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It needs to be on a case by case basis, because you can't start limiting a patient with a broken back that will legit need painkillers for the rest of their life. But at the same time, you can't start doling the shit out everytime someone has a tooth ache or broken finger.Not exactly irrational, but it would have to be much more nuanced.
They should start by disallowing mid-level practitioners like PAs and NPs from prescribing schedule II narcotics.
Of course, this only serves to stem the creation of new addicts. The ones who are already addicted will go to heroin.
It is up to the doctor's discretion, but they get kickbacks for every script they write.
I take anxiety/depression, thyroid and insomnia meds. They are dying to push me on more shit than I am comfortable with. Tried like hell to put me on klonopins, and I explained to them that if I start that, then I'll need them, and when I'm out, I will go insane because of the dependency level. I had to explain this to the doctor.