Under-treatment of Pain
Pain Treatment: Millions Suffer Unnecessarily From Lack Of Medications, Human Rights Watch Says, Drug Control Part of the Problem
Millions of people worldwide are suffering unnecessarily from treatable pain, Human Rights Watch said in a report
My First Year Of Freedom: Richard Paey Speaks Out
Open to the public; sponsored by Floridians for Criminal Justice Reform, Families Against Mandatory Minimums (FAMM), November Coalition and Pain Relief Network.
Medical Marijuana: PTSD Victim Sues West Virginia Pain Management Center for Dismissing Him Because He Smokes Marijuana for Relief
Medical marijuana patients are routinely discriminated against in medical settings.
Feature: Prescription Drug "Fatal Medical Errors" Rising Dramatically -- What Does It Mean?
A study released this week charted a startling increase in deaths from "fatal medical errors," particularly those associated with people mixing street drugs and alcohol with prescription medication
Pain Medicine: Pain Relief Network Sues State of Washington Over Narcotic Prescribing Guidelines
The Pain Relief Network (PRN), a nonprofit organization waging a lonely battle to protect the rights of doctors who prescribe opioid pa
Pain Relief Network Sues State of WA
Posted in In the Trenches by David Guard on Tue, 07/01/2008 - 3:51pmAs always, we ask that you help PRN fight to protect the rights of patients and the doctors who treat them. Please click the link below.
Pain Treatment Advocacy Group Sues State of WA
Jun 25, 2008
By: Donna Gordon Blankinship
The Associated Press SEATTLE - A pain treatment advocacy group filed suit Wednesday in federal court to challenge the restrictions Washington state officials have put on prescription pain medication.
The nonprofit Pain Relief Network says the guidelines for prescribing narcotics, written by the Washington state Department of Health and published in March 2007, have influenced pain treatment across the country and have made doctors afraid to give opiate prescriptions[...]
Complaint for Declaratory and Injunctive Relief, Damages a class action lawsuit by Laura Cooper (lead attorney) et al., Filed: 2008-06-24
Exhibit 1: The WA state Opioid Dosing "Guidelines" by Agency Medical Directors Group (AMDG); Mar. 2007; Filed 2008-06-24
Exhibit 2: Findings of Fact Laura Cooper, Esq.; Filed 2008-06-24 www.painreliefnetwork.org
Pain Medicine: Kansas Doctor Fights Back, Attacks Federal Prosecution and Controlled Substances Act as Unconstitutional
Lawyers for a Haysville, Kansas, physician facing a 34-count federal indictment alleging he acted as a drug dealer in prescribing pain medications fought back last Friday, filing in federal court <
The Pain Relief Network: Update 5-19-08 -- Schneider Defense Calls DOJ Prosecution Unconstitutional
Posted in In the Trenches by David Guard on Thu, 05/22/2008 - 12:44pmSchneider Defense Calls DOJ Prosecution Unconstitutional: Read the Briefs

As always, we ask that you help PRN fight to protect the rights of patients and the doctors who treat them. Please click the link below.
Schneider defense calls DOJ prosecution Unconstitutional
This case is an effort by the federal government to define and regulate the practice of medicine masquarading as a criminal prosecution. This case should not be about whether Dr. Schneider fell short of the standard of care for certain patients, but whether he engaged in the legitimate practice of medicine [...]
Memorandum of points and authorities in support of the defendants' joint motion for absention
The federal government has usurped the authority of the State of Kansas to regulate medicine within the State by bringing a halt to its regulatory process, and assuming that authority, impermissibly, through the federal criminal process. If any part of the Indictment is not dismissed as unconstitutional or otherwise defective, this Court should abstain, allowing the State process to run its course [...]
Competetive Enterprise Institute Joins Pain Relief Network in the battle against untreated pain
May 16, 2008
Cei.orgToday, millions of Americans live in chronic pain, without adequate access to prescription pain medications, because their doctors are too afraid of being harassed or even arrested by the Drug Enforcement Administration to prescribe sufficient doses. Everyone agrees that doctors should not be using their positions to supply addicts with narcotics or feed the illicit drug market. Many doctors, however, have been arrested or threatened with loss of their medical licenses simply for prescribing opiate-based pain medications in doses that federal drug authorities believe are too high [...]
Pain Treatment: Prosecutors in Case Seek to Shut Up Doctor, Critics
Federal prosecutors in the case of Haysville, Kansas, physician Dr.
Pain Treatment: INCB Calls for Greater Access to Opioid Medicines in Developing World
As part of its 2007 Annual Report, released Wednesday, the International Narcotics Control Board (INCB) issu
Pain Wars in the Heartland: With Their Doctor Behind Bars, Kansas Patients Wonder Where To Turn
In a drama that has been played out all too many times across the country in recent years, the Justice Department's campaign against prescription drug abuse -- if you can call it that -- came in cr
Pain Medicine: Advocacy Group to Challenge Controlled Substances Act In Lawsuit Aimed at Protecting Physicians, Patients
Haysville, Kansas, physician Dr.
