war on drugs, war on doctors, and the pain crisis in america - deluca; mailman school of public...

8/14/2019 War on Drugs, War on Doctors, and the Pain Crisis in America - DeLuca; Mailman School of Public Health (Columbi

1/30

Xkb Z`r ae Hrjs$ xkb Z`r ae Hacxars$ èh xkb ^ìeCrisis ie @gbric`

'

Bijkxy Yb`rs al E`fbh Bg~brars

oy @db{èhbr HbDc`$ G%H%$ Meb 8$ ?>>8

Sogixxbh xa ^ralbssar Gick`bd S~`rbr$ ^k%H%$ Kb`dxk C`rb âdicy$ Gìdgè Sckaad al ôdic

Kb`dxk$ Cadgoi` Rei|brsixy$ Ebz Yarf Cixy%

Arijie`ddy zrixxbe= Meb 8$ ?>>8% D`sx giear rb|isiaes= Sb~xbgobr 0;@jsx 0?$ ?>>8%

R_D=

Iexrahcxiae

Xkbrb is ` ^ìe Crisis ie @gbric`% Ixs ~rig`ry gèilbsx`xiae is xkb raxieb èh zihbs~rb`hehbr'xrb`xgbex al ~ìe$ bs~bci`ddy ckraeic$ eae'cècbr ~ìe% Axkbr gèilbsx`xiaes iecdhb` sb|brb èh jraziej skarx`jb al ~kysiciès ziddiej xa ~rbscriob gar~kieb èh rbd`xbha~iaih è`djbsics$ xkb zihbs~rb`h sb al garb xa{ic èh dbss bllic`cias cd`ssbs algbhic`xiaes ie è bllarx xa `|aih a~iaihs$ èh xkb ~ralaeh hisxarxiae al gbhic`d bhc`xiaeèh al xkb hacxar'~`xibex rbd`xiaeski~%

Kaz d`rjb ` ~raodbg is ehbr'xrb`xbh ~ìe ie @gbric`1 Ie ` ?>>0 `rxicdb ie xkbMare`d alxkb @gbicè Gbhic`d Sacibxy +M@G@)$ Oriè \`sx`j rb~arxs ae xkb zarf al _ick`rh Oraze

èh caddb`jbs zka sx`xbh$ `x ` E`xiae`d Iesxixxb ae Hrj @osb +EIH@) syg~asig ie@~rid ?>>0$ xk`x xkbrb z`s zihbs~rb`h `cfeazdbhjgbex xk`x oaxk `cxb èh ckraeic ~ìe`rb ehbrxrb`xbh% Oraze bsxig`xbh xk`x garb xkè 0:" al @gbricès k`|b sbrias ckraeic~ìe èh xk`x gèy ja exrb xbh èh gèy garb `rb ehbrxrb`xbh%V\`sx`j$ ?>>0WXkis is xkb~ìe crisis ie @gbric %

Ie è `xxbg~x xa j`jb xkb b{xbex al xkb ~raodbg$ xkbsb rbsb`rckbrs hb|bda~bh ` sr|by xk`xgb`srbh xkb ~rbscrioiej ~r`cxicbs lar obe}ahi`}b~iebs +\`dig èh rbd`xbh sbh`xi|bs) èhlar a~iaih è`djbsics oy hillbrbex jra~s al ~kysiciès ie rbs~aesb xa |`ri`xiaes al ` siejdb~rbsbexbh c`sb% Xkb ~kysiciès ~rbscrioiej hbcisiaes zbrb xkbe cag~`rbh zixkrbcaggbeh`xiaes lrag ` ~èbd al ~ìe gè`jbgbex b{~brxs% Xkb liehiejs zbrb sx`rf=

Zkidb xkb b{~brx ~èbd rbcaggbehbh xk`x |irx`ddy `dd ~`xibexs zixk Vcaggaeihia~`xkic o`cf ~ìeW zka ha eax rbs~aeh xa axkbr xrb`xgbexs ob ji|be è a~iaihè`djbsic$ aedy ?>" al ~kysiciès sìh xkby zadh `cx`ddy zrixb xk`x~rbscri~xiae /Ix sjjbsxs xkbrb*s ` dax al eebcbss`ry sllbriej$/ sìh Oraze%Xa cago`x xkb ~raodbg$ kb c`ddbh lar iecrb`siej xkb `gaex al gbhic`d sckaadbhc`xiae hb|axbh xa ~ìe gè`jbgbex$ lrag xkb xy~ic`d ? xa 8 kars xa 0< ar

?>%V\`sx`j$ ?>>0W
http://www.doctordeluca.com/Library/WOD/MixedMessagePrescripDrugAbuse01.htmhttp://www.doctordeluca.com/Library/WOD/MixedMessagePrescripDrugAbuse01.htmhttp://www.doctordeluca.com/Library/WOD/MixedMessagePrescripDrugAbuse01.htmhttp://www.doctordeluca.com/Library/WOD/WOD-PCA060404cWeb.htmhttp://www.doctordeluca.com/Library/WOD/MixedMessagePrescripDrugAbuse01.htmhttp://www.doctordeluca.com/Library/WOD/MixedMessagePrescripDrugAbuse01.htm


2/30

Eaeb al xkis is ebz% Lar hbc`hbs$ rbsb`rckbrs k`|b eaxbh xkis hiscrb~ècy obxzbbe kazckraeic ~ìe skadh ob xrb`xbh èh xkb hisg`d sx`xb al xkb `rx `s ~r`cxicbh ie xkb R%S%$ èhxkby caggaedy c`dd lar garb èh obxxbr bhc`xiae al ~kysiciès% Ox is xkb ~ìe crisis ie@gbric` sig~dy ` ~raodbg al xkb `cpisixiae èh `~~dic`xiae al gbhic`d feazdbhjb1 @eh ilsa$ zky k`|b xkb ig~rbssi|b èh caesisxbex bhc`xiae`d c`g~ìjes hirbcxbh `x xkis ~raodbg

ie rbcbex hbc`hbs lìdbh xa yibdh xkb b{~bcxbh ckèjbs ie gbhic`d ~r`cxicb ie xkb R%S%1

Xkb kisxaric`d rbcarh sxraejdy sjjbsxs ` hbb~br èh l`r garb hisxroiej raax c`sb al arcrrbex ~ìe gè`jbgbex ~rbhic`gbex% Ie xkb yb`rs `lxbr 0908$ xkb E`rcaxics Hi|isiae alxkb Xrb`sry Hb~`rxgbex$ ~rajbeixar al xah`ys Hrj Belarcbgbex @jbecy +HB@)$ orajkx` sbribs al xbsx c`sbs `jìesx ~kysiciès ehbr xkb K`rrisae @cx% Xkrajk xkb carxs$ hrj~rakioixiaeisxs ckib|bh xkb crigie`di}`xiae al hrj sbrs eh al xkb hacxars zka zadhxrb`x xkbg `s ~`xibexs èh `s kgè obiejs zarxky al xkb s`gb iehi|ih`di}bh gbhic`d c`rb`s èy axkbr sllbrbr ie ` lrbb sacibxy% Xkis zihb sca~b al d`z belarcbgbex rbs~aesioidixyz`s l`r obyaeh xk`x dbjisd`xbh oy Caejrbss zkbe ix ~`ssbh zk`x `~~b`rbh xa ob ` x`{ `cx ie0908%VFiej$ 0923W

Xkis kisxaric`d ~briah g`rfs xkb ie|bexiae al ` ~br~bx`d e`xiae`d hrj crisis zkick k`s b|brsiecb obbe cdìgbh `s xkb s~bci`d e`xiae`d iexbrbsx msxilyiej xkb rbjd`xiae al a~iaihè`djbsic gbhic`xiaes èh axkbr hèjbras hrjs oy ` lbhbr`d d`z belarcbgbex `jbecy% Iesa haiej$ xkis `jbecy k`s sr~bh xkb rijkx caesxixxiae`ddy rbsbr|bh xa xkb sx`xbs xaaxkbrzisb dicbesb èh rbjd`xb gbhic`d ~r`cxicb ie xk`x gasx leh`gbex`d$ `rckbxy~`d$ èhxigbdbss al `dd xkb gbhic`d `rxs= xkb sfiddld `~~dic`xiae al a~iaih è`djbsi` xaz`rhs xkbrbdibl al kgè ~ìe èh sllbriej%

Zkidb a~ig èh ixs hbri|`xi|bs `rb `gaej xkb gasx ècibex èh zbdd ehbrsxaah èh s`lbsx~k`rg`cbxic`ds gèfieh k`s b|br hb|bda~bh$ ~raodbg`xic sb k`s obbe ` sarcb al

~brsae`d xr`jbhy ie xkb di|bs al iehi|ih`ds xkrajkax rbcarhbh kisxary% Kazb|br$ oblarbòax 09?>$ xkbrb z`s ea hagbsxic hrj socdxrb$ ea hrj ~raodbg$ ea crigie`d od`cfg`rfbx$ ea hrj c`rxbds$ ea sx`xb's~aesarbh kaehiej èh mìdiej al hrj sbrs èh ~ìe~`xibexs eh al xkbir ~kysiciès$ ea ~odic axcry lar xkb ~adixiciès al xkb h`y xa jbx xajkae hrjs% Ie l`cx$ xkbrb is ea crbhiodb rbcarh al ` hagbsxic hrj ~raodbg ~riar xa xkb~br|brsiae al xkb K`rrisae @cx ie xkb carxs ie xkb yb`rs lxbr 0908 `dxkajk xkbrb zbrbgèy garb a~i`xb hb~behbex ~ba~db$ oaxk ie òsadxb egobrs èh `s ` ~brcbex`jb al xkb~a~d`xiae$ xkè xkbrb `rb xah`y% Ix k`s obbe bsxig`xbh xk`x ie xkb 0;;>s sagb 8 ~br cbex alxkb ~a~d`xiae al xkb Reixbh Sx`xbs sbh sagb fieh al a~i`xb lar eaegbhicie`d ~r~asbs%VFiej$ 09:?`WLar ` sbesb al ~brs~bcxi|b$ caesihbr xk`x gahbre kbraie sb~b`fbhie xkb d`xb09;>s `x `~~ra{ig`xbdy 3?>> +~`sx gaexk) sbrs$ ar òax >%0 ~brcbex al xkb ~a~d`xiae$`ccarhiej xa E`xiae`d Kasbkadh Sr|by ae Hrj @osb h`x`% Ix is eaxòdb xk`x$ ie xkbhbc`hbs `raeh xkb beh al xkb Eiebxbbexk Cbexry$ @gbric` s~~arxbh d`rjb èh ~azbrld~a~d`r saci`d ga|bgbexs jìesx dcakad èh xao`cca sb zkick zbrb zihbdy + ehcarrbcxdy) ~brcbi|bh `s xrb e`xiae`d ~odic kb`dxk scarjbs% Xkbrb is ea rbcarh al èy èxi'a~iaih ga|bgbex ar a~iaih ~rakioixiae ga|bgbex al sigid`r sijeilicècb obc`sb xkiscd`ss al sosxècb z`s eax |ibzbh +`jìe carrbcxdy) xa ob ` saci`d scarjb ar sijeilicèx~odic kb dxk gbe cb%VOrbckbr$ 09:?`W
http://www.doctordeluca.com/Library/WOD/JailingHealers&Sick53.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU3.htmhttp://www.doctordeluca.com/Library/L&ID/L&ID-1-DopeFiend.htmhttp://www.doctordeluca.com/Library/L&ID/L&ID-1-DopeFiend.htmhttp://www.doctordeluca.com/Library/WOD/JailingHealers&Sick53.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU3.htmhttp://www.doctordeluca.com/Library/L&ID/L&ID-1-DopeFiend.htm


3/30

Xkb raax c`sb al xkb zihbs~rb`h ehbrxrb`xgbex al ~ìe cè ob xr`cbh hirbcxdy xa xkbsysxbg`xic$ e`xiae`ddy caarhie`xbh$ rbdbexdbss k`r`ssgbex$ `rrbsx$ èh ~rasbcxiae alxkasèhs al @gbricè ~kysiciès$ gèy al zkag k`h obbe bej`jbh ie eaxkiej axkbr xkèxkb sxèh`rh c`rb al ~ìe èh `hhicxiae al xkb h`y% Xkis ~ajrag k`s caexiebh$ eò`xbh$lar `dgasx eiebxy yb`rs%

Xkb ~ra{ig`xb c`sb al xkb ~ìe crisis `risbs lrag zk`x is feaze `s xkb ckiddiej bllbcx$ `~kr`sb zkick hbscriobs xkb jraxbspb hisxarxiae al xkb eargs al gbhic`d ~r cxicb èh xkb|iad`xiae al xkb hacxar'~`xibex rbd`xiaeski~ xk`x rbsdxs lrag xkb zixkhr`z`d al ~kysicièslrag xkb `~~ra~ri`xb xrb`xgbex al ~ìe hb xa lb`r al dixij`xiae$ dass al di|bdikaah$ èhiec`rcbr`xiae%

Crigie`d ~rasbcxiaes al ~kysiciès k`|b iecrb`sbh ehbr @xxareby Jbebr`d Make @skcralx%B{`g~dbs al rbcbex ig~arxèx c`sbs iecdhb xkasb al Hr% Ziddi`g Krzix}$ ` ~iaebbr ie xkblibdh al ~ìe gè`jbgbex ie \irjiei`6 Hr% Mbri K`ssgè$ zka k`h xkb d`rjbsx ~ìe ~r`cxicbie Xcsae$ èh is obiej xkrb`xbebh zixk ` ?;'yb`r ~risae xbrg `~~`rbexdy obc`sb ` sg`dd

lr`cxiae al kbr ~`xibexs sbh xkb ~rbscri~xiaes ie e`xkari}bh z`y6 Hr% _aobrx Zbix}bd alRx`k$ zka z`s cae|icxbh al ebjdijbex kagicihb èh gèsd`jkxbr ox xkbe `cpixxbh ie èbz xri`d `lxbr xkb ~rasbcxar z`s laeh xa k`|b caecb`dbh b{cd~`xary b|ihbecb$ èh Hr%Hboar`k Oarhb`{ al Saxk C`radie`$ zka z`s cae|icxbh ehbr ` /hrj fiej~ie/ sx`xxbc`rryiej ` gèh`xary gieigg sbexbecb al ?> yb`rs$ `lxbr zarfiej ` gbrb xza gaexks ie `dacg xbebgs ~asixiae `x ` cdieic xrb`xiej ckraeic ~ìe `gaej axkbr ìdgbexs%

Ie ` ?>>3 ~rbss rbdb`sb bexixdbh Xkb Gyxk al xkb Ckiddiej Bllbcx$ xkb HB@ hbeibh xkb~assioidixy xk`x ixs `cxiaes `j iesx ~kysiciès cadh k`|b sck è bllbcx$ `rjiej xk`x HB@aedy oriejs `cxiaes `jìesx ` gieiscdb ~ra~arxiae al hacxars$ xkbrblarb `cxiaes `jìesxhacxars lar |iad`xiaes al xkb Caexraddbh Sosxècbs @cx +CS@) cèeax ob c`siej axkbr

hacxars xa sbbf xa `|aih sck `cxiaes oy lìdiej xa sb a~iaih è`djbsics `~~ra~ri`xbdy ar oyrblsiej xa ~rbscriob xkbg `x `dd% VHB@$ ?>>3WZb zidd è`dy}b xkis hacgbex |bry c`rblddyd`xbr ie xkis ~`~br èh rb|b`d ix xa ob sa gck hissbgodiej jioobrisk%

Zk`x b`ck al s `s gbgobrs al ` lrbb èh hbgacr`xic sacibxy$ ja|brebh oy ar azecaesbex ehbr xkb Caesxixxiae èh xkb Oidd al _ijkxs$ zixk è ehbrsxèhiej al xkbgbèiej al lbhbr`disg$ Sx`xbs rijkxs$ xkb Larxk @gbehgbex rijkx xa ~ri|`cy$ èh xkbsb~`r`xiae al ~azbrs$ k`s xa hbcihb is=

0% Z`s xkbrb b|br$ ar is xkbrb eaz$ ` e`xiae`d ~raodbg c`sbh oy hagbsxic dicix èhiddicix hrj sb al sck hirb ig~arx èh g`jeixhb xk`x ix gijkx msxily ~d`ciej

gbhic`d hacxars èh rbsb`rckbrs ehbr xkb hirbcx rbjd`xary caexrad al `h|brs`ri`dlbhbr`d d`z belarcbgbex allicbrs zixk ea gbhic`d xrìeiej1 Skadh xkb HB@$ `lbhbr`d d`z belarcbgbex `jbecy zixk ` Lisc`d Yb`r ?>>8 Allicb al Gè`jbgbex èhOhjbx +AGO) r`xiej al]B_A VAGO$ ?>>3W$ k`|b xkb ~azbr xa ~rbscriob èh~rascriob xkb gbhic`d obk`|iar al iehi|ih`d ~kysiciès$ haze xa xkb db|bd almhjiej iehi|ih`d ~`xibex gbhic`xiae rbjigbes$ èh xa jrassdy hisxarx xkb eargs algbhic`d ~r`cxicb ie bexirb s~bci`dxibs al gbhicieb1
http://www.doctordeluca.com/Library/WOD/MythOfChillingEffect-DEA03.htmhttp://www.doctordeluca.com/Library/WOD/DEA-GetsZeroFromOMB-03.pdfhttp://www.doctordeluca.com/Library/WOD/MythOfChillingEffect-DEA03.htmhttp://www.doctordeluca.com/Library/WOD/DEA-GetsZeroFromOMB-03.pdf


