@colic2bullsgirlore wrote:
Am3 you seem to have this thing re defending doctors.
You prefer to believe that addicts are in the main procuring their prescription drugs from Silk Road for 20 bucks a pill on the internet rather than obtaining a box (oxycodone) for $6.90 on the PBS in their main street.
You use the excuses below that a Doctor would not risk their career for such small recompense......
The fact is the definition of prescription/doctor shopping is that typically the Dr. is fooled
ie they don't realize they are overprescribing (basically the patients lie) which renders your "ah they wouldnt do that for
30 bucks" excuse for what it is.... blind faith
You managed to find a (no responsibility) disclaimer in the students thesis... but in the next post you decided to quote
from the same because it suited your position.
http://www.medicareaustralia.gov.au/provider/pbs/prescription-shopping/
Definition of doctor/prescription shopping
About prescription shopping Prescription shopping is when patients unknowingly or deliberately obtain more medicines than is medically needed.
This is often done by visiting many doctors, without telling them about their other consultations.
Am3 quotes
"Doctors are risking their careers IF they prescribe controlled drugs to those not entitled to them. Because of the authorisations required, it would be picked up if they are prescribing excessive amounts of any controlled drugs."
"There is no financial gain to a Dr to jump through the hoops to prescribe a controlled drug to a patient who is not entitled to it. Why would a doctor knowingly do that and risk their career?"
"Perhaps the Medicare fee for the patient visit?? $30?? Not worth breaking the law over."
Mid North Coast health service link and copy and paste below
http://www.nps.org.au/health-professionals/health-news-evidence/2014/tamper-proof-oxycodone
What are current prescribing patterns?
In another study using 2010/11 data, about 44% of GPs' opioid prescriptions were for chronic non-cancer conditions. Only 3.5% of opioids were prescribed for pain caused by cancer, and the remainder (more than half) were presumably for acute conditions.
Most prescriptions (58.2%) were for musculoskeletal problems, with back problems accounting for 27%. Osteoarthritis accounted for 9.7% and generalised multi-site pain for 6.6%.
Considered prescribing is key Although reformulated oxycodone may push opioid abusers to look for alternatives, the evidence so far from the USA suggests it will not reduce opioid abuse in total.
There is scope for better adherence to guidelines:
A recent survey found none of the 404 NSW GPs responding was compliant with all the local health district guidelines, and fewer than one third 'usually employed' most guideline items.
Concordance with guidelines was lowest for strategies designed to reduce abuse, such as the management of aberrant behaviours.
Only 16% reported often contacting the prescription shopping information service in the last 2 years when concerned about aberrant opioid behaviors.
While an abuse-deterrent oxycodone formulation is now available, GPs can reduce the potential for abuse even more by adhering to prescribing guidelines.
Anyways I still go back to my original comment
Prohibition caused Mcnultys death and Wran and her boyfriends impending incarceration...... and many many others.
many of the addicrts have already made the switch...society just needs to catch up with them.
Controlled supply (not like the uncontrolled legal supply that is evidenced by my posts above) is the key to addiction
and the panacea to the social rot that it fathers with the offer of education counselling and harm minimization
techniques
I suspect there are many factors that caused it but not prohibition.
No self control............
Personal factors..............
medical conditions........
