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The healthcare system in the US is often caught between a rock and a hard place. Professionally, doctors should place their patients’ interests first. So it would stand to reason that the profession would try to deal with the shortage of actual pain management facilities in the hospital sector by founding “pain clinics.” Theoretically, these clinics offer short-term care provided by teams that include doctors, physical and psychological therapists, and nurses who can help people manage their pain. It is sad that the medical establishment seems to be only interested in profits. It would benefit the public if altruism became commonplace among today’s healthcare professionals. Sad to say, more and more physicians are leaving general practice and taking positions in clinics and hospitals. This provides steady income with minimal commitment to a rigid work schedule. It allows management to run their facilities in a way that generates the greatest income at the lowest cost to the company. It is unfortunate that many pain clinics are merely “pill mills”, i.e. the doctors primarily spend very little time with each patient, and merely supply patients with any type of painkiller that may be of help. You will often find long lines of people waiting to see doctors for their prescriptions at clinics like these. Doctors have a daily quota of the number of patients they must see. This makes sure that claims to the insurance companies are increased because of the large volume of patients processed. It is very affordable for people without a health insurance since no treatment is given.

This does not mean that some clinics don’t legitimately try to provide a professional service to those who really need it. But there aren’t many of these exemplary clinics. Why do we say this? Because there are large numbers of pain clinics opening up in the US every day. The local government, in some parts of the country, is attempting to do something about the problem. Political figures urge the profession to cease their fast services for prescriptions. One positive thing is the ban on new clinics in some localities. Unfortunately, due to the lobbying strength of the medical profession, few statewide limits exist with regard to establishing clinics or the practice of writing prescriptions for excessive numbers of pills at one time. Some local politicians are in favor of legislation that would ban clinics from prescribing pain medication unless it is an emergency, and even then, it would only be possible to provide enough medication for 72-hours, after which the patient would have to see his/her regular physician to obtain necessary treatment. It is very unlikely that they will address the problem without the backing of state governments and physicians.

It is very sad that this is the way it is. Doctors and clinics that dispense pain management services in a professional manner are needed locally and at the county level. It is disappointing, though, that the medical profession exploits the public and simply magnifies the public’s addiction to pain meds. As a practical matter, people take whatever form of pain relief they can get. Even if endless supplies of drugs is in their future, they agree to take it. Other countries that offer public healthcare services provide teams of pain management specialists who help people cope by utilizing low level painkillers such as Tramadol. Since the high labor costs are paid for by the taxpayers, there is a much better service. Since Tramadol is less addicting than other, more powerful drugs, it is a safer method for pain management.!