The issue
Opioids are a class of strong pain medication. While they may effectively manage moderate to severe pain, they do have addictive properties. Due to misinformation about the risk of addiction, a lack of accessible alternatives for pain relief, and other factors, opioid abuse and overdose have increased significantly in the last decade. In an effort to address the crisis, government officials and other policymakers have enacted far-reaching reforms on how opioid medications are prescribed and dispensed.
The problem
While reform is absolutely necessary, some of the restrictions on opioids have unintentionally harmed legitimate patients who rely on opioids to manage their pain and use their medications appropriately. As a result, these individuals may be left with their pain undertreated or untreated. A failure to treat pain appropriately, however, leads not only to unnecessary physical suffering, but also increased disability, lost productivity, depression and anxiety, and even suicide.
Our position: Partial support
In order to effectively address the opioid epidemic, we must enact balanced reforms that consider the needs of both patients with pain and patients with substance use disorder. Balanced reforms include things like increased access to alternative treatment options (including complementary and integrative medicine and medical marijuana); prescription monitoring programs; abuse-deterrent formularies; increasing public awareness about safe medication disposal; better understanding of risk factors and appropriate screening for substance use disorder; and so on. Read our full position statement.
Reforms must balance the needs of both patients with pain and patients with substance use disorder
Examples of U.S. Pain’s efforts
- Director of State Advocacy speaks on panel about opioids at BIO summit
- Congress agrees on major opioid legislation that will likely pass this week
- HHS Pain Management Best Practices Task Force holds second meeting
- U.S. Pain Foundation awarded project grant from Massage Therapy Foundation
- Two deadlines this month to contact federal government on chronic pain
- Take action on Oregon’s Medicaid proposal
- Massachusetts passes landmark legislation that includes help for pain patients
- Tell Congress: Don’t punish people with pain
- Pain warriors unite in speaking out at FDA meeting
- Millions in federal funding earmarked for pain research
- U.S. Pain reps take part in first meeting of major pain task force
- Congress hard at work on major new opioid-related legislation
- Two U.S. Pain representatives nominated to major HHS committees
- Still time to take action to increase federal pain spending
- U.S. Pain outlines recommendations for CMS
- U.S. Pain takes to the Capitol with Headache on the Hill
- Help support a landmark pain research funding bill
- U.S. Pain testifies on key bills in MA
- Denied treatment? This resource can help
- U.S. Pain and 31 organizations speak out against repeal of patient access act
- New coalition calls for balanced aproach to opioids
- Understanding the new CVS opioid policy
- Despite opposition, CMS to replace pain questions on major survey
- A proactive step in fighting the opioid crisis
- Opioid taxation bills raise concerns
- Roundtable discusses benefits of abuse-deterrent formularies
- Take action on proposed changes to pain assessmment survey
- U.S. Pain volunteers take swift action at federal level
- Action needed today on CMS proposal
- VA restricts opioids for veterans and military service members
- CMS publishes new strategy to combat opioid misuse
- Shaina Smith presents at Summit on Balanced Pain Management
- 21st Century Cures Act becomes law
Resources
- Addiction vs. Dependence – Health Central
- Signs and symptoms of prescription drug abuse – Mayo Clinic
- Opioid Addiction Is a Huge Problem, but Pain Prescriptions Are Not the Cause – Scientific American
- Opioid Abuse in Chronic Pain — Misconceptions and Mitigation Strategies – The New England Journal of Medicine
- Lost in Chaos: The State of Chronic Pain in 2016 – PAINS 2016 report