Key Learning Points

• The commonly identified barriers to pain relief are not merely clinical in nature, but have important ethical dimensions.

• Particularly in the United States, the ethical implications of undertreated pain have influenced the outcome of civil suits against healthcare institutions and professionals.

• In the United States, physicians may be vulnerable to criminal prosecution for drug trafficking if their prescribing of controlled substances is determined not to have been a good faith effort to stay within the bounds of acceptable medical practice.

• Drug control laws and governmental regulations have created a hostile environment in which to care for patients with chronic pain.

• Recent reform initiatives seek to establish a balance in law and public policy between the need to prevent drug diversion and trafficking and the need to insure that opioid analgesics are available to patients who would benefit from them.

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Naturally Cure Your Headaches

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