'I just need an opiate refill to get me through the weekend'

Journal of Medical Ethics
Eric Yan, Dennis John Kuo

Abstract

In this article, we discuss the ethical dimensions for the prescribing behaviours of opioids for a chronic pain patient, a scenario commonly witnessed by many physicians. The opioid epidemic in the USA and Canada is well known, existing since the late 1990s, and individuals are suffering and dying as a result of the easy availability of prescription opioids. More recently, this problem has been seen outside of North America affecting individuals at similar rates in Australia and Europe. We argue that physicians are also confronted with an ethical crisis where a capitalist-consumerist society is contributing to this opioid crisis in which societal, legal and business interests push physicians to overprescribe opioids. Individual physicians often find themselves unequipped and unsupported in attempts to curb the prescribing of opioid medications and balance competing goals of alleviating pain against the judicious use of pain medications. Physicians, individually and as a community, must reclaim the ethical mantle of our profession, through a more nuanced understanding of autonomy and beneficence. Furthermore, physicians and the medical community at large have a fiduciary duty to patients and society to play a more active role in...Continue Reading

References

Jun 1, 1979·The Journal of Medicine and Philosophy·T L Beauchamp, R R Faden
Jun 1, 1979·Pain·J J Bonica
May 23, 2001·JAMA : the Journal of the American Medical Association·G K BerlandE A McGlynn
Jan 1, 1997·The Journal of Medical Humanities·Ben A Rich
Feb 15, 2002·Journal of Pain and Symptom Management·David E JoransonJ David Haddox
Mar 22, 2002·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Peter J Cohen
Aug 22, 2002·The American Journal of Bioethics : AJOB·Louis C Charland
Aug 22, 2002·The American Journal of Bioethics : AJOB·Carl Elliott
Aug 22, 2002·The American Journal of Bioethics : AJOB·Laura Weiss Roberts
Oct 22, 2003·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Nancy M Saufl, UNKNOWN Joint Commission on Accreditation of Healthcare Organizations
Mar 28, 2006·The American Journal of Medicine·Robert M ArnoldDeborah Seltzer
Aug 22, 2006·Journal of Substance Abuse Treatment·Arthur L Caplan
Sep 14, 2006·Current Medical Research and Opinion·Bhushan BhambMichael F Fleming
Oct 13, 2006·Journal of Medical Internet Research·Farah AhmadWendy Levinson
Jul 3, 2007·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Susan B Rubin
May 20, 2008·British Journal of Anaesthesia·H BreivikA Stubhaug
Sep 19, 2008·American Journal of Public Health·Art Van Zee
Feb 4, 2009·The Journal of Pain : Official Journal of the American Pain Society·Roger ChouUNKNOWN American Pain Society-American Academy of Pain Medicine Opioids Guidelines Panel
Sep 15, 2009·Primary Care Companion to the Journal of Clinical Psychiatry·John J Palmieri, Theodore A Stern
Nov 13, 2009·Pain·Jane C Ballantyne, Lee A Fleisher
Nov 27, 2009·The New England Journal of Medicine·Janet Woodcock
Feb 6, 2010·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sanjiv AhluwaliaJo Burns
May 26, 2012·Aesthetic Surgery Journal·Richard M Escoffery, Joseph G Bauer
Oct 2, 2013·Aesthetic Surgery Journal·Foad Nahai
Oct 23, 2013·Clinical Therapeutics·Natalia E Morone, Debra K Weiner
Jun 27, 2015·Acta Anaesthesiologica Scandinavica·A B HansenO M Fredheim
Mar 16, 2016·JAMA : the Journal of the American Medical Association·Deborah DowellRoger Chou
Mar 18, 2016·MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports·Deborah DowellRoger Chou
Jun 9, 2016·Scientific Reports·Hong D VoMandyam V Srinivasan
Aug 31, 2016·Journal of Opioid Management·Sonia R TalwarJ David Haddox
Dec 30, 2016·MMWR. Morbidity and Mortality Weekly Report·Rose A RuddLawrence Scholl
Dec 14, 2017·The New England Journal of Medicine·Rebecca L Haffajee, Michelle M Mello
Jan 10, 2018·Annals of Family Medicine·Brian D SitesMatthew A Davis

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Citations

Feb 29, 2020·Journal of Pain Research·Juan YangLizu Xiao

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