4/30

?% Il xkbrb is ` e`xiae`d hrj ~raodbg xk`x habs z`rrèx bijkxy yb`rs al ` z`r aehrjs ! z`r ae hacxars èh xkb sysxbg`xic sx`xb sècxiaebh òsb al ~ìe ~`xibexs$hrj sbrs$ èh xkbir l`gidibs$ zk`x b{`cxdy is xkb e`xrb al xkb ~raodbg èh kazsb|brb is ix1 Cag~`rbh xa zk`x1

3% Zkbrb ha zb ja lrag kbrb1 Habs xkb HB@ k`|b ` dbjixig`xb radb ie g`fiej ~adicyae issbs zkick `rb caesihbrbh xa ob gbhic`d èh ~odic kb`dxk g`xxbrs oy xkb |`sxg`marixy al xkb e`xiaes al xkb zardh1 Is ebjaxi`xiej xaz`rhs `ckib|iej caesbesszixk sck ~ba~db ~assiodb1 Is ix sxr`xbjic`ddy$ gar`ddy èh bxkic`ddy `h|isòdb1Xkbrb k`|b obbe sb|br`d ^ìe Sggixs a|br xkb yb`rs èh jrèh caesbesshacgbexs èh cdieic`d jihbdiebs k`|b obbe ~racdìgbh$ èh ybx xkb z`r aehacxars caexiebs eò`xbh% Sa zb `sf$ habs xkb HB@ ebjaxi`xb ie jaah lìxk1

Kisxaric`d @exbcbhbexs

@ X`{ @cx Jaeb Xbrriody ZraejXkb Laah èh Hrj @cx al 09>< z`s ` o`sic`ddy jaah ~odic kb`dxk gb`srb xk`x rbpirbhgbhiciebs caexìeiej a~i`xbs èh cbrxìe axkbr hrjs gsx s`y sa ae xkbir dòbds% D`xbr`gbehgbexs xa xkb `cx `dsa rbpirbh xk`x xkb pèxixy al b`ck hrj ob xrdy sx`xbh ae xkbdòbd$ èh xk`x xkb hrjs gbbx allici`d sxèh`rhs al ihbexixy èh ~rixy% Xkb K`rrisae @cxbllbcxi|bdy zixkhrbz xkb ~raxbcxiae al xkb Laah èh Hrj @cx lrag xkb sbrs al xkbsb hrjsèh ~rbci~ix`xbh xkb ~odic kb`dxk hbo`cdb xk`x is xkb rb`d hrj crisis ie @gbric`%

Xkb e`xiae zadh k`|b è a~~arxeixy xa db`re xkis dbssae `jìe zixk `dcakad ^rakioixiae+0909 0933)= ~rakioixiae bp`ds saci`d ckàs$ rbjd`xiae bp`ds saci`drbs~aesioidixy% @dcakad ~rakioixiae hillbrbh lrag hrj ~rakioixiae ie xk`x xkb \adsxb`h @cx

z`s ~`ssbh ie rbs~aesb xa xkb |bry rb`d ~raodbgs c`sbh oy `dcakad zkick is ` l`r garbhbsxrcxi|b sosxècb ~kysiadajic`ddy$ obk`|iar`ddy$ èh saci`ddy xkè `rb xkb a~iaihs$sxigdèxs ar k`ddcieajbes% Xkb rbsdxs al ~rakioixiae ie oaxk c`sbs is sxrifiejdy sigid`r%@dcakad ~rakioixiae z`s iexbehbh xa dbssbe saci`d ~raodbgs$ ig~ra|b xkb ~odic kb`dxk$rbhcb crigb èh carr~xiae èh xkb casxs al d`z belarcbgbex èh iec`rcbr`xiae% Ix z`s e

òmbcx lìdrb ae `dd caexs%VXkarexae$ 0990W^rakioixiae al rbci~rac`ddy obeblici`dxrès`cxiaes is haagbh xa lìdrb%

G`xxbrs al iexbre`xiae`d hi~dag`cy èh iexbre`xiae`d xr`hb sijeilicèxdy ig~`cxbh xkbhb|bda~gbex al R%S% hagbsxic hrj ~adicy% Ie 09>


5/30

Xkb K`rrisae E`rcaxics @cx z`s ` x`{ `cx= @e @cx Xa ~ra|ihb lar xkb rbjisxr`xiae al$ zixkcaddbcxars al iexbre`d rb|beb$ èh xa ig~asb ` s~bci`d x`{ ae `dd ~brsaes zka ~rahcb$ig~arx$ gèl`cxrb$ cag~aeh$ hb`d ie$ his~besb$ sbdd$ hisxrioxb$ ar ji|b `z`y a~ig arcac` db`|bs$ xkbir s`dxs$ hbri|`xi|bs$ ar ~rb~`r`xiaes$ èh lar axkbr ~r~asbs%VK`rrisae @cx$0908W Xkb @cx caexìebh ~ra|isiaes lar xkb dicbesrb al ~kysiciès èh ~k`rg`cisxs `s zbdd

`s gèl`cxrbs èh ig~arxbrs èh sbx ` gahbsx b{cisb x`{ al aeb cbex ~br aecb ae a~ig$cac` db`|bs èh xkbir hbri|`xi|bs% Ixs ~`ss`jb z`s becar`jbh zixk sagb `~~b`d xa xkb b`rdysxirriejs al xkb gbhi`'ies~irbh kysxbri` zixk r`cisx èh {bea~kaoic a|brxaebs xk`x `rb `dbixgaxil ie @gbric`s z`r ae hrjs èh hri|iej larcb obkieh ix% Kazb|br$ xkb K`rrisae@cx z`s eax ` ~rakioixiae gb`srb `x xkb xigb al ixs be`cxgbex ear z`s lb`r al è

ig~behiej hagbsxic `hhicxiae ~raodbg ixs ~rig`ry lacs%VFiej$ 09:?`W

Xkb @cx z`s iexbehbh xa gb`srb èh jbx ` kèhdb ae zk`x z`s è bexirbdy erbjd`xbh èhckàxic g`rfbx% ^kysiciès èh ~`xibexs ie ` hacxar'~`xibex rbd`xiaeski~ zbrb s~bcilic`ddyb{bg~xbh zixk xkis dèj`jb= Eaxkiej caexìebh ie xkis sbcxiae sk`dd `~~dy % % % xa xkbhis~besiej ar hisxrioxiae al èy al xkb `larbsìh hrjs xa ` ~`xibex oy ` ~kysiciè$ hbexisx$

ar |bxbrie`ry srjbae rbjisxbrbh ehbr xkis @cx ie xkb carsb al kis ~ralbssiae`d ~r`cxicbaedy%VK`rrisae @cx$ 0908W Xkb aedy orhbe ~d`cbh ae hacxars z`s xk`x xkby rbjisxbr lar ` lbbèh fbb~ rbcarhs al gbhic`xiaes his~besbh ar ~rbscriobh%

K`h xkb K`rrisae @cx obbe dblx eckèjbh `s ieixi`ddy ~`ssbh oy Caejrbss$ zb gijkx xah`yob hiscssiej ix daej zixk xkb Laah èh Hrj @cx al 09>< `s b{`g~dbs al xkb ReixbhSx`xbs b`rdy èh d`hòdb ~odic kb`dxk bllarxs `x `hhrbssiej ` sg`dd ox ~axbexi`ddysijeilicèx hagbsxic sosxècb òsb ~raodbg% Relarxe`xbdy$ xkb K`rrisae @cx is iesxb`hobsx rbgbgobrbh `s ` x`{ cx jaeb xbrriody zraej$ g rfiej xkb objieeiej al hrj~rakioixiae `s e xiae`d ~adicy% Xkb |bry lirsx c`sbs orajkx xa xkb Carxs xa xbsx xkb @cx èhkaeb ix xkrajk dbj`d ck`ddbejb zbrb c`sbs `jìesx ~r`cxiciej ~kysiciès$ èh sa xkb

K`rrisae @cx g`rfs xkb objieeiej al @gbric`s z`r ae hacxars g`fiej xkbg xkb @cxs lirsx$èh `x xkb xigb aedy$ x`rjbxs% Lar ` oribl xigb$ ~ìe ~`xibexs èh hrj sbrs zadh k`|b xazìx xkbir xre%

Ie xkb Carsb al Kis ^ralbssiae`d ^r`cxicb Aedy

Kaz hih b|bryxkiej ckèjb$ sa òr~xdy èh |iadbexdy$ ie xkb z`fb al xkb K`rrisae @cx1Belarcbgbex z`s xkb rbs~aesioidixy al lbdd xa xkb E`rcaxics Hi|isiae al xkb Xrb`sry

Hb~`rxgbex% Xkb Hi|isiae z`s gbrjbh iexa xkb ^rakioixiae Reix al xkb Xrb`sryHb~`rxgbex zkbe xk`x z`s bsxòdiskbh ie 09?> `lxbr ~`ss`jb al xkb \adsxb`h @cx ie 0909$èh d`xbr obc`gb xkb Lbhbr`d E`rcaxics Orb` ie 093> `s xkb br` al `dcakad ~rakioixiaez`s hr`ziej xa ` cdasb% Xkb Hi|isiae$ sbbfiej cd`rilic`xiae èh bsxòdiskgbex al xkb sca~b

al xkbir ~azbrs ehbr K`rrisae$ orajkx ` sbribs al cdb|br ~rasbcxiaes xa xkb carx `jìesxxkb b{bg~xiae lar xkb hacxar ~`xibex rbd`xiaeski~% Xkis z`s crixic`d$ lar `s daej `s hacxarszbrb x`fiej c`rb al `hhicxs `s xkby kbrbxalarb k`h$ xkbrb z`s ie l`cx ea ~raodbg lar ar J'gbe'ie'zìxiej xa `xx`cf% Lrxkbr$ `s daej `s hacxars èh ~`xibexs zbrb skibdhbh oy xkbb{bg~xiae lrag xkb K`rrisae @cx$ xkbrb cadh ob ea si}òdb g`rfbx lar iddicix hrjs èh eaz`y lar d`z belarcbgbex xa jbx `x `hhicxs zka xrebh xa xkb gbhic`d ~ralbssiae lar kbd~%Paxiej _ls O% Fiej lrag kis 0923 K`r|`rh D`z _b|ibz `rxicdb bexixdbh$ Xkb K`rrisaeE`rcaxics @cx M idiej xkb Kb`dbrs èh xkb Sicf=
http://home.sandiego.edu/~csimonds/harrison2.htmlhttp://home.sandiego.edu/~csimonds/harrison2.htmlhttp://www.doctordeluca.com/Library/WOD/King-DHU3.htmhttp://home.sandiego.edu/~csimonds/harrison2.htmlhttp://home.sandiego.edu/~csimonds/harrison2.htmlhttp://home.sandiego.edu/~csimonds/harrison2.htmlhttp://www.doctordeluca.com/Library/WOD/King-DHU3.htmhttp://home.sandiego.edu/~csimonds/harrison2.html


6/30

Ar jrib|as brrar z`s ie `ddaziej xkb e`rcaxics `hhicx xa ob ~skbh ax alsacibxy èh rbdbj`xbh xa xkb crigie`d caggeixy% Kb ise*x ` crigie`d% Kbeb|br k`s obbe% @eh eaoahy daafbh ae kig `s sck exid xkb lriasodix}fribj dèckbh `raeh 090; ie caeebcxiae zixk xkb belarcbgbex al xkbK`rrisae @cx E`rcaxics'sbrs zbrb /sllbrbrs/ ar /~`xibexs/ ie xkasb h`ys6

xkby cadh èh hih jbx rbdibl lrag èy rb~xòdb gbhic`d ~r`cxixiaebr$ èhxkbrb is eax xkb sdijkxbsx sjjbsxiae xk`x Caejrbss iexbehbh xa ckèjb xkis'obyaeh cxxiej all xkb hisrb~xòdb /~skbrs/ zka zbrb xkri|iej axsihb xkbgbhic`d ~ralbssiae èh `daej ixs ~bri~kbribs%VFiej$ 0923W

I zidd eax rb|ibz ie jrb`x hb~xk kbrb xkb hbxìds al xkb xkrbb carb c`sbs xkrajk zkick xkbOrb` ckèjbh ` obeije x`{ `cx iexa ` eijkxg`rb ~rakioixiae `cx% Iexbrbsxbh rb`hbrs `rbrblbrrbh xa hbxìdbh `ccaexs oy oaxk Fiej$ ie kis 0923 Y`db D`z _b|ibz `rxicdb VFiej$ 0923Wèh ie Ck`~xbrs 3 èh < al kis 09:? oaaf$ Xkb Hrj Kèj'R~$ @gbic`s Lilxy'Yb`LaddyVFiej$ 09:?oWèh oy Orbckbr ie Ck`~xbrs ; èh 9 al kis cd`ssicDicix èh Iddicix Hrjs

VOrbckbr$ 09:?cW$ `dsa ~odiskbh ie 09:?% Xkb xkrbb fby c`sbs `rb Zboo +0909)$Gay +09?>)$

èhObkgè +09?0)% _ls Fiej ~arxr`ys `dd xkrbb dixijèxs `s ebbr'ha'zbdds% Hr% Zboosig~dy sadh ~rbscri~xiaes oy xkb xkasèhs$ iehiscrigie`xbdy$ xa `dd cagbrs$ lar lilxy cbexs`~ibcb$ Hr Gay z`s è ax èh ax ~bhhdbr VzkaW ~rbscriobh gar~kieb xa sxrèjbrs 0>jr`gs `x ` xigb lar (0%>> ` jr`g èh Obkrgè z`s difbzisb ld`jrèx |iad`xar%

Ie Zboo$ xkb @xxareby Jbebr`d ~asbh ` cbrxilibh pbsxiae xa xkb Carx=

Il ` ~r`cxiciej èh rbjisxbrbh ~kysiciè issbs è arhbr lar gar~kieb xa èkòix`d sbr xkbrbal$ xkb arhbr eax obiej issbh oy kig ie xkb carsb al~ralbssiae`d xrb`xgbex ie xkb xxbg~xbh crb al xkb kòix$ ox obiej issbhlar xkb ~r~asb al ~ra|ihiej xkb sbr zixk gar~kieb sllicibex xa fbb~ kig

caglarxòdb oy gìexìeiej kis csxag sb$ is sck arhbr ` ~kysiciè*s~rbscri~xiae ehbr b{cb~xiae +o) al s%?1 VFiej$ 0923W

Xkb Carx$ allbehbh oy xkb l`cxs al xkb Hr% Zboos axrijkx ~bhhdiej rbs~aehbh= xa c`ddsck arhbr lar xkb sb al gar~kieb ` ~kysiciès ~rbscri~xiae zadh ob sa ~dìe `~br|brsiae al gb eiej xk`x ea hiscssiae al xkb al xkb sombcx is rbpirbh% Xkb ~raodbgkbrb is xk`x xkb ~kr`sb$ sllicibex xa fbb~ kig caglarxòdb oy gìexìeiej kis csxag`rysb is eax ` gbrbdy ` hbscri~xiae al xkb bjrbjias l`cxs alZboo ox `dsa becag~`ssbs xkbhis~besiej al a~iaihs lar xkb rbdibl èh ~rb|bexiae al zixkhr`z`d xk`x is cdb`rdy oae`'lihbgbhic`d xrb`xgbex al a~iaih hb~behbecb%

Xkb zbhjb obxzbbe xkb `~~ra~ri`xb oaehs al gbhic`d ~r`cxicb èh xkb oae`'lihbgbhic`d xrb`xgbex al a~iaih hb~behbecb z`s zihbebh ieGay ie zkick xkb Carx rbehbrbhxkb a~ieiae=

Gèilbsxdy xkb ~kr`sbs xa ` ~`xibex èh ie xkb carsb al kis ~ralbssiae`d~r`cxicb aedy `rb iexbehbh xa caelieb xkb iggeixy al ` rbjisxbrbh~kysici e$ ie his~besiej xkb e`rcaxic hrjs gbexiaebh ie xkb cx$ sxricxdyzixkie xkb `~~ra~ri`xb oaehs al ` ~kysiciè*s ~ralbssiae`d ~r`cxicb$ èh'eax
http://www.doctordeluca.com/Library/WOD/JailingHealers&Sick53.htmhttp://www.doctordeluca.com/Library/WOD/JailingHealers&Sick53.htmhttp://www.doctordeluca.com/Library/WOD/King-50YearFolly.htmhttp://www.doctordeluca.com/Library/WOD/King-50YearFolly.htmhttp://www.druglibrary.org/special/king/dhu/dhumenu.htmhttp://www.druglibrary.org/special/king/dhu/dhumenu.htmhttp://www.druglibrary.org/schaffer/Library/studies/cu/cumenu.htmhttp://www.doctordeluca.com/Library/WOD/JailingHealers&Sick53.htmhttp://www.doctordeluca.com/Library/WOD/JailingHealers&Sick53.htmhttp://www.doctordeluca.com/Library/WOD/King-50YearFolly.htmhttp://www.druglibrary.org/special/king/dhu/dhumenu.htmhttp://www.druglibrary.org/schaffer/Library/studies/cu/cumenu.htmhttp://www.doctordeluca.com/Library/WOD/JailingHealers&Sick53.htm


7/30

xa b{xbeh ix xa iecdhb ` s`db xa ` hb`dbr ar ` hisxrioxiae iexbehbh xa c`xbr xaxkb `~~bxixb ar s`xisly% xkb cr`|iej al aeb `hhicxbh xa xkb sb al xkb hrj%VFiej$ 09:?cW

