'Clinics' will write prescriptions for a few hundred dollars and no medical exam...they are illegal and yet persist. A few are caught as part of Medicare fraud but there seems to be no lack...and yes well documented. One issue is the question of who should regulate the over prescription? Another is the overuse of the most extreme pain drugs for conditions that don't require the drug. Another is the lack of funding for OT and PT that can reduce pain over the long term. Finally, how do we assure that those patients with multi-year conditions, who have cancer pain, can access these drugs from legitimate docs. One county in West Virginia was on the news a month or so ago and they had some huge number of prescriptions per resident, 100's. But the state is lax...why? Because these requires regulations, diligence and someone who actually cases, I was going to say 'gives a s*@t' but figured that's harsh. So who is in charge? Who donates to their campaigns?
Little d's budget cuts enforcement