Policy & Ethics

Since the CDC, DEA, and Physicians for Responsible Opioid Prescribing have become experts in dispensing prescription drugs, why stop there? Well, in Massachusetts, it didn't stop there. Judges were dictating specific medications to help addicts recover. Judges? Who's quoted in the article? Andrew Kolodny, of course. Why?
The World Health Organization is poised to reject emergency approval for Medicago's COVID vaccine because one of its ingredients is grown in tobacco plants. There's absolutely no justification for this decision.
Is it too early to address what went wrong when the COVID vaccines were rolled out? This is not about the “first rough draft of history." Instead, it's a more dispassionate, high-altitude view that allows us to assess this public health moment through two different critical theory lenses: complex systems and scaling.
New York City, not exactly the sanest place in the galaxy, has done little to change its reputation by maintaining its private-sector employer vaccine mandate for sports teams, even though it is scientifically laughable. New York athletes are banned from playing home games unless they are vaccinated but allowed to play road games. And players who can't play are allowed to sit there and watch. Welcome to Crazyville.
It seems that COVID-19 is, finally and hopefully, waning from the American scene. Before we face another wave or a new threat, it might make sense to review some of the legal fallout, notably the interplay between freedom of religion, the obligation of the state to protect public health, and the prevalence of changing attitudes championing solidarity versus those advocating autonomy.
Upon first glance, the revision of the atrocious 2016 CDC opioid prescribing guidelines would seem to be an improvement – a low bar by any measure. But it doesn't take long to see that the 2022 version still leaves much to be desired.
Social media platforms, fringe websites and activist groups are well-known sources of unscientific nonsense. Less discussed is the fact that ideological activism masquerading as research often finds a home in prestigious academic journals. One journal in particular has a long history of publishing such dubious content—The Lancet.
Although the 2022 revision of the 2016 CDC Opioid Prescribing Advice is an improvement over the original document, it still refers to Morphine Milligram Equivalents (MME) as a guide to physicians. Unfortunately, this number does not accurately reflect the relative strength of opioid painkillers. Dr. Jeff Singer and I explain why in a new op-ed in the NY Daily News.
A new paper from Johns Hopkins suggests that lockdowns had minimal impact on our health based on a meta-analysis of the effects of lockdowns on COVID-19. With blood in the water, partisan lines were quickly drawn. “Fox News has charged that there's been a ‘full-on media blackout,’" and the medical media, while not quite as hyperbolic, were dismissive because it was a pre-print, by economists, using a poor sample of studies. One more important note, the paper is 64 pages long, so who among all those reporters and experts actually read the paper? I did. [1]
The CDC's 2022 revisions of the deeply flawed 2016 Prescribing Advice contains some welcome changes that should reduce the needless suffering of pain patients. Unfortunately, the new document does not go far enough. My comments will be officially submitted to the CDC during the public comment period.
To discuss the Draft CASAC Report on EPA’s Draft Supplement to the 2019 Integrated Science Assessment (ISA) for PM and the Draft CASAC Report on EPA’s Draft PM Policy Assessment (PA).
Kansas, like several other states, is shielding healthcare providers from sanctions for the off-label prescription of Ivermectin and Hydroxychloroquine. That said, its State Senate – and one senator, in particular – is living in “crazy town.” Time for us to take a deeper dive into so-called fly-over country.