Tuesday, February 28, 2012

The prescription drug crisis: Et tu, Washington?

By

The tragic death of Whitney Houston has once again shined the spotlight on the abuse of prescription drugs and the doctors who prescribe them. Legislators, experts and pundits are blaming physicians for liberally prescribing narcotics, but an honest debate must also examine how government policy has helped foster this crisis.

The abuse of prescription medications is not limited to Rodeo Drive and the Upper East Side. It is a national problem. From Crenshaw to Harlem, and practically everywhere in between, it plagues the practice of good medicine in both the inpatient and outpatient settings.

Inevitably, doctors with the power to prescribe these medications have found themselves at the center of the storm. Are physicians avaricious enablers looking to profit off the addiction of others or are they merely pawns desperately trying to stay afloat navigating the system legislators and regulators have established?

In a health care system dominated by the price controls of Medicare and Medicaid, physicians can increasingly only make a living by cramming more and more patients into the schedule. Time is at a premium and this translates into appointments with only minutes of actual patient face time.

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