How you can make yourself one of your pharmacy’s favorite customers

I know that everyone – both Pharmacists, technicians and pts would like for things to run smoother. A Pt might be amazed if they took a few minutes to talk to the lead tech or the Pharmacist and just ask them is there anything that I can do that will make YOUR JOB easier so that I can get my necessary medication when it is due. Our PCP office functions on the EPIC EMR system and there is a pt portal called MY CHART. If the refill that we need has no refills on it and/or the refills have expired. I go into MY CHART and request a refill thru that portal. That means that the pharmacy staff doesn’t have to handle the refill first, send it to the practitioner’s office for refills. When I enter it into MY CHART it is easier/quicker for the practitioner to authorize the refill with just a couple of keep strokes and send the new refills back to the pharmacy.

If your pharmacy has a methodology to entire your refills that has authorized refills on them, you will save the pharmacy staff time, but putting your refill numbers in via whatever automated process they have. That is a minute or two that they can continue to focus on filling everyone Rxs instead of taking down refill numbers over the phone.

Try to avoid walking in with your bottles and wanting them filled, while you wait. They could be a hour or two behind from Rxs needing refilled that pts have entered into their automated system. Doing this, you are basically asking them to put you ahead of all the people they may have promised to have their refills ready at a specific time.

Whenever possible we get all refills for 90 day supply. That mean that we don’t have to worry about refills but FOUR TIMES A YEAR, instead of EVERY MONTH. Request your refills at least 7 days ahead of when you will need them. If they tell you it is too early, just ask them to put in their queue, so that they will fill it when they can.

Generally, the pharmacy staff will be more than happy to help you, if you have a problem, if you help them make their work life easier by using the automated system on refills when you can.

 

 

 

 

 

 

 

Pharmacists’ suicides in Pennsylvania spark concerns

 

Multiple pharmacists’ suicides in Lancaster spark concerns over workload, patient safety

Updated: 7:08 PM EDT Jul 28, 2025

 

LANCASTER, Pa. —

A pharmacist does more than just dispense medications. They also give immunizations, handle patient questions, and talk to other healthcare professionals.

A national pharmacist workforce study done last year showed a majority of pharmacists rated their workload level as “high” or “excessively high,” especially those at chain and mass merchandiser pharmacies.

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News 8 On Your Side’s Susan Shapiro looked into it after several recent suicides among pharmacists in the Susquehanna Valley and elsewhere, and how it impacts patient safety.

A now-vacant apartment was home to Mason Porta in the two years he lived in Lancaster.

In his off hours, the 28-year-old from Kentucky played music in a makeshift studio on the second floor.

“He loved music. He loved singing and playing and writing songs. He’s a good boy,” said Mason’s dad, Michael Porta.

That good boy, who graduated from the University of Kentucky College of Pharmacy in 2023, took his own life here on June 15.

“He spent eight years of his life to get to this point, just starting to benefit from some of the rewards. It doesn’t make sense,” Michael said.

Mason was one of two CVS pharmacists in Lancaster who died by suicide in June. A third CVS pharmacy technician in Chester County was found dead in June, but there has not yet been a ruling in his case.

CVS Statement

CVS said in a statement to News 8:

“We were devastated to learn about the recent deaths of two CVS Pharmacy colleagues. Both men were well-respected pharmacists and valued members of our Lancaster, PA-area CVS Pharmacy team. Our thoughts and prayers are with their families, friends, and colleagues during this incredibly difficult time. Counseling and support services are being offered to all colleagues.

“Out of respect for these colleagues and their families, we will not speculate on the factors that may have led to their deaths.”

WGAL News 8 also learned a fourth pharmacist in Montgomery County died by suicide in April.

But these deaths have some people concerned about the high-stress levels experienced by many pharmacists in the industry.

In the 2024 National Pharmacist Workforce Study done by the Pharmacy Workforce Center, 73 percent of pharmacists working full-time rated their workload as “high” or “excessively high.”

Ninety-one percent of pharmacists with that response worked in chain or mass merchandiser pharmacies.

“I was at my breaking point,” said pharmacist Kati Forbes.

