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TULSAFICATION AND THE DIGITAL JIM CROW IN MEDICINE”
The provided sources explore the controversial topic of the criminalization of medicine in the United States, arguing that government agencies, particularly the DEA, are unfairly targeting physicians under the guise of combating the opioid crisis and healthcare fraud.

The discussion suggests that this targeting is often driven by subjective criteria, financial incentives like asset forfeiture, and the weaponization of tools like AI and CDC guidelines, with a notable overrepresentation of Black and brown doctors among those accused.

It examines how this perceived “war on doctors” has devastating consequences, leading to legal battles, the loss of physician autonomy, and a negative impact on patient care, especially for those in need of pain management.

This is our revolution
Dr. Muhamed Aly Rifai wrote June 3, 2025, in KevinMD;
Today, the battlefield is not Lexington or Concord. It is the clinic. The hospital. Out on the internet, addressing the public and in the courtroom.

In, an opinion piece by Dr. Muhamad Aly Rifai, champions the historical significance of physicians who were instrumental in the founding of the United States, highlighting figures like Benjamin Rush. Dr. Rifai a practicing Psychiatrist argues that these “physician patriots” were men of science, healing, and vision who risked everything to sign the Declaration of Independence and shape the republic.

FACING PERSECUTION AND GOVERMENTAL OVEREACH
Dr. Barbara Marino files Actoin Under Freedom of Information
“Today, the redcoats are not British soldiers but federal prosecutors and unelected administrators. Today, the declaration we sign is not on parchment, but in our courage to speak and act.
Dr. Rifai then draws a parallel to the present day, asserting that modern physicians face persecution and governmental overreach, which hinders their ability to practice medicine freely and ethically.
Ultimately, the piece serves as a call to action for contemporary doctors to reclaim their legacy and actively defend both their profession and constitutional liberties against perceived injustices.
Yet the struggle is the same.
- If they jail us, we will write from the cell.
- If they silence us, we will speak louder.
- If they indict us, we will defend ourselves not just with lawyers, but with the truth.
Because we are not just doctors. We are the inheritors of a sacred duty: To defend life, liberty, and the dignity of every patient.
Physician-patriots, then and now
We are entering a new era of physician activism. No longer content to operate quietly in clinics, a new generation of doctors is rising. We are reclaiming the roles our predecessors played. We are building organizations. We are exposing corruption. We are filing lawsuits. We are telling our stories. And we are writing a new declaration. One not of independence, but of interdependence. One that says:
- A physician who heals must be free to do so without political interference.
- A prescription written with compassion must not be treated as a crime.
- A voice raised in protest must not be silenced by fear.
We call on the spirit of Rush, Bartlett, Hall, Thornton, and Wolcott. We call on the ghosts of Valley Forge and the shadows of Independence Hall. And we promise them: We will not let their legacy fade.”
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FOR NOW, YOU ARE WITHIN
THE NORMS
Angela Green’s America’s War on Doctors Briefing Analysis.”

RECOMMENDATIONS TO IMPROVE THE CDC GUIDELINES
Accordingly, the CDC Guideline could be substantially improved in three overarching ways. First, by incorporating some fundamental revisions that acknowledge that many patients experience pain that is not well controlled, substantially impairs their quality of life and/or functional status, stigmatizes them, and could be managed with more compassionate patient care.MR. DECROYO GREEN RECOVERING FROM GUN SHOT INJURY IS FORCE TO TRAVEL AROUND BECAUSE OF PHARMACIST WHO STIGMATIZED HIM
Second, by using the revised CDC Guideline as part of a coordinated federal strategy to help ensure patients with pain receive comprehensive care delivered in a patient-centric approach. And third, by urging state legislatures, payers, pharmacy chains, pharmacy benefit management companies, and all other stakeholders to immediately suspend the use of the CDC Guideline as an arbitrary policy to limit, discontinue or taper a patient’s opioid therapy.
Recommendation 1
Nonpharmacologic therapy and nonopioid pharmacologic therapy are preferred for chronic pain. Clinicians should consider opioid therapy only if expected benefits for both pain and function are anticipated to outweigh risks to the patient. If opioids are used, they should be combined with nonpharmacologic therapy and nonopioid pharmacologic therapy, as appropriate.

With respect to specific revisions, and in addition to the suggestions provided above, the AMA recommends the following revisions to the first recommendation of the 2016 CDC Guideline:

“Non-pharmacologic therapy and non-opioid pharmacologic therapy are preferred for patients with pain. Providers should consider using opioid therapy only if expected benefits for both pain and function are anticipated to outweigh risks to the patient.
If opioids are used, they should be combined with nonpharmacologic therapy, as appropriate. In order to achieve this goal, public and private payer policies must be fundamentally altered and aligned to support payment for non- pharmacologic treatments and multimodal, multidisciplinary pain care. In addition, more evidence must be developed to inform clinical decision-making on the use of nonpharmacologic approaches, and more clinicians need to be trained in their effective use.“
The AMA’s rationale for this revision starts with the fundamental principle that treatment decisions for patients with pain must be made on an individualized basis. Opioid therapy should only be used when the benefits outweigh the risks, but there is no question that some patients benefit from opioid therapy— including at doses that some may consider “high.” As noted above, CDC authors of the CDC Guideline recognize that it has been used to deny access to legitimate pain care and non-consensually taper patients. The AMA urges CDC to specifically address this in the revised CDC Guideline.
