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Debunking The Myths

Common sense in pain management -- read Chronic Pain & Opioids: Debunking the Myths, by Frank B. Fisher, MD -- also available in PDF. And check out this public service ad based on Debunking the Myths.


Physicians are under intense scrutiny because of concerns over prescription drug diversion and abuse. At the same time, they are also under pressure from patients and advocates to prescribe adequate pain medication. It is a difficult balancing act and sometimes, overzealous law enforcement can tip the scales. For more information click here.


The Cato Institute published this tremendous analysis of pain management policy by Professor Ronald T. Libby of the University of North Florida. Download a copy of the full report, and also check out this CSDP public service ad which excerpts the Libby report.

A Michigan study confirms what many patients already know: Pharmacies in minority and low-income areas are less likely to carry sufficient supplies of pain medications. Click here to read more about this study on access to pain medication which was published in the Journal of Pain in Oct. 2005.


Pain management: where healthcare and drug control policies intersect. Click here for more about pain management, diversion, and related items. Also check out this new CSDP public service ad on the federal war against physicians over pain management.


Florida Governor Charlie Crist and his cabinet voted unanimously to grant pain patient Richard Paey a full pardon for his 2004 conviction on drug trafficking and possession charges. For more information, click here.


The re-trial of Doctor William Hurwitz came to an end in July 2007. The doctor's sentence was reduced to less than five years. He was originally given 25 years. For more information, click here.


A federal judge is challenging the plea agreement entered into earlier in 2007 between prosecutors and Purdue Pharma, the manufacturer of OxyContin. For more information, click here.


The New York Times Magazine featured a cover story on pain management issues in their June 17, 2007 edition. Click here to read the story in full.


Purdue Pharma, manufacturer of OxyContin, and three current and former executives were allowed to plead guilty in federal court to misleading the public about Oxy's risks. For more information, click here.


Federal re-trial of pain specialist Dr. William Hurwitz ends – some charges dismissed, acquittal on some charges but guilty verdicts on others. For more information click here.


Commutation Urged After Appeal Fails

Chronic pain patient Richard Paey lost in the appeal of his sentence on drug charges and faces a mandatory minimum 25-year-sentence. For more information click here .


DEA Issues Policy Statement On Pain Management

The US Drug Enforcement Administration has issued a new policy statement on pain management and prescribing practices. For details, click here. Also, a full copy of the notice as published in the Federal Register is available by clicking here.


The 4th Federal Circuit Court of Appeals has granted a new trial to Dr. William Hurwitz of Virginia. Dr. Hurwitz had been accused of drug trafficking for prescribing large quantities of narcotics to patients. For more information click here.


Rightwing talkshow host Rush Limbaugh reached a plea deal with prosecutors – charges to be dropped in 18 months if he completes treatment, avoids re-arrest. For more info, click here.


One of the first physicians in the nation to be charged with the deaths of patients from narcotics abuse was found guilty of one count of manslaughter and five counts of narcotics trafficking in her retrial in Florida. Dr. Asuncion Luyao faces maximum 30 year prison term – an appeal is planned. Click here for more info.


First Annual Opioid Certification Program

Presented by the Opioid Management Society & the Journal of Opioid Management, the conference will be held April 22-23, 2006, at The Conference Center at Harvard Medical, Boston, MA. To register, contact the Opioid Management Society.


The cover story in Harvard Magazine's Nov-Dec 2005 issue is "The Science of Hurt," by Kathleen Koman. Download and read a PDF copy of this tremendous article.


FDA, doctors win versus DEA on question of final approval of new painkilling drugs. Click to read more.


Chronicle AM: MA Inits Filed, Pill Crackdown Hurts Patients, Yemen War Snarls Drug Trade, More (8/05/15)

Competing legalization initiatives get filed in Massachusetts, pain patients face obstacles amidst the pill mill crackdown, the Yemen war is messing up the peninsular drug trade, and more.

