By Elisabeth Mahase

A group of U.S. doctors that advocates for more cautious opioid prescribing has rebutted the claim from the American Medical Association (AMA) that the country “no longer has a prescription opioid driven epidemic” and condemned its call to remove “restrictions on controlled substances.”

Physicians for Responsible Opioid Prescribing (PROP), a group of 17 doctors, researchers and patient advocates, wrote to Susan Bailey, president of the AMA, on 16 February expressing disappointment that the association seemed to “fight key elements of the U.S. Centers for Disease Control and Prevention’s [CDC’s] effort to address the scourge of overprescribing of opioids.”

The group referred to comments made by the AMA in a letter to Deborah Dowell, chief medical officer of the National Center for Injury Prevention and Control. In the letter, James Madara, chief executive of the AMA, told Dowell that “the nation no longer has a prescription opioid driven epidemic … we can no longer afford to view increasing drug-related mortality through a prescription opioid myopic lens.”

He added that the U.S.’s opioid epidemic “has never been just about prescription opioids” and encouraged the CDC to “take a broader view of how to help ensure patients have access to evidence based comprehensive care that includes multidisciplinary, multimodal pain care options as well as efforts to remove the stigma that patients with pain experience on a regular basis.”

PROP said that denying the existence of a prescription opioid driven epidemic in the U.S. sent a “strong message that opioid prescribing for pain is no longer problematic, and that the CDC’s recommended guardrails are no longer needed.” PROP also disapproved of the AMA’s call for states to remove “arbitrary dose, quantity and refill restrictions on controlled substances” to allow patients to obtain the medications they needed.

The group argued that there was “compelling evidence that many of those currently struggling with opioid dependence and addiction were introduced to opioids through use of medically prescribed opioids used to treat chronic pain.” It also contested that the dose and duration restrictions were not arbitrary, but “based on considerable evidence of when harm far exceeds benefit. They only become ‘arbitrary’ when applied too rigidly, or if they are used as license to abruptly cut prescribing to individuals that have become dependent on opioids for stability.”

PROP’s letter acknowledged that, although there have been cases in which the CDC’s recommendations have been “misapplied as strict limits, this does not lessen the need for evidence based opioid prescribing guidance on dose and duration.” Instead misapplications should be tackled specifically, it said.

The letter also argued that the AMA’s moral argument that opioids are needed so that people do not suffer needlessly “should apply only to short-term pain management where there is proven benefit, and not to long-term pain management where evidence of benefit is largely anecdotal, and there is compelling evidence of harm.”

Not acknowledging or communicating the distinction is “a repeat of the pharmaceutical industry’s playbook that led to an epidemic of opioid use disorder,” PROP said.

“Originally published by The BMJ February 17, 2021, written by Elisabeth Mahase, reproduced here under the terms of the CC BY NC licence.”

The post Doctors Reject Claim That U.S. ‘No Longer Has a Prescription Opioid Driven Epidemic’ appeared first on Children’s Health Defense.


Thanks to your donations, we can move to the next step.  We have filed to incorporate Awake Canada as a registered non profit charitable organization.  To be transparent, I have posted the receipts below.

For those that do not know why we did this, let me explain.   We are going to start using corporate clout to tackle some of the companies that are violating our rights.  Our first target is Facebook Canada for the unlawful censorship, banning, and shadow banning of Canadian Citizens.  Facebook is a platform, not a publisher.  They can write all the mumbo jumbo they want into their terms and conditions, but it does not excuse them from medical liability if people are harmed by them censoring doctors, and lawyers about what is really going on with Covid.

As a registered member of Awake Canada, if we push to class action, you will be automatically entered into this class action and dismissed if you have not ever had a facebook account.   My lawyer will inform me on this as we move to this process.  We are going to start by placing an injunction on my personal account, removing all bans, and shadow bans, and the Awake Canada facebook page.  Any action they take against this page or the content, will be challenged legally.  Be sure you are a member of that page if you are not.   You can join our Facebook Here.

We are temporarily going to pause donations, until the registration process is complete and a new bank account for Awake Canada is setup.  Separating my personal affairs from this corporation is KEY to being successful in our campaigns.

Stay tuned for further updates!

Help us spread the word, by sharing these vital links below:

To see Bonnie Henry’s emails proving knowledge of harm of vaccines:

To see the legal challenge that is happening worldwide:

To see hundreds of hours of doctors speaking out:

Important legal documents to your rights as Canadian citizen:

The most important documentary on what is happening in the world right now:

Proof of Genocide:

Dr. David Martin lays it out for you:

The only proof anyone should need:

Alarming uptick in cancers since jab rollout:

3 times more covid deaths since vaccine rollout:

One America Insurance CEO reports 40% increase in death claims since vaccine rollout: