Like Clement Hall, above, I was also criticized for my unwillingness to prescribe narcotics for chronic or recurring conditions. For the last 16 years of my career I was responsible for 100 residents of a nursing home, average age 84. Pain was assessed on a daily basis and I had the help of experienced nursing and pharmacy staff to make sure that pain issues were adequately addressed. Nevertheless, articles in the medical literature started appearing in the 1990s (funded by pharma) saying 80% of nursing home patients were suffering "severe uncontrolled pain". This was certainly false in my nursing home. From 2000 onwards, however, increasing numbers of new residents were already on long term narcotics at the time of admission. By 2015 almost 50% of all new admissions to our units were on narcotics, some on doses of 100mg morphine a day or higher. We were almost always able to reduce or eliminate these medications with no noticeable increase in pain. But it could take a year or more.