A company named Appriss has developed some arcane drug algorithmn called NarxCare. So if you're on a pain medicine and you also have an ailing pet, for which your vet prescribes buprenorphine, you can run afoul of that algorithmn. Your doctors will drop you like a hot rock, your prescriptions will not be filled and you will be condemned to a lifetime of pain. Until you either turn to buying drugs on the street of you kill yourself.
I am not making any of this shit up.
That's the way medicine has been trending. It doesn't matter what your individual situation is or what your doctor might think is best for you. If the algorithmn says otherwise, your doctor will bow to the algorithmn, because doing otherwise might put their license in jeopardy.
Companies like Appriss are substitution their own greed-based evil for that of the Sacklers. Because, at the end of the day, it's never been about what's best for patients, it's all about the bottom line.
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Big Business has a delusion about crank turning processes. You employ idiots (they are cheaper), so you develop crank turning processes like the McD cash registers that has picture icons on the keys, you don't have to read. You treat your workers like peons and they either stop caring about their work, or drag-ass through it or they burn out and screw up, so you pay consultants big money to develop procedures to cover Everything They Must Do good luck). Even in high tech, things go wrong, like someone leaving a wrench in the test-item prototype turbofan jet engine which lunches the engine on its test run. So you send a person in with a flashlight to check the engine for FOs before every test run. But eventually someone leaves the flashlight in the engine and IT lunches the engine, so they develop a crank-turning process so it will never ever happen again (it always does).
The best answer always was and is, to treat people with respect. Your customer, your employees.
But no, they want to screw out more money and make sure that Problems Won't Happen. It's a delusion: problems always happen, and the crank turning procedure, (or in this case) your handy-dandy nothing-can-go-wrong-we-thought-of-everything software craps on your customer or the employees and you find people are finding workarounds to get on with life.
Pay your people to do good work, listen to them and your customers.
But no.
I've always figured the war on opioids was instigated because the cheap and easy source of opiates coming from Afghanistan was about to dry up with the pull out.
The war on opiates is based on certain people getting hooked on them. My personal observation is that there are people who are going to get hooked on something and if it's not opiates it's alcohol or pot or gambling or something else. By hooked I mean it's not necessarily a physical dependency but a mental one. Due to a spinal infection eighteen years ago off and on I need something stronger than OTC medications but to get any more than a handful it takes another doctor visit with another wait for the appointment. At one time I could get 90 pills and those would last over a year, now it's and come back in 'exactly' a week according to my pharmacist and my prescription plan.
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