[image:1 align:right caption:true]Marijuana Policy

Two Competing Groups Filed Massachusetts Legalization Initiatives. Both the Marijuana Policy Project-backed Campaign to Regulate Marijuana Like Alcohol in Massachusetts and the local group Bay State Repeal today filed initiatives to legalize marijuana in the state. Bay State Repeal actually filed three versions of its initiative. Click on the organization link to get details on the various proposals.

Medical Marijuana

Leaked Document Shows DOJ Misled Congress on Impact of Medical Marijuana Amendment. In the days before Congress voted to approve an amendment limiting the Justice Department's ability to interfere in medical marijuana states, an internal memo obtained by Tom Angell at Marijuana.com shows that the department tried to mislead Congress by falsely claiming that the amendment could "in effect, limit or possibly eliminate the Department's ability to enforce federal law in recreational marijuana cases as well," according to the document. [Emphasis added.] The memo admits that the DOJ talking points were "intended to discourage passage of the rider," but "do not reflect our current thinking." Click on the link for more.

Under-treatment of Pain

Pill Mill Crackdown Hurting Pain Patients. New Hampshire Public Radio has done a lengthy report on the impact of the pain pill crackdown on pain patients. One patient who moved to Florida reports that his pharmacy runs out of pain medications, and the pharmacy owner reported that pharmaceutical wholesalers will no longer distribute the amount of drugs he needs to serve his clients. There's much more there, too; click the link to read the whole thing.

International

Yemen War Messing Up Arabian Peninsula Drug Traffic. Saudi Arabia's four-month bombing campaign against Houthi rebels is not only killing hundreds, perhaps thousands, of Yemenis, it's also choking off the supply of Middle Eastern amphetamines and hashish that have been being trafficked across the Yemen-Saudi border. Saudi border guards say the war has shut down trafficking, while Riyadh residents complain that supplies are drying up. The article also provides an overview of drug use in the region; click on the link to get it all.



Release: Major Groups Call for UN to Respect Countries That Legalize Marijuana or Other Drugs (5/5/15)

FOR IMMEDIATE RELEASE: May 5, 2015

read more



Chronicle AM: NV Pot Init Will Go to Voters Next Year, Dark Web Drug Bust, Saudis Behead Three, More (3/13/15)

Nevada is the first state in line to legalize it in 2016 after the legislature failed to act this week, a controversial Ohio legalization initiative wins a preliminary approval to move forward, there was a major dark web drug bust in Germany this week, and more.

[image:1 align:right caption:true]Marijuana

DC Cannabis Campaign to Host Pot Seed Exchange. The folks behind the Measure 71 marijuana possession and cultivation legalization initiative will be hosting two seed exchanges this month. "This will be DC residents' opportunity to share seeds with other adults and start down the path of legally growing your own cannabis in the safety and privacy of your home," the campaign announced Thursday.

Nevada Will Vote on Marijuana Legalization Next Year. After the state legislature failed to act by a deadline today, marijuana legalization is headed to the ballot next year. Initiative organizers have already taken all the necessary steps for the vote to take place. The legislature could have approved the initiative itself, but instead punted. Read the initiative here.

Ohio Attorney General Approves Petition Summary for Responsible Ohio Legalization Initiative. The attorney general's approval means ResponsibleOhio now goes to the Ohio Ballot Board for its approval. Their meeting will take place in about 10 days. Read the ResponsibleOhio initiative here. If the Ballot Board approves, ResponsibleOhio must then gather 305,591 valid signatures of registered Ohio voters from at least 44 of 88 counties to get the measure on the fall ballot.

Medical Marijuana

Federal Medical Marijuana Bill Gets New GOP Cosponsor. A second Republican senator has signed on to the Compassionate Access, Research Expansion and Respect States (CARERS) Act (Senate Bill 683). Sen. Dean Heller (R-NV) joins fellow Republican Sen. Rand Paul (KY) and Democrats Cory Booker (NJ) and Kirsten Gillibrand (NY).

Georgia Senate Passes Restrictive CBD Cannabis Oil Bill. The Senate passed Senate Bill 185, which would allow parents bringing CBD cannabis oil into the state to treat their children with epilepsy to be exempted from criminal prosecution, but would not allow medical marijuana in any other form and would not let adults or children with other diseases use it. The House has passed a broader CBD bill; the Senate Health Committee chair has promised it will try to reconcile the two bills.

