http://www.nytimes.com/2005/07/23/opinion/23tierney.html?th&emc=thHandcuffs and Stethoscopes
By JOHN TIERNEY
Published: July 23, 2005
The current zeal for sending doctors to jail for writing painkiller prescriptions may seem baffling, especially to the patients who relied on the doctors for pain relief. But if you consider it from the perspective of the agents raiding the doctors' offices, you can see a certain logic.
.......The OxyContin crisis was fanned by sensationalized press coverage and by popular fears that unsuspecting patients getting this painkiller were being turned into dangerous addicts. While it's true that chronic-pain patients taking opioids for a long time require higher and higher doses, the drugs typically don't give them a high or interfere with their lives. Instead, the drugs enable them to function.
Researchers have repeatedly found that very few patients taking opioids have a hard time stopping once their pain goes away. The ones who can't stop - the compulsive addicts - are typically people with a history of abusing alcohol and other drugs.
But many doctors are now afraid to give painkillers to either kind of patient. The D.E.A. tried reassuring them by working with pain-management experts to produce a pamphlet setting out guidelines for doctors who want to avoid investigation. But last fall, the agency said it wasn't bound by the guidelines after all, and could investigate even when it had no reason to suspect a doctor....