“PAIN CARE IS WOMEN’S REPRODUCTIVE HEALTHCARE”
NORMAN J CLEMENT RPH., DDS, NORMAN L. CLEMENT PHARM-TECH, MALACHI F. MACKANDAL PHARMD, BELINDA BROWN-PARKER, IN THE SPIRIT OF JOSEPH SOLVO ESQ., INC.T. SPIRIT OF REV. IN THE SPIRIT OF WALTER R. CLEMENT BS., MS, MBA. HARVEY JENKINS MD, PH.D., IN THE SPIRIT OF C.T. VIVIAN, JELANI ZIMBABWE CLEMENT, BS., MBA., IN THE SPIRIT OF THE HON. PATRICE LUMUMBA, IN THE SPIRIT OF ERLIN CLEMENT SR., DR. LINDA WHITBY, MD., L.JOSEPH PARKER, MD., EVELYN J. CLEMENT, WALTER F. WRENN III., MD., JULIE KILLINGSWORTH, RENEE BLARE, RPH, DR. TERENCE SASAKI, MD LESLY POMPY MD., CHRISTOPHER RUSSO, MD., NANCY SEEFELDT, WILLIE GUINYARD BS., JOSEPH WEBSTER MD., MBA, BEVERLY C. PRINCE MD., FACS., NEIL ARNAND, MD., 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 NJOKU, BS., RPH., IN THE SPIRIT OF DEBRA LYNN SHEPHERD, BERES E. MUSCHETT, STRATEGIC ADVISORS
Introduction
In the high-stakes legal battles, the prosecution of medical mavericks like Dr. Neil Anand has become a spectacle that demands a closer look. This report aims to inject some much-needed adrenaline into the discussion surrounding prosecutorial practices, challenging the status quo and advocating for a more compassionate approach to doctors who treat patients in poor or working-class communities.
discussion
After the U.S. Centers for Disease Control suggested dosage thresholds for patients receiving pain medication in 2016, 38 states rushed to pass legal limits on opioid prescribing and dispensing.
Even though the CDC insisted the guidance was “voluntary, rather than prescriptive standards,” states wanted to signal they were being tough on opioids. So they enacted tougher laws, even though CDC guidelines recommended dosing thresholds based upon the “morphine milligram equivalents” (MMEs) of the various opioids, a metric that never made sense, was not evidence-based, and amounted to “junk science.”
“…SHOW US THE ALGORITHIM…”
ATTORNEY JEFFERSON BEUREGARD SESSION DECLARES WAR ON MEDICAL CARE
Learning that its guidelines were being misinterpreted and misapplied, the CDC published an advisory in 2019, emphasizing that it never intended doctors to abruptly taper their patients from their pain medications, some of whom had been flourishing on high-dose opioid therapy for years, to its “approved” MME metrics.
ANALYSIS
When a government agency “recommends” a policy, it’s akin to a Tony Soprano recommendation; it is inevitably interpreted as a mandate, obeyed by state and federal agencies, health insurers, and even pharmacies.
- There is no factual, scientific evidence to show that the current overdose crisis is related in any way to prescription opioid medications. Since 2010, the data show that even though the per capita morphine milligram equivalency (MME) dose has continued to drop precipitously, the overdose death rate has continued to skyrocket.
Available online at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9385960/
A proposed review points out:
“This is proof positive that the Centers for Disease Control (CDC), Drug Enforcement Administration (DEA), and Department of Justice (DOJ) are focused on the wrong cohort in the pursuit of policy changes in order to attempt to reduce the number of overdose deaths. Pain patients, who are now unable to get the needed prescription medications that allow them to maintain a functional existence or at least to live in comfort, are being scapegoated.
Interview with CDC Dr. Deborah Dowell on concerns about misimplementation and misapplication of the CDC’s opioid-prescribing guideline. 8m 46s
No Shortcuts to Safer Opioid Prescribing
Today, ANY patient-prescribed controlled substances find that they are forced to choose between anxiety medication and pain medication if they can find a pharmacy willing to fill legal prescriptions.