International

China Withdraws UN Motion to Make Ketamine a Controlled Substance. After lobbying from Canadian researchers and others who said ketamine is a crucial anesthetic for poorer countries, China today withdrew its motion before the UN Committee on Narcotic Drugs to schedule the drug. The Chinese said they would defer their resolution for another year so ketamine can be studied more.

Germans in Major Dark Web Drug Bust. Police in Leipzig announced yesterday that they had raided 38 locations and arrested seven people, as well as seizing more than 700 pounds of cocaine, ecstasy, LSD, amphetamines, marijuana, and hash. The bust was of only one seller on the dark website Evolution, but the Deep Dot Web blog, which closely tracks the online narcotics trade, calls the law enforcement operation the biggest Dark Web drug bust ever. Still, the vendor busted represented only a fraction of the 20,000 drug listings on Evolution, and that's just one dark web drug sales site.

Saudi Arabia Beheads Three For Drug Smuggling. A Yemeni, a Syrian, and a Saudi national were executed in the kingdom this week for smuggling amphetamines and hashish into the country. That makes about 20 drug executions so far this year in the county, about half of the 43 executions reported so far.



Chronicle AM: CO Pot Law Challenged Again, RI Legalization Bill Filed, Global Pain Med Crisis, More (2/5/15)

Sheriffs from three states are suing Colorado over its pot law, legalization bills get filed in Rhode Island, new research scoffs at links between psychedelics and psychosis, heroin OD deaths are up, there's a big problem with global access to opioid pain medications, and more. 

[image:1 align:right caption:true]Marijuana Policy

Sheriffs From Three States Sue Colorado Over Legalization. Sheriffs from Colorado, Kansas, and Nebraska are the latest bunch to try to overturn the will of Colorado voters via a federal lawsuit. A lawsuit filed in federal court in Denver today asks the court to strike down Amendment 64, which legalized marijuana, and to order the closure of the state's more than 330 pot shops. The sheriffs claim Colorado's legalization creates "a crisis of conscience" for them and forces them to violate their oath to uphold the US Constitution.

Rhode Island Legalization Bills Filed. Senate Health and Human Services Committee Chairman Joshua Miller (D-Cranston) and House Finance Committee member Scott A. Slater (D-Providence) have introduced legislation to make marijuana legal for adults 21 and older and to establish a system in which marijuana is regulated and taxed similarly to alcohol. The bills are House Bill 5777 and Senate Bill 510. The state has been tagged as one of the more likely ones to legalize it through the legislature. 

Medical Marijuana

Idaho CBD Cannabis Oil Bill on Hold. A bill that would allow access to CBD cannabis oil to treat epilepsy seizure disorders is alive, but on hold after the Senate State Affairs Committee decided it needed to be amended to address law enforcement concerns. The bill is Senate Bill 1106. Supporters are supposed to come up with amendments to address those concerns by next week.

North Carolina Medical Marijuana Bill Moves. A bill that would allow for medical marijuana in the Tarheel State has passed its first reading in the House. The bill is House Bill 78

Psychedelics

Researchers find No Link Between Psychedelics and Psychosis. Users of LSD and other psychedelics are no more likely to have mental health conditions than those who don’t, according to data from population surveys. The researchers said anecdotes about "acid casualties" dating back to the 1960s were precisely that—anecdotes. "We are not claiming that no individuals have ever been harmed by psychedelics," says the author of one of the two studies cited, Matthew Johnson, an associate professor in the Behavioral Pharmacology Research Unit at Johns Hopkins University in Baltimore, Maryland. "Anecdotes about acid casualties can be very powerful — but these instances are rare," he says. At the population level, he says, the data suggest that the harms of psychedelics "have been overstated."

