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	<title>Comments on: Healthcare Update &#8212; 12-24-2012</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2012/12/healthcare-update-12-24-2012/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2012/12/healthcare-update-12-24-2012/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: ThorMD</title>
		<link>http://www.epmonthly.com/whitecoat/2012/12/healthcare-update-12-24-2012/#comment-112092</link>
		<dc:creator>ThorMD</dc:creator>
		<pubDate>Fri, 28 Dec 2012 23:02:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8878#comment-112092</guid>
		<description><![CDATA[Medical marijuana has been legal for YEARS is WA state.   Some days I go to work an EVERY patient has their marijuana card.  It&#039;s not that hard to get, because all you have to do is get a Dr to say you have anxiety or chronic pain or fibromyalgia, and you can get your card.  

The only thing the new law does is let people smoke legally who were too honest to get their card with a faked condition.]]></description>
		<content:encoded><![CDATA[<p>Medical marijuana has been legal for YEARS is WA state.   Some days I go to work an EVERY patient has their marijuana card.  It&#8217;s not that hard to get, because all you have to do is get a Dr to say you have anxiety or chronic pain or fibromyalgia, and you can get your card.  </p>
<p>The only thing the new law does is let people smoke legally who were too honest to get their card with a faked condition.</p>
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		<title>By: Andrew_M_Garland</title>
		<link>http://www.epmonthly.com/whitecoat/2012/12/healthcare-update-12-24-2012/#comment-111872</link>
		<dc:creator>Andrew_M_Garland</dc:creator>
		<pubDate>Thu, 27 Dec 2012 05:51:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8878#comment-111872</guid>
		<description><![CDATA[&lt;a href=&quot;http://www.theagitator.com/2012/11/09/milton-friedman-the-war-on-drugs-and-last-tuesday-night/&quot; rel=&quot;nofollow&quot;&gt;&lt;b&gt;Milton Friedman on the drug war&lt;/b&gt;&lt;/a&gt;
11/09/12 - The Agitator

The late Milton Friedman was a Nobel Prize economist who supported personal and economic freedom.
=== ===
Friedman: [edited] &#160; You are not mistaken in believing that drugs are a scourge that is devastating our society and tearing asunder our social fabric, ruining the lives of many young people, and imposing heavy costs on some of the most disadvantaged among us. The majority of the public shares your concerns. The end you seek to achieve is good.

Your mistake is failing to recognize that the very measures you favor are a major source of the evils you deplore. Of course the problem is demand, but not only demand. It is demand that must operate through repressed and illegal channels.

Illegality creates obscene profits that finance the murderous tactics of the drug lords; illegality leads to the corruption of law enforcement officials; illegality monopolizes the efforts of honest law forces so that they are starved for resources to fight the simpler crimes of robbery, theft and assault.
=== ===

Drug use causes destruction and death. But, attempting to stop drug use causes even more. Millions are in prison for dealing drugs, drug dealers kill each other for the territory to sell drugs, innocents are killed as collateral damage, and drug users die from bad doses and contaminants. These deaths and imprisonments are mostly an effect of the drug war. Mexico is ruled by drug cartels with about 30,000 drug-related murders per year.

The decision is not life vs drugs, it is unfortunately and realistically life vs life. This can&#039;t be a feel-good decision. Fighting the evil is causing more death and destruction than tolerating the evil. The experiment with alcohol Prohibition demonstrated this.]]></description>
		<content:encoded><![CDATA[<p><a href="http://www.theagitator.com/2012/11/09/milton-friedman-the-war-on-drugs-and-last-tuesday-night/" rel="nofollow"><b>Milton Friedman on the drug war</b></a><br />
11/09/12 &#8211; The Agitator</p>
<p>The late Milton Friedman was a Nobel Prize economist who supported personal and economic freedom.<br />
=== ===<br />
Friedman: [edited] &nbsp; You are not mistaken in believing that drugs are a scourge that is devastating our society and tearing asunder our social fabric, ruining the lives of many young people, and imposing heavy costs on some of the most disadvantaged among us. The majority of the public shares your concerns. The end you seek to achieve is good.</p>
<p>Your mistake is failing to recognize that the very measures you favor are a major source of the evils you deplore. Of course the problem is demand, but not only demand. It is demand that must operate through repressed and illegal channels.</p>
<p>Illegality creates obscene profits that finance the murderous tactics of the drug lords; illegality leads to the corruption of law enforcement officials; illegality monopolizes the efforts of honest law forces so that they are starved for resources to fight the simpler crimes of robbery, theft and assault.<br />
=== ===</p>
<p>Drug use causes destruction and death. But, attempting to stop drug use causes even more. Millions are in prison for dealing drugs, drug dealers kill each other for the territory to sell drugs, innocents are killed as collateral damage, and drug users die from bad doses and contaminants. These deaths and imprisonments are mostly an effect of the drug war. Mexico is ruled by drug cartels with about 30,000 drug-related murders per year.</p>
<p>The decision is not life vs drugs, it is unfortunately and realistically life vs life. This can&#8217;t be a feel-good decision. Fighting the evil is causing more death and destruction than tolerating the evil. The experiment with alcohol Prohibition demonstrated this.</p>
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		<title>By: hashmd</title>
		<link>http://www.epmonthly.com/whitecoat/2012/12/healthcare-update-12-24-2012/#comment-111808</link>
		<dc:creator>hashmd</dc:creator>
		<pubDate>Wed, 26 Dec 2012 20:43:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8878#comment-111808</guid>
		<description><![CDATA[I guess that explains why a pharmacy actually searched my med board listing, copied it, and questioned why I didn&#039;t have Pain Management as my specialty for my Fibromyalgia patient receiving a stable dose of Norco, Valium over the past 15 years.

