The KASPER REPORTING SYSTEM IN KENTUCKY
is reeking havoc on many peoples lives including but not limited to the unfortunate souls who may find themselves in need of this medication.
After House Bill 1 was passed in Kentucky most of the Physicians who were prescribing these medications “duck and ran”. It did not matter if you were on it for a legitimate reason or if you got it filled to “enjoy” or maybe even to “barter” with, you would no longer be “served”.
At first I thought it was only the people who smoked cannabis who were being targeted. While it is true that “cannabis abusers” were a primary target, in fact it affected all patients who must use a narcotic for pain or anxiety issues.
An unnamed Psychiatrist told me that the law as it is written DOES NOT prevent him from prescribing the medication “xanax”, however, he chooses not to prescribe it to his patients. It just has to be properly documented he told me. Then I asked him if he had ever been investigated by the DEA and he said that he had not. Maybe that is because he chooses not to prescribe narcotic medication? There is much more money to be made off of prescribing the SSRI’s and they are handed out like orange juice at breakfast every day to millions of people, including children, even though there is documented evidence against it’s use. But that is okay because “it isn’t a narcotic”… Even so there is a severe withdrawal from the SSRI’s as well as there is “narcotics”. Some are worse than others but any kind of psychological medication is going to make you dependent upon it, if it works at all.
A study in the Journal of the American Medical Association (link is external)says that SSRI’s like Paxil and Prozac are no more effective in treating depression than a placebo pill.
I contacted another Doctor’s office for an appointment with an MD and before I could even tell the office clerk my name she asked me if I had ever been prescribed narcotic medications in the past or was I using them now? When I asked her why she was asking me this she replied that if I was, the Doctor would not see me because “he already had several patients” in his practice that he prescribed for and he could not see anymore.
The whole theory behind any mental (narcotic) medication is to alter your state of mind. Therefore, it must be a given that when you cut hundreds, even thousands off medication that they have been dependent upon to maintain some clarity in their life, that their mindset can become open to immediate and sometimes dangerous thoughts.
A lot of these people are not privileged to have “Cannabis” available at all times to use as medication or for replacement. They cannot afford to buy narcotics on the street and that being said there isn’t much there anymore.
Heroin seems to be becoming the new mainstream “street drug”. It is cheap, it gets you high, it will take away the pain or anxiety (for a moment at least) and you don’t have to depend on a Physician to prescribe it, a pharmacy to fill it, or the DEA to accuse you of Doctor shopping for it .
The problem with that is that Heroin kills. And it works pretty damn fast.
Heroin deaths have climbed exponentially as pain pill addicts look for new high
SPECIAL REPORT BY LAURA UNGAR AND CHRIS KENNING | The Courier-Journal | Story by Laura Ungar
One could theorize that the passage of HB50 which included a provision to “provide funding for the purchase and administration of naltrexone for extended-release injectable suspension”, for Heroin overdoses was a calculated response to what they knew was going to happen when they discontinued “narcotics” at the Doctor’s office…more Heroin deaths. Per the Interim Joint Committee on Judiciary on July 27, 2015…
Minutes of the 2nd Meeting of the 2015 Interim
July 27, 2015
The mandatory use of KASPER has resulted in three things: overall decreased prescribing of controlled substances, decreased inappropriate prescribing, and decreased “doctor shopping”. All three of these were goals of the bill, and all three have been successfully achieved. House Bill 217 was passed a year later, which cleaned up some parts of House Bill 1 and married the regulations to the statutory provisions. Representative Tilley asked members to note that those who are prescribing in high quantities are being monitored. Statistics have shown that since the passage of House Bill 1, heroin use increased. There has been an increase in heroin-related deaths.
However, HB50 has still not been passed and as of this day, HB50 still sits in the “House” where it has been since January 6th of this year I am assuming that no one has reaped the benefits of an emergency “administration of naltrexone for extended-release injectable suspension”, as a component of substance abuse treatment programs”… and how many have died in the past year from Heroin? That is like putting the Cart before the Horse, isn’t it? We have more people on Heroin than ever before and at the same time people who require “Scheduled medications” for treatment do not have access to them. No Physician is going to risk their license being taken away just because you have pain or anxiety problems.
Furthermore, KRS 218A.172 specifies :
Any person who violates the provisions of this section shall be guilty of a Class A misdemeanor.
Effective: June 24, 2015 History: Amended 2015 Ky. Acts ch. 33, sec. 1, effective June 24, 2015.
In fact, the suppression of legally available narcotic drugs has done nothing more than aggravate an already out of control problem causing death when there was no reason to cause death. “First do no harm” is supposed to be the rule of the day…Well, it seems that idea just went to hell because they are now effectively creating a genocide of sorts.
Does anyone out there think it may have been planned to happen this way?
After being without medication for about four months now I am seeing where I was not addicted to it per say, I was dependent upon it because of my illnesses which I have been dealing with for over thirty years. Since “quitting” my medication I have had continuing problems with acute anxiety on a daily basis, weight gain, loss of ability to physically maneuver as well i.e., walking and sitting causes a lot of pain and I find myself being able to walk shorter and shorter distances, RLS symptoms with inability to sleep normally which can cause too much sleeping or staying awake, constant worrying, more depressed, general disgust for the world at large. I cannot afford “street drugs” even if I wanted them and I also cannot afford to maintain myself on Cannabis. So where does that leave those persons who are like myself? I have been offered a list of “non scheduled” drugs, all of them I had tried before and had caused a problem and/or came with “Black Box Warnings“, several of which I had been warned NOT to use by other Doctors.
