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One Reason Why Opioid Addiction is Higher in White People

In the unfortunate circumstance you have need of a Hospital due to severe injury or illness, your experience may be different based on what you look like. If Mommy and Daddy’s names happen to be on the plaque at the interest listing Founders or Major Donors – you will e staying at the medical equivalent of the Biltmore. If however, you are black and poor – they may still save your behind…Although it probably will be more painful than the well heeled.

Fastest rising drug problem in the US is Opioid addiction. Addiction which in many cases starts out with legally prescribed drugs, and progresses to street drugs like heroin.

Studies over the last 20 years have documented persistent differences in patient treatment by race. Yet another study, implicating that the differential between how blacks and whites are prescribed pain medication, may be responsible at least in part for the massive rise in white addiction.

The Pain Gap: Why Doctors Offer Less Relief to Black Patients

We know the disparity is linked to racial discrimination on some level, but struggle to put our finger on the one cause.

A new University of Virginia study suggests that many medical students and residents are racially biased in their pain assessment, and that their attitudes about race and pain correlate with falsely-held beliefs about supposed biological differences—like black people having thicker skin, or less sensitive nerve endings than white people—more generally.

The study highlights how a confluence of mistaken attitudes—about race, about biology, and about pain—can flourish in one of the worst possible places: medical schools where the future gatekeepers of relief are trained. And it illuminates what I’ve called the divided state of analgesia in America: overtreatment of millions of people that feeds painkiller abuse at the same time that, with far less public attention, millions of others are systematically undertreated. Think of it as a pain gap between the haves and the have-nots, along lines of class and race.

Unfortunately, the UVA findings are neither surprising nor fundamentally new. Back in the 1990s, two studies—one in an Atlanta emergency room, the other in Los Angeles—found that white patients being treated for long bone fractures were dosed more liberally than Latino patients in L.A., and more liberally than black ones in Atlanta. The authors put forward several possible explanations of the disparity: Perhaps patients in different groups expressed pain differently, or maybe caregivers interpreted pain differently in these groups, or perhaps nurses and doctors saw pain the same way across groups but just chose to remedy pain differently.

By the late 1990s, other studies found similar disparities in cancer care, where people receiving outpatient cancer care in places that mostly served minorities were three times more likely to be under-medicated with analgesics than patients in other settings. Speculation about the causes deepened: Perhaps inadequate prescribing for minority patients resulted from concerns about potential drug abuse, or maybe minority patients had more difficulty finding pharmacies that stocked opioid prescriptions, or again perhaps there was a cultural barrier in doctor-patient understanding and assessment. Into the 2000s, additional reports have confirmed the gap—again with no agreement about any single cause.

In a sense, the pain issue echoes other debates about race in America. We know there is a disparity; we know it is linked to racial discrimination somewhere or on some level, or even to institutional racism. But just as in racial bias in the law and policing, we struggle to put our finger on the one cause.

The truth is that there is no single cause for this disparity.

That said, the UVA study turns our gaze to one important place where race problems are manifest—medical training and physician perceptions. Medical students and residents learn precious little about race and social difference; but they also learn little about pain or about the fallacies of biological reasoning (for example, the false ideas apparently held by many in the UVA study that black blood coagulates more quickly than white blood). Given that such erroneous blood differences were once used to justify segregating the blood supply and to argue against racial integration (and that they seemed extinguished decades ago), their reappearance in the UVA study is especially shocking….Read The Rest Here

 
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Posted by on April 11, 2016 in The New Jim Crow

 

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Overdose Reversal Drug Free to Every High School

This was a brilliant move by the Clinton Foundation and Adapt Pharma. The beneficiaries of this are going to be in vast majority white families living in suburban or rural communities, and the entire strategy to save the victim is a marked departure from the 90’s “incarcerate the user”. The issue of Opioid abuse has gotten so bad, it has become an issue in the New Hampshire Primary –

The other drug manufacturers apparently decided to rip-off the public by doubling a tripling prices, instead of doing the intelligent and good for business thing by getting out in front of this…This puts them on blast for their corrupt business practices. Ad suggests that “Pharma Bro'” isn’t the only enemy of the American Health System.

And it will be interesting to see how many Red Zone Politicians are willing to kill children by banning this.

Overdose Reversal Drug Now Available To Every U.S. High School Free Of Charge

Advocates say this is another important step toward preventing fatal opioid overdoses.

Any high school in the U.S. that wants to carry an emergency opioid overdose reversal kit will now be able to get one free of charge, thanks to a new initiative announced Monday by the Clinton Foundation and the drug’s manufacturer.

Adapt Pharma, manufacturers of a nasal-spray form of naloxone, also known as Narcan, has partnered with the Clinton Health Matters Initiative to further expand access to the life-saving drug, the two groups said at the final day of the Clinton Health Matters Initiative Activation Summit. Naloxone is nonaddictive, nontoxic and easy to administer, especially through nasal application. It reverses the effects of an opioid overdose by essentially blocking the opioid receptors that heroin and many prescription painkillers target.

The U.S. Food and Drug Administration approved a nasal-spray version of naloxone in November, though it had previously been gaining popularity among first responders and advocacy groups as a first line of defense to prevent surging opioid overdose deaths across the nation.

“We are pleased to encourage public-private collaborations expanding access to naloxone,” Rain Henderson, CEO of Clinton Health Matters Initiative, said in a press release. “We are hopeful this effort will facilitate a dialogue amongst students, educators, health professionals, and families about the risks of opioid overdose and ensure naloxone is available in schools that decide to take steps to address opioid overdose emergencies.”

In addition to helping schools obtain naloxone, Adapt Pharma also announced that it had given a grant to the National Association of School Nurses to support opioid overdose education.

“We understand the crucial role schools can play to change the course of the opioid overdose epidemic by working with students and families. We also want every high school in the country to be prepared for an opioid emergency by having access to a carton of Narcan Nasal Spray at no cost,” Adapt Pharma CEO Seamus Mulligan said in a press release. “We look forward to working with our partners to implement these initiatives which build on the significant progress being made by legislators and community groups.”

A carton of Adapt’s Narcan Nasal Spray typically contains two devices, each capable of delivering one dose, at the cost of $75 total. In November, Adapt announced that it was coordinating with the Clinton Foundation to make naloxone less expensive, following significant cost increases by other manufacturers over the previous year. …Read More Here

 
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Posted by on January 26, 2016 in American Greed, The Post-Racial Life

 

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