3 ms·

Yes I see how getting that label can be life ruining! Thanks for clarifying. Are doctors by default nervous about this? Can't they share your file between them

Yes I see how getting that label can be life ruining! Thanks for clarifying. Are doctors by default nervous about this? Can't they share your file between them? (I'm in Europe, so my experience is different, sorry I don't know these basics). Is the fear from doctors and the draconian DEA's scope left over from the "War on Drugs"?

salawat 6y ago
Yes, a big portion of Electronic Healthcare Records is getting all relevant records to be capable of following you everywhere digitally. The paper equivalent before ACA was a foot to a foot and a half stack of papers you picked up from your old physician. The fear comes from DEA as they track metrics from pharmacies, and are tge source of all prescription pads for controlled substances. If you end up looking suspicious enough to look into, you could very quickly find yourself in very hot water. You could lose access to the privilege to write controlled substance prescriptions, which means lost patients, have your license revoked, or any other unpleasant outcome. You have to have a good relationship with your physician, because if for whatever reason the start feeling overly exposed professionally, your adverse health outcome is less severe to them than possible investigation by authorities or jeopardization of their ability to see patients. The sad thing is, I can't even really blame them. It's 100% reasonable from their point of view, and from an outsider's, but as a patient trying to navigate your own physiology in a way that doesn't end in catastrophic consequences for yourself, those you know and love, and those depending on you to play your part in the grand scheme of things, it sure does feel like everyone is a-okay letting you take the fall for the sake of the perverse incentives created by the regulatory environment.

3 ms·

Yes I see how getting that label can be life ruining! Thanks for clarifying. Are doctors by default nervous about this? Can't they share your file between them

by thinkingemote 6y ago

salawat 6y ago
Yes, a big portion of Electronic Healthcare Records is getting all relevant records to be capable of following you everywhere digitally. The paper equivalent before ACA was a foot to a foot and a half stack of papers you picked up from your old physician. The fear comes from DEA as they track metrics from pharmacies, and are tge source of all prescription pads for controlled substances. If you end up looking suspicious enough to look into, you could very quickly find yourself in very hot water. You could lose access to the privilege to write controlled substance prescriptions, which means lost patients, have your license revoked, or any other unpleasant outcome. You have to have a good relationship with your physician, because if for whatever reason the start feeling overly exposed professionally, your adverse health outcome is less severe to them than possible investigation by authorities or jeopardization of their ability to see patients. The sad thing is, I can't even really blame them. It's 100% reasonable from their point of view, and from an outsider's, but as a patient trying to navigate your own physiology in a way that doesn't end in catastrophic consequences for yourself, those you know and love, and those depending on you to play your part in the grand scheme of things, it sure does feel like everyone is a-okay letting you take the fall for the sake of the perverse incentives created by the regulatory environment.