https://www.latimes.com/science/sciencenow/la-sci-sn-opioid-doctor-payments-20180514-story.html Did drug company payments to doctors help fuel the opioid epidemic? By Karen Kaplan Science and Medicine Editor May 14, 2018 3:15 PM PT Share Health officials hoping to stem the opioid crisis might want to pay attention to what doctors eat for lunch. A new research letter reports that doctors who received free meals and other kinds of payments from pharmaceutical companies tended to prescribe more opioid painkillers to their patients over the course of a year. Meanwhile, doctors who didn’t get such freebies cut back on their opioid prescriptions. The finding was reported Monday in the journal JAMA Internal Medicine. A team led by Dr. Scott E. Hadland of Boston Medical Center’s Grayken Center for Addiction examined Medicare data and found that 369,139 physicians prescribed an opioid painkiller at least 10 times in 2015 under one of the insurance program’s Part D plans. Then they consulted the Centers for Medicare & Medicaid Services’ Open Payments database and found that 25,767 (or 7%) of these same doctors received “opioid-related payments” from drug companies in 2014. The payments added up to just over $9 million, according to the report. For doctors on the receiving end of this largesse, payments most often came in the form of food. The companies bought 97,020 meals at a total cost of $1.8 million, and the median value of these breakfasts, lunches and dinners was $13. (That means half of the meals cost more than this amount, and half cost less.)
CNN Exclusive: The more opioids doctors prescribe, the more money they make As tens of thousands of Americans die from prescription opioid overdoses each year, an exclusive analysis by CNN and researchers at Harvard University found that opioid manufacturers are paying physicians huge sums of money – and the more opioids a doctor prescribes, the more money he or she makes. In 2014 and 2015, opioid manufacturers paid hundreds of doctors across the countrysix-figure sums for speaking, consulting and other services. Thousands of other doctors were paid over $25,000 during that time. Physicians who prescribed particularly large amounts of the drugs were the most likely to get paid. “This is the first time we’ve seen this, and it’s really important,” said Dr. Andrew Kolodny, a senior scientist at the Institute for Behavioral Health at the Heller School for Social Policy and Management at Brandeis University, where he is co-director of the Opioid Policy Research Collaborative. “It smells like doctors being bribed to sell narcotics, and that’s very disturbing,” said Kolodny, who is also the executive director of Physicians for Responsible Opioid Prescribing.
https://www.latimes.com/science/sciencenow/la-sci-sn-opioid-doctor-payments-20180514-story.html Did drug company payments to doctors help fuel the opioid epidemic? By Karen Kaplan Science and Medicine Editor May 14, 2018 3:15 PM PT Share Health officials hoping to stem the opioid crisis might want to pay attention to what doctors eat for lunch. A new research letter reports that doctors who received free meals and other kinds of payments from pharmaceutical companies tended to prescribe more opioid painkillers to their patients over the course of a year. Meanwhile, doctors who didn’t get such freebies cut back on their opioid prescriptions. The finding was reported Monday in the journal JAMA Internal Medicine. A team led by Dr. Scott E. Hadland of Boston Medical Center’s Grayken Center for Addiction examined Medicare data and found that 369,139 physicians prescribed an opioid painkiller at least 10 times in 2015 under one of the insurance program’s Part D plans. Then they consulted the Centers for Medicare & Medicaid Services’ Open Payments database and found that 25,767 (or 7%) of these same doctors received “opioid-related payments” from drug companies in 2014. The payments added up to just over $9 million, according to the report. For doctors on the receiving end of this largesse, payments most often came in the form of food. The companies bought 97,020 meals at a total cost of $1.8 million, and the median value of these breakfasts, lunches and dinners was $13. (That means half of the meals cost more than this amount, and half cost less.)
https://www.latimes.com/science/sciencenow/la-sci-sn-opioid-doctor-payments-20180514-story.html Did drug company payments to doctors help fuel the opioid epidemic? By Karen Kaplan Science and Medicine Editor May 14, 2018 3:15 PM PT Share Health officials hoping to stem the opioid crisis might want to pay attention to what doctors eat for lunch. A new research letter reports that doctors who received free meals and other kinds of payments from pharmaceutical companies tended to prescribe more opioid painkillers to their patients over the course of a year. Meanwhile, doctors who didn’t get such freebies cut back on their opioid prescriptions. The finding was reported Monday in the journal JAMA Internal Medicine. A team led by Dr. Scott E. Hadland of Boston Medical Center’s Grayken Center for Addiction examined Medicare data and found that 369,139 physicians prescribed an opioid painkiller at least 10 times in 2015 under one of the insurance program’s Part D plans. Then they consulted the Centers for Medicare & Medicaid Services’ Open Payments database and found that 25,767 (or 7%) of these same doctors received “opioid-related payments” from drug companies in 2014. The payments added up to just over $9 million, according to the report. For doctors on the receiving end of this largesse, payments most often came in the form of food. The companies bought 97,020 meals at a total cost of $1.8 million, and the median value of these breakfasts, lunches and dinners was $13. (That means half of the meals cost more than this amount, and half cost less.)