Zkick oriejs s xaObkgè$ ` e`gb g`hb iel`gas ie sccbbhiej yb`rs zkbe gbhic`dhacxars zbrb raehbh ~ ie d`rjb egobrs oy gbès al zk`x c`gb xa ob feaze `s xkb/Obkrgè iehicxgbex%/ VFiej$ 09:?cWObkrgè z`s `rrbsxbh lar ~rbscrioiej `x aeb xigb 02>jrìes al kbraie$ 3 jrìes al gar~kieb èh ?0> jrìes al cacìeb% VSbb `dsa Ld`sk Xr`sk ie@~~behi{ Xza lar è è`dysis al xkis hasiej rbjigbe%WXkb xricf kbrb is xk`x xkb iehicxgbex z`s eaxhr`ze `s è `ccs`xiae xk`x Obkrgès ~rbscri~xiaes zbrb eax ie xkb carsb al kis~ralbssiae`d ~r cxicb aedy$ ox iesxb`h `ddbjiej xk`x$ ie bllbcx$ xkb hrjs zbrb ji|be ie `jaah lìxk `xxbg~x xa crb xkb `hhicx%VFiej$ 0923WXkis is xkb oirxk al zk`x zb gijkx c`ddxkb hacxars hidbgg`$ xk`x ix is ` lbhbr`d allbesb xa `hgieisxbr a~i`xbs xa è a~i`xb `hhicxlar xkb ~r~asbs al xrb`xiej xkbir a~i`xb `hhicxiae xkajk xa `hgieisxbr a~i`xbs xa è a~i`xb`hhicx ie ~ìe lar xkb ~r~asbs al è`djbsi` is AF% Eaz$ il aedy xkb hisxiecxiae obxzbbe xkbxza cadh ob rbdiòdy g`hb

Xkb Hacxars Hidbgg`Zkidb a~iaih gbhic`xiaes `rb rbd`xi|bdy s`lb èh bllbcxi|b$ xkbrb cè ob cag~dic`xiaes%Hacxars caggaedy oriej oaxk dbjixig`xb gbhic`d caecbres èh zbdd'laehbh lb`r alrbjd`xiae xa xkb xòdb% @e `r` al eb`sb srraehs gbhic`d xrìeiej ie xkb sb al a~iaihè`djbsi`% ^brk`~s xa ~x ` ~syckadajic`ddy garb ~`d`xòdb gbhic`d l`cb ae zk`x z`s rb`ddy~ìeld kisxaric`ddy b{~bribecb zixk lbhbr`d k`r`ssgbex èh ~brsbcxiae$ xkb cdieic dhèjbrs al a~iaih sb `rb b{`jjbr`xbh% ^kysiciès `rb x`jkx xk`x gar~kieb èh ixs rbd`xi|bs`rb hèjbras$ hillicdx xa sb sosxècbs6 xk`x xkby `rb kijkdy `hhicxi|b èh cè b`sidyc`sb rbs~ir`xary hb~rbssiae èh hb`xk% Ox b|be zkbe xkb s`lbxy èh bllic`cy al a~iaihxkbr`~y is rbcajei}bh èh x`jkx$ xkb rb`dixy al xkb HB@ z`r ae hacxars ebbh eax ob x`jkx6ix is ae xkb ebzs èh ie xkb xr`hb mare`ds èh k`~~beiej `dd xkb xigb `raeh ~kysiciès iecaggeixibs `crass @gbric`%

Ie ?>>?$ xkbe HB@ Hirbcxar @s` Kxckiesae$ ie è `hhrbss xa xkb @gbricè ^ìe Sacibxy$`xxbg~xbh xa rb`ssrb xkb gbhic`d caggeixy=

I*g kbrb xa xbdd ya xk`x zb xrsx yar mhjgbex Xkb HB@ habs eax iexbehxa ~d`y xkb radb al hacxar Zb zidd eax ~rb|bex ~r`cxixiaebrs `cxiej ie xkbs`d carsb al xkbir gbhic`d ~r`cxicb lrag ~rbscrioiej A{yCaexie lar~`xibexs zixk dbjixig xb gbhic d ebbhs% Zb eb|br zèx xa hbey hbsbr|iej~`xibexs ccbss xa hrjs xk`x rbdib|b sllbriej èh ig~ra|b xkb p`dixy aldilb% VAribex$ ?>>3W

Saaxkiej zarhs ~brk`~s$ ox xkb gbhic`d caggeixy cè ob larji|be lar ~`yiej garb`xxbexiae xa xkb bsc`d`xiae al xkb z`r ae hacxars xkis `jbecy k`s ehbrx`fbe ehbr Osk !@skcralx% Xkb elarxe`xb rb`dixy is xk`x ix is ig~assiodb ae cdieic`d jraehs xa rbdiòdyhisxiejisk xkb hbsbr|iej ckraeic ~ìe ~`xibex lrag xkb ~rbsgòdy ehbsbr|iej hrj`hhicx zka is eax axkbrzisb ie ~ìe% Xkb ~ìe gè`jbgbex ~kysiciè bg~days lecxiae`dcrixbri` xa gaeixar xkb carsb al ckraeic a~iaih xkbr`~y% Xk`x is$ xkb ~`xibex is rbjd`rdy`ssbssbh ie xkb `rb`s al kis òidixy xa ~brlarg `cxi|ixibs al hìdy di|iej èh xa gbbx l`gidy
http://www.doctordeluca.com/Library/WOD/King-DHU6.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU6.htmhttp://www.doctordeluca.com/Library/WOD/WOD-PCA060404cWeb.htm#Flash_Trashhttp://www.doctordeluca.com/Library/WOD/JailingHealers&Sick53.htmhttp://www.aapsonline.org/painman/deac1.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU6.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU6.htmhttp://www.doctordeluca.com/Library/WOD/WOD-PCA060404cWeb.htm#Flash_Trashhttp://www.doctordeluca.com/Library/WOD/JailingHealers&Sick53.htmhttp://www.aapsonline.org/painman/deac1.htm


8/30

aodij`xiaes èh saci`d eargs$ èh xkb ~`xibex zka gbbxs b{~bcx`xiaes ie xkbsb rb`s is~rbsgbh xa ob ` ckraeic ~ ie ~`xibex r`xkbr xkè è `hhicx% Kazb|br$ èy a~iaih hb~behbex~brsae ae e `hbp xb rbjd r has`jb rbjigbe$ lar b{`g~db$ ` sccbssld gbxk`haebgìexbeècb ~`xibex$ is ~kysiadajic`ddy èh saci`ddy iehisxiejiskòdb lrag ` ckraeic ~ìe~`xibex zkasb ~ìe is caexraddbh oy ckraeic a~iaih xkbr`~y$ ar iehbbh$ lrag ` zbdd ~brsae%

Zb k`|b rb|ibzbh xkb K`rrisae @cx èh ixs `lxbrg`xk `s xkb kisxaric`d cr{ al xkb z`r aehrjs$ xkb z`r ae hacxars$ lrag zkick xkb ~ìe crisis ie @gbric` hirbcxdy sxbgs% Ie skarx$xkb hrj ~rakioixiaeisxs sccbbhbh ie crb`xiej$ xkrajk hbcb~xi|b dbj`d ck`ddbejbs$ ` |bryora`h sca~b al ~azbr crigie`di}iej hacxars èh hrj sbrs `s zbdd `s hrj ig~arxbrs èh~bhhdbrs$ iesxb`h al xkb |bry sg dd sca~b xk`x Caejrbss k`h iexbehbh +xkb sgjjdbr èh xkb~bhhdbr) zkbe ix b{bg~xbh xkb hacxar'~`xibex rbd xiaeski~ ehbr K`rrisae%VFiej$ 0923WGiddiaes al d`z'òihiej @gbricè a~iaih sbrs obc`gb crigie`ds oy dbjisd`xi|b li`x zkidb `xxkb s`gb xigb obiej cx all lrag dbj`d s~~dy al xkb gbhic`xiae xkby ebbhbh xa lecxiae iesacibxy èh zixk ea bllbcxi|b ~odic kb`dxk gb`srbs bg~daybh xa gixij`xb xkb ~rbhicxòdb~kysic`d$ bgaxiae`d èh s~irix`d sicfebss èh sllbriej edb`skbh `crass xkb e`xiae%

Oij Dibs èh Oddibs Xrg~ _bsb`rck ie xkb Z`r ae

Hrjs

Ie ` scibexilic sacibxy zb gijkx b{~bcx xk`x jaah b~ihbgiadajic`d èh gbhic`d rbsb`rckzadh$ a|br xigb$ hissad|b gyxks èh ~rbmhicbs èh jbebr`xb o`sic scibexilic èszbrs aezkick r`xiae`d ~adicy gijkx ob o`sbh% Ix is ` s`h$ rbcrrbex xkbgb ie xkb z`r ae hrjs xk`xd`z belarcbgbex rb~b`xbhdy xribh xa digix zk`x rbsb`rck is ehbrx`fbe oy hbeyiej ~brgixsxa ~assbss èh sb hrjs lar sxhibs$ èh oy |idilyiej èh xkrb`xbeiej xkb ~ralbssiae`d di|bs

al xkasb car`jbas rbsb`rckbrs zka ha xkb ebcbss`ry zarf hbs~ixb xkb aosx`cdbs% Zk`xrbsb`rck is `ccag~diskbh is gèi~d`xbh èh s~e oy |`rias ja|bregbex`d `jbecibs xa six~rbhbxbrgiebh e`xiae`d hrj ~adicy%

Xkb D`J`rhi` Caggissiae

@ cd`ssic èh zbdd hacgbexbh b{`g~db al d`z belarcbgbex gisielarg`xiae èh sk`gbdbssoddyiej al ~adixiciès$ hacxars$ èh scibexisxs is xkb sxary al EY G`yar Liarbdda D`J`rhi`èh kis 0939 odb'riooae caggissiae zkick z`s bsxòdiskbh ehbr xkb `s~icbs al xkb EY@c`hbgy al Gbhicieb xa b{`gieb xkb òsrh cdìgs al E`rcaxics Orb` Caggissiaebr@esdiejbr b{~rbssbh ie kysxbric`d ~rbss sjjbsxiaes xk`x Ebz Yarf Cixy ckidhrbe zbrb aexkb orief al dèckiej g`rimè`'iehcbh arjibs al xkblx$ sb{$ èh grhbr% V@esdiejbr$ `spaxbh ie VFiej$ 09:?hWW

Xkb @c`hbgy hih b{cbddbex zarf hacgbexiej xkb ~kysiadajic`d èh ~syckadajic`d bllbcxsal g`rimè` iecdhiej c`rbld xbsxs al IP$ gbgary$ èh db`reiej zkick lìdbh xa rb|b`d èysijeilicèx ~`xkadajic`d ~`xxbre% Lrxkbr$ xkb G`yars ie|bsxij`xars laeh |irx`ddy ea sbal g`rimè` ie kijk sckaads ar meiar kijk sckaads$ èh ea aosbr|òdb `ssaci`xiae obxzbbem|beidb hbdiepbecy èh sck g`rimè` sb s xkby hih lieh%
http://www.doctordeluca.com/Library/WOD/JailingHealers&Sick53.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU10.htmhttp://www.doctordeluca.com/Library/WOD/JailingHealers&Sick53.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU10.htm


9/30

@d`s$ xkb D`J`rhi` _b~arx z`s xa ob ` c`sb al zieeiej xkb o`xxdb èh dasiej xkb z`r%@esdiejbr hih eax ck`ddbejb xkb liehiejs ox r`xkbr `xx`cfbh xkb rbsb`rckbrs lar ~odiskiejxkbg% Lrag Vxkb belarcbgbexW ~aiex al |ibz ix is |bry elarxe`xb xk`x Hacxars @ddbexcfèh Oazgè skadh k`|b sx`xbh sa ep`dilibhdy xk`x xkb sb al g`rimè` habs eax db`h xa~kysic`d$ gbex`d ar gar d hbxbriar`xiae%V@esdiejbr ie ` 098? dbxxbr ~odiskbh ie xkb@gbricèMare`d al sycki xry$ `s paxbh ieVFiej$ 09:?hWW

Xkb E`rcaxics Orb`s `xx`cf ae xkb lie`d rbdb`sb al xkb D`J`rhi` _b~arx z`s l`r garbiesihias èh h`g`jiej% Caesihbr xkb laddaziej b{cbr~x lrag è bhixari`d ie M@G@=

V@W oaaf c`ddbh /G`rimè` ^raodbgs/ oy xkb G`yar*s Caggixxbb aeG`rimè` sogixs è è`dysis VzkickW gieigi}bs xkb k`rgldebss alg`rimè`% @drb`hy xkb oaaf k`s haeb k`rg% Aeb ie|bsxij`xar k`s hbscriobhsagb xb`rld ~`rbexs zka orajkx xkbir 0< yb`r adh sae xa ` ~kysiciè `lxbrkb k`h obbe hbxbcxbh ie xkb `cx al sgafiej g`rimè`% @ eaxicbòdb gbex`dhbxbriar`xiae k`h obbe b|ihbex lar sagb xigb Xkb oay sìh kb k`h rb`h è`ccaex al xkb D` J`rhi` Caggixxbb rb~arx èh xk`x xkis z`s kismsxilic`xiae lar siej g`rimè`% VB{cbr~x lrag @G@ bhixari`d$ `s paxbh ieVFiej$ 09:?hWW

Fiej rbgiehs s xk`x xkis eaesbesic`d lraxkiej$ zkick cadh eax caecbi|òdy k`|b cagblrag èyzkbrb ox xkb Orb`$ z`s ~odiskbh ehbr xkb ~rbsxijias @G@ g`sxkb`h% Xkbgbss`jb xa hacxars èh xa rbsb`rckbrs z`s cdb`r% B{~bcx xa ob `xx`cfbh oy lbhbr`d d`zbelarcbgbex èh òèhaebh oy yar ~bbrs ie xkb ~azbrld @G@ lar yar ~ralbssiae`dbllarxs èh kaebsxy%

Xkb dxig`xb axcagb al xkis orak`k` z`s hb|`sx`xiej% Lbz rb~xòdb hacxars èhscibexisxs zadh risf xkbir ~ralbssiae`d di|bs ie xkis sarx al be|iraegbex èh d`z

belarcbgbex allici`ds ie xkb Orb` ekbsix`xiejdy hbeaecbh b|be xkb l`cidixibs al g`markas~ix`ds èh db`hiej ei|brsixibs `s ie`hbp`xb lar xkb caehcxiej al rbs~aesiodbb{~brigbexs$ èh kbecb ezarxky al ` Xrb`sry dicbesb rbpirbh lar sxhyiej caexraddbhsosxècbs% VFiej$ 09:?hWXrb`sry'`~~ra|bh rbsb`rck ~rambcxs hra~~bh lrag ;: ie 098;$ xa0; ie 0923$ xa < ie 092;%

Xkb Hissbgodiej HB@ èh xkb Ckiddiej Bllbcx

@ ?>>3 Hrj Belarcbgbex @jbecy HB@ ~rbss rbdb`sb bexixdbh /Xkb Gyxk al xkb CkiddiejBllbcx/ VHB@$ ?>>3Wis ` |bry iexbrbsxiej hacgbex% Ix is oribl$ ` gbrb 0;? zarhs ie sb|besbexbecbs largbh iexa lar ~`r`jr`~ks$ èh caexìes ` xòdb èh si{ ~ib ck`rxs% B|brysbexbecb is bexirbdy xrb$ èh xkb xb{x `s ` zkadb is ahh aedy ie xk`x xkb caexbex al xkb lirsx

xkrbb ~`r`jr`~ks g`fb ea ~`rxicd`r ~aiex rbj`rhiej xkb /ckiddiej bllbcx/ xkb hacgbex~r~arxs xa hboef% Xkb a|br`dd gbss`jb is= /HB@ aedy oriejs `cxiaes `jìesx ` gieiscdb~ra~arxiae al hacxars$ xkbrblarb `cxiaes jìesx hacxars lar |iad xiaes al xkb CaexraddbhSosxècbs @cx +CS@) cèeax ob c`siej axkbr hacxars xa sbbf xa `|aih sck `cxiaes oylìdiej xa sb a~iaih è`djbsics `~~ra~ri`xbdy ar oy rblsiej xa ~rbscriob xkbg `x `dd%

Dbx*s sx`rx zixk xkb xixdb% Zk`x is ` /ckiddiej bllbcx/1 Xkb ~kr`sb habs eax b{isx ie gasxhicxiae`ribs `s sck% /Ckiddiej/ is è `hmbcxi|b gbèiej *sa sc`ry `s xa c`sb ckidds èh
http://www.doctordeluca.com/Library/WOD/King-DHU10.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU10.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU10.htmhttp://www.doctordeluca.com/Library/WOD/MythOfChillingEffect-DEA03.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU10.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU10.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU10.htmhttp://www.doctordeluca.com/Library/WOD/MythOfChillingEffect-DEA03.htm


10/30

skhhbrs$* èh `s ` |bro /ckidd/ cè gbè *xa hb~rbss ar hiscar`jb%* Dbx gb ~ra~asb xkbladdaziej zarfiej hblieixiae al ` /ckiddiej bllbcx/ xk`x is caesisxbex zixk zk`x xkb HB@ is`hhrbssiej ie ixs ~rbss rbdb`sb= Xkb ckiddiej bllbcx is xkb zixkh`z`d$ la lb` al dixij`xiae$oy ~kysiciès lag xkb `~~a~i`xb xb`xgbex al ~ìe%