Heroin

Rate of Heroin Overdose Tripled Between 2010 and 2013, CDC Says. More than 8,200 Americans died of heroin overdoses in 2013, according to a new report from the Centers for Disease Control (CDC). That's an average of 23 people a day. The rate of heroin overdose deaths nearly tripled, from just under one per hundred thousand to just under three per hundred thousand. Who is dying has also changed. In 2000, the highest overdose rates were among middle-aged black, but by 2013, whites between 18 and 44 had the highest rates.

Drug Testing

Florida Governor Gives Up the Ghost on Welfare Drug Testing. This week was the deadline for Gov. Rick Scott (R) to ask the Supreme Court to overturn lower court rulings that found his suspicionless welfare drug testing law unconstitutional. He didn't act. "We chose not to appeal this case," a spokesman said.

International

INCB Report Says 75% of World Population Still Doesn't Have Access to Pain Relief Meds. In its annual report released this week, the International Narcotics Control Board (INCB) said about 5.5 billion people on the planet are in danger of suffering pain if they become chronically or terminally ill because they don't have access to opioid pain relief medications. Click on the link for more and to read the INCB report.

New Uruguay President Postpones Allowing Pharmacy Pot Sales. New President Tabare Vasquez, who took office Sunday, has decided to postpone implementing public sales of marijuana. His chief drug regulator, Milton Romani, said yesterday he was in "no rush" to start pharmacy sales. "I want this project to be successful," he said. "If we make a mistake by rushing, we fail." For those really interested in getting their weed right now, there are now 15 cannabis clubs in operation and more than 2,000 grows.

Hispanic American Historical Review Has Special Issue on Drugs in Latin America. Lots of good stuff in there for those with an interest in the topic. Here's the table of contents for the issue. 



Chronicle AM: More CO Lawsuits, 2016 MI Inits, New Paid Med Rules a Pain for Vets, More (2/19/15)

An anti-crime group has filed a pair of lawsuits challenging Colorado's legal marijuana law, a decrim bill is moving in Hawaii, 2016 initiative plans are getting underway in Michigan, DEA rules on pain pills are causing problems for vets and others, and more. Let's get to it:

[image:1 align:left caption:true]Marijuana Policy

Revised Alaska Marijuana Bill Removes It From Controlled Substances List; Adds New Misdemeanors. The legislature's effort to regulate legal marijuana has been revised to remove pot from the controlled substances list, according to an updated draft of Senate Bill 30. The bill would also create new crimes for misconduct involving marijuana, including selling it without a license, possessing more than six plants, transporting more than an ounce, providing it to minors, and making hash oil with a volatile or explosive gas. The bill got a hearing in committee yesterday.

California's Attorney General Not Opposed to Legalization. Attorney General Kamala Harris, the state's top law enforcement officer and Democratic front-runner for a 2016 US Senate seat has said she has no moral objection to legalizing marijuana, but worries about impacts on children and public safety. "I don't have any moral opposition to legalization," she said, "but I do feel a very strong sense of responsibility as a top cop to pay attention to the details... to make sure that if it were legalized... that vulnerable people are safe."

Private Group Sues Colorado Over Legalization. Two months ago, Nebraska and Oklahoma filed a lawsuit seeking to overturn the state's legal marijuana law, and now, two more lawsuits are being filed by a private group, Safe Streets Alliance, an anti-crime organization led by a former Reagan administration official. In one suit, two Colorado property owners are suing a handful of marijuana industry participants under federal racketeering laws and state and local officials under the charge that they are violating the constitution's supremacy clause by not enforcing federal law. In the other suit, Safe Streets joined with the Holiday Inn in Frisco to sue a number of marijuana industry participants on racketeering charges. That suit claims that a planned legal marijuana store is causing the hotel to "suffer injuries to its business and property." Pot supporters say the lawsuits are unlikely to go anywhere.

Hawaii Senate Committee Passes Decriminalization Bill. The Senate Health Committee Wednesday approved Senate Bill 596, which would decriminalize up to an ounce, replacing a petty misdemeanor with a civil infraction and a $100 fine.

