The latest indignity and law enforcement incursion upon medical service:
check out http://www.protectpaincare.org/.
This is as foul an indignity as people with chronic pain have yet suffered. And all because we have failed to change our healthcare system to accommodate the use of controlled substances for pain, with training, time, reimbursement and all the things that are needed to make opioids safer. Physicians don’t have the time to assess and monitor people with pain but profiteers and others do.
If I had chronic pain and was desperate, would I be willing to sacrifice my privacy and further sacrifice my dignity? Up to now I would only have had to do that at the pharmacy. Now my doctor, the person I hope to trust and have trust me back, is going to farm out the job of assessment and monitoring of me to law enforcement – are you kidding me!?!? And if I don’t want to participate, what choice do I have?
Comments on Dr. Fudin’s article:
For prosecutors and law enforcement officers to advocate up to the point of starting and signing petitions ‘asking’ patients with legitimate disease(s) to give up their 4th amendment rights in order to gain access to pain treatment medications(and to fight diversion) is simply going beyond the pale. Just when one thinks they’ve seen it all and believes nothing would shock them ‘they’ roll something like this out.
Key words here, “So patients can make decisions.” I feel like my hands are tied behind my back and I am being thrown into a vast sea of political and financial agendas (including alternative medicine). What has happened to our common sense in this country? Let’s see some media hype on what IS working to help people live a more productive life despite their use of opioids or CAM therapies.
And here’s what you’ll find on the “ProtectPainCare” site:
Home Page of ProtectPainCare
A Technological Advancement in the Management of Chronic Pain
Pharmacovigilance Biometrics is a technology and service solution to the challenges of the growing Prescription Drug Abuse and Diversion that has plagued communities throughout America for more than 10 years.
To resolve these challenges, PPPFD is introducing a sound technological medical service to the Medical Community, Patients, and Law Enforcement.
We are confident that the demand and growth of Pharmacovigilance Biometrics will be the result of support by;
1) Law Enforcement: by deterring prescription drug diversion activities such as Doctor Shopping
Notice law enforcement is listed first.
2) Insurance Companies and CMS: through a reduction in the direct and indirect cost inherent in Prescription Drug Abuse and Diversion
Then the money interests are mentioned.
3) Patients and Pain Advocacy Groups: by improving law-abiding patient access to pain treatment
This harassment and abuse is bizarrely claimed to be a benefit to patients.
4) Physicians and Medical Organizations: by protecting the Physician from the Double Jeopardy Risk of treating pain
This service will be taking over a part of the doctor’s job: evaluating the patient’s well-being.
5) Pharmacies: through a reduction in fraud and identity theft with a resulting increase in inspector confidence
6) Pharmaceutical Companies: who produce “high risk” medications by ensuring that legitimate patients receive appropriate medications which will increase physician prescribing confidence.
This whole procedure of “vetting” patients like criminals destroys the patient’s relationship with their doctor and makes pain management a production line process, with parts outsourced to the cheapest provider.
Team Page of ProtectPainCare
PPPFD BioMatrix Registry™ is a Nationwide, internet based, Biometrics enabled, Prescription and Patient Tracking Program that actually helps STOP Rx Narcotics Fraud!
Narcotic Auditors are the first line of defense in our fight against prescription diversion. The narcotics auditors have a face to face interaction, every month, with every patient to develop a complete risk assessment.
They clearly assume even patients with decades of opiate treatment should be treated as potential criminals and go through this degrading and humiliating process every month for the rest of their lives.
Our Field Auditors are our face in the community. The Field Auditors travel throughout the community to complete compliance checks with patients. The Field Auditors are also our law enforcement and pharmacy liasons.
There’s a heavy emphasis on law enforcement throughout, which seems to be the main service they provide.
Patients Page of ProtectPainCare
biometrically enabled Pain Care Access™ to Protected Physicians. Here’s how it works
Before the patient sees the physician for their pain medicine visit, our Narcotics Auditor will interview the patient and complete a Risk Intervention Audit Report.
This report does a more thorough background check than the police do when you are arrested. Patients needing opiates for pain are being subjected to law enforcement procedures used for criminals. (see a previous post about this issue: Pain is no longer a medical issue, it has become a legal issue)
The oral patient answers will be voice recorded and analyzed for veracity if the patient agrees it is necessary. The patients’ finger prints will be scanned into our online BioMatrix Registry that is designed to alert us if the patient has a stolen identity and is seeing other physicians in our BioMatrix Registry Network. A background check is completed, a track marks search is conducted, and relevant state Prescription Monitoring Programs are checked.
The patient will be issued a Registered Patient ID card that has their photo, signature, and secure password to their profile on the world wide web BioMatrix Registry. The completed Risk Intervention Audit Report is signed by the patient and by the Auditor and put in the patient chart for the physician examination of the patient.
Registered Patients will be able to bypass most of the current “drug abuse” related harassments and the obstacles to finding a physician who is able to treat their severe chronic pain with safe and effective analgesics.
Isn’t this procedure exactly the kind of “harassment and obstacles” they claim we’ll be able to bypass? This is not a one-time process; on the page for physicians, they talk about monthly face to face encounters with their narcotics squad.
A Gallup Survey says “40% of pain patients are willing to spend all their money for pain relief!”
By showing how desperate patients are to get their pain medication, this reassures their physician customers how easily patients can be coerced to give up their rights and comply with these procedures.
I hope you’ll take a moment to read and enter a comment on Dr. Fudin’s post Protect Pain Care | Dr. Jeffrey Fudin to protest this outrage.