ER Resident Physician here, we are many years in from The Joint Commission&#x27;s administrators claiming that pain is the &quot;5th vital sign&quot; and mow feeling the effects of this disastrous policy. My ED is filled with drug seekers; studies have shown up to 20% ED visits may be Drug-Seeking Behavior (DSB). Really demoralizes physicians who want to help not only these people but those in the overflowing waiting rooms.