In a report by Pat Anson published in Pain News Network on July 9, 2018 concerning the FDA Public Hearing with chronic pain patients, a rather cautious hopefulness is expressed in her final remarks:

“Unfortunately, the fact remains that there are still too many prescriptions being written for opioids,” FDA commissioner Scott Gottlieb, MD, said in a lengthy statement apparently written before the hearing began.  “We don’t want to perpetuate practices that led to the misuse of these drugs, and the addiction crisis. At the same time, we don’t want to act in ways that are poorly targeted, and end up disadvantaging legitimate patients.”

Gottlieb said the FDA was encouraging medical professional societies to develop their own opioid guidelines for different medical conditions. But he stopped short of calling for issuing an FDA dissent opinion on the CDC Guidelines, instead claiming they offer “helpful guidance to prescribers.”


We already have three independent sets of guidelines on treating something as fairly straightforward as PAIN (viz. the World Health Organization, United Nations, and CDC). The results: in less than three years after the CDC took the liberty of formally weighing in, the practice of medicine has been turned on its ear.

Dr. Scott Gottlieb, Commissioner of the FDA. [Appointed by President Trump, 2017]

Forgive me for being skeptical of the notion that specialists devising their own guidelines would be an effective solution. The commissioner’s statement was simply a poorly written pass after 8 hours of testimony and evidence presented which directly contradicts that particularly ill timed, canned response. Nevertheless Gottlieb concluded with a final half truth, “The CDC guidelines reinforce the need to treat pain carefully and adopt opioids as a last resort medication for most conditions.”

My Response.

Published by The Intractable Pain Collective

Aaron Sells 2018-Present: Founder, Intractable Pain Collective Writer and Political Activist. Freelance math and science tutor: K-12 and college ===== Pittsburg State University - General education requirements; Humanities and Mathematics Writing Intensive (WI) coursework, 1996-1998 University of Kansas - Molecular Biotechnology, B.S., 1999-2001 ===== More about me: After sustaining a catastrophic spinal cord injury requiring emergency surgical decompression on August 12, 2012, I have dedicated most of my time to researching (my) rare and severely painful spinal disease: Chronic Cauda Equina Syndrome (complete) with Neurogenic Bladder and Bowel. I've had three major spine surgeries to date; the last operation in November 2018 only exacerbated my preexisting failed back surgery syndrome (a condition also referred to as post-laminectomy syndrome). I'm an aggressive advocate for individualized, mandatory medical treatment for intractable pain caused by complex, disabling, incurable, and/or terminal diseases. Truth and empirical evidence-based science must inform public policy. The pendulum has swung too far in the other direction, so we need to link arms right now and do everything in our power to end the War on Pain. We must demand the CDC's Opioid Policy Research Advisory Committee testify before a Congressional Hearing. On the heels of thorough criticism from the AMA and, most importantly, in the draft final report of the HHS Pain Task Force Recommendations, a mea culpa in the NEJM is wholly inadequate. We deserve answers for their inhumane, adversarial position against access to effective patient-directed medical treatment focusing on optimizing the quality of life for critically ill and injured patients suffering from intractable pain. ===== Send Secure, Encrypted Messages to: asells@pm.me ===== #DemExit2020 #Medicare4ALL #RentStrike2020 #MortgageStrike2020 #Strike2020

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