Two Michigan 2016 Legalization Initiative Efforts Getting Underway. At least two different groups are eyeing a legalization initiative effort next year. East Lansing attorney Jeffrey Hank filed paperwork Tuesday for the Michigan Comprehensive Cannabis Law Reform Committee, while East Lansing-based Mitchell Research and Communications, a marijuana industry advocacy group, filed paperwork last month to create the Michigan Responsibility Council, which says it will soon transform itself into a ballot committee for 2016. Click on the link for more details.

Missouri Bill Would Free Marijuana Lifer Jeff Mirzanskey. Rep. Shamed Dogan this week filed House Bill 978, which would require the release of anyone serving life without parole for marijuana offenses. That means Jeff Mirzanskey, who is 21 years into his life sentence. Efforts have been afoot to persuade Gov. Jay Nixon (D) to commute his sentence, but he has yet to do so.

Medical Marijuana

Activists Target Wasserman Schultz Over Medical Marijuana Stance. Democratic National Committee Chair Debbie Wasserman Schultz wants to move over to the US Senate, but she won't be getting any help from medical marijuana supporters. She opposed last year's medical marijuana initiative, and that has angered advocates. "She's voted repeatedly to send terminally ill patients to prison. And we're certainly going to make sure Floridians know that -- not to mince words," said Bill Piper, national affairs director with the Washington-based Drug Policy Alliance (DPA). DPA has been joined by People United for Medical Marijuana in Florida, the Marijuana Policy Project, and Americans for Safe Access in coming out against Wasserman Schultz. She opposed last year's medical marijuana initiative.

Colorado Bill to Regulate Medical Marijuana Gets Stripped Down. The bill, Senate Bill 115, which seeks to make the state's medical marijuana system more like its recreational system, won preliminary approval in the Senate Wednesday, but only after some of its more controversial proposals were stripped out. Now absent from the bill are a move to crackdown on medical caregiver growers and rules requiring marijuana edibles to be refrigerated. The measure now renews the medical marijuana regulations that were passed in 2010.

North Dakota Medical Marijuana Bill Defeated. A bill that would have brought medical marijuana to the Northern Plains was defeated in the House Wednesday on a vote of 26-67. The bill, House Bill 1430, was opposed by Attorney General Wayne Stenehjem, who warned of public safety and regulatory concerns and called it a step backward in fighting impaired driving.

Asset Forfeiture

New Mexico Asset Forfeiture Reform Bill Filed. Rep. Zachary Cook (R-Ruidoso) has introduced a bill that would end civil asset forfeiture in the state. The bill is supported by an ideologically diverse range of organizations including the Rio Grande Foundation, the Institute for Justice, the American Civil Liberties Union (ACLU) of New Mexico, and the New Mexico Drug Policy Alliance. It does not yet have a bill number and is not yet available on the legislative web site.

Wyoming Legislators Prepare to Try to Override Governor's Veto of Asset Forfeiture Reform Bill. Gov. Matt Mead (R) vetoed a bill that would have ended civil asset forfeiture in the state Tuesday, but the bill passed by a veto-proof margin, and now legislators and bill supporters are angling for an override vote. The measure, Senate File 14, passed the Senate 26-3 and the House 54-6.

Undertreatment of Pain

New Federal Opiate Prescription Rules Are Causing Problems for Veterans. Restrictions on prescription opiates adopted last summer by the DEA are causing hardships for veterans, the Washington Post reports in a lengthy piece. And it's not just veterans, but they're being hit particularly hard. Click on the link for much more.

Sentencing

Former Federal Judge Regrets 55-Year Sentence for Pot Dealer. Utah resident Weldon Angelos has already spent more than a decade in federal prison after being convicted of three marijuana sales while he had a pistol in his sock. That pistol led to consecutive mandatory minimum sentences resulting in a whopping 55 years in prison for the aspiring rapper. Now, Paul Cassell, the then federal judge who sentenced him, wishes he had a do over. "I do think about Angelos," he said. "I sometimes drive near the prison where he's held, and I think, 'Gosh he shouldn't be there. Certainly not as long as I had to send him there... That wasn't the right thing to do. The system forced me to do it. I think that most of the time, our federal justice system succeeds," Cassell continued. "But there are some cases where it fails and the Angelos case is a prime example of that. I thought the sentence was utterly unjust to Weldon Angelos, but also unjust to the taxpayer," Cassell pointed out. "I think it's just a waste of resources to lock him up for 55 years, I don't really think anyone believes that's an appropriate sentence."

