awareness probably not the most important factor. Opiates are now logistically difficult to prescribe for most physicians.
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But when did this happen? Rx's started dropping in 2013. Rise in major barriers seems later than that?
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August 27, 2013 in NYS. Adds at least extra 10 min to the visit. (Also, I love your writing
#rockstar) https://www.health.ny.gov/professionals/narcotic/prescription_monitoring/ …
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severe pain predicts a greater likelihood of suicide. but fuck those cripples, amirite,
@Atul_Gawande? http://www.ncbi.nlm.nih.gov/pubmed/21198328Thanks. Twitter will use this to make your timeline better. UndoUndo
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@nytimes would be important to know if opioids were replaced by another form of pain treatment or patients were left in pain?Thanks. Twitter will use this to make your timeline better. UndoUndo
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plus onerous prescribing workflows and database checks, at least in NYS
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@nytimes awareness is part of it, but legislation, oversight and payment policies played a role as wellThanks. Twitter will use this to make your timeline better. UndoUndo
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I so scared even prescribe more than 3 days worth...
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"Awareness" is limiting new Rx. PMPs, elimination of refills & insurance limits are responsible for most of the decrease.
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