the structure of health care in the united states makes it really difficult for doctors to not escalate to opiates for pain management. doctors are evaluated on

the structure of health care in the united states makes it really difficult for doctors to not escalate to opiates for pain management. doctors are evaluated on patient satisfaction not on patient outcomes which incentivizes them to skip straight to opiates when faced with a patient who complains of pain and is unsatisfied with tylenol