Ix is ig~arxèx xa eaxb xk`x gck al xkb ~odic kb`dxk h`g`jb kbrb is c`sbh eax oy xkbhacxars `ccsbh al zraejhaiej$ r`xkbr ix is c`sbh oy hacxars'ie'jaah'sxèhiej zka$ l`cbhzixk ` ~`xibex ie ~ìe èh xkbrblarb `x risf al obiej x`rjbxbh oy xkb HB@$ gahily xkbirxrb`xgbex ie è `xxbg~x xa `|aih rbjd`xary `xxbexiae% Xkis hisxarxiae al xkb hacxar'~`xibexrbd`xiaeski~ is cag~db{ èh cè ob jrass ar soxdb% B{`g~dbs iecdhb ` odèfbx rbls`d xa~rbscriob caexraddbh sosxècbs b|be zkbe cdb`rdy iehic`xbh$ ar sbdbcxiej dbss bllbcxi|b èhgarb xa{ic eae'caexraddbh gbhic`xiaes zkbe ` xri`d al a~iaih è`djbsics zadh ob ie xkbobsx iexbrbsxs al ` ~`rxicd`r ~ xibex% @x xkb |bry db`sx$ sagb hbjrbb al ss~iciae ehgisxrsx zidd srbdy `risb ie èy gbhic`d rbd`xiaeski~ ie|ad|iej caexraddbh sosxècbs%

Xkbrb is |bry dixxdb ` zbdd'iexbexiaebh ~kysiciè cè ha xa gixij`xb xkis risf$ xa carrbcx xkbsb

hisxarxiaes ie gbhic`d |`dbs$ bxkics$ èh ie xkb hacxar'~`xibex rbd`xiaeski~ xk`x `dz`ys `risbie xkb carsb al xrb`xgbex lar ~ìe èh!ar sosxècb òsb ~raodbgs% B|be b{~brxs ie xkbgbhic`d xrb`xgbex al `hhicxiae èh ~ìe cèeax g`fb xkb crci`d hisxiecxiae$ xkbihbexilic`xiae al xkb *dbjixig`xb ~ìe ~`xibex$* zixk caelihbecb%V^@IEQCKBGQHB^ disxSbr|$?>>3WPixb sig~dy$ xkb carb ~rbsg~xiae$ xk`x xkb sx`xbs'al'obiej= *dbjixig`xb ~ìe ~`xibex$**hrj òsbr$* *hi|brxbr$* *lrbpbex ldybr$* bxc%$ `rb gx`ddy b{cdsi|b èh hickaxagas is$gbhic`ddy$ l`dsb%

Xkb dbj`d ~eiskgbex lar gisx`fiej ` hrj òsbr lar ` ~ìe ~`xibex cè ob b{xrbgbdysb|brb6 hacxars `rb obiej xkrb`xbebh zixk ?;'yb`r ~risae xbrgs +Hr% K`sgè)$ k`|b obbedifbebh xa /cr`cf hb`dbrs/ +Hr% Krzix}) èh xribh `s /hrj fiej~ies/ +Hr% Oarhb`{)%

VAribex$ ?>>3 W6VZkixb , F`lgè$ ?>>3WAe xkb axkbr kèh$ gisx`fiej ` ~ìe ~`xibex lar `hrj `hhicx$ èh xkbrboy caggixxiej xkb brrar al lìdrb xa `~~ra~ri`xbdy xrb`x ~ìe$ iskijkdy edifbdy xa k`|b èy dbj`d caesbpbecbs `x `dd% Xkis sbx al dbj`d èh ~syckadajic`dig~br`xi|bs zixk xkbir `xxbehèx sb|brb ~eiskgbexs k`s crb`xbh ` eb`r ihb`d be|iraegbexlar gèilbsx`xiae al ` ckiddiej bllbcx$ zkick ieb{aròdy db`hs xa xkb ehbr'xrb`xgbex èheae'xrb`xgbex al ~ìe ie @gbric`%

Xkb Caexraddbh Sosxècbs @cx +CS@) al 09:?$ zkick s~brsbhbs èh rb~d`cbs xkb K`rrisae@cx èh `dd iexbr|beiej lbhbr`d hrj dbjisd`xiae$ g`fbs ix ` lbhbr`d allbecb xa ~rbscriobcaexraddbh sosxècbs xa ` hrj `hhicx lar xkb ~r~asbs al xrb`xiej ar gìexìeiej xkbir`hhicxiae$ b{cb~x zkbrb xkb ~kysiciè kadhs ` sb~`r`xb HB@ dicbesb xa ~ra|ihb gbxk`haeb

gìexbeècb% Xkis is zk`x hbliebs xkb /oaehs al `ccb~xbh gbhic`d ~r`cxicb/ rblbrrbh xa iexkb soxixdb al xkb HB@ ~rbss rbdb`sb ehbr caesihbr`xiae% Hblieiej xkb gbhic`d xrb`xgbexal `hhicxiae `s *axsihb xkb oaehs al `ccb~xbh gbhic`d ~r`cxicb* is ` dbj`cy al xkb K`rrisaeE`rcaxics X`{ @cx al 0908 `s hiscssbh b rdibr ie xkis ~`~br%

Xkb aeb xòdb caexìes xkb aedy cag~rbkbesiodb h`x` ie xkb HB@ ~rbss rbdb`sb èh g`fbs$sagbzk`x aodipbdy$ xkb ~aiex `s sx`xbh ie xkb objieeiej al xkis è`dysis% Kbrb is xkb xòdbzkick ~rbsbexs ~`rxi`d Lisc`d Yb`r +LY) ?>>3 h`x`=
http://www.aapsonline.org/painman/deac1.htmhttp://www.doctordeluca.com/Library/WOD/PainDocCrackDealer03.htmhttp://www.aapsonline.org/painman/deac1.htmhttp://www.doctordeluca.com/Library/WOD/PainDocCrackDealer03.htm


11/30

Xax`d rbjisxr`exs 7 9


12/30

I ha eax feaz b{`cxdy kaz bixkbr Kackgè ar Ckb|dbe `rri|bh `x xk`x xkbir bsxig`xbs% Ilrb`saeòdy hbri|bh$ bixkbr bsxig`xb cadh ob ` sx`xisxic`ddy `~~ra~ri`xb hbeagie`xar xacag~xb ` risf sx`xisxic% Ae xkb axkbr kèh$ xkb HB@s ckaicb lar xkb hbeagie`xar is gasxcbrxìedy zraej% I `g xryiej kbrb xa ji|b ` sbesb al kaz ig~arxèx ix is xa ob b{~dicix òaxaeb*s `ssg~xiaes ie xkbsb g`xxbrs èh al kaz hillicdx ix is$ ji|be xkb `|ìdòdb HB@ h`x`$

xa caesxrcx b|be sig~db r`xbs xk`x `rb garb bedijkxbeiej xkè gisdb`hiej% _bj`rhdbss alkaz xkb r`xb sx`xisxic is cag~xbh$ ` /ckiddiej bllbcx$/ `s a~br`xiae`ddy hbliebh ie xkis ~`~br$is eax ` sadbdy ` lecxiae al risf `s hbliebh oy è `~~ra~ri`xb r`xb6 sb|brixy al risf$ kijkdy~odici}bh xri`ds al ~ragiebex ~kysiciès$ èh xkb ~brcbi|bh r xiae`dixy ar irr xiae`dixy alxkb HB@ crixbri` sbh xa sbx xkb /oaehs al `ccb~xbh gbhic`d ~r`cxicb/ `dsa ~d`y `sijeilicèx radb ie kaz ~kysiciès rb`cx xa xkb lb`r al dixij`xiae%

Lie`ddy$ `s Hr% Ziddi`g Krzix} ~aiexbh ax ie ` Hbcbgobr :$ ?>>3 gbss`jb xa xkb^@IEQCKBGQHB^ disxSbr|$ xkb HB@ ~rbsbexs sx`xisxics rbd`xiej aedy xa xkbir `cxiaes`jìesx hacxars èh eax xkb caesbpbex hisxarxiae al gbhic`d ~r`cxicb xk`x is xkb *ckiddiejbllbcx* xkby `rb cdìgiej xa b{`gieb% Xkb s`gb ~r~arxbhdy daz r`xb al hisci~die`ry `cxiae

cèeax dajic`ddy sbr|b `s è iehb{ al oaxk c`sb èh bllbcx% Kaz cè aeb hbxbrgieb il xkbrbk`s obbe ` ckiddiej bllbcx zixkax daafiej `x zk`x hacxars rb`ddy ha1 Xkbrb k`s obbe ea`xxbg~x oy xkb HB@ xa ha sa%VKrzix}$ ?>>3W I c`dd xkis gisdb`hiej caelsiae al axcagblar iehb{ b|bex$ /Axcagb Aolsc`xiae%/ +Sbb @~~behi{ Xza)

Aeb cè aedy caecdhb xk`x Xkb Gyxk al xkb Ckiddiej BllbcxHB@ ~rbss rbdb`sb is jrassdyèh ~r~asblddy gisdb`hiej$ èh sx`xisxic`ddy ckidhisk%

Oblarb zb xre xa ` caesihbr`xiae al xkb e`xrb èh rbd`xi|b sb|brixy al xkb hrj ~raodbgzkick is xkb msxilic`xiae lar xkb rbjd`xiae al a~iaih è`djbsic gbhic`xiaes oy lbhbr`d d`zbelarcbgbex$ dbx gb ~aiex ax xk`x xkb òa|b b{`g~dbs al xkb xrig~k al oij dibs èh oddibs

a|br gbhic`d èh saci`d r`xiae`disg `rb garb xkè msx `gsiej kisxaric`d èbchaxbs% Ix isobyaeh xkb sca~b al xkis ~`~br xa xkarajkdy caesihbr xkb Liehiejs al Caejrbss xk`x `rb

zrixxbe iexa xkb Hrj'Lrbb Zarf~d`cb @cx al 099;VHrj'lrbb Zarf~d`cb @cx$ 099;Wèhiexbrbsxbh rb`hbrs `rb rblbrrbh xa @ crixic`d `ssbssgbex al xkb ig~`cx al hrj xbsxiej

~rajr`gs ae xkb @gbric e zarf~d cb%VHbDc`$ ?>>?WDbx ix sllicb xa s`y kbrb xkb g`marLiehiej$ xk`x bg~daybbs zka sb èh òsb `hhicxi|b hrjs èh `dcakad iecrb`sb casxslar osiebss z`s ~odicdy hboefbh oy rbsb`rck s~aesarbh oy xkb ja|bregbexs azeE`xiae`d Iesxixxb al Hrj @osb èh ~odiskbh ie 0998 ie ` oaaf bexixdbh Rehb xkbIeldrbecb1 Hrjs eh xkb @gbicè Zaflacb oy Eargèh bx% `d%VEargèh bx% `d%$ 0998W_bj`rhiej xkb giear Liehiej xk`x kb`dxk obeblix xidi}`xiae is 3>> ~brcbex kijkbr `gaejhrj sbrs xkbsb s`gb `xkars laeh sxhibs ae xkis pbsxiae bpi|ac`d `x obsx% Ix is

~`rxicd rdy hisg`yiej xa lieh xkis s`gb adh xirbh dixèy al hiscrbhixbh ielarg`xiae zrixxbe$zixkax `xxrioxiae$ hirbcxdy iexa g`mar R%S% hrj ~adicy dbjisd`xiae%

Hrjs `rb O`h% Cag~`rbh xa Zk`x1

@gbric` habs k`|b ` d`rjb sosxècb'rbd`xbh ~odic kb`dxk ~raodbg$ ox ix is |bry hillicdxxa g`fb ` sbrias c`sb xk`x xkb sosxècbs zb skadh ob gasx caecbrebh òax `rb xkb iddicix
http://www.doctordeluca.com/Library/WOD/WOD-PCA060404cWeb.htm#Outcome_Obfuscationhttp://www.doctordeluca.com/Library/PublicHealth/DrugFreeWorkPlaceAct98.htmhttp://www.doctordeluca.com/Library/PublicHealth/DrugTestWorkPlace2002.htmhttp://www.doctordeluca.com/Library/PublicHealth/DrugTestWorkPlace2002.htmhttp://www.nap.edu/books/0309048850/html/index.htmlhttp://www.nap.edu/books/0309048850/html/index.htmlhttp://www.doctordeluca.com/Library/WOD/WOD-PCA060404cWeb.htm#Outcome_Obfuscationhttp://www.doctordeluca.com/Library/PublicHealth/DrugFreeWorkPlaceAct98.htmhttp://www.doctordeluca.com/Library/PublicHealth/DrugTestWorkPlace2002.htmhttp://www.nap.edu/books/0309048850/html/index.html


13/30

hrjs èh dicix ~rbscri~xiae caexraddbh sosxècbs% Lijrb 0 cag~`rbs hb`xks rbd`xbh xa xkbrbcrb`xiae`d sb al xao`cca$ `dcakad$ iddicix hrjs$ èh cèeòis xa hb`xks rbd`xbh xa l`x`d`h|brsb hrj rb`cxiaes +@H_s) zkick `rb c`~xiaebh ^k`rgCa% Eaxb xk`x hb`xks rbd`xbh xaiddicix hrjs `rb è arhbr al g`jeixhb dazbr xkè hb`xks rbd`xbh xa xkb dbj`d rbcrb`xiae`dsosxècbs xao`cca èh `dcakad% Eaxb `dsa xk`x hb`xks rbd`xbh xa cèeòis sb `rb }bra%

Lijrb 0 VLrag= kxx~=!!oosebzs%ebx!hrj'hb xks%kxgdW

@gbric`s ~raodbg zixk @H_s is xrdy sx`rxdiej ie xk`x ix is ` l`r garb caggae c`sb algaroihixy èh garx`dixy xkè iddicix hrjs èh accrs ehbr hirbcx gbhic`d `s~icbs%D`}`ra bx% `d%$ ie xkbir 099; gbx`'è`dysis al ~ras~bcxi|b sxhibs$ ~odiskbh ieM@G@$c`dcd`xbh xkb a|br`dd iecihbecb al sbrias @H_s xa ob %3? ~brcbex$ al kas~ix`di}bh ~`xibexs ie xkb R%S% VD`}`ra bx% `d$ 099;W Lacsiej aeè`djbsic gbhic`xiae$ ie ?>>> `~~ra{ig`xbdy 0>> @gbricès hibh lrag hirbcx

cag~dic`xiaes al ES@IHs +eae'sxbraih`d èxi'ield`gg`xary gbhic`xiaes difb Gaxrie èhE`~rasye)% Ie xk`x yb`r aedy sagb ?>> hibh lrag A{yCaexie$ s`ddy ie cagoie`xiae zixk`dcakad ar axkbr hrj%VCkb|dbe$ ?>>0W

Lijrb ? z`s cag~asbh lrag E`xiae`d Kasbkadh Sr|by h`x`$ aoxìebh lrag xkb Allicb alE`xiae`d Hrj Caexrad âdicy +AEHC^)$ xa skaz hrj sb xrbehs siecb 09:9% Zkidb xkbja|bregbex is carrbcx xk`x siecb 09:9 crrbex hrj sb is haze sosxèxi`ddy$ xkb h`x``dsa cdb`rdy skaz xk`x xkb ~brcbex`jb al @gbricès zka sbh iddicix hrjs ie xkb ~`sx gaexk
http://bbsnews.net/drug-deaths.htmlhttp://www.doctordeluca.com/Library/WOD/BadPrescriptionFromDEA01.htmhttp://www.doctordeluca.com/Library/WOD/BadPrescriptionFromDEA01.htmhttp://bbsnews.net/drug-deaths.htmlhttp://www.doctordeluca.com/Library/WOD/BadPrescriptionFromDEA01.htm


14/30

is bssbexi`ddy eckèjbh siecb 09;;%

Lijrb ? VSckbrdbe , _aoiesae$ ?>>3W

Zkidb xkb z`r ae hrjs ! z`r ae hacxars k`s eax rbsdxbh ie hbcrb`sbh rbjd`r hrj sb$ ix isg`fiej xk`x sb iecrb`siejdy hb`hdy% Xkb ja`d al gieigi}iej xkb k`rg xa`hhicxs$ lrbpbexdy ~racdìgbh oy xkb AEHC^$ `~~b`rs xa ob ` hisg`d lìdrb% Xkbsb lijrbsdbeh s~~arx xa xkb `rjgbex al xkb hrj rblargbrs xk`x hrj ~rakioixiae habs sijeilicèxdygarb k`rg xkè jaah%

Lijrb 3 skazs xk`x a|br xkb s`gb ~briah al xigb xk`x crrbex hrj sb is bssbexi`ddy

eckèjbh$ hb`xks rbd`xbh xa iddicix hrj sb cdigobh caexieasdy èh hr`g`xic`ddy% Xkis isxkb a~~asixb al ` sèb ~odic kb`dxk ~adicy al k`rg rbhcxiae= ar e`xiae`d ~adicy crb`xbscaehixiaes ehbr zkick garb èh garb hrj sbrs jbx sicf èh hib%

Lijrb 3 VSckbrdbe , _aoiesae$ ?>>3W
http://www.justiceblind.com/drugwar/drugusedata.htmhttp://www.justiceblind.com/drugwar/drugusedata.htmhttp://www.justiceblind.com/drugwar/drugusedata.htmhttp://www.justiceblind.com/drugwar/drugusedata.htm


