‘Bad. Bad. Bad. Bad. Bad. Bad. Bad.’: Here’s a great thread on Kirsten Gillibrand’s horrible opioid policy

 2020 candidate Kirsten Gillibrand floated an absolutely horrible “fix” to the nation’s opioid crisis — legislation to limit opioid prescriptions for acute pain to 7 days, because “no one needs a month’s supply for a wisdom tooth extraction.” Aren’t these sorts of decisions best made by a patient and their doctor and not some senator with presidential aspirations?
Abraham Gutman is an opinion writer at the Philadelphia Enquirer who writes about drugs and criminal justice, among other things.
@SenGillibrand if you are interested, I would love to connect your team with experts and share some data about why policies such as the prescription limits that you are proposing do more harm than good. I’m at agutman@philly.com.

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Her “team of experts” — good one.

Just a couple of weeks ago more than 300 experts wrote a letter to the CDC about their Rx guidelines. The takeaway: limiting opioid prescription drives people who are suffering from pain to find illicit alternatives and commit suicide. @SenGillibrand https://docs.google.com/document/d/1RzQDSppUKhjiAsEmhW2WbTXlP5V8vJ4M_vBPQLKhK_8/edit 

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Between 2006 and 2017, the opioid prescription rate went down by about 20 percent nationally. At the same time the overdose deaths more than doubled. Most of those deaths involve illicit fentanyl, not Rx.

We shouldn’t push people toward more dangerous substances. @SenGillibrand

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Doctors are already afraid to prescribe opioids; they don’t need the government interfering any further.
Why would a prescription limit on *acute* pain harm chronic-pain patients? Because of CDC guidelines & state prescription limits, many people in chronic pain depend on diverted pills. Without them, the only option left is illicit fentanyl and the risk of overdose death.
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We also don’t want to further promote a culture of hyper-surveillance on doctors’ prescription that would incentivize bad medicine and not giving painkillers to people in chronic pain to avoid getting in trouble with the DEA — this is already happening.
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It is also important to note that prescriptions don’t tell the full story of the cause of the addiction and overdose crisis. Everyone should read @ZachWritesStuff’s masterful essay on the problem w/ the supply side story. https://longreads.com/2018/09/20/hating-big-pharma-is-good-but-supply-side-epidemic-theory-is-killing-people/  @SenGillibrand
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OK, you totally lost us there; the threat of creeping socialism is what causes us despair, but go on.
Do you also think disability/pain suffering patients should also have a seat at that table?

(I'm not challenging you on this, just asking for clarity because I didn't see it mentioned--but it's also Twitter and 280 characters limits things.)
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10000000000% yes. I would expect that any one of these groups will include input from the people who will be impacted by the guidelines in making the guidelines
See Abraham Gutman's other Tweets
Seeing as Gillibrand changes her policy positions every day, it would be good to have the input of people who live with pain every day.

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