The Global Pain Crisis

Author(s):  
Judy Foreman

Hundreds of millions around the world live in chronic pain - many in such severe pain they are disabled by it. The Institute of Medicine estimates that chronic pain costs the U.S. alone $560 to $635 billion a year in direct medical costs and lost productivity. Morphine, an effective painkiller, costs only three cents a dose, yet because of excessive regulation in many countries, it is unavailable to millions of people who need it, even at the end of life. The World Health Organization notes that in addition to the one million end-stage AIDS/HIV patients who can’t get morphine and other controlled medications, 5.5 million terminal cancer patients, nearly a million people suffering from accidents or violence, and an incalculable number of people living with chronic illnesses and recovering from surgery can’t get it, either. Women, children, older people, and the poor are disproportionally affected by inadequate pain relief. Physicians know almost nothing about chronic pain, much less how to treat it, for two reasons: medical schools barely teach it and government institutions allot almost nothing to the pain research budget. In The Global Pain Crisis: What Everyone Needs to Know®, renowned health journalist Judy Foreman addresses the most important questions about chronic pain: what is it, who does it affect most, what works and what doesn’t for pain relief in Western and alternative medicines, what are the risks and benefits for opioids and marijuana, and how can the chronic pain crisis be resolved for good? Foreman’s book is a wake-up call for a health problem that affects all people across the globe, at all stages of life. Written in the classic, easy-to-read and quick reference style of the What Everyone Needs to Know® series, The Global Pain Crisis is a must for anyone whose life or work is affected by chronic pain.

2021 ◽  
Author(s):  
Daniela Yucuma ◽  
Angie K. Puerto ◽  
Manuela Tellez ◽  
Alejandro Jadad

UNSTRUCTURED What is ‘medicine’? To answer this question, published definitions or conceptualizations were sought through adapted search strategies of Google Scholar, Medline, Embase, and the Cochrane Database of Systematic Reviews; Top-11 English dictionaries; and the websites of top-ranked medical schools, all 113 members of the World Medical Association, the US Institute of Medicine, the World Federation for Medical Education and the World Health Organization up to March 2020. Three articles in scholarly journals, all of the dictionaries and none of the medical schools, associations, or institutions provided a definition or conceptualization. No source described a systematic, replicable process to capture the meaning of ‘medicine’. Bold, systematic, and replicable initiatives are needed to fill this gap, as a means to guide the contributions of the medical profession, governments, academia, and corporations; to separate medicine from other professions, and to clarify its role in the creation and preservation of health beyond the chemical-mechanical view of patients and their diseases as humanity goes through the COVID-19 pandemic and enters ‘the next normal’.


2019 ◽  
Vol Volume 12 ◽  
pp. 1855-1862 ◽  
Author(s):  
Kelly M Wawrzyniak ◽  
Matthew Finkelman ◽  
Michael E Schatman ◽  
Ronald J Kulich ◽  
Valerie F Weed ◽  
...  

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