Pain Medicine: Emergency Room Doctors More Likely to Prescribe Opioids to Whites Than Minorities
A new study has found that while emergency room prescribing of opioid pain medications for ER patients complaining of pain has increased in recent years, doctors are less likely to prescribe them f
Europe: British Drug Council Calls for Heroin, Cocaine Prescribing By Nurses, Pharmacists, Chides Government's Drug Strategy Consultation
The British Advisory Council on the Misuse of Drugs (ACMD) has criticized the Labor government's ongoing consultation on
Update on Pain Physician Dr. William Mangino
Posted in Chronicle Blog by David Borden on Wed, 11/28/2007 - 11:12pmIn July and September I wrote here about the plight of Bill Mangino, a Pennsylvania physician who was decent enough to treat patients with the pain medications (opiates) that they needed, and was punished for these good deeds with a prosecution and now imprisonment -- all over a crime that never happened and for which no evidence exists happened.
Yesterday I heard from Dr. James Stacks, a Mangino supporter and board member of the Pain Relief Network, with the news that Dr. Mangino had asked we post correspondence he sent to a judge prior to a hearing today that he hopes will get him a new trial and freedom in the meantime. The briefs were put together by Mangino himself, written by hand, but has been scanned for our edification online as well. Interested parties can read some commentary on it by Alex DeLuca here, or go straight to the briefs online here or here.
A cutting quote that Dr. Mangino used as his signature line in the documents:
Statutes must mean what they say... and say what they mean.
Pain Patients: Florida Prisoner Richard Paey is Pardoned
Richard Paey, the wheelchair-bound Florida pain patient sentenced to 25 years in prison as a drug dealer for seeking desperately-needed medications, may be a free man by the time you read this.
Two People I Know Were Sentenced to Prison Last Week
Posted in Chronicle Blog by David Borden on Thu, 09/20/2007 - 10:58pmThe Paey Pardon, as Scott blogged about here and here, was a nice piece of news, of the kind that doesn't come around too often. The last such pleasant surprise I had came in late 2000, when Kemba Smith and Dorothy Gaines were pardoned by then-President Clinton. I immediately left a message for my friend Rob Stewart, who had played a major role in bringing the Gaines case to prominence by writing it in the old Drug Policy Letter (Drug Policy Foundation, predecessor to Drug Policy Alliance), which led to coverage of her case by Frontline. Rob told me later he had two messages on his voicemail -- one from me and one from Dorothy Gaines. These moments are rewards for all the rest of it.
Unfortunately, not many political leaders seem to be of the moral caliber of Gov. Crist, and there are many more victims of the drug laws who remain unpardoned. Two of them, whom I happen to know, were sentenced to prison a week ago. One of them was Bryan Epis, the first person prosecuted by the feds for medical marijuana. He received the same 10-year sentence. The other was William Mangino, a pain physician in Pennsylvania, sentenced to 8 1/2 - 20 years.
Bryan was allowed to remain free pending appeal. See our upcoming Chronicle newsbrief for some detail. Bryan actually told me a few days before the court date that he anticipated getting another 10 years, but being allowed to stay free pending appeal, and he was right. He says he has a good chance on appeal, and it sounds like it -- the prosecution really acted unethically in his case, and the judge, who is by no means biased toward defendants, commented that there are issues the appellate court may want to look at.
Dr. Mangino predicted a harsh sentence, and that he would not be allowed to stay free pending appeal. Unfortunately, he was right too. Christine Heberle's blog post on the War on Doctors/Pain Crisis blog lays out the glaring absence of any crime.
Accountability for injustices committed under the guise of law may be too much to hope for. But at least we should have justice now. I simply don't feel that letting people like Richard Paey and Bryan Epis and Bill Mangino live their lives unmolested by the government is asking for too much.
Richard Paey's Torturers Must be Held Accountable
Posted in Chronicle Blog by Scott Morgan on Thu, 09/20/2007 - 9:44pmAs we celebrate Richard Paey's freedom today, it is important to remember that his tragic fate was no accident. Many people worked very hard at tax-payers' expense to put this innocent and miserable man behind bars. They deserve recognition today as well.
Certainly, these events vividly depict the insanity of a war on drugs that targets seriously ill people for trying to treat their own pain:
State prosecutors concede there's no evidence Paey ever sold or gave his medication away. Nevertheless, under draconian drug-war statutes, these prosecutors could pursue distribution charges against him based solely on the amount of medication he possessed (the unauthorized possession of as few as 60 tablets of some pain medications can qualify a person as a "drug trafficker"). [National Review]
Yet, as Radley Balko revealed at National Review, the persecution of Richard Paey involved so much more than the reckless enforcement of short-sighted laws. This was a prolonged and deliberate campaign on the part of malicious prosecutors and vengeful prison officials.
*Prosecutors blamed Paey's harsh sentence on Paey himself, claiming that he should have accepted a plea bargain. As Balko explains, they essentially retaliated against him for asserting his factual innocence and insisting on his right to a jury trial.
*Prison officials transferred Paey further away from his family after he gave a New York Times interview that was critical of the State of Florida.
*Prison medical staff threatened to withhold Paey's medication, also in apparent retaliation for his interview with the New York Times. Since he could die without it, this was the functional equivalent of a death threat and caused him great distress.
Now that Florida's Governor and Cabinet have concluded that Paey did nothing wrong, it is time to examine the way he was treated throughout this great travesty. If there are sociopaths working in Florida's criminal justice system, that's something Governor Crist would want to know about. If we can afford to imprison people for decades in order to protect ourselves from drugs, surely we can also afford to evaluate public servants who wield extraordinary power in order to ensure that they aren't deeply disturbed.
Mentally healthy people do not persecute the seriously ill, even if the drug war says it's ok.























