a lack of accountability on the part of the DEA.
EXPOSING THE FALSE NARRATIVE OF THE OPIOID CRISIS
But lacking accountability is different from lacking awareness. The DEA is clearly aware its aggressive approach to criminalizing the patient encounter has led to a rise in counterfeit prescription medications and adverse patient outcomes.
THE DEA IS LIABLE FOR UNDUE HARM AND DEATHS OF THOUSANDS
In Kentucky, a federal judge deemed a pain management practice liable for the suicide of a patient unable to receive adequate pain relief, who then committed suicide due to untreated pain. The judge ruled that the physicians in practice were liable for the suicide because they inappropriately reduced the patient’s opioid prescription dosage.
A ruling that implies patients have a right to be treated for pain when applied broadly to all chronic pain patients would hold the DEA liable for undue harm caused to patients based on its aggressive stance on opioid prescriptions.
Something the DEA is well aware of but seems bent on assuming no accountability for, hoping the failed policies are seen as well-intentioned policy errors.
But in recently uncovered reports obtained through multiple FOIA (Freedom of Information Act) requests, it appears the DEA’s aggressive stance extends beyond erroneous policies and the specter of clinical fear – to something far more nefarious, far more deliberate.
For years the DEA colluded with major insurance companies to obtain data on prescribing practices for physicians who treated patients in pain with prescription opioids, contracting covert, third-party data-mining companies to troll medical records without the consent of patients or the knowledge of physicians.
In 2016, these data-mining companies modified the data analysis, changing the definition of a high-risk opioid prescriber to encompass a majority of physicians who prescribed opioids. The adjustment was a blatant attempt to coordinate and speed physicians’ indictment and strengthen the likelihood of convictions.
It should be no surprise that this was when we began to see a rise in physician imprisonments and counterfeit opioids. Both of which are direct consequences of deliberately misrepresenting the trolled medical data.
DEA: ARMED WITH BADGES, GUNS, AND PROFOUND STUPIDITY OF NARCOTIC CONTROL MEDICATIONS
Now, years later, lacking the support of physician advocacy groups or the protection of public perception, the DEA confronts the ugly reality of its failed policies – and the ensuing liability.
But liability comes in different forms. Liability can be characterized as a harmless mistake or as a deliberate misrepresentation. The behavior of the DEA elucidated through the FOIA documents would suggest the latter.
Yet the public health alert provides a convenient rebuttal. A plausible excuse for the DEA to claim its failed policies was an honest mistake. When the DEA realized its policies were leading to a rise in counterfeit opioid prescriptions, it issued a public health alert, suggesting the adverse clinical outcomes – the suicides and stigmatizations – were nothing more than an unintended consequence, an honest mistake.
For the DEA to issue a public health alert for a crisis that began years ago through its policies is a curious course of action – something we rarely see from federal agencies.
But a broader analysis reveals that the timing of the alert is less curious and more strategic. A canary in the coal mine – for the impending liability the DEA will soon face.
FOR NOW, YOU ARE WITHIN