Attention Deficit and Hyperactivity Disorder (ADHD) patients are now unable to obtain the medications that allow them to maintain a functional existence. Officials need to focus on the illicit fentanyl analog poisonings and polysubstance abuse, which are driving the overdose death crisis, and not focus on stable chronic, intractable, and cancer patients or surgical patients, who are now being denied proper, appropriate postoperative pain control.
“If policymakers want to use legislation to reduce overdose deaths, then it is critical for them to know where opioids that disproportionately lead to mortality are sourced. Prescription opioids have not accounted for a majority of opioid overdose deaths since 2014 and have not represented a majority of total drug-related deaths since substance-specific data have been available.[36]
Instead, illicit fentanyl is the driving force behind this most recent wave of the opioid crisis. In fact, the CDC wrote in JAMA that fentanyl alone accounted for “nearly all the increase in drug overdose deaths from 2015 to 2016.”[37] This has been held for every year following.[38]”
International Classification of Diseases (ICD) coding systems, through the American version of ICD-9, and now, the recently updated ICD-10 coding systems used to chronicle medical events, encounters, and services, have not, and still do not, contain proper coding assignments to differentiate between overdoses and deaths caused by medical grade fentanyl and those caused by illicit fentanyl analogs that have no medical use in humans anywhere in the world, and which are being imported into the United States by nefarious actors.
ARGUMENT
According to Dr. Sanjay Kumar, MD, an imprisoned physician in Butner Federal Correctional Prison, Butner, North Carolina.
“Law enforcement agencies in America use predictive programming AI technologies and profiling to target their VICTIMS. For countless doctors, including myself, who have been wrongfully ensnared/imprisoned/looted in the WAKE of this FAKE “War on Drugs”, their tools identify certain common criterion, to wit:
- SOLO OR SMALL PRACTICES [NOBODY WILL BE IN A STATE OF UPROAR OVER THEM DISAPPEARING]
- FOREIGN MEDICAL GRADUATES [WHO WILL NOT BE MISSED]
- DOCTORS WHO ARE ASIAN, BLACK OR JEWISH [MINORITIES, WON’T BE MISSED]
- HIGH INSURANCE BILLERS OR CASH/BARTER PRACTICES
- DOCTOR NOT AFFILIATED TO A HOSPITAL [LOW HANGING FRUIT]
- SUBSTANTIAL BANK ACCOUNTS [SO THAT THEY CAN LOOT]
- OWN THEIR OWN HOME and HAVE ASSETS LIKE CARS/BOATS and PLANES [THAT IS WHY THEY WANT YOU TO REGISTER THEM SO THAT THEY CAN LOOT ‘EM WHEN THEY WANT]
- DOCTORS AGED 50 YEARS OR OLDER [THEY WILL HAVE CASH and ASSETS and RETIREMENT ACCOUNTS THAT CAN BE LOOTED]
I Informed the Judge, during my trial that If I was living in a mud shack and going to work on a bicycle they would have left my ASS alone.” After 8 years of continuous incarceration Dr. Kumars 25 year sentenced was vacated
cont-
CONCLUSION
Over the past several months, lawmakers around America have begun re-examiningexisting state laws that have strictly limited and prescribed how healthcare practitioners can treat pain, which is a clear violation of both physicians’ and patient’s rights.
This means that all of the data collection systems throughout medical, insurance, and government systems, is polluted by the miscategorization of overdoses and deaths caused by these illicit fentanyl analog poisonings. The new ICD-10 Coding shows that both medical-grade fentanyl and non-pharmacologic fentanyl analogs are combined instead of given separate codes:
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(2) Robert Capodilupo & Jacob James Rich, “The Misinformed & Misguided Prescription Abuse Prevention Act: A Response to Delfino,” Yale Law and Policy Review, Page 8, Spring 2023.
Available online at: https://yalelawandpolicy.org/sites/default/files/IA/capodilupo_rich_ylpr_publication_pdf.pdf
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