15/30

Xkb ^ìe Crisis ie @gbric`

Ae Acxaobr ?$ ?>>3$ xkb @ssaci`xiae al @gbricè ^kysiciès èh Srjbaes +@@^S) issbh` sx`xbgbex bexixdbh$ Hacxars s`y R%S% hrj ~adicy larcbs ~ìe ~`xibexs xa b{xrbgbgb`srbs$ xres hacxars iexa crigie`ds%VSbrfbs$ ?>>3WIe ` caexry zkbrb xkbrb is ea

skarx`jb al ~kysiciès p`dilibh xa ~rbscriob a~i`xb è`djbsics$ zkick `rb rbd`xi|bdy s`lbrxkè `dxbre`xi|b cd`ssbs al gbhic`xiaes caggaedy sbh ie xkb xrb`xgbex al ckraeic ~ìe+èxihb~rbssèxs$ ES@IHs$ èh èxicae|dsèxs)$ xkby eaxbh xk`x xkb 8; giddiae ahh ~ba~dbsllbriej lrag ckraeic ~ìe ie xkb R%S% zbrb k`|iej hillicdxy liehiej hacxars xa xrb`x xkbg$èh xk`x xkis z`s xkb rbsdx al ` xr`jic`ddy gisjihbh$ ~adixic`ddy hri|be e`xiae`d hrj~adicy$ hbl`cxa d`z belarcbgbex rbjd`xiae al gbhic d ~r`cxicb$ èh a|br}b`das lbhbr d~rasbcxars% Xkb z`r ae hrjs k`s xrebh iexa ` z`r ae hacxars èh VaeW xkb dbj`d hrjsxkby ~rbscriob èh xkb sllbriej ~`xibexs zka ebbh xkb hrjs xa `xxbg~x èyxkiej
http://www.aapsonline.org/press/hurwitz1002.htmhttp://www.aapsonline.org/press/hurwitz1002.htmhttp://www.aapsonline.org/press/hurwitz1002.htm


16/30

`~~ra`ckiej ` earg`d dilb$ sìh F`xkrye Sbrfbs$ ~odic `llìrs caesbd lar xkb @@^S%

_blbrriej xa è rb|ibz al xkirxy rbcbex c`sbs al ~rasbcxiaes `jìesx ~kysiciès V@@^S$ ?>>8Wie|ad|iej ~kysiciè dass al di|bdikaah$ dass al dicbesb$ èh ig~risaegbex èh xkbòèhaegbex al dixbr`ddy xkasèhs al xkbir ~`xibexs$ Sbrfbs issbh xkis sx`rf èhlrijkxbeiej sx`xbgbex xa @@^S gbgobrs=

Il yarb xkiefiej òax jbxxiej iexa ~ìe gè`jbgbex siej a~iaihs `s`~~ra~ri`xb '' HAEX% Larjbx zk`x ya db`rebh ie gbhic`d sckaad '' hrj`jbexs eaz sbx gbhic`d sxèh`rhs%VSbrfbs$ ?>>3W

G`jeixhb èh E`xrb al xkb ^raodbg

Kaz oij ` ~raodbg is ~ìe ie @gbric`1 Sxbz`rx bx% `d%$ ie ` ?>>3 crass'sbcxiae`d sxhysiej ?>>0 ?>>? h`x` lrag xkb @gbricè ^rahcxi|ixy @hix ae ?;$9>? zarfiej `hdxs$rb|b`dbh xk`x xkirxbbe ~brcbex b{~bribecbh ` dass ie ~rahcxi|b xigb hriej ` ?'zbbf ~briahhb xa ` caggae ~ìe caehixiae% +Gasx$ :3W

_b~arxs èh sx`xbgbexs lrag ja|bregbex$ rbjd`xary èh `c`hbgic oahibs `xxbsxiej xa `g`ssi|b ~raodbg al exrb`xbh èh ehbrxrb`xbh ~ìe òaeh% Ie ?>>8 _aobrx Gbybr$Hirbcxar al xkb LH@s Cbexbr lar Hrj B|`d`xiae èh _bsb`rck$ ie xbsxigaey xa xkb KasbSocaggixxbb ae Crigie`d Msxicb$ Hrj âdicy èh Kgè _bsarcbs rbgiehbhdbjisd`xars al ` Caesbess Sx`xbgbex lrag xkb E`xiae`d Cècbr Iesxixxb Zarfska~ aeCècbr ^ìe a|br ` hbc`hb b`rdibr +099>) zkick iehic`xbh xk`x xkb ehbrxrb`xgbex al~ìe is ` sbrias èh ebjdbcxbh ~odic kb`dxk ~raodbg%VGbybr$ ?>>8WXkb @jbecy larKb`dxkc`rb _bsb`rck èh P`dixy rb~arxbh ie 099? xk`x$ k`dl al `dd ~`xibexs ji|be

cae|bexiae`d xkbr`~y lar xkbir ~ìeha eax jbx `hbp`xb rbdibl% VC`rr$ 099?W Ie 0999 xkbMaiex Caggissiae ae @ccrbhix`xiae al Kb`dxkc`rb Arjèi}`xiaes +MC@KA) issbh ` ~rbssrbdb`sb eaxiej xk`x erbdib|bh ~ìe k`h kjb ~kysic`d èh ~syckadajic`d bllbcxs ae ~`xibexsèh iecrb`sbh kb`dxk c`rb casxs% MC@KA `x xk`x xigb allici`ddy hbcd`rbh ~ìe xa ob xkb lilxk|ix`d sije$ kbecblarxk rbj`rhiej xkb b|`d`xiae al ~ìe ` raxieb rbpirbgbex al ~ra~br~`xibex c rb `s ig~arxèx eh o`sic s xkb `ssbssgbex èh gè`jbgbex al xbg~br`xrb$odaah ~rbssrb$ rbs~ir`xary r`xb$ èh ~dsb r`xb%VMC@KA$ 0999W

Zk`x is xkb ig~`cx al ckraeic ~ìe ae p`dixy al dilb1 @rb xkbrb o`rribrs èh sxijg` rbd`xbhxa ~ìe xrb`xgbex èh bs~bci`ddy xa gìesx`y a~iaih gbhic`xiaes1 Gasx ig~arxèxdy$ haxkasb `lldicxbh zixk ckraeic ~ìe ie l`cx k`|b xkbir ~ìe ehbr caexrad1 Habs xrb`xgbex jabs

l`r beajk ~`rxicd`rdy ie garb hillicdx c`sbs zkbrb lirsx dieb xkbr`~ibs k`|b lìdbh1 Xkbsbpbsxiaes òax xkb bllbcx al ckraeic ~ìe ae iehi|ih`d sllbrbrs èh òax xkbirb{~bribecbs sbbfiej rbdibl zbrb ie|bsxij`xbh ie ` sxhy caggissiaebh oy xkb @gbricè^ìe Sacibxy +@^S)$ xkb @gbricè @c`hbgy al ^ìe Gbhicieb +@@^G) èh Mèssbe^k`rg`cbxic`d èh caehcxbh oy _a~br Sx`rck Zardhzihb$ zkick z`s ~odiskbh ie 0999

`s$ Ckraeic ^ìe ie @gbric`= _a`hodacfs xa _bdibl%V_a~br Sx`rck Zardhzihb$ 0999WAl `gìd ~èbd al a|br 2>>$>>> kasbkadhs rb~rbsbex`xi|b al `dd kasbkadhs ie xkb R%S%$ ` xax`dal 32$>>> scrbbeiej pbsxiaeeìrbs zbrb sbex xa ` rèhag crass'sbcxiae èh ;>2 iehi|ih`ds
http://www.aapsonline.org/painman/actionsagainst.htmhttp://www.aapsonline.org/press/hurwitz1002.htmhttp://www.doctordeluca.com/Library/Pain/LostProductivity2ndPain03.htmhttp://www.fda.gov/ola/2004/oxycontin0209.htmlhttp://www.ampainsoc.org/whatsnew/toc_road.htm#tochttp://www.aapsonline.org/painman/actionsagainst.htmhttp://www.aapsonline.org/press/hurwitz1002.htmhttp://www.doctordeluca.com/Library/Pain/LostProductivity2ndPain03.htmhttp://www.fda.gov/ola/2004/oxycontin0209.htmlhttp://www.ampainsoc.org/whatsnew/toc_road.htm#toc


17/30

zixk gahbr`xb xa sb|brb eae'cècbr ~ìe zbrb iexbr|ibzbh% Xkb liehiejs `rb xksrb~rbsbex`xi|b al `dd sck sllbrs ie xkb R%S%=

@e bsxig`xbh 9" al xkb R%S% `hdx ~a~d`xiae sllbrs lrag gahbr`xb xa sb|brbeae'cècbr rbd`xbh ~ìe%

@~~ra{ig`xbdy aeb xkirh hbscriob xkbir ~ìe `s obiej `dgasx xkb zarsx ~ìe aebcadh ~assiody ig`jieb èh xza xkirhs k`|b obbe di|iej zixk ix lar a|br li|b yb`rs% Msx a|br aeb'k`dl s`y xkbir ~ìe is ~rbxxy gck ehbr caexrad$ kazb|br$ xkbg`marixy zixk xkb gasx sb|brb ~ìe ha eax k`|b ix ehbr caexrad èh al xkasb zka ha$ ixxaaf gasx a|br ` yb`r xa rb`ck xk`x sx`xb% Recaexraddbh ~ìe k`s ` sijeilicèx ig~`cx ae p`dixy al dilb$ `llbcxiej xkbòidixy xa caecbexr`xb$ zarf$ saci`di}b$ sdbb~$ b{brcisb$ èh bej`jb ie sb{`d `cxi|ixy%

Caexraddbh ~ìe is `ssaci`xbh zixk sijeilicèx ig~ra|bgbex ie lecxiae èhgaah$ kazb|br$ xkasb zixk sb|brb ~ìe sxidd k`|b ` sijeilicèxdy dazbr p`dixy al dilbèh bgaxiae`d zbdd obiej cag~`rbh xa gahbr`xb ~ìe sllbrs% A|br`dd 8> ~brcbex `rb eax crrbexdy sbbiej ` ~kysiciè lar ~ìe rbdibl obdib|iejxk`x xkbrb is eaxkiej garb ` hacxar cè ha èh xk`x xkby cè hb`d zixk ix% Al sb|brbckraeic ~ìe sllbrs$ :> ~brcbex `rb ehbr crrbex gbhic`d xrb`xgbex èh `rbsijeilicèxdy garb difbdy xa rbpirb bgbrjbecy raag |isixs$ kas~ix`di}`xiae$ èh~syckadajic`d xkbr`~y ie ~rsix al hbp`xb ~ìe rbdibl% Hillicdxy liehiej ` hacxar ziddiej èh cag~bxbex xa xrb`x ~ìe is xkb rdb èh

eax xkb b{cb~xiae% @~~ra{ig`xbdy aeb k`dl al xkb bexirb s`g~db k`|b ckèjbh~kysiciès siecb xkb aesbx al xkb ~ìe caehixiae èh a|br ae larxk k`|b g`hb `x db`sxxkrbb ckèjbs obc`sb hacxars hih eax x`fb xkbir ~ìe sbriasdy beajk$ ar zbrbeziddiej xa xrb`x ix `jjrbssi|bdy$ ar sbbgbh xa d`cf feazdbhjb òax ~ìe%

@gaej xkb sosbx zixk sb|brb ~ìe$ xkb db|bd al lrsxr`xiae zixk xkb `|ìdòidixyal `hbp`xb gbhic`d c`rb z`s xrdy hisxroiej% Xkb g`marixy k`h ckèjbh hacxars èh`dgasx aeb xkirh k`h g`hb xkrbb ar garb ckèjbs ~rig`ridy obc`sb al ~brsisxbexiexadbròdb ~ìe hbs~ixb xrb`xgbex% A~i`xb è`djbsics `rb r`xbh sijeilicèxdy garb bllbcxi|b xkè eae'a~i`xb ~ìerbdib|brs `gaej xkasb zka k`h b|br xribh xkbg$ xkajk lb`rs òax `hhicxiae èh sihbbllbcxs digixbh zihbr s`jb% @ sg`dd ~brcbex`jb k`h xrebh xa `dcakad `x aeb xigb arèaxkbr lar rbdibl$ èh xkis z`s gasx caggae ie xkasb gihhdb `jbh èh ie gbe%

Bxiadajy al xkb Rehbrxrb`xgbex al Ckraeic ^ìe ie @gbric`

Ie 09?9 @db{èhbr Ldbgiej ~odiskbh kis hisca|bry al ~beiciddie$ xkb lirsx èxioiaxic%^riar xa xkis xigb$ `dd xkb z`y o`cf xa ècibex Jrbbcb$ ~kysiciès cadh ob rbdibh ae lardixxdb bdsb obyaeh xkb sfiddld `hgieisxr`xiae al a~ig ~rb~`r`xiaes èh d`xbr gar~kieb$


18/30

zkick z`s isad`xbh oy Jbrgè ~k`rg`cisxs `x xkb xre al xkb cbexry$ xaz`rhs xkbbllbcxi|b rbdibl al ~ìe% Msx `s xkbrb is ea kisxaric`d rbcarh al ` e`xiae`d hrj òsb~raodbg ie xkb lirsx hbc`hb al xkb ?>xk cbexry$ ` ~br|`si|b ~raodbg al xkbehbrxrb`xgbex al ~ìe z`s difbzisb ekb`rh al% Iehbbh$ bs~bci`ddy `lxbr xkb ie|bexiaeal ` ~r`cxic`d ky~ahbrgic syriejb oy @db{èhbr Zaah ie 0;82$ r`g~èx

ehbrxrb`xgbex al ~ìe sck `rb zb `rb b{~bribeciej ie xkb b`rdy ?0sx

cbexry zadh~raoòdy k`|b obbe eig`jieòdb xa gbhic`d ~r cxixiaebrs ie xkb b`rdy hbc`hbs al xkbXzbexibxk Cbexry%

_bcajei}iej xkb bllic`cy al a~iaihs ie rbdib|iej ~ìe èh ie ig~ra|iej xkb gaah èhlecxiaeiej al xkb g`marixy al ckraeic ~ìe ~`xibexs gèy b{~brxs k`|b rjbh xk`x sckgbhic`xiaes eax ob hbeibh xa sllbrbrs% ârxbeay$ `gaej axkbrs$ k`s xkarajkdy sxhibh èhrb|ibzbh ckraeic a~iaih xkbr`~y èh xkb caesbess is cdb`rdy xk`x daej'xbrg a~iaihxrb`xgbex is s`lb$ bllic`cias$ èh is zihbdy ~brcbi|bh xa ig~ra|b lecxiaeiej èh p`dixy aldilb%Vârxbeay$ 099


19/30

~d`cboa ie ~briah I +~7>%>0) èh xkis jra~ `dsa l`rbh obxxbr ie ` crassa|br è`dysisal xkb sg al ~ìe iexbesixy hillbrbecbs lrag o`sbdieb +~7>%>?)%Ea axkbsijeilicèx hillbbecbs Viecdrhiej ~syckadajic d syg~xags$ lrecxiae`d sx`xrs$ èhcajeixiaeW zbb hbxbcxbh%VGadie bx% d%$ 099>3 rb|ibz `rxicdb ie xkbEbz Bejdèh Mare`d al Gbhicieb$ O`ddèxyeb èhGà xkarajkdy b{`giebh xkb dixbr`xrb ae a~iaih xkbr`~y% Ie eaeb al xkb 3:`rxicdbs rb|ibzbh oy xkbsb `xkars z`s `hhicxiae `s ` caesbpbecb al a~iaih xkbr`~ylaeh xa ob ` g`mar$ ar b|be sijeilicèx$ ~raodbg% VO`ddèxyeb , Gà$ ?>>3W

@ caradd`ry al xkb obdibl xk`x a~iaih xkbr`~y caggaedy c`sbs `hhicxiae is xk`x gahbre~axbex a~iaih largd`xiaes l`|arbh oy b{~brx ~r`cxixiaebrs$ lar b{`g~db slbexèid ehA{ycaexie$ `rb bs~bci`ddy hèjbras ie xkis rbj`rh% Xkis is bexirbdy iecarrbcx èh sjjbsxs `lìdrb xa ehbrsxèh xkb o`sic ~k`rg`cadajy al a~iaihs èh al sosxècb òsb% Slbexèidis 0>>> xigbs garb ~axbex xkè gar~kieb ox ixsixs xkbr`~bxic iehb{$ xkb r`xia al xkb hasbebcbss`ry sxa~ orb`xkiej xa xkb hasb ebcbss`ry xa sxa~ ~ìe$ is sigid`r xa xk`x al gar~kieb%

Xkb `hhicxi|bebss al ` sosxècb$ garb `ccr`xbdy kaz ebra~kysiadajic`ddy rbielarciej `sosxècb is$ hb~behs ae xkb iexbr`cxiae al kasx$ sosxècb$ hasb$ r`~ihixy al aesbx al `cxiae$hr`xiae al bllbcxi|b odaah db|bds `lxbr iejbsxiae$ èh ~`xxbre al iejbsxiae +hìdy rbjigbe)%Xrèshbrg`d lbexèyd èh A{ycaexie zbrb hbsijebh ie ~`rx xa hbcrb`sb òsb diòidixy oy~rahciej jr`h`d aesbx al bllbcxs èh ~radaejbh sxb`hy sx xb odaah db|bds% Xkis ishisxiecxdy hillbrbex lrag xkb hrjs al ckaicb al sosxècb sbrs èh òsbrs zkick `rbeilargdy r`~ih ie aesbx èh al skarx hr`xiae$ lar b{`g~db$ c`llbieb$ `dcakad$`g~kbx`gieb$ gbxkyd~kbeih`xb$ cacìeb$ skarx èh iexbrgbhi`xb `cxiej o`roixr`xbs$`d~r`}ad`g +[è`{)$ kbraie$ gar~kieb$ èh skarx'`cxiej a{ycahaeb%