Pain Management specialists in my area are few, are most likely Boarded in Anesthesia, and won&#039;t follow such patients (If they can&#039;t stick a needle in it, then they have no treatment for them!) True Pain Management specialists would be totally overwhelmed if this was a requirement for prescribing narcotics.

That would also mean those Boarded by ER Medicine weren&#039;t qualified to treat closed fractures because they weren&#039;t Orthopaedic Surgery certified, couldn&#039;t prescribe antibiotics because they were not Board Certified in Infectious Disease,  couldn&#039;t treat children because they were not Board Certified in Pediatrics, etc., etc.

Such is the stupidity of mandating board certification when the Boards themselves make no statement guaranteeing competence of the individual practitioner! They know that one can be Board Certified and incompetent, and competent but not Board Certified.]]></description>
		<content:encoded><![CDATA[<p>I guess that explains why a pharmacy actually searched my med board listing, copied it, and questioned why I didn&#8217;t have Pain Management as my specialty for my Fibromyalgia patient receiving a stable dose of Norco, Valium over the past 15 years.</p>
<p>Pain Management specialists in my area are few, are most likely Boarded in Anesthesia, and won&#8217;t follow such patients (If they can&#8217;t stick a needle in it, then they have no treatment for them!) True Pain Management specialists would be totally overwhelmed if this was a requirement for prescribing narcotics.</p>
<p>That would also mean those Boarded by ER Medicine weren&#8217;t qualified to treat closed fractures because they weren&#8217;t Orthopaedic Surgery certified, couldn&#8217;t prescribe antibiotics because they were not Board Certified in Infectious Disease,  couldn&#8217;t treat children because they were not Board Certified in Pediatrics, etc., etc.</p>
<p>Such is the stupidity of mandating board certification when the Boards themselves make no statement guaranteeing competence of the individual practitioner! They know that one can be Board Certified and incompetent, and competent but not Board Certified.</p>
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		<title>By: jillian</title>
		<link>http://www.epmonthly.com/whitecoat/2012/12/healthcare-update-12-24-2012/#comment-111796</link>
		<dc:creator>jillian</dc:creator>
		<pubDate>Wed, 26 Dec 2012 19:40:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8878#comment-111796</guid>
		<description><![CDATA[Wait, you&#039;re joking about banning pot... right?? Because we tried that with alcohol, which kills a hell of a lot of people, and it didn&#039;t work.]]></description>
		<content:encoded><![CDATA[<p>Wait, you&#8217;re joking about banning pot&#8230; right?? Because we tried that with alcohol, which kills a hell of a lot of people, and it didn&#8217;t work.</p>
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		<title>By: kris</title>
		<link>http://www.epmonthly.com/whitecoat/2012/12/healthcare-update-12-24-2012/#comment-111466</link>
		<dc:creator>kris</dc:creator>
		<pubDate>Mon, 24 Dec 2012 23:35:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8878#comment-111466</guid>
		<description><![CDATA[A pedestrian stepping out into traffic and being hit by a car is hardly a case of negligent driving. Bad example.]]></description>
		<content:encoded><![CDATA[<p>A pedestrian stepping out into traffic and being hit by a car is hardly a case of negligent driving. Bad example.</p>
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		<title>By: pat</title>
		<link>http://www.epmonthly.com/whitecoat/2012/12/healthcare-update-12-24-2012/#comment-111460</link>
		<dc:creator>pat</dc:creator>
		<pubDate>Mon, 24 Dec 2012 22:42:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8878#comment-111460</guid>
		<description><![CDATA[in the case above i agree something shady was probably going on in that pharmacy.  ensuring a legitimate need was, in this case, something to hang their hat on, as it were.

that aside, pharmacy boards are all about protecting the interests of corporate pharmacy and sometimes, the public.  they don&#039;t care about this issue in the context you posed.  any pharmacist asking the question you pose would get, at most, a shrug of the shoulders.]]></description>
		<content:encoded><![CDATA[<p>in the case above i agree something shady was probably going on in that pharmacy.  ensuring a legitimate need was, in this case, something to hang their hat on, as it were.</p>
<p>that aside, pharmacy boards are all about protecting the interests of corporate pharmacy and sometimes, the public.  they don&#8217;t care about this issue in the context you posed.  any pharmacist asking the question you pose would get, at most, a shrug of the shoulders.</p>
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