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Opposing sides pull at the US health care system frequently. Professionally, doctors should be putting the patients’ needs first. Nonetheless, the medical profession is now expected to take up the shortcomings of hospital pain management through the establishment of “pain clinics”. Theoretically, this sort of clinic provides short-term care by employing a mixed team of doctors, physical and psychological therapists, and nursing professionals. These experts should be able to counsel and advise people regarding pain management. It is a sad situation that many doctors care mostly about making money. It would surely be nice if healthcare professionals were mostly altruistic. Alas, a growing number of physicians are not following more traditional practices. Instead, they are choosing in favor of the current norm in hospitals and the like. This provides the ability to make money without committing to an overload of work. Additionally, this lets the management run their operations in a way that makes the most money with the least expense. Sometimes these pain clinics are referred to as “pill mills.” Their main purpose is supplying people with every pain killer possible. They do this while providing the least possible time in face-to-face doctor/patient contact, which is quite expensive. Clinics like these are characterized by long lines of people waiting to see the doctors in order to get their prescriptions. Physicians are required to have a certain number of individuals pass through their offices each day. This optimizes the claims to the health insurance providers because of the sheer number of patients passing through. People with no health insurance can find this cost effective because no treatment or consultation fees will apply.

This does not demean clinics that provide a genuine service for individuals in obvious need. However, these emergency situations do not occur very often. What makes us so sure of this? There are a large number of pain clinics opening across America now. Some locales have government factions attempting to lock down the situation. Many people are demanding that politicians put an end to these “fast-food” type prescription outlets. Some municipalities have banned new clinics. Unfortunately, because the medical profession has tremendous lobbying power, there are very few statewide limits on setting up clinics or on prescribing pills by the hundreds. A number of local politicians have proposed ordinances prohibiting clinics from prescribing pain medication unless the situation is an emergency. In this case, they would only be able to offer a 72-hour refill. Patients would be expected to return to their regular physicians for proper follow-up care. However, the odds are not good for controlling this situation without state and medical professional support.

This situation is saddening. There is a serious requirement for certified pain management services at every municipal level. It is a shame that medical doctors are taking advantage of a fearful public that cannot stand even the slightest degree of pain, by providing easy access to pain medications, which can lead to addiction. As a matter of practicality, relief from pain will be sought in any form. Should this result in limitless quantities of drugs, people will accept it. In other countries that have public healthcare services, the best practice standards provide mixed teams of pain management specialists. These specialists focus on training people to cope with their pain while using the lowest level painkillers possible. Tramadol is one of those painkillers. Because taxpayers’ dollars are put to good use in paying for the labor in these clinics, good service is provided. Because Tramadol is not considered addictive (as is the case with more powerful medications), it is considered a safe alternative for pain management.