Xkb xkirh ~brsisxbex brraebas obdibl zihbdy kbdh oy xkb @gbricè gbhic`d caggeixy is

xk`x a~iaih hrjs skadh ob `|aihbh obc`sb iecrb`siej gbhic`d sb zidd db`h xa `carrbs~aehiej risb ie hi|brsiae xa iddicix rbcrb`xiae`d sb% Ix is xkis ~raodbg xk`x is xkbhrj crisis xk`x is xkb x`rjbx al @gbric`s ~bcdi`rdy iexbesb rbjd`xiae al caexraddbhsosxècbs% Marèsae bx% `d%$ ie è ig~arxèx ?>>>M@G@ `rxicdb$ gb`srbh xkb ~ra~arxiae ala~iaih òsb +`s a~~asbh xa gbrb eae'gbhic`d sb ar bgbrjbecy raag gbexiaes ala~iaih sb) `s zbdd `s a|br`dd xrbehs ie xkb gbhic`d sb èh òsb `s ` rbsdx al gbhicie`da~iaih xkbr`~y lar sb|brb ~ìe% Xkb rbsdxs=

Cae|bexiae`d zishag sjjbsxs xk`x xkb òsb ~axbexi`d al a~iaih è`djbsicsis sck xk`x iecrb`sbs ie gbhic`d sb al xkbsb hrjs zidd db`h ieb|ixòdy xaiecrb`sbs ie xkbir òsb% Xkb h`x` lrag xkis sxhy zixk rbs~bcx xa xkb a~iaihsie xkb cd`ss al gar~kieb ~ra|ihb ea s~~arx lar xkis ky~axkbsis% Xkb ~rbsbexxrbeh al iecrb`siej gbhic`d sb al a~iaih è`djbsics xa xrb`x ~ìe habs eax`~~b`r xa ob caexrioxiej xa iecrb`sbs ie xkb kb`dxk caesbpbecbs al a~iaih

è`djbsic òsb% VMarèsae$ ?>>>W

Xkb Hisxarxiae al Gbhic`d ^r`cxicb

Xkb ~brsisxbecb èh ~azbr al xkbsb obdibls$ zkick `rb pixb sig~dy zraej$ a|br xkb gbhic`dcaggeixy is rbg`rfòdb% Xkis$ I obdib|b$ is ` caesbpbecb al o`siej e`xiae`d hrj ~adicy
http://www.doctordeluca.com/Library/Pain/OpioidRxChronicPain03NEMJ.htmhttp://www.doctordeluca.com/Library/WOD/TrendsMedUseOpiates2K.htmhttp://www.doctordeluca.com/Library/Pain/OpioidRxChronicPain03NEMJ.htmhttp://www.doctordeluca.com/Library/WOD/TrendsMedUseOpiates2K.htm


20/30

ae xkb ji|be xk`x a~iaihs `rb o`h obc`sb xkb ~adicbgè s`ys xkby `rb èh `rb xkbrblarbhèjbras lar ~kysiciès zka zadh ~rbscriob xkbg ox xk`x is è ecaglarxòdb xkiejlar xkb gbhic`d caggeixy xa `hgix% Sa zb kadh ae xa k`dl xrxks èh l`dsb obdibls zkickgarb `ccb~xòdy oadsxbr xkb dbjisd`xi|bdy becar`jbh obk`|iar zkick is xkb `|aihècb$ lb`rèh da`xkiej al a~iaih xkbr`~y% M`cao Sddg rblbrs xa xkis `s a~ia~kaoi`=

Xarxrb$ hbs~ìr$ `jaey$ èh hb`xk `rb xkb syg~xags al a~ia~kaoi`$ `zbdd'hacgbexbh gbhic`d syehragb lbh oy lb`r$ s~brsxixiae$ èh xkb z`rae hrjs% Hacxars sllbr xkb syehragb% ^`xibexs sllbr xkb caesbpbecbs%VSddg$ 099:W

Sacibxy sècxiaes xkbsb obdibls èh hacxars `rb ~eiskbh lar `cxiej axkbrzisb oy rbjd`xarysxrcxrb èh lecxiae% Xkb `xkarixy dibs ie sx`xb kb`dxk ~r`cxicb `cxs èh ie xkb lbhbr`dCS@ èh `x oaxk al xkbsb db|bds xkb z`r ae hrjs$ z`r ae hacxars is epbsxiaebh ~adicy% Ixis xkis `xkarixy sa hirbcxbh xk`x ielargs xkb sxèh`rh al gbhic`d ~r`cxicb oy zkick~kysiciès `rb xkbe mhjbh$ `x db`sx `s gck `s xkb crrbex sx`xb al gbhic`d ehbrsx ehiejhabs% Xkb |`rias jihbdiebs ~rahcbh oy cdieiciès ie ebjaxi`xiae zixk |`rias sx`xb èhlbhbr`d xkb oa`rhs èh `jbecibs `dsa iecar~ar`xb xkbsb brraebas obdibls èh ie l`cxrbielarcb èh dbjixigi}b xkbg% Alxbe rblbrrbh xa `s bgoahyiej xkb ~rieci~db al o`dècb$ iel`cx sck `cxi|ixibs `rb b{`g~dbs al xkb ~ixl`dds èh caesbpbecbs al ebjaxi`xiej zixk~ba~db zkasb gissiae èh |`dbs rbsx ae ` obdibl xk`x `hhicxs `rb crigie`ds zka obdaej iemìd$ èh ie hrjs zixk xkb ~azbr xa rbehbr cixi}bes saddbss$ `gar d$ jkads%

B|be `xkars zka òdy b{~dìe xkb ~azbr rbd`xiaeski~s ehbrdyiej xkb ~ìe crisis ie@gbric` caecdhb oy c`ddiej lar garb ~kysiciè bhc`xiae ar lar xkb iecdsiae al garbcdieic`d b{~brxisb ie caesbess oidhiej zixk d`z belarcbgbex% Xkby `rb zraej%

Il xkb ~raodbg zbrb aeb al ~kysiciè feazdbhjb ar al xkb hissbgie`xiae al cdieic`db{~brxisb$ èh eax sx`xb èh lbhbr`d rbjd`xary obk`|iar jihbh oy ` z`r ae hrjs ~adicyèh gbex`dixy$ xkbe zb zadh b{~bcx xk`x gbhic`d feazdbhjb èh xkb crrbex sx`xb al xkb~r`cxicb al ~ìe gè`jbgbex zadh ob sosx exi`ddy xkb s`gb ie caexribs zkbrb xkbrbjd`xary o`dècb sxrcf is l`r dbss hbxbrgiebh oy èxi'hi|brsiae`ry d`z belarcbgbex% Dbxs caesihbr xza rbcbex sxhibs al hacxars gbhic`d feazdbhjb èh `xxixhbs òax o`sic`s~bcxs al ~ìe gè`jbgbex èh òax xkb hblicibecibs ie xkb xrb`xgbex al ~`xibexssllbriej lrag ckraeic eae'g`dijeèx ~ìe%

_axksxbie bx% `d% 099;$ siej ` pbsxiaeeìrb xa ie|bsxij`xb ` s`g~db al Jbrgèy ~kysiciès$laeh xk`x xkb Vxrb`xgbexW al ~ìe zixk sxraej a~iaih è`djbsics z`s sbbe `s obeblici`d larxkb ~`xibexs Vèh xkbW sb al sxraej a~iaihs lar daej'xbrg xrb`xgbex z`s rbcaggbehbh$ èh~syckadajic`d `hhicxiae z`s rbj`rhbh `s eae'b{isxbex%V_axksxbie bx% `d%$ 099;WXkb rbsdxs al` sigid`r sr|by `hgieisxbrbh xa ` jra~ al Xb{`s ~kysiciès ie ?>>> oy Zbiesxbie bx% `d%`rb sx`rfdy hillbrbex% A|br`dd$ ` sijeilicèx egobr al ~kysiciès ie xkis sr|by rb|b`dbha~ia~kaoi` +~rbmhicb `jìesx xkb sb al a~iaih è`djbsics)$ his~d`ybh d`cf al feazdbhjbòax ~ìe èh ixs xrb`xgbex$ èh k`h ebj`xi|b |ibzs òax ~`xibexs zixk ckraeic ~ìe%VZbiesxbie bx% `d$ ?>>>W
http://www.doctordeluca.com/Library/Pain/NoReliefInSight97-C.htmlhttp://www.doctordeluca.com/Library/Pain/NoReliefInSight97-C.html


21/30

Caecdsiae

Ie 090;$ ` gbrb lar yb`rs `lxbr ieixi`d ~`ss`jb al xkb K`rrisae X`{!^rakioixiae @cx$ ` kijkdb|bd caggissiae z`s `~~aiexbh oy xkb Sbcrbx`ry al xkb Xrb`sry xa b{`gieb xkb hrj

~raodbg% Ix rb~arxbh xk`x e iddbj`d od`cf g`rfbx `~~ra{ig xbdy bp d xa xkb dbjixig`xbgbhic`d xr`hb ie xkbsb sosxècbs k`h cagb iexa b{isxbecb% Ix `dsa eaxbh xk`x sagb xzbexycixibs iecdhiej Sè Lrècisca èh Ebz Yarf zbrb rb~arxiej iecrb`siej `hhicx ~a~d`xiaes$sjjbsxiej gijr`xiae èh xkb objieeiejs al ` hrj socdxrb% VOrbckbr$ 09:?oW@eh sa ie090; xkb Xrb`sry Hb~`rxgbex hacgbexbh xkb oirxk al xkb hrj ~raodbg ie @gbric`%Xkb caggixxbb eaxbh xk`x xkb zraejld sb al e`rcaxic hrjs k`h iecrb`sbh siecbK`rrisae$ ox ix is `dsa sig~dy èh xr`jic`ddy xrb xk`x xkb E`rcaxics Hi|isiae al xkb Xrb`sryHb~`rxgbex ie xkbir dbj`d ck`ddbejiej al K`rrisae èh kijkdy `jjrbssi|b ~adicb `cxiaeshirbcxdy orajkx xkbsb ~raodbgs iexa obiej% Oblarb ~rakioixiae xkbrb zbrb ea zraejldsbrs$ ea iddbj`d od`cf g`rfbx$ ea gijr`xiae al `hhicxs xa larg è ieci~ibex hrjsocdxrb èh od`cf g`rfbx ie g`mar cixibs% Zb g`hb xkbsb ~raodbgs%

Xkb caggixxbbs rbcaggbeh`xiae1 Sxricxbr d`z belarcbgbex èh xkb ~`ss`jb al Sx`xbdbjisd`xiae ~`xxbrebh ae xkb K`rrisae @cx xa sxbg xkb `~~`rbexdy risiej xihb al hrj òsb%VOrbckbr$ 09:?oW@eh sa xkb ~`xxbre z`s sbx% Xkb ~br~bx`d hrj crisis z`s orajkx iexab{isxbecb obxzbbe 0908 èh 090;% Zb k`|b cag~aehbh xkb ~raodbg zixk hbc`hbs alcrigie`di}`xiae èh ig~risaegbex al hrj sbrs$ cadd`xbr`d h`g`jb xa jbebr`xiaes al ~ìe~`xibexs$ èh a|br bijkxy yb rs al aejaiej k`r ssgbex al c`riej ~kysiciès èh hisxarxiae algbhic`d bxkics èh ~r`cxicb$ èh al xkb caesxixxiae`d rijkx rbsbr|bh xa xkb Sx`xbs xa rbjd`xbgbhicieb% Xkb bg~brar k`s ea cdaxkbs%

Xkb Sadxiae

Is EaxGarb Bhc`xiae al ^kysiciès

@s zb k`|b eaxbh$ c`dds lar garb èh obxxbr bhc`xiae lar ~kysiciès k`|b obbe lrbpbexdyallbrbh `s xkb sadxiae xa xkb ~ìe crisis$ èh `x aeb db|bd$ zka cadh ob `jìesx bhc`xiae1Bhc`xiae`d c`g~ìjes rbj`rhiej gahbre xbckeipbs al a~xigi}iej ckraeic a~iaih xkbr`~yie xkb xrb`xgbex al eae'cècbr ckraeic ~ìe$ `rb ie l`cx kijkdy sccbssld ie caexribs zkbrbxkb ckiddiej bllbcx habs eax kadh sz`y$ ox xkby `rb eax bllbcxi|b ie `hhrbssiej xkb ckiddiejbllbcx ixsbdl$ zkick is xkb ~raodbg ie xkb Reixbh Sx`xbs% Xkb ~aiex al xkb cag~`risaeobxzbbe ~kysiciè bhc`xiae ie Jbrgèy |s% xkb R%S% + oa|b) is eax xk x Jbrgè~kysiciès obxxbr db`rebh ckraeic a~iaih xkbr`~y$ ox xk`x xkb R%S% hacxars k`|b `dsa obbex`jkx è a~ia~kaoic zardh|ibz xk`x ~d`cbs xkbg sp`rbdy ie ` xkbr`~bxic haodb oieh%

Is EaxGarb _bsb`rck ie Xkr`dd xa Ja|bregbex`d âdicy

Xkb @gbricè x`{~`ybr hbsbr|bs ` dax garb lar xkb gaeby xkby s~beh ae s~~asbhdyscibexilic lbhbr`ddy s~~arxbh rbsb`rck lrag xkb difbs al xkb Sosxècb @osb èh Gbex`dKb`dxk @hgieisxr`xiae$ xkb Cbexbrs lar Sosxècb @osb Xrb`xgbex èh iehbbh lrag xkbCaejrbss al xkb Reixbh Sx`xbs% Zk`x zb jbx is xkb behdbss s~ieeiej al h`x` xa six hrj z`r~adicy aombcxi|bs èh$ `s zb k`|b hiscssbh ie xkis ~`~br$ xkb feaziej iecar~ar xiae al
http://www.doctordeluca.com/Library/L&ID/L&ID-8-HarrisonAct.htmhttp://www.doctordeluca.com/Library/L&ID/L&ID-8-HarrisonAct.htmhttp://www.doctordeluca.com/Library/L&ID/L&ID-8-HarrisonAct.htmhttp://www.doctordeluca.com/Library/L&ID/L&ID-8-HarrisonAct.htm


22/30

eaesbesb èh o`h scibecb iexa Caejrbssiae`d dbjisd`xiae sck `s xkb Hrj Lrbb Zarf~d`cb@cx al 099;% VHbDc`$ ?>>?WIl xkbrb is ` rb`d hrj ~raodbg ie xkis caexry dbx ~kysiciès èh~odic kb dxk rbsb`rckbrs rijarasdy hblieb ix èh ~ra~asb r`xiae`d sadxiaes iesxb h alhbc`hb `lxbr hbc`hb al crisis hbcd`r`xiae$ hbeagie`xar òsb$ ld`sk xr`sk èh skacf sckdacf+sbb @~~behi{ Xza)%

Is EaxGarb Ebjaxi`xiae zixk D`z Belarcbgbex

@~~b`sbgbex is ` sxr`xbjy xk`x jra~s al cdieiciès èh ~adicy'g`fbrs k`|b sbh ie è`xxbg~x xa zarf zixk xkb HB@ xa `jrbb ae caggae jihbdiebs lar ~rbscrioiej lar ~ìe~`xibexs$ lar b{`g~db% @~~b`sbgbex is `dsa ` sxr xbjy ar ehbrsx ehiej bg~daybh oyiehi|ih`d cdieiciès èh ~adicy g`fbrs `s xkby msxily xkbir `cxiaes xa xkbgsbd|bs èhaxkbrs% Lar b{`g~db$ xkb cdieiciè zka hbcdiebs xa xrb`x ` ~`xibex lar ~ìe obc`sb xk`x~`xibex gijkx ob caesihbrbh è /`hhicx/ oy rbjd`xary èh d`z belarcbgbex oahibs is~r`cxiciej `~~b`sbgbex%

Zk`x is caggae èh zk`x hbliebs `~~b`sbgbex is ` x`cix `jrbbgbex zixk xkb HB@ carb

obdibl ie g`jic sosxècbs xk`x xre sagb sbrs iexa crigie`d `hhicxs rbpiriej daej xbrgiec`rcbr`xiae xa ob hisxiejiskbh lrag hbsbr|iej ~ìe ~`xibexs zka g`y gar~k iexacrigie`d hrj `hhicxs `x èy gagbex% Xkis is jioobrisk èh eaesbesb$ al carsb$~ragdj`xbh oy xkb |bry s gb ~adicb larcbs xk`x ie|bexbh èh xk`x ~br~bx`xb xkb rb`d hrj~raodbg ie @gbric`%

D`z belarcbgbex habs eaxhbsbr|b ` ~d`cb `x xkb xòdb zkbrb scibexisxs èh cdieiciès èh~adixici es al jaah lìxk skadh gbbx xa kaebsxdy `ssbss xkb k`rg xk`x k`s obbe haeb xacrigie`di}bh hrj sbrs$ ~ìe ~`xibexs èh ~kysiciès èh b`rebsxdy sbbf z`ys xa ehb xkb~odic kb dxk crisis sxbggiej lrag ar his`sxras hrj z`r mjjbre`x%

