4 ms·

> I suppose what I'm saying is that while I understand the need or desire to regulate powerful drugs, I fear further zealous overreach by the DEA et al that has

> I suppose what I'm saying is that while I understand the need or desire to regulate powerful drugs, I fear further zealous overreach by the DEA et al that has already made it difficult for responsible users to access important medications. This shouldn’t impact patients with an existing doctor and prescription. It only applies to initial visits. This rolls back a COVID exception that allowed internet companies to remotely prescribe Schedule II drugs after a cursory call. Companies were using it to create Adderall subscriptions as a service. In fact, the rampant overprescribing might be why you’re seeing shortages right now.

pksebben 4y ago
It already is affecting patients with existing prescriptions. Every time I move I have to jump through a series of hoops to get my doctor comfortable enough to prescribe, and I've been on the stuff for well over a decade. For a while, having the receipts for previous scripts was enough. Then they started needing medical records, which is like, okay fine. This most recent move has my new physician demanding I get rediagnosed (in an area where the next available appointment with a psych taking new patients is in, like, July). Because "this is a family practice, my license is on the line". The gradual ratcheting of pressure by the nanny-state DEA has doctors spooked. Never mind that the more beurocratic hoops you put in front of someone with an executive function disorder, the closer to impossible you make it for them. And the shortage is because of the dea. They placed arbitrary limits on what any one producer is allowed to make, so when one of them has supply chain issues, no one can cover for them. Disband the DEA.
- protectionrkt 4y ago
  The Constitution protects citizens' Equal Liberty to Pursuit of Happiness. It says "Equal Justice Under Law" on the front of which building? Isn't the prescription system an illegally discriminatory protection racket? How can the state grant rights on the basis of medical status as determined by a physician that the citizen must pay? "You may only legally risk [juggling chainsaws in the privacy of your Lawrence v home] if you have a qualifying disability as determined by a physician you must pay?" Physicians can self-prescribe controlled substances. Patients can risk unintentional self-harm by choosing to participate in a Clinical Trial of a wholly-untested treatment; they do have such Equal Liberty as is necessary to pursue Happiness. Do pharmacies have the right to deny service? Per the more recently fraudulently-packed Supreme Court ("Where's his birth certificate,[ tax return, arrest records, and level of foreign debt]"), You don't have to serve a gay cake to a gay wedding. The UNDHR (UN Declaration of Human Rights) specifies "Equal Protection" of "Equal Rights" as fundamental rights. Shouldn't a US Constitutional Amendment be necessary to unequally deny rights on the basis of medical status (under the guise of authorization of right to regulate substantial affectation of Interstate Commerce), if an amendment was necessary to (also unequally) prohibit alcohol? How can we work together on our shared objectives: maximize compliance with the Constitution, provide for the national defense, minimize self-harm and physician liability, and secure the blessings of Liberty? How and why is there a profit margin in pharmaceutical resale without a license? What is the comparative cost of the pharmaceutical generic? We could give people a discount - equally - for speaking with a physician. There should be a financial incentive to work with a physician on what works and isn't working. https://is-this-valid.github.io/liberty/ https://is-this-valid.github.io/liberty/
- PragmaticPulp 4y ago
  > The gradual ratcheting of pressure by the nanny-state DEA has doctors spooked. The specific regulations referenced here aren’t new. They were only granted a temporary exemption during COVID, and now that is expiring. The DEA literally loosened their regulations during this period, and now that is expiring.
  - pksebben 4y ago
    I do suppose I'm generalizing past what is, strictly speaking, the scope of the story. The fact is, 10 years ago, it was a lot easier to get these meds. More recently, I've had to deal with piss tests, scared physicians, and other formats of bullshit. Because why? It's some grave social ill that some people like adderall and don't need it? Cut us a break.

pksebben 4y ago

It already is affecting patients with existing prescriptions. Every time I move I have to jump through a series of hoops to get my doctor comfortable enough to prescribe, and I've been on the stuff for well over a decade. For a while, having the receipts for previous scripts was enough. Then they started needing medical records, which is like, okay fine. This most recent move has my new physician demanding I get rediagnosed (in an area where the next available appointment with a psych taking new patients is in, like, July). Because "this is a family practice, my license is on the line". The gradual ratcheting of pressure by the nanny-state DEA has doctors spooked. Never mind that the more beurocratic hoops you put in front of someone with an executive function disorder, the closer to impossible you make it for them. And the shortage is because of the dea. They placed arbitrary limits on what any one producer is allowed to make, so when one of them has supply chain issues, no one can cover for them. Disband the DEA.

protectionrkt 4y ago
The Constitution protects citizens' Equal Liberty to Pursuit of Happiness. It says "Equal Justice Under Law" on the front of which building? Isn't the prescription system an illegally discriminatory protection racket? How can the state grant rights on the basis of medical status as determined by a physician that the citizen must pay? "You may only legally risk [juggling chainsaws in the privacy of your Lawrence v home] if you have a qualifying disability as determined by a physician you must pay?" Physicians can self-prescribe controlled substances. Patients can risk unintentional self-harm by choosing to participate in a Clinical Trial of a wholly-untested treatment; they do have such Equal Liberty as is necessary to pursue Happiness. Do pharmacies have the right to deny service? Per the more recently fraudulently-packed Supreme Court ("Where's his birth certificate,[ tax return, arrest records, and level of foreign debt]"), You don't have to serve a gay cake to a gay wedding. The UNDHR (UN Declaration of Human Rights) specifies "Equal Protection" of "Equal Rights" as fundamental rights. Shouldn't a US Constitutional Amendment be necessary to unequally deny rights on the basis of medical status (under the guise of authorization of right to regulate substantial affectation of Interstate Commerce), if an amendment was necessary to (also unequally) prohibit alcohol? How can we work together on our shared objectives: maximize compliance with the Constitution, provide for the national defense, minimize self-harm and physician liability, and secure the blessings of Liberty? How and why is there a profit margin in pharmaceutical resale without a license? What is the comparative cost of the pharmaceutical generic? We could give people a discount - equally - for speaking with a physician. There should be a financial incentive to work with a physician on what works and isn't working. https://is-this-valid.github.io/liberty/ https://is-this-valid.github.io/liberty/
PragmaticPulp 4y ago
> The gradual ratcheting of pressure by the nanny-state DEA has doctors spooked. The specific regulations referenced here aren’t new. They were only granted a temporary exemption during COVID, and now that is expiring. The DEA literally loosened their regulations during this period, and now that is expiring.
- pksebben 4y ago
  I do suppose I'm generalizing past what is, strictly speaking, the scope of the story. The fact is, 10 years ago, it was a lot easier to get these meds. More recently, I've had to deal with piss tests, scared physicians, and other formats of bullshit. Because why? It's some grave social ill that some people like adderall and don't need it? Cut us a break.