Kati Forbes was a pharmacist at a high-volume 24-hour CVS store in Indianapolis for more than two years before she quit.

On social media, she blames unmanageable metrics pharmacists must meet and a lack of support for the staff. She e-mailed her concerns to the Indiana Board of Pharmacy and Professional Licensing Agency but never filed a formal complaint.

“I was drowning every day, and I was begging for support and I was just pushed and pushed further under,” Forbes said.

CVS says it is committed to ensuring there are appropriate levels of staffing and resources at stores and pharmacies. The pharmacy giant also tells News 8 in recent years it has reduced the number of metrics it uses to measure performance and that they regularly make investments to help ensure teams are supported.

The Pennsylvania Pharmacists Association is aware of the recent suicides. It says pharmacy professionals face demanding workloads, increasing administrative burdens, and at times difficult interactions with patients, all of which contribute to high levels of stress and burnout.

“The Pharmacist Activist”

Dan Hussar is a retired professor at the Philadelphia College of Pharmacy. He now writes a newsletter, “The Pharmacist Activist.” The most recent issue addressed the suicides.

“There have been isolated suicides among pharmacists before but the suicide rate among pharmacists is higher than general population,” Hussar said.

The most recent study in the Journal of the American Pharmacists Association says the suicide rate among pharmacists is almost 20 for every one hundred thousand, compared to 12 for every one hundred thousand in the general population.

“There needs to be investigation by the board of pharmacy,” Hussar said.

Hussar filed a formal complaint with the Pennsylvania Board of Pharmacy calling on the board to investigate the workload and staffing at two Lancaster CVS stores where the men worked. Currently, Pennsylvania has no staffing ratio requirements.

In his complaint, Hussar notes that difficult working conditions for pharmacy staff in retail chains could lead to an increased risk of prescription errors.

“That risk just increases as the stress and the demands of the workplace increase,” Hussar said. “This is a matter of public safety, not just the working environment of pharmacists.”

Michael Porta and his youngest son Levi came from Kentucky to clear out Mason’s apartment and try to make sense of what happened here. While Mason experienced depression, the family is now wondering if the stress of being a retail pharmacist contributed to his struggle.

“I’m not bad-mouthing anyone. I just want light to be shed. I don’t want another family to go through this. It’s not right,” Michael said. “We are struggling day by day. He touched a lot of people.”

WGAL

Michael Porta.

“I don’t even know what to think about it because I never lost anybody like that,” Levi said.

Levi sang a song that Mason wrote at his memorial service, dedicated to the older brother who gave him his first guitar and got him into music.

CVS: More pharmacy team members hired

CVS has acquired the prescription files from Rite Aid after that chain filed for bankruptcy and planned to close or sell its remaining stores.

CVS says it is confident its teams will be able to handle prescriptions moving to its Pennsylvania pharmacies from closing Rite Aid locations. It says it has hired more than 1,500 pharmacy team members this year in Pennsylvania, including nearly 50 in the Lancaster area.

CVS shared additional information with WGAL about investments it is making, support for colleagues and the acquisition of Rite Aid prescription files. We’ve posted that information here.

Study examined pharmacist suicides

In 2022 researchers published a paper that concluded pharmacists commit suicide at a higher rate than the general population. We’ve posted a summary of those findings and a link to the full report here.

By the numbers

Suicide is one of the leading causes of death in the U.S.

WGAL analyzed the latest available information to reveal patterns, explore trends, and provide support resources. That information is here.

 

 

What’s chronic patient suppose to do?

Why not pray for the poppy crops-if they still exist!! In the pharmacy OptumRx just told me they have around 100 pcs.of each type of pain drugs,or C-2’s.WTH???? that’s a full blown crisis.!! tomorrow I get a 1-wk.supply,no eta on inventory restock.Do I use it,or save it to take all at once,and END the anxiety I have every month.??Not to mention treated like a scumbag—for having the audacity to have cancer.how many out there are thinking along those lines? God forbid

 

Above video is Senator Warren “ripping the Pres of United Health a “new one”

OptumRx is part of United Health, their mail order pharmacy division. In the above statement that I found on the web. So this pt – or someone – is paying United Health for health insurance- which apparently includes Rx meds – and United Health mail order pharmacy OptumRx apparently does not have adequate inventory to take of this particular pt’s needs. Technically, a pt insurance policy is a “contract” and if UHC is getting paid money to provide this pt their prescribed medication and seemingly can’t do that at this time. Is OptumRx inability to provide this pt their prescribed medication a violation of the contract the pt has with UHC?  Money paid in exchange for certain products and/or services, which UHC/OptumRx is failing to honor the contact.