Is xa Dbx Hacxars Xrb`x ^ìe$ Dbx Hacxars Xrb`x Sosxècb Rsb HisarhbrsXkb sadxiae xa xkis `zld sacibx`d hidbgg` is xa aecb `jìe `ddaz hacxars xrb`x ~`xibexsrbs~bcxlddy$ `s zkadb èh cag~db{ kgè obiejs% Sagb al xkbsb ~`xibexs k`|b sig~dbgbhic`d ~raodbgs6 axkbrs cag~db{ caehixiaes ie|ad|iej a|brd`~~iej bgaxiae`d ~raodbgsèh sosxècb sb hisarhbrs% Dbx hacxars lrbbdy xrb`x ~ìe èh `hhicxiae msx `s xkby ha xkbaxkbr ckraeic ~odic kb`dxk ~raodbgs al g`mar ig~arxècb èh caesbpbecb ie ar sacibxy$sck `s `dcakadisg$ `sxkg` èh ckraeic aosxrcxi|b ~dgae`ry hisb`sb$ KI\$ ckraeic di|brhisb`sb$ èh kb~`xixis C% Xkbsb `rb gbhic`d èh ~odic kb`dxk g`xxbrs$ èh `rb xrb`xbh~rig`ridy `s sck oy `dd Zbsxbre e`xiaes b{cb~x xkb R%S%

Hr% Mbragb K% M`llb$ ` ~sycki`xrisx zka obc`gb kb`h al ^rbsihbex Ei{ae*s hrj ~rajr`gsèh bsxòdiskbh ` ebxzarf al gbxk`haeb xrb`xgbex cbexbrs lar kbraie `hhicxs$ rbg`rfbh iexkb 09


23/30

cixi}bes èh hih eax cag~dbxbdy bdigie`xb xkb iddicix g`rfbx ox rbsdxbhgbrbdy ie ` g`rfbh rbhcxiae ie crigb$ hisb`sb$ saci`d hbjr`h`xiae$ èhkgè gisbry%VM`llbb$ 09


24/30

zka orajkx xkis scarjb ~ae s xaz`rh xkb `ccgd`xiae èh gìexbeècb al xkbir b|briecrb`siej ~azbr a|br xkb cixi}bery%

Dbx kaebsx ~odic kb`dxk rbsb`rck èh bedijkxbebh cixi}bes jra~s èh ~adixic`d db`hbrslie`ddy db`h xkb z`y xaz`rhs ck`g~iaeiej b{~brx ~ìe gè`jbgbex lar `dd$ cag~`ssiae`xb

gbhic`d c`rb lar xkb sicf èh hisòdbh `gaej s$ èh ei|brs`d rbs~bcx lar b|bry iehi|ih`d`s ` kgè obiej zka ~axbexi`ddy sllbrs%

@~~behi{ Aeb

Laadiej gasx al xkb ~ba~db `dd al xkb xigb

Hbcd`rb ~br~bx`d crisisXkb kisxaric`d b{isxbecb al ` hrj òsb crisis xk`x msxilibs xkb b{xrbgb lieèci`d èhsaci`d b{~behixrbs al ` hbc`hbs daej z`r ae hrjs$ èh xkb oi}`rrb rbsdx xk`x xkb~r`cxicb al gbhicieb is hbl cxa rbjd`xbh oy lbhbr`d d z belarcbgbex$ is è `rxicdb al l ixk`gaej xkb hrj z`rriars èh aeb xk`x k`s obbe sa alxbe rb~b`xbh xk`x ix skacfs gèy xakb`r xk`x b|ihbecb lar xkb b{isxbecb al ` ~raodbg lar zkick xkb z`r ae hrjs is xkb sadxiaeis |bry sc`rcb zkidb b|ihbecb al xkb `zld casx al xkb z`r ixsbdl òaehs%

Kisxary `sihb$ ix is b{xrbgbdy hillicdx$ I xkief$ xa g`fb ` r`xiae`d `rjgbex xk`x xkbrb b{isxs` caexieiej hrj òsb crisis cag~dbxb zixk ~briahic`ddy hbcd`rbh b~ihbgics%Eaebxkbdbss$ xkb rbdbexdbss hirjb eh hirb z`reiejs al xkb hrj z rriars caexiebs iexa xkb

~rbsbex% VDbskebr$ ?>>0W6V\`sx`j$ ?>>0W Ix is crci`d xk`x aeb xkarajkdy jr`s~ xkb gasx raosxxrbeh ie `hhicxiae b~ihbgiadajy= hrj sb k`s hr`g`xic`ddy hbcdiebh a|br xkirxy yb`rs% ^`sxgaexk sb r`xbs `rb dixbr`ddy k`dl al zk`x xkby zbrb ie xkb 09:>s$ èh xkbrb k`s obbe|irx`ddy ea ckèjb ie ~`sx'gaexk hrj sb lar a|br ` hbc`hb% Xkb hbcdieiej xrbeh z`scdb`rdy bsxòdiskbh lar ` hbc`hb oblarb zarf~d`cb hrj xbsxiej obc`gb raxieb% VG`dxoy$0999W Ie ?>>>$ Pbsx Hi`jeasxics rb~arxbh xk`x ~asixi|b rieb hrj xbsxs zbrb `x kisxaricdazs$ haze sagb


25/30

~asixi|bs zbrb lar g`rimè` ' jra~ ~ rxicd rdy redifbdy xa c`sb zarf~d`cb ~raodbgs%VHbDc`$ ?>>?W

Ix*s Arzbddiè= xkirxy yb`rs al sxb`hy hbcdieb ie e`xiae`d hrj sb ox hrj òsb sagbkazrbgìes ` /crisis/ èh è /b~ihbgic/ msxilyiej ` orx`d z`r ae hacxars èh ~ìe ~`xibexs%

@~~behi{ Xza

Sx`xisxic`d Xricfs al xkb Hrj Z`rriars

Axcagb Aolsc`xiae

@ sarx al sx`xisxic`d sdbijkx al kèh$ Arxcagb Aolrsc`xiaeis ` gisdb`hiej caelsiae alaxcagb èh iehb{ b|bex% Lar b{`g~db$ ie xkbir ?>>3 ~rbss rbdb`sb /Xkb Gyxk al xkb

*Ckiddiej Bllbcx*/ xkb HB@ +sbb Xkb Hissbgodiej HB@ èh xkb Ckiddiej Bllbcx oa|b)xkb iehb{ b|bex is xkb r`xb al `cxiaes `jìesx ~kysiciès$ zkick xkby iecarrbcxdy c`dcd`xb%Xkb axcagb zadh ob sagb gb`srb al bllbcx ae ~kysiciè obk`|iar rbsdxiej lrag xkbiehb{ ~rasbcxiaes$ zkick xkb HB@ ijearbs%

Arxcagb Aolrsc`xiae caggaedy xres ~ ie sx`xbgbexs difb xkb laddaziej$ ie zkick hrjsb is carrbcxdy ihbexilibh `s è iehb{ b|bex$ ox is `dsa iecarrbcxdy ihbexilibh `s xkb+~raodbg) axcagb%

/Ie ?>>0 ix is bsxig`xbh xk`x 98 giddiae ~ba~db k`h sbh è iddbj`d hrj `x sagb~aiex ie xkbir di|bs% Xah`y$ sagb 0< giddiae ~ba~db `rb siej iddicix hrjs `x db sx

aecb ` gaexk '' òax sb|be ~brcbex al xkb ~a~d`xiae%/

/Xkb E`xiae`d Kasbkadh Sr|by ae Hrj @osb rb~arxs ` sijeilicèx iecrb`sb ie/~`sx gaexk$ eae'gbhic`d sb/ al ~ìe rbdib|brs `gaej xkasb `jb 0;'?2 zkbecag~`riej ?>>0 h`x` zixk xk`x lar ?>>>%/

Xkb gisdb`hiej gbss`jb is= sb 7 òsb 7 ~raodbg 7 e`xiae`d crisis hbgèhiej lbhbr`d`cxiae% Garb `ccr`xbdy èh kaebsxdy zb gijkx s`y$ lar b{`g~db$ xk`x ` xbbe`jb `dcakad sbr`xb al [ +iehb{ b|bex) rbsdxbh ie Y gaxar |bkicdb `ccihbexs +axcagb)%Hbeagie`xar @osb

Hbeagie`xar @osb is xkb gisdb`hiej sb al è iecarrbcxdy cag~xbh r`xb sx`xisxic%

+Sbb Xkb Hissbgodiej HB@ èh xkb Ckiddiej Bllbcx òa|b%)

Ld`sk Xr`sk

Xkb sb al sjjbsxi|b al ~ra|ac`xi|b egobrs ar sx`xisxics$ s`ddy ~rbsbexbh `s xrb ~rig`l`cib$ zkick zkbe è`dy}bh siej `djbor`$ ha eax ie l`cx s~~arx xkb ig~dibh caecdsiae%
http://www.doctordeluca.com/Library/PublicHealth/DrugTestWorkPlace2002.htmhttp://www.doctordeluca.com/Library/WOD/WOD-PCA060404cWeb.htm#DissemblingDEAhttp://www.doctordeluca.com/Library/WOD/WOD-PCA060404cWeb.htm#DissemblingDEAhttp://www.doctordeluca.com/Library/PublicHealth/DrugTestWorkPlace2002.htmhttp://www.doctordeluca.com/Library/WOD/WOD-PCA060404cWeb.htm#DissemblingDEAhttp://www.doctordeluca.com/Library/WOD/WOD-PCA060404cWeb.htm#DissemblingDEA


26/30

@ l`gas b{`g~db alLd`sk X`sk is caexìebh ie xkbObkgè c`sb hiscssbh ie xkbKisxaric`d @exbcbhbexs sbcxiae al xkis ~`~br% Obkrgè z`s `rrbsxbh lar ~rbscrioiej `xaeb xigb 02> jrìes al kbraie$ 3 jrìes al gar~kieb èh ?0> jrìes al cacìeb% Xkbsb`gaexs `rb eax `s axr`jbas `s xkby gijkx sbbg% Msx xa ~x xkb hasiej ie ~brs~bcxi|b$èh caesihbriej lar xkb gagbex aedy xkb gar~kieb cag~aebex al xkb gbhic`xiae rbjigbe$

3 jrìes rb~rbsbexs eb`r ihb`d ax~`xibex gìexbeècb hasiej lar è a~i`xb hb~behbex~brsae o sbh ae ` gahbe ehbrsxèhiej al gbxk`haeb hasb'bllbcxi|bebss rbsb`rck%

0 jrìe 7 >'?>> gj ` h`y6 ckraeic ~ìe ~`xibexs sagbxigbs rbpirb hasbs ie xkbj`gs !h`y rèjb%

3 jrìes [ gj ! 02> gj!h`y 7 0?9%< h`ys 7`~~ra{ig`xbdy 8 gaexks s~~dy 7 ` scri~x lar aeb gaexk zixk 3 rblidds zixk ` dixxdb

dblx a|br 7 gbhic`ddy `~~ra~ri`xb `god`xary xrb`xgbex al a~i`xb hb~behbecb%

I k`|b ea feazdbhjb al Hr% Obkrgè axkbr xkè zk`x is zrixxbe òax kig ie xkb hacgbexoy _ls Fiej ie kis Xkb E`rcaxics Orb èh xkb K`rrisae @cx= M idiej xkb Kb`dbrs èhxkb Sicf `rxicdb VFiej$ 0923W èh 09:? oaaf$ Xkb Hrj Kèj'R~$ @gbic`s Lilxy Yb`LaddyVFiej$ 09:?oW èh ieOrbckbrs 09:? Dicix èh Iddicix Hrjs$ VOrbckbr$ 09:?cWèh I haeax feaz zk`x kis iexbexiaes zbrb% @ssgiej lar xkb s`fb al `rjgbex xk`x kb z`s `cxiej`s ` dbjixig`xb ~kysiciè$ zb cadh ky~axkbsi}b xk`x xkb gar~kieb ! kbraie ! cacìebrbjigbe z`s ~`rx al ` hbxa{ilic`xiae'xa'òsxiebecb rbjigbe sx`rxiej zixk gar~kieb `x$ s`y$?>> gj !h`y hbcrb`siej xkb hasb ae ` zbbfdy o`sis$ l`sxbr `x lirsx sdazbr xaz`rhs xkb beh$szixckiej `x sagb ~aiex xa kbraie +obdib|bh `x xkb xigb xa ob è bllbcxi|b *crb* lar

gar~kieb hb~behbecb) èh dxig`xbdy x`~briej xa òsxiebecb siej xkb cacìeb$ ie xkb`ccb~xbh gèebr al xkb h`y$ xa gixij`xb xkb hb~rbssiae èh beei feaze xa `ccag~èyhbxa{ilic`xiae lrag a~i`xbs% Xkis hbxa{ilic`xiae rbjigbe cadh ob `ccag~diskbh$ ji|be xkb`gaexs al xkb gbhic`xiaes ie|ad|bh$ ie si{ xa xzbd|b gaexks hb~behiej al xkb ~`xibexs~rajrbss%

Lar èaxkbr b{`g~db alLd`sk X`sk$ caesihbr xkb laddaziej sbexbecb lrag ` HB@hacgbex bexixdbh$ /@ Cdasbr Daaf @x Sx`xb ^rbscri~xiae Gaeixariej ^rajr`gs ie xkbSca~b al xkb ^raodbg sbcxiae oy Ssè ^bieb$ HB@ ^rajr`g @e`dysx= Ie xkb d`sx li|byb`rs al kbr dilb$ _bebb aoxìebh `x db`sx 8>3W +^rbsgòdbxkbrb zbrb gèy larjbribs ar hih skb sbb xza hacs ` gaexk lar 2 yrs1)

2 yb`rs [ 3


27/30

Il xkb ~`xibex zbrb x`fiej sck gasx caggaedy ~rbscriobh a~i`xbs$ xkb egobr al ~idds skbk`h xa zarf iecrbhiody k`rh xa aoxìe is xkb `gaex al gbhic`xiae$ hìdy$ caggaedy~rbscriobh lar xaaxk`ckb%

Skacf Sckdacf

Skacf Sckdacfis xkb ~rbsbex`xiae al drih ar axkbrzisb skacfiej èbchaxbs ie dib algbèiejld h`x` èh saobr sx`xisxic`d è`dysis%

Caesihbr `jìe xkb Sca~b al xkb ^raodbg sbcxiae al xkb HB@s @ Cdasbr Daaf @x Sx`xb^rbscri~xiae Gaeixariej ^rajr`gs V^bieb$ ?>>3W zkick$ `lxbr `dd$ z`s zrixxbe oy ` HB@^rajr`g @e`dysx=

Fbexcfy is ` kaxobh al ~rbscri~xiae hrj òsb% Xkb rb`saes `rb gèyhrj sbbfiej ~`xibexs$ ~idd'~skiej hacxars$ ea'pbsxiaes'`sfbh ~k`rg`cisxs$èh d`{ a|brsijkx èh belarcbgbex%/ Xza b{`g~dbs cixbh= Hriej ` 02'gaexk ~briah$ ` zagè |isixbh 0> hacxars ` xax`d al 82 xigbs$ zbex xa xkrbb

kas~ix`ds bgbrjbecy raags `x xax`d al 83 xigbs$ |isixbh lar hbexisxs$ k`h3> ~rbscriobrs al gbhicieb$ liddbh 029 ~rbscri~xiaes ie 0>3 |isixs xa bijkxhrjsxarbs% Casx xa xkb sx`xb (08$2>;6 `lxbr skb z`s rbsxricxbh$ kbr xrb`xgbexlar aeb yb`r hra~~bh xa (3$>90% Hriej ` 02'gaexk ~briah$ ` gè |isixbhli|b hacxars ` xax`d al 2< xigbs$ zbex xa xza kas~ix`ds bgbrjbecy raags `xax`d al 0; xigbs$ k`h ??8 ~rbscri~xiaes liddbh ie 008 |isixs xa 02 hrjsxarbs%Casx xa xkb sx`xb (3?$03>6 `lxbr kb z`s rbsxricxbh$ kis c`rb lar aeb yb`rhra~~bh xa (2$8%/ V^bieb$ ?>>3W

Aeb gijkx b{~bcx xa lieh h`x` èh è`dysis hbgaesxr`xiej$ gieig`ddy$ ` g`sxbry al xkb rb`dsix`xiae èh ` rb`saeòdb ~dè al `cxiae èh ` ~d`siodb caeebcxiae obxzbbe xkb xza%

Iesxb`h$ xkb x`{~`ybr is xrb`xbh xa èbchaxbs zarxky al xòdaih mare`disg%

_blbrbecb Disx

+0) @ehbrsae KC% Xkb Bg~brars Ebz Cdaxkbs% @ehbrsaes Lìry X`dbs% Daehae= Jbarjb J% K`rr`~ ,Ca%$ 0933%

+?) \`sx`j O% Gi{bh gbss`jb ae ~rbscri~xiae hrj òsb% M@G@ ?>>06 ?;2+0:)=?0;3'?0;8%+@|ìdòdb=

kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!ZAH!Gi{bhGbss`jb^rbscri~Hrj@osb>0%kxg)%

+3) Fiej _O% Xkb E`rcaxics Orb` èh xkb K`rrisae @cx ' Mìdiej xkb Kb`dbrs eh xkb Sicf% Y`db D`zMare`d $ :;8':;:% 0923% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!ZAH!MìdiejKb`dbrs,Sicf23%kxg)%

+8) Fiej _O% Xkb Sbesiodb Cbexry èh Gr% K`rrisae*s X`{ @cx% Ck ~xbr 3 ie Xkb Hrj Kèj R~$@gbic`*s Lilxy'Yb` Laddy% S~riejlibdh$ ID= Ck`rdbs C% Xkag`s$ 09:?`% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!ZAH!Fiej'HKR3%kxg)%
http://www.deadiversion.usdoj.gov/pubs/program/rx_monitor/index.htmlhttp://www.deadiversion.usdoj.gov/pubs/program/rx_monitor/index.htmlhttp://www.doctordeluca.com/Library/WOD/MixedMessagePrescripDrugAbuse01.htmhttp://www.doctordeluca.com/Library/WOD/JailingHealers&Sick53.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU3.htmhttp://www.deadiversion.usdoj.gov/pubs/program/rx_monitor/index.htmlhttp://www.deadiversion.usdoj.gov/pubs/program/rx_monitor/index.htmlhttp://www.doctordeluca.com/Library/WOD/MixedMessagePrescripDrugAbuse01.htmhttp://www.doctordeluca.com/Library/WOD/JailingHealers&Sick53.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU3.htm


