Drug dealer, MD
Subtitle: how doctors were duped, patients got hooked, and why it's so hard to stop
By: Anna Lembke, MD
Publisher: Johns Hopkins University Press
Published: 2016
Language: eng
Number of pages: 172
ISBN-13: 9781421421407
Subjects: Prescribing; Drug addiction; Drugs; Physician and patient; Analgesics; Medication abuse
Description: Three out of four people addicted to heroin probably started on a prescription opioid, according to the Centers for Disease Control and Prevention. In the United States alone, 16,000 people die each year as a result of prescription opioid overdose. But perhaps the most frightening aspect of the prescription drug epidemic is that it's built on well-meaning doctors treating patients with real problems. Combining case studies from her own practice with vital statistics drawn from public policy, cultural anthropology, and neuroscience, Dr. Anna Lembke explores the complex relationship between doctors and patients, the science of addiction, and the barriers to successfully addressing drug dependence and addiction. Full of extensive interviews -- with health care providers, pharmacists, social workers, hospital administrators, insurance company executives, journalists, economists, advocates, and patients and their families -- Drug Dealer, MD is for anyone whose life has been touched in some way by addiction to prescription drugs. Dr. Lembke gives voice to the millions of Americans struggling with prescription drugs while singling out the real culprits behind the rise in opioid addiction: cultural narratives that promote pills as quick fixes, pharmaceutical corporations in cahoots with organized medicine, and a new medical bureaucracy focused on the bottom line that favors pills, procedures, and patient satisfaction over wellness.
Notes: Includes bibliographical references and index.
Table of contents: title: What is addiction, who's at risk, and how do people recover?; title: Prescription drugs as the new gateway to addiction; title: Pain is dangerous, difference is psychopathology: The role of illness narratives; title: Big Pharma joins Big Medicine: Co-opting medical science to promote pill-taking; title: The drug-seeking patient: Malingering versus the hijacked brain; title: The professional patient: Illness as identity and a right to be compensated; title: The compassionate doctor, the narcissistic injury, and the primitive defense; title: Pill mills and the Toyota-ization of medicine; title: Addiction, the disease insurance companies still won't pay doctors to treat; title: Stopping the cycle of compulsive prescribing.