Townhall posted an article today about the lack of logic in the current move to put more restrictions on opioids but decrease restrictions on marijuana use.

The article reminds us that marijuana is very loosely regulated in some states:

For example, in Arizona, where medical marijuana is legal, users can purchase up to 2.5 ounces every two weeks. This is enough to be stoned every day. Once you have a prescription, you can refill it for an entire year without going back to renew the prescription. It’s easy to get a prescription in most states that have legalized medical marijuana, just inform a doctor you have pain. And if you live in a state like California that has legalized recreational marijuana, there aren’t even any limits on how much you can buy (just how much you can have on hand).

Opioids are another story:

By October of this year, 33 states had passed laws limiting opioid prescriptions. They limit the supply a doctor may prescribe to seven days or less. This exponentially increases problems with timely refilling prescriptions. One chronic pain sufferer complained, “The insurance companies are lying to their own subscribers in the Prior Auth Dept, ignoring, transferring to dead lines, long appeals that go nowhere, on & on….” It also means more co-pays. Some states are now requiring doctors and pharmacists to take a course on opioids. 

Many states have limited the maximum dose as well. Federal opioid prescribing guidelines recommend doctors use caution in prescribing above 50 MME/day. But many patients need 90 MME/day or higher. In Arizona, patients are limited to 90 MME/day. There are exceptions for some types of illnesses — but not chronic pain. For those sufferers, they can only receive a higher dose if their doctor consults with a board-certified pain specialist. 

The article concludes:

The reality, according to the National Pain Report, is “America’s so-called ‘opioid epidemic’ is caused by street drugs (some of them diverted prescription drugs)  rather than by prescriptions made by doctors to chronic pain patients.” More people die from illegal opioids than prescription opioids. Opioid prescriptions were already decreasing before the crackdown started. In Arizona, prescriptions decreased every year since 2013, a 10 percent decrease total.  

And just because a few doctors overprescribed opioids does not mean everyone should be treated like a dangerous addict at risk of overdosing. One size does not fit all. Someone who has been taking a higher dosage of prescription opioids for years without incident should be allowed to continue.  

Over 11 percent of the population suffers from chronic pain. It is cruel and bad medical science to prevent this segment from the population from getting the only relief that works for many of them. The laws need to be changed to allow those legitimately suffering to access adequate amounts of prescription opioids, without risk to their doctor or pharmacist. It makes no sense as we’re relaxing the laws prohibiting marijuana.    

Marijuana has somehow achieved something of a protected status. At the same time we have all but eliminated any positive image of tobacco smoking from our culture, we are promoting the idea of legalizing marijuana all over the country. It truly defies logic.