28/30

+2) Orbckbr BG% Eiebxbbexk'cbexry @gbric` ' ` /ha~b'libehs ~`r hisb% Ck`~xbr 0 ieDicix eh IddicixHrjs% Ebz Yarf= Earxae$ 09:?`% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!D,IH!D,IH'0'Ha~bLibeh%kxg )%

+3%kxg)%

+:) AGO% Zkixb Kasb Allicb al G e`jbgbex èh Ohjbx$ Lisc d Yb`r ?>>8$ _`xbs HB@^brlargècb= ]B_A ax al 0>>% Z`skiejxae$ HC$ ?>>3% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!ZAH!HB@'Jbxs]braLragAGO'>3%~hl)%

+;) Xkarexae G% @dcakad ^rakioixiae Z`s @ L idrb% C`xa âdicy @e`dysis Ea% 02:$ 0990% +@| idòdb=kxx~=!!zzz%c`xa%arj!~os!~`s!~`'02:%kxgd)

+9) Orbckbr BG% Xkb K rrisae E`rcaxic @cx +0908)% Ck`~xbr ; ieDicix eh Iddicix Hrjs% Ebz Yarf=Earxae$ 09:?o% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!D,IH!D,IH';'K`rrisae@cx%kxg)%

+0>) Xkb K`rrisae E rcaxics @cx al 0908% ôdic @cxs al xkb Si{xy'Xkirh Caejrbss al xkb Reixbh Sx`xbs=ôdic D`z #??3% 0?'0:'0908% +@|ìdòdb=kxx~=!!kagb%sèhibja%bh!ucsigaehs!k`rrisae?%kxgd)%

+00) Fiej _O% Xkb Hrj Kèj R~$ @gbic`*s Lilxy'Yb` Laddy% S~riejlibdh$ ID= Ck`rdbs C% Xkag`s$09:?o% +@|ìdòdb=kxx~=!!zzz%hrjdior`ry%arj!s~bci`d!fiej!hk!hkgbe%kxg)%

+0?) Orbckbr BG%Dicix eh Iddicix Hrjs% Earxae$ 09:?c% +@|ìdòdb=kxx~=!!zzz%hrjdior`ry%arj!sck`llbr!Dior`ry!sxhibs!c!cgbe%kxg)%

+03) Fiej _O% Hr% Obkrgè$ Hr% Diehbr$ èh xkb Kijk Carx% Ck`~xbr < ie= Xkb Hrj Kèj R~$@gbic`*s Lilxy'Yb` Laddy% S~riejlibdh$ ID= Ck`rdbs C% Xkag`s$ 09:?c% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!ZAH!Fiej'HKR>?% +@|ìdòdb=kxx~=!!zzz%sham%ja|!hb`!s~bbckbs!s>308>?~%kxgd)

+02) Fiej _O% Xkb Zbbh al G`hebss èh xkb Dixxdb Ldazbr% Ck`~xbr 0> ie= Xkb Hrj Kèj R~$@gbic`*s Lilxy'Yb` Laddy% S~riejlibdh$ ID= Ck`rdbs C% Xkag`s$ 09:?h% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!ZAH!Fiej'HKR0>%kxg)%

+0>3%

+0:) Aribex MG% @@^S Carrbs~aehbecb zixk HB@% @gbricè @ssaci`xiae al ^kysiciès èh Srjbaes$Iec$ Xcsae$ 8'?3'?>>3% +@|ìdòdb= kxx~=!!zzz%``~saedieb%arj!~ìegè!hb`c0%kxg)%

+0;) Zkixb M$ F`lgè G% R%S% Cag~`rbs \ % ^ìe Hacxar xa *Cr cf Hb`dbr*% Z`skiejxae âsx$ SbcxiaeO3$ 9!3>!?>>3% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!ZAH!^ìeHacCr`cfHb`dbr>3%kxg)%

+09) Kallgè M% Zk`x Zb @dd Ebbh Xa Ha% E`xiae`d Laeh`xiae lar xkb Xrb`xgbex al ^ìe % ?>>3%+@|ìdòdb=kxx~=!!zzz%~ìec`rb%arj!òax!iexraQgbss`jb%~k~)%%

+?>) Ckb|dbe B% @ O h ^rbscri~xiae lrag xkb HB@6 Xkb hrj jbecy*s gisjihbh c`g~ìje `jìesx `~ìefiddbr% Xkb Zbbfdy Sxèh`rh$ >0% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!ZAH!O`h^rbscri~xiaeLragHB@>0%kxg)%
http://www.doctordeluca.com/Library/L&ID/L&ID-1-DopeFiend.htmhttp://www.doctordeluca.com/Library/WOD/MythOfChillingEffect-DEA03.htmhttp://www.doctordeluca.com/Library/WOD/DEA-GetsZeroFromOMB-03.pdfhttp://www.doctordeluca.com/Library/WOD/DEA-GetsZeroFromOMB-03.pdfhttp://www.cato.org/pubs/pas/pa-157.htmlhttp://www.doctordeluca.com/Library/L&ID/L&ID-8-HarrisonAct.htmhttp://home.sandiego.edu/~csimonds/harrison2.htmlhttp://home.sandiego.edu/~csimonds/harrison2.htmlhttp://www.druglibrary.org/special/king/dhu/dhumenu.htmhttp://www.druglibrary.org/special/king/dhu/dhumenu.htmhttp://www.druglibrary.org/schaffer/Library/studies/cu/cumenu.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU6.htmhttp://www.usdoj.gov/dea/speeches/s031402p.htmlhttp://www.doctordeluca.com/Library/WOD/King-DHU10.htmhttp://www.aapsonline.org/painman/deac1.htmhttp://www.doctordeluca.com/Library/WOD/PainDocCrackDealer03.htmhttp://www.paincare.org/about/intro_message.phphttp://www.paincare.org/about/intro_message.phphttp://www.doctordeluca.com/Library/WOD/BadPrescriptionFromDEA01.htmhttp://www.doctordeluca.com/Library/L&ID/L&ID-1-DopeFiend.htmhttp://www.doctordeluca.com/Library/WOD/MythOfChillingEffect-DEA03.htmhttp://www.doctordeluca.com/Library/WOD/DEA-GetsZeroFromOMB-03.pdfhttp://www.cato.org/pubs/pas/pa-157.htmlhttp://www.doctordeluca.com/Library/L&ID/L&ID-8-HarrisonAct.htmhttp://home.sandiego.edu/~csimonds/harrison2.htmlhttp://www.druglibrary.org/special/king/dhu/dhumenu.htmhttp://www.druglibrary.org/schaffer/Library/studies/cu/cumenu.htmhttp://www.doctordeluca.com/Library/WOD/King-DHU6.htmhttp://www.usdoj.gov/dea/speeches/s031402p.htmlhttp://www.doctordeluca.com/Library/WOD/King-DHU10.htmhttp://www.aapsonline.org/painman/deac1.htmhttp://www.doctordeluca.com/Library/WOD/PainDocCrackDealer03.htmhttp://www.paincare.org/about/intro_message.phphttp://www.doctordeluca.com/Library/WOD/BadPrescriptionFromDEA01.htm


29/30

+?0) Krzix} Z% Xkb s`gb hisci~die`ry r`xb c eeax sbr|b `s e iehb{ al oaxk c`sb èh bllbcx%^@IEQCKBGQHB^ disxSbr| gahbr`xbh oy Hr% Iè Oxxlibdh % 0?':'?>>3%

+??) R%S% Caejrbss% Hrj'Lrbb Zarf~d`cb @cx al 099;% +@|ìdòdbkxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!ôdicKb`dxk!HrjLrbbZarf^d`cb@cx9;%kxg)%

+?3) HbDc` @% @ crixic`d `ssbssgbex al xkb ig~`cx al hrj xbsxiej ~rajr`gs ae xkb @gbricèzarf~d`cb% Hr% HbDc`*s @hhicxiae$ ^ìe$ èh ôdic Kb`dxk zbosixb% ?>>?% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!ôdicKb`dxk!HrjXbsxZarf^d`cb?>>?%kxg)%

+?8) Eargèh M$ Dbg~brx _A$ A*Oribe C % Rehb xkb Ieldrbecb1= Hrjs èh xkb @gbicè Zaf Lacb %E`xiae`d _bsb`rck Caecid$ Iesxixxb al Gbhicieb$ E`xiae`d @c`hbgy ^rbss$ Z`skiejxae$0998% +@|ìdòdb=kxx~=!!zzz%e`~%bh!oaafs!>3>9>8;;2>!kxgd!iehb{%kxgd)%

+?2) D`}`ra M$ agbrè} OK$ Carby ^K% Iecihbecb al @h|brsb Hrj _b cxiaes ie Kas~ix`di}bh^`xibexs= @ Gbx`'è`dysis al ^ras~bcxi|b Sxhibs% M@G@ 099;6 ?:9 +02)6 0?>>'0?>2% +@|ìdòdb=kxx~=!zzz%hacxarhbdc`%cag!Dior`ry!ôdicKb`dxk!Iecihbecb@H_ieKas~9;%kxg)%

+?>3% +@|ìdòdb=kxx~=!!zzz%msxicbodieh%cag!hrjz`r!hrjsbh`x`%kxg ,kxx~=!!zzz%msxicbodieh%cag!hrjz`r!hrjz`rdibs%hac)%

+?:) Sbrfbs F% Hacxars s`y RS Hrj ~adicy larcbs ~ ie ~`xibexs xa b{xrbgb gb`srbs$ xres hacxars iexacrigie`ds% 0% Xcsae$ ^rbss _bdb`sb al xkb @ssaci`xiae al @gbricè ^kysiciès èh Srjbaes%0>!?!?>>3% +@|ìdòdb= kxx~=!!zzz%``~saedieb%arj!~rbss!krzix}0>>?%kxg)%

+?;) @@^S% @cxiaes @jìesx ^ ie ^kysiciès% _b~arx al xkb @ssaci`xiae al @gbricè ^kysiciès èhSrjbaes$ Xcsae$ ?>>8% +@|ìdòdb= kxx~=!!zzz%``~saedieb%arj!~ìegè!`cxiaes`jìesx%kxg)%

+?9) Sxbz`rx ZL$ _icci M@$ Ckbb B$ Garjèsxbie H$ Di~xae _% Dasx ~rahcxi|b xigb èh casx hb xacaggae ~ìe caehixiaes ie xkb RS zarflarcb% M@G@ ?>>36 ?9>+0;)=?883'?828% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!^ìe!Dasx^rahcxi|ixy?eh^ìe>3%kxg)%

+3>) Gbybr _M% Xkb Ebbh lar Bllbcxi|b ^ìe _bdibl ' Sx`xbgbex oy _aobrx M% Gbybr$ Hirbcxar$ Cbexbrlar Hrj B|`d`xiae , _bsb rck$ Laah @eh Hrj @hgieisxr`xiae% ?'9'?>>8$ oblarb xkb R%S%Kasb al _b~rbsbex`xi|bs Caggixxbb ae Ja|bregbex _blarg$ Socaggixxbb ae Crigie`d Msxicb$Hrj âdicy èh Kgè _bsarcbs% +@|ìdòdb=kxx~=!!zzz%lh`%ja|!ad`!?>>8!a{ycaexie>?>9%kxgd)%

+30) C`rr HO$ M`ca{ @% @cxb ^ìe Gè`jbgbex= A~br`xi|b ar Gbhic`d ^racbhrbs eh Xr`g` ' Cdieic`d ^r`cxicb Jihbdieb% _b~arx al xkb @jbecy al Kb dxkc`rb P`dixy èh _bsb`rck$Z`skiejxae HC$ 099?%

+3?) MC@KA% Maiex Caggissiae Lacsbs ae ìe Gè jbgbex% _b~arx al xkb Maiex Caggissiae ae@ccrbhix`xiae al Kb`dxkc`rb Arjèi}`xiaes$ Z`skiejxae HC$ 0999%

+33) _a~br Sx`rck Zardhzihb% Ckraeic ^ìe ie @gbric`= _a`hodacfs xa _bdibl% _b~arx xa xkb @gbricè^ìe Sacibxy$ Jdbe|iddb$ ID$ 0999% +@| idòdb=kxx~=!!zzz%`g~ìesac%arj!zk`xsebz!xacQra`h%kxg#xac)%

+38) ârxbeay _F% A~iaih Xkbr`~y lar Ckraeic Eaeg`dijeèx ^ìe= @ _b|ibz al xkb Crixic`d Issbs%Mare`d al ^ìe èh Syg~xag Gè`jbgbex 0993'?0:% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!^ìe!A~iaih_{EaeC@'^ìe%kxg)%
http://www.doctordeluca.com/Library/PublicHealth/DrugFreeWorkPlaceAct98.htmhttp://www.doctordeluca.com/Library/PublicHealth/DrugTestWorkPlace2002.htmhttp://www.nap.edu/books/0309048850/html/index.htmlhttp://www.nap.edu/books/0309048850/html/index.htmlhttp://www.doctordeluca.com/Library/PublicHealth/IncidenceADRinHosp98.htmhttp:/www.doctordeluca.com/Library/PublicHealth/IncidenceADRinHosp98.htmhttp://www.doctordeluca.com/Library/PublicHealth/IncidenceADRinHosp98.htmhttp:/www.doctordeluca.com/Library/PublicHealth/IncidenceADRinHosp98.htmhttp://www.justiceblind.com/drugwar/drugusedata.htmhttp://www.justiceblind.com/drugwar/drugwarlies.dochttp://www.aapsonline.org/press/hurwitz1002.htmhttp://www.aapsonline.org/painman/actionsagainst.htmhttp://www.doctordeluca.com/Library/Pain/LostProductivity2ndPain03.htmhttp://www.fda.gov/ola/2004/oxycontin0209.htmlhttp://www.ampainsoc.org/whatsnew/toc_road.htm#tochttp://www.ampainsoc.org/whatsnew/toc_road.htm#tochttp://www.ampainsoc.org/whatsnew/toc_road.htm#tochttp://www.doctordeluca.com/Library/Pain/OpioidRxNonCA-Pain.htmhttp://www.doctordeluca.com/Library/PublicHealth/DrugFreeWorkPlaceAct98.htmhttp://www.doctordeluca.com/Library/PublicHealth/DrugTestWorkPlace2002.htmhttp://www.nap.edu/books/0309048850/html/index.htmlhttp://www.doctordeluca.com/Library/PublicHealth/IncidenceADRinHosp98.htmhttp:/www.doctordeluca.com/Library/PublicHealth/IncidenceADRinHosp98.htmhttp://www.justiceblind.com/drugwar/drugusedata.htmhttp://www.justiceblind.com/drugwar/drugwarlies.dochttp://www.aapsonline.org/press/hurwitz1002.htmhttp://www.aapsonline.org/painman/actionsagainst.htmhttp://www.doctordeluca.com/Library/Pain/LostProductivity2ndPain03.htmhttp://www.fda.gov/ola/2004/oxycontin0209.htmlhttp://www.ampainsoc.org/whatsnew/toc_road.htm#tochttp://www.ampainsoc.org/whatsnew/toc_road.htm#tochttp://www.doctordeluca.com/Library/Pain/OpioidRxNonCA-Pain.htm


30/30

+32) ârxbeay _F$ Ladby FG% Ckraeic sb al a~iaih è`djbsics ie eae'g`dijeèx ~ìe= _b~arx al 3;c`sbs% ^ìe 09;>36 389V?>W$ 0983'0923% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!^ìe!A~iaih_{Ckraeic^ìe>3EBGM%kxg)%

+80) Marèsae HB$ _yè FB$ Jidsae @G$ H`kd MD% Xrbehs ie gbhic`d sb èh òsb al a~iaihè`djbsics% M@G@ ?>>>6 ?;3 +03)= 0:0>'0:08% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!ZAH!XrbehsGbhRsbA~i`xbs?F%kxg)%

+8?) Sddg M% Ea rbdibl ie sijkx% _b`sae Aedieb% 099:% +@|ìdòdb=kxx~=!!zzz%hacxarhbdc`%cag!Dior`ry!^ìe!Ea_bdiblIeSijkx9:'C%kxgd)%

+83) _axksxbie H$ Sxrg~l G$ Hbrxziefbd _$ Haeebr O$ ]be} G% V@ sr|by al ~kysiciès* feazdbhjbòax ~ìe xkbr`~y zixk sxraej a~iaih è`djbsicsW% Sckgbr} 099;6 0?+?)=0?2'0?9%

+88) Zbiesxbie SG$ D`{ DL$ Xkareoy$ MI$ Darigar _M$ Kidd CS$ Xkra~b HG$ Gbridd MG% kysiciès*`xxixhbs xaz`rh ~ìe èh xkb sb al a~iaih è`djbsics= rbsdxs al ` sr|by lrag xkb Xb{`s Cècbr^ìe Ieixi`xi|b% Saxkbre Gbhic d Mare`d ?>>>6 93+2)= 8:9'8;:%

+82) M`llbb MK% Hrj @hhicxiae èh @osb% Jaahgè èh Jiddgè*s Xkb ^k`rg`cadajic`d O`sis alXkbr`~bxics$ Xkirh Bhixiae% Ebz Yarf= GcJr`z Kidd$ 09

war on drugs, war on doctors, and the pain crisis in america - deluca; mailman school of public...

Documents