Utah Ready for Drug Defelonization, Poll Finds. Strong majorities of Utahns favor defelonizing drug possession offenses, according to a new survey from Public Policy Polling. Some 58% support defelonization, while 59% said probation and community-based drug treatment were more appropriate than jail for being caught with small amounts of drugs. The poll comes as a defelonization bill, House Bill 348, is introduced today.

International

UK Liberal Democrat Leader Supports Medical Marijuana. Nick Clegg, head of the Liberal Democrats, the junior partner in a governing coalition with the Conservatives, has said people should be able to use marijuana to alleviate medical problems. "I strongly agree that where there is a proven medicinal use for cannabis for instance we should make that easier for those to have access to it in a straightforward legal way in order to alleviate the symptoms that you clearly have that you know as a user are alleviated by the use of cannabis," he said. "Let's take a more intelligent approach -- where there is a clear medicinal use, make sure you have access to that in a regulated way." This is yet one more way that the Lib Dems and the Tories are at odds on drug policy.

This article was published by StoptheDrugWar.org's lobbying arm, the Drug Reform Coordination Network, which also shares the cost of maintaining this web site. DRCNet Foundation takes no positions on candidates for public office, in compliance with section 501(c)(3) of the Internal Revenue Code, and does not pay for reporting that could be interpreted or misinterpreted as doing so.)



The Drug Enforcement Administration worked with pain management specialists to develop pain prescription guidelines so that law enforcement could do its job and physicians could do theirs. A month later, DEA pulled the guidelines.


In a letter, 30 state attorneys general take DEA to task over withdrawal of pain management prescription guidelines. Check out this public service ad on the letter.


OxyContin has been the center of controversy as pain management has moved to the front of the public consciousness. Much of what's been reported is exaggerated. Click here for more news and information about Oxy and pain management issues.


Excerpts from Cato Institute Analysis*:

"The government is waging an aggressive, intemperate, unjustified war on pain doctors."

"By demonizing physicians as drug dealers and exaggerating the health risk of pain management, the federal government has made physicians scapegoats for the failed drug war. Even worse, the Drug Enforcement Administration's renewed war on pain doctors has frightened many physicians out of pain management altogether, exacerbating an already serious health crisis - the widespread undertreatment of intractable pain."

"Experts agree that tens of millions of Americans suffer from undertreated or untreated pain ... According to one 1999 survey, just one in four pain patients received treatment adequate to alleviate suffering."

"The medical evidence overwhelmingly indicates that when administered properly, opioid therapy rarely, if ever, results in 'accidental addiction' or opioid abuse."

"Pain specialists make an important distinction between patients who depend on opiates to function normally - to get out of bed, tend to household chores, and hold down jobs - and

addicts who take drugs for euphoria, and whose lifestyles deteriorate as a result of taking opiates, instead of improving. The DEA makes no such distinction."

"The relationship between a doctor and his patient is crucial to the proper assessment and treatment of the patient's condition. The DEA's aggressive investigative procedure poisons the doctor-patient relationship from both sides."

"The DEA continues to lower its evidentiary standards, making it nearly impossible for many doctors to determine what is and isnít permitted."

"Large quantities of narcotics routinely go missing en route from manufacturers to wholesalers and from wholesalers to retailers. The DEA itself acknowledges this problem. Given the poor job the DEA is doing of monitoring the narcotics it's charged with overseeing ... DEA's attempt to blame physicians for the drugs' street availability seems arbitrary, unjustified, and capricious."

Common Sense for Drug Policy
www.CommonSenseDrugPolicy.org, www.DrugWarFacts.org

H. Michael Gray, Chair; Robert E. Field, Co-Chair
info@csdp.org

* "Treating Doctors as Drug Dealers: The DEA's War on Prescription Painkillers" by Professor Ronald T. Libby, June 16, 2005.
http://www.cato.org/pubs/pas/pa545.pdf

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