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| Two powerful forces are pulling the healthcare system in two different ways. The patients' best interests should come first in the practice of physicians. So, it is logical for the profession to deal with the lack of proper pain management facilities by creating "pain clinics". Theoretically, this sort of clinic provides short-term care with mixed teams of doctors, physical and psychological therapists, and nursing professionals who can counsel and advise people regarding pain management. The medical business is mostly profit-oriented, unfortunately. Wouldn't it be nice if the majority of healthcare professionals were true altruists? Alas, a lot more doctors are giving up general practice in favor of jobs in clinics and hospitals. They do this in order to smooth out their earnings and have some back up at work. This will also allow management to run the facilities at the lowest base cost while still being able to generate maximum income. So, reality states that a lot of these clinics are nothing more than 'pill mills'. The main thing they want to do is provide as many painkillers as possible with as little interview time between the doctors and the patients as possible. These clinics can be identified by the massive amounts of people who are waiting for the doctor to hand out prescriptions. Doctors have a minimum target of people to treat every day. This will increase the health insurance claims in correlation with the number of people seen. Since there is no necessary treatment, this inexpensive consult system is great for those who have no health insurance. This does not mean that there are not clinics that are genuinely attempting to provide a professional service to people who need it. However, there aren't very many of these light beacons. How can this be known? The massive growth in new pain clinics opening all over America proves it. Local governments in some of these areas are taking steps to control the problem. Political calls have at least been made urging the profession to be more responsible with this type of prescription service. So far, local bans exist to stop the approval of new clinics. The bad news is that the medical profession's lobbying powers mean that there are not enough statewide restrictions on opening new clinics or the custom of prescribing numerous pills at a time. There are a few local politicians who have proposed ordinances prohibiting clinics from prescribing pain medication in all but emergency situations. In these cases, they could only offer a 72-hour refill. Patients should be expected to return to their regular doctors for follow-up care. If the state governments and health professionals are unsupportive, there is not much of a chance that they will be able to control it. This situation can be a tragedy. On both the local level and the country level, professional pain management services are necessary. Medical professionals, unfortunately, are taking advantage of the public by supplying them with the pain pills they need to feed this growing addiction. People are practical by nature, and will take their pain relief wherever they can get it. They will even take it when it means a never-ending supply of drugs. The ideal standards of public healthcare for other countries include a combination of management experts who concentrate on teaching people to get along with low dose pain medication such as Tramadol. This service is better by a significant margin since the taxpayers will absorb the increased labor costs. Tramadol is a safer way to manage pain, since it is not as habit-forming as the more powerful narcotics. |