那是versed,70岁以下的都给。你要是以前有反应下次告诉pre op 护士你过敏, 放到你的记录里，再有人给就是医疗事故了。 你这个确实麻醉有交流问题。 danfy 发表于 2024-12-15 15:03
本来就在记录里，术前和主治和麻醉沟通那么多都是关于那个药的记录。麻醉也说这不是必须给的药，决定不给我用。这次就是算医疗事故。只不过律师觉得没油水的医疗事故也没什么下文罢了。美国同事有个亲戚医疗事故都造成终身后果，照样没赢回啥钱。他一听我的故事直接同情脸说你这种能很快复工的不要浪费心思，move on 吧。
归根到底是通过行贿医生，由自诩救死扶伤减轻病人痛苦的医生，短时间向美国全社会开出大量毒品型药物。
是医生不懂这个药物的危害么？ 完全是因为钱。
https://www.latimes.com/science/sciencenow/la-sci-sn-opioid-doctor-payments-20180514-story.html
Did drug company payments to doctors help fuel the opioid epidemic? By Karen Kaplan Science and Medicine Editor May 14, 2018 3:15 PM PT
Share Health officials hoping to stem the opioid crisis might want to pay attention to what doctors eat for lunch. A new research letter reports that doctors who received free meals and other kinds of payments from pharmaceutical companies tended to prescribe more opioid painkillers to their patients over the course of a year. Meanwhile, doctors who didn’t get such freebies cut back on their opioid prescriptions. The finding was reported Monday in the journal JAMA Internal Medicine.
A team led by Dr. Scott E. Hadland of Boston Medical Center’s Grayken Center for Addiction examined Medicare data and found that 369,139 physicians prescribed an opioid painkiller at least 10 times in 2015 under one of the insurance program’s Part D plans. Then they consulted the Centers for Medicare & Medicaid Services’ Open Payments database and found that 25,767 (or 7%) of these same doctors received “opioid-related payments” from drug companies in 2014. The payments added up to just over $9 million, according to the report. For doctors on the receiving end of this largesse, payments most often came in the form of food. The companies bought 97,020 meals at a total cost of $1.8 million, and the median value of these breakfasts, lunches and dinners was $13. (That means half of the meals cost more than this amount, and half cost less.)
As tens of thousands of Americans die from prescription opioid overdoses each year, an exclusive analysis by CNN and researchers at Harvard University found that opioid manufacturers are paying physicians huge sums of money – and the more opioids a doctor prescribes, the more money he or she makes. In 2014 and 2015, opioid manufacturers paid hundreds of doctors across the countrysix-figure sums for speaking, consulting and other services. Thousands of other doctors were paid over $25,000 during that time. Physicians who prescribed particularly large amounts of the drugs were the most likely to get paid. “This is the first time we’ve seen this, and it’s really important,” said Dr. Andrew Kolodny, a senior scientist at the Institute for Behavioral Health at the Heller School for Social Policy and Management at Brandeis University, where he is co-director of the Opioid Policy Research Collaborative. “It smells like doctors being bribed to sell narcotics, and that’s very disturbing,” said Kolodny, who is also the executive director of Physicians for Responsible Opioid Prescribing.
