Yes. Also, societal, for driving so many people to such extreme coping mechanisms
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Overprescribing as a doctor issue. Diseases like MRSA staph infection are systemic issue.
These are two sides of the same color.
Another important variable is the placebo effect, and public pressure
a doctor problem or a systemic issue
Two phrases for the same thing.
The handful of well-intentioned docs are the exception, not the rule.
The Opioid Crisis might've started from Purdue Pharmaceuticals, but it was carried out by rank-and-file doctors who gladly attended those "all expenses paid" seminars (in Hawaii) and ignored/gaslit victims for years once reports of how destructive the prescription were.
In my eyes, members of the Medical Cartel of America have two primary goals: wealth and prestige. The whole "helping people" thing is just a pill they have to swallow (heh) to achieve them.
The handful of well-intentioned docs are the exception, not the rule.
I wouldn’t be so quick to judge the intentions of doctors who do over-prescribe. Consider this scenario:
You are a doctor. Your patient comes in with severe pain from a herniated disc caused by an injury at work. None of the ordinary painkillers or muscle relaxants you prescribe are working and they keep returning to your office to complain about constant pain. You know that opioids will be extremely effective at reducing or eliminating their pain but you also know that these drugs cause addiction. You explain this to your patient and they are adamant: they are 100% willing to risk becoming a drug addict if it means they can escape their severe chronic pain.
What do you do?
Personally, I find this dilemma so troubling that I would not want to be a doctor because of it. I have other reasons for not taking that career path but even if it were the only reason it would be enough to stop me. I don’t think it’s at all obvious that you can just ignore a patient in severe pain and say “I’m sorry, I won’t prescribe this legal drug which will alleviate your pain.”
Both. Some doctors are directly in the pockets of big pharma and the insurance industry and just over-prescribe whatever they're told to. Others over-prescribe from pressure from their patients either for a quick fix of whatever painkillers they're hooked on or are just insistent on getting prescribed whatever meds they see advertised on TV, and a fear of losing their patients to another doctor who will gladly blindly prescribe whatever they ask anyway.
Some just don't know any better and just push whatever they can to get the patient out of the office as quickly as possible so they can move onto the next one, and some patients refuse to take their meds properly, leading them to just get sick again and need even more.
Irresponsibility all around, basically. There's no innocents here.
It's because all the money is being spent on treatments instead of cures! Big Pharma is big for a reason.
If doctors had a way to cure people's pain/conditions they would!