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My mother in her last months was in terrible pain. She, an elderly white woman in Appalachia could not have her pain properly addressed. I had to threaten her care providers in order for her to have barely adequate pain management. "If you don't see to this right now, I'm going to video her screaming in pain, put your name on it on YouTube and point every media outlet in the tri-state there." It was literally the only thing that worked.