Opioids: A ‘crisis’ of too much or not enough – or simply how rich you are and where you live?

AbstractThe ‘Opioid Crisis’, which originated in Western countries, has been misrepresented and is misinforming the global public. For 20 years, since the advent of the synthetic opioids, 25,000 Americans, on average, have died annually from opioid‐related overdoses. The United States produces and consum es by far the greatest amounts of opioids. National regulations introduced to curb overdoses and restrict opioid availability have condemned many Americans, such as cancer patients or those in need of palliative care, to a life of extreme pain due to lack of access to adequate pain management. As is often the case, US‐driven laws have informed and guided international regulations. Worldwide, 83% of countries have low or non‐existent access to opioids for pain relief. Over 25 million people are at the end‐of‐life stage, with eight million people dying annually in unnecessary pain and di stress. Ineffectively controlled pain is a global public health issue blighting the lives of billions of people worldwide with immeasurable human and socioeconomic costs. International conventions regulate the trade and use of controlled medications, including many opioids. The goal is to balance wi despread access to optimal forms of pain management with restrictions to govern the use and prevent the misuse of controlled substances. Those conventions are failing to meet their goals. International guidelines to inform national legislation have been compromised and withdrawn, than...
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: POSITION PAPER Source Type: research