The solution? Simple. Manufacture a demand. Establish not only a new system that gives doctors more freedom to prescribe narcotics for non-postoperative and non-malignant pain, but create an environment that actually demands it. Instead of fighting a losing battle against the existing medical framework, create an entirely new one — one that promotes opioid and opiate painkillers for everyday aches and pains — and work from within it.
To understand just how the American medical system became corrupted in the 2000s, you have to understand the role of Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the most powerful accreditation institution in the world.
The Joint Commission is the gatekeeper. They’re the last line of defense between the patients over here and the drugs over there. The Joint Commission is a nonprofit organization based out of a Chicago suburb, charged with setting the standards of care for hospitals in this country and accrediting more than 20,000 facilities in all but four states. They’re the ones tasked with inspecting hospitals and ensuring adequate care is being given and standards are being met. They also issue directives in care.
In 2001, while the pharmaceutical lobby spent just under $100 million in lobbying efforts, the Joint Commission issued a new directive to its 20,000+ hospitals across the country:
It was time to start treating pain.
And who did the Joint Commission bring in to teach the hospitals how to treat the pain?
Purdue Pharma. (Source)
See also JCAHO Newspaper Notice