几乎所有处方止痛药都是鸦片类的，k粉不是鸦片类，但也是毒品。
美国是一个被资本控制的国家，从上到下，资本控制每一个人，从总统、到议员、到医生、到平民。资本的唯一目的盈利，资本推出的产品就是让你上瘾，从毒品、到游戏、到药物、到精加工食品、到短视频，让你一辈子离不开，所以你只能给资本家干一辈子，从而剥削你一辈子。烂透了，没救了。
哇，这么理直气壮的吗？ 如果给人开药时明确说了可能成瘾，那这么理直气壮没毛病
美国的医疗乱收费最主要还是医院跟保险公司的扯皮，跟医生真的还没多大关系。
医生只是给医院打工的，算是收入稍高的打工仔。
挑起医患矛盾解决不了乱收费。
成瘾是看病人，不是医生。手术室里的手术，把病人麻醉以后，几乎100％都会给芬太尼，而且是大剂量的，没人因为这个上瘾。
医生就是医疗集团的打手。
虽然一线干脏活累活，但是不能否定打手的性质吧！
比如我一楼说的，为了钱给病人开毒品药物，戕害美国人的性命。
我选了不想用，硬给注射的，没其它选项
加州12岁就不让家长看病了参与讨论病情了，德州14岁。让未成年病人选择并控制是否成瘾，风险很大。美国医疗系统有大问题，却总是赖别人。
前两天看到一个新闻，咨询公司麦肯锡因为帮助Purdue Pharm虚假宣传，大力卖鸦片类药品，turbocharge opioid sales，被罚款6.5亿美元。感觉好像所有行业都是为了挣钱毫无底线，韭菜们不仅要被吸血，还要被毒害，等上瘾了之后，还有控制成瘾性的药等你
https://www.cnn.com/2024/12/13/business/mckinsey-doj-opioid-probe/index.html
有的是成瘾性比oxy小很多的，甚至处方剂量的泰诺都会好很多。但是医生不给这个选项，这才是问题
好比码工开发AI，也是最终会取代人类，造成危机，难道码工就为此不挣这个钱吗？许多码工还不是手把手教烙印外包。
打工人为了养家糊口，还贷款。游戏规则的制定者，高屋建瓴的法律才是根源。
oxycodone的成瘾性在鸦片类的药里是小的了，再小吃了就不止痛了。鸦片类的药一般止痛效果越好，成瘾性也就越大。 你为什么需要处方剂量的泰诺？药房一片625mg,你最多一次吃片半，医生也不敢多开了。再说泰诺对 surgical pain 很有用的话，医生也不用给你开鸦片类的药了，开多了DEA该调查了。
自己不取就完了呀 我娃今年拔牙也是给了oxycodone的处方。 我取药时只取了抗生素。后来娃有youtube看完全就没有 抱怨痛，还是我硬是一天给两次Motrin她才吃。
我做个小手术花了好长时间与医生和麻醉师沟通不用全麻，不用某些药，医生也认为我确实不需要，因为以前做过更复杂的手术不用也没问题。结果护士上来就给我用上了。事后医生都承认护士弄错了，但律师说这种事故也没什么打官司的价值（挣不了钱）。
麻醉医生不是在手术中做麻醉管理的，你和他说没有用。麻醉护士根据你的身体的反应决定给什么药，没法事先沟通。比如你心跳200了，该给芬太尼就得给，你就算知道被投诉也没办法。
这种会事先有免责单让签的吧？我生娃的时候本来也没有那么害怕的，麻醉之前让我签一份好几页的单子，我挨着读，越读越害怕，后来去手术室实施麻醉的时候我吓得都肾上腺激素亢进了，看到那个手术室门关上的时候，感觉生的门都关上了。。。
最后是某一个医药代表出来做证人
所有手术都要签两个consent, 一个手术一个麻醉，不过签了出问题也可以打官司的。 你不用担心，让你签就是觉得没有问题的。真有风险，麻醉会直接取消手术，病人想担风险，麻醉还不想呢。
护士不是根据身体反应给药的。而是一见面推进手术室前就给了我那个药，我进去很快就晕过去了。主治医生一进门还没开始手术看到我已经被放倒还很纳闷，事后还去和麻醉医师核实。这也是为啥他们知道是护士错了，主治医生在回访时还为此道歉。我醒来第一时间问那个护士她为啥给错药，她也亲口承认她弄错了“哎呀sorry”。即便这种程度的证据，律师不愿接其实也没啥索赔可要。 事实上我对那个药有副反应（这也是之前商量不用的原因，有家族史），为此在家躺了好多天。
那是versed,70岁以下的都给。你要是以前有反应下次告诉pre op 护士你过敏, 放到你的记录里，再有人给就是医疗事故了。 你这个确实麻醉有交流问题。
同小手术注射了芬太尼， 伤口也是创可贴， 我觉得这东西绝对上瘾，不仅一点也不疼，人还很high， 非常快乐
这个太离谱了吧？没有事先说？我前一阵做个牙手术，医生提供了四种麻醉方案让我选，我选了个局部麻醉，有人是选静脉输液全麻，看来以后还要确切的问用的哪种麻醉剂
本来就在记录里，术前和主治和麻醉沟通那么多都是关于那个药的记录。麻醉也说这不是必须给的药，决定不给我用。这次就是算医疗事故。只不过律师觉得没油水的医疗事故也没什么下文罢了。美国同事有个亲戚医疗事故都造成终身后果，照样没赢回啥钱。他一听我的故事直接同情脸说你这种能很快复工的不要浪费心思，move on 吧。
拿钱洗脑的，比什么都管用
最要命的是吃的健康很贵，吃饱不健康很便宜。中国至少有价格公道的新鲜蔬菜， 粗粮，吃了不会早早的得糖尿病，变成大半生被西药绑架的药罐子。
这东西威力巨大啊