Originally Posted by US News
What is lacking is not the way to treat pain effectively but the will to do it. For a quarter of a century, pain specialists have been warning with increasing stridency that pain is undertreated in America. But a wide array of social forces continue to thwart efforts to improve treatment. Narcotics are the most powerful painkillers available, but doctors are afraid to prescribe them out of fear they will be prosecuted by overzealous law enforcers, or that they will turn their patients into addicts . . . “We are pharmacological Calvinists,” says Dr. Steven Hyman, director of the National Institute of Mental Health.
The authors go on to state:
But at the heart of the debate is confusion about what constitutes addiction and what is simply physical dependence.
Most people who take morphine for more than a few days become physically dependent, suffering temporary withdrawal symptoms–nausea, muscle cramps, chills–if they stop taking it abruptly, without tapering the dose. But few exhibit the classic signs of addiction: a compulsive craving for the drug’s euphoric or calming effects, and continued abuse of the drug even when to do so is obviously self-destructive. In three studies involving nearly 25,000 cancer patients, [researcher Russell] Portenoy found that only even became addicted to the narcotics they were taking . . . “If we called this drug by another name, if morphine didn’t have a stigma, we wouldn’t be fighting about it,” says [researcher Kathleen] Foley.
