
“..The evidence doesn’t point to a simple mistake; it points to a deliberate deception that has cost countless lives..”

from: youarewithinthenorms.com
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., 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., M.B.A., IN THE SPIRIT OF THE HON. PATRICE LUMUMBA, IN THE SPIRIT OF ERLIN CLEMENT SR., 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., IN THE SPIRIT OF LEROY BAYLOR, JAY K. JOSHI MD., MBA, AISHA GARDNER, 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
The DEA-DOJ Pain Policy Is the Largest Healthcare Fraud
Healthcare educator Richard Lawhern presents a powerful indictment of US public health policy, asserting that government agencies are engaged in the largest healthcare fraud ever perpetrated by conspiring to deny effective pain relief to over 25 million Americans. This article investigates that fraud. Here are five key data revelations that dismantle the official story and expose the real drivers of the overdose epidemic.

Lawhern presents a scientific, factual argument with an analysis of several major studies, arguing that the US opioid crisis was not caused by overprescribing, as the most severe overdose risks in clinical settings stem primarily from patients’ mental health histories, not their prescriptions.
Furthermore, Lawhern’s data demonstrates that skyrocketing mortality rates are actually driven by the rise of illicit synthetic opioids like fentanyl, which grew prevalent following the crackdown on prescription monitoring programs. He concludes by demanding that the CDC and VA immediately repudiate and withdraw their scientifically flawed 2022 guidelines to end the criminalization of evidence-based medicine.

Introduction: The Story We All Believe
We’ve all heard a simple, tragic story about thesis: careless doctors overprescribed powerful painkillers, turning millions of ordinary patients into addicts and fueling a nationwide epidemic. This story has dominated headlines and pushed public policy into a full-scale war on prescription medication. U.S. opioid crisis

But this official story is not just wrong—it’s a lie. According to a scathing indictment presented by patient advocate and healthcare educator Dr. Richard Lawhern, an exhaustive analysis of decades of data reveals that the accepted narrative is “the largest healthcare fraud ever perpetrated against the American people.”
The evidence doesn’t point to a simple mistake; it points to a deliberate deception that has cost countless lives.

Indictment: America’s Largest Healthcare Fraud
Evidentiary Foundation: Analysis of Key Studies
The argument is supported by data from six key studies and sources that challenge the official narrative on opioids.

Finding 1: Clinically-Prescribed Opioids Rarely Cause Addiction
• Cochran Library Review (Noble et al.): A systematic review of 26 studies involving 4,893 participants found that the indications of opioid addiction caused by clinical treatment were exceptionally rare, occurring in only 0.27% of trial patients. While many patients discontinued trials due to side effects or insufficient pain relief, the risk of developing an opioid use disorder was minimal.
• Brandt et al. (2018): In the largest-ever study of post-surgical outcomes, researchers analyzed the records of over 37.6 million commercially insured patients.
◦ Among over one million opioid-naive patients, diagnostic codes for opioid misuse (dependence, abuse, or overdose) were identified in only 0.6%.
◦ The duration of post-surgical opioid use was found to track strongly with the failure rates of the surgical procedures, not with the type or dose of the opioid prescribed.
◦ The study highlights the crucial distinction between physiological dependence (an expected outcome of long-term use) and addiction or substance abuse.

Finding 2: Mental Health History is the Strongest Predictor of Overdose and Suicide.
The Stratification Tool for Opioid Risk Mitigation (STORM) model, developed by Dr. Elizabeth Oliva and the Veterans Health Administration (VHA), analyzed 1.1 million VHA patient records to create a predictive risk model for overdose or suicide events.
• The overall incidence of an overdose or suicide event (attempted or successful) was 0.2%.
• The analysis of over 50 factors in patient histories revealed that mental health and substance abuse histories are vastly more predictive of adverse outcomes than the mere prescription of an opioid.
• Mental health history factors present a risk 4 to 24 times higher than that associated with simply being prescribed opioids.
• Of the top eight risk predictors, only one is directly related to prescribed opioid characteristics.

| Variable in Patient History | Odds Ratio vs. Opioid Prescription Alone |
| History of Opioid Overdose/Intoxication | 23.9x |
| History of Detox | 18.2x |
| History of Substance Use Disorder (Other than Tobacco) | 12.0x |
| History of Suicidal Ideation/Attempt | 10.6x |
| History of Mental Health Disorder | 6.7x |
| Three or More Classes of Sedating Pain Meds | 5.8x |
| History of Homelessness | 5.7x |
| Recent Substance Use Disorder | 4.3x |

Finding 3: Illegal Drugs, Not Prescriptions, Drive Overdose Deaths
• Jalal et al. (2018): Published in Science, this landmark study analyzed 650,000 CDC accidental drug overdose deaths from 1979-2016.
◦ The death curve is exponential, driven by eight overlapping factors.
◦ In their peak year (~2011), prescription opioids were involved in no more than 22% of deaths.
◦ A major shift occurred around 2010, coinciding with two events: (1) the FDA’s mandate for an abuse-deterrent formulation of oxycodone, and (2) the widespread implementation of state Prescription Drug Monitoring Programs (PDMPs).
◦ These actions destroyed the business model of “pill mills,” causing users who were diverting drugs to shift to the illegal street market. In response, drug cartels began flooding the U.S. with heroin and, subsequently, illicitly manufactured fentanyl.
◦ Analysis of death trends shows that while prescription opioid-related deaths peaked and leveled off, deaths from heroin and synthetic opioids (fentanyl) began an exponential climb after 2010.
• Aubrey & Carr (2022): This widely cited study found zero cause-and-effect relationship between state-level opioid prescribing rates and rates of either opioid-involved hospitalizations or accidental drug overdose deaths.
◦ Data charts show that from 2010 to 2019, the total volume of clinical opioids prescribed per capita dropped precipitously (from ~800 MME to ~350 MME).
◦ During the exact same period, total opioid overdose deaths moved in the opposite direction, rising dramatically. This inverse relationship makes it statistically impossible for prescription opioids to be the driver of the death crisis.
• State Unintentional Drug Overdose Reporting System (SUDORS): In 2022, only ~12% of drug overdose deaths involved a prescription drug, a figure that dropped to 8% in 2023. The vast majority of these cases also involved illegal stimulants like cocaine and methamphetamine.
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REFERENCES:

THE OPIOID WAR AGAINST THE AMERICAN DOCTORS AND PATIENTS IN PAIN