At this point I am taking one day at a time, waiting on the “Kava” to arrive in the mail. I do not see myself trusting my needs to any Physician’s RX pad again. Doctor’s used to have a say in what they prescribed or didn’t prescribe to their patients. One of those medications included Cannabis RX’s in various forms. Everything now has to be CONTROLLED! Especially us.
And what better way to do it than to “monitor all of our doctor visits, our medications, impose urine testing and take away (for all practical purposes) the Doctor’s right to prescribe medication and our right to receive it, without intimidation at the same time they continue to push other drugs on us which are known for their ability to inflict death, mental disorders and pain and at the same time they are calling us drug addicts for needing medications?
Many good products which were sold OTC have been removed from the shelves of our pharmacy. One of them was Quinine.
From 1969 to 1992, the US Food and Drug Administration (FDA) received 157 reports of health problems related to quinine use, including 23 which had resulted in death. LINK.
Note that (only) 23 people died over a period of 30+ years from using Quinine before it was removed from the shelves. How many people have died from SSRI’s? What about Lipitor?
We have a new drug to try out that the FDA has approved (for now) for use to treat hypoactive sexual desire disorder (HSDD) – a condition characterized by low sexual desire. This drug works by affecting the brain.
By modulating serotonin and dopamine activity in certain parts of the brain, flibanserin may improve the balance between these neurotransmitter systems in the regulation of sexual response.
I would suggest that you don’t get to where you ‘like’ it because we don’t know how long we will be allowed to use it! Probably just long enough to create another baby boom – They need to produce some new slaves. We are all worn out.
The exact cause of substance abuse is not clear, with theories including: a genetic disposition; learned from others – or a habit which if addiction develops, manifests as a chronic debilitating disease.
The Commonwealth’s Response to Kentucky’s Pill Mill Problem
Kentucky All Schedule Prescription Electronic Reporting (KASPER) system
House Bill 1 Evaluation Study Results
Who may request a KASPER report?
Typical “Consent for treatment” with pain medications…
[NASPER] builds upon the success of existing PDMPS [prescription drug monitoring programs] by encouraging the creation of and bolstering support for state-based, PDMPs through which schedule II, III or IV drugs could be tracked by state regulatory agencies. Through these secure, HIPAA-standard protected databases, physicians would have access to important information regarding their patient’s prescription drug histories. Of great importance, the bill’s interoperability requirements assure that the databases would, for the first time, make possible tracking across state lines by state entities. The availability to physicians of important patient drug information represents a significant step forward in improving patient care and reducing the abuse and misuse of pain-related controlled substances.”
President Bush’s endorsement of H.R. 1132/S. 518 followed less than a month later.
The U.S. House and Senate passed by voice vote H.R. 1132/S.518, the National All Schedules Prescription Electronic Reporting (NASPER) Act of 2005. This legislation authorizes $60 million in new federal grants to assist states in creating new programs and expanding existing ones. Supposedly, this legislation is aimed at identifying prescription drug addiction, and treating the abuse. The bill originally was a physician-patient centered, public-health bill but now includes the expanded involvement of law enforcement. Sadly, it allows local, state, and federal agents direct use of this nationwide database of information on every prescription written for U.S. citizens and their pets. If your dog is prescribed anything that is on the controlled substances list, your name, address, and phone will be entered into this monitoring program.
As of 2013, Manchikanti is the Chairman of the Board and Chief Executive Officer of the American Society of Interventional Pain Physicians, founded in Paducah Kentucky in 1998, as well as the Society of Interventional Pain Management Surgery Centers. He is also a member of the Kentucky Carrier Advisory Committee and the Kentucky All Schedule Prescription Electronic Reporting Task Force, also known as KASPER. He has also led the effort to establish the National All Schedules Prescription Electronic Reporting (NASPER) Act, which is designed to help with the prescription drug abuse problem by having a central reporting system for doctors and pharmacists to keep track of these prescriptions. In 2005, NASPER was enacted into law, with almost all US states creating their own prescription drug monitoring programs.
(The Controlled Substances Act-This law is a consolidation of numerous laws regulating the manufacture and distribution of narcotics, stimulants, depressants, hallucinogens, anabolic steroids, and chemicals used in the illicit production of controlled substances.)
201 KAR 9:270. Professional standards for prescribing or dispensing Buprenorphine-Mono-Product or Buprenorphine-Combined-with-Naloxone
Finally, the rule contains very specific guidance by KBML relating to the use of urine drug testing in chronic pain management.
In the ordinary regulation setting the standards for prescribing controlled substances, 201 KAR 9:260, the Board requires that during the course of long-term prescribing or dispensing of controlled substances for the treatment of pain and related symptoms associated with a primary medical complaint, the physician shall utilize urine drug screens in a random manner at appropriate times to determine whether the patient is taking prescribed medications or taking illegal substances or medications not prescribed by the physician.
As usual you can follow the money…
The Kentucky Cabinet for Health and Family Services (CHFS) has selected Health Information Designs, LLC (HID) to develop a database that will collect and store prescribing and dispensing data for controlled substances in Schedules II, III, IV, and V and drugs of concern (tramadol).
In 1999 The Cabinet for Health and Family Services was given the challenge to establish Services was given the challenge to establish a program to fight the rising incidence of the diversion of legal prescription drugs into the diversion of legal prescription drugs into the illegal market.
US congressman representing Kentucky’s 5th District secured federal funding to establish Operation UNITE—a nonprofit organization working to rid 32 Kentucky counties of illegal drug use through Unlawful Narcotics Investigations, Treatment and Education (UNITE)
I’m sure there is more on the money trail but I’m too damn tired to find it!