OptumRx has faced multiple legal actions and regulatory scrutiny from various state pharmacy boards and government entities:

  • Mississippi Board of Pharmacy: In 2024, the Mississippi Board of Pharmacy completed an audit of OptumRx’s 2022 claims, alleging the company violated state law by reimbursing its affiliated and chain pharmacies at higher rates than independent pharmacies for the same services. Mississippi law prohibits such practices. The Board released audit findings and scheduled administrative hearings that could lead to disciplinary action, including fines. OptumRx responded by suing the Board, claiming due process violations because of how the findings were publicized before administrative proceedings had concluded. A separate class-action lawsuit from Valley Drugs, Inc. also cites the board’s audit as evidence1234.

  • California Board of Pharmacy: The California Board of Pharmacy has taken disciplinary actions against OptumRx several times. In 2022, the Board fined OptumRx $100,000 and placed one of its pharmacies on probation for a year due to issues such as prescription refill failures, inappropriate substitution of medicines, and dispensing errors occurring between 2016 and 2020. The Board had previously issued citations for similar violations in 2013–2014. OptumRx was also required to make a $75,000 donation to charity and comply with additional disciplinary terms, including implementing community service programs and cost reimbursement to the board567.

  • Kentucky Opioid Litigation: In November 2024, the Kentucky Attorney General added OptumRx to a lawsuit concerning the opioid epidemic. The state alleges that OptumRx, as a pharmacy benefit manager, contributed to the reckless distribution and oversupply of opioids through non-transparent and profit-driven business practices8910.

  • Other Legal Disputes: OptumRx has occasionally been implicated in lawsuits relating to pharmacy board procedures, such as cases where accreditation applications were denied or where network restrictions affected wholesalers. However, some federal courts have declined to find the National Association of Boards of Pharmacy or related entities as “state actors,” thus limiting suits under federal civil rights laws111213.

These cases highlight OptumRx’s recurring regulatory challenges with both state pharmacy boards and attorneys general, particularly around reimbursement rates, patient safety, and controlled substance dispensing. Disciplinary orders and settlements typically include fines, probation, or required corporate reforms. The company has actively contested some of these actions in court while also negotiating settlements in others.

  1. https://mississippitoday.org/2025/01/07/optum-pharmacy-board-lawsuit/
  2. https://www.newsfromthestates.com/article/optumrx-sues-mississippi-board-pharmacy-alleges-due-process-violation
  3. https://www.linkedin.com/posts/boesen-snow-law_mississippi-board-of-pharmacy-completes-audit-activity-7253120227754811392-TtS4
  4. https://www.ncpa.org/newsroom/qam/2024/10/17/optum-flouted-mississippi-law-says-states-board-pharmacy
  5. https://www.statnews.com/pharmalot/2022/04/28/california-pharmacy-optumrx-pharmacist/
  6. https://www.statnews.com/pharmalot/2021/11/16/pbm-optum-unitedhealth-california/
  7. https://www.pharmacy.ca.gov/enforcement/fy1415/ac145413.pdf
  8. https://kentucky.gov/Pages/Activity-stream.aspx?n=AttorneyGeneral&prId=1680
  9. https://www.lanereport.com/177994/2024/12/attorney-general-coleman-adds-optumrx-to-opioid-lawsuit/
  10. https://www.justice.gov/archives/opa/pr/optumrx-agrees-pay-20m-resolve-allegations-it-filled-certain-opioid-prescriptions-violation
  11. https://www.upha.com/news/606129/OptumRx-Pharma-Board-Partially-Prevail-in-Due-Process-Lawsuit.htm
  12. https://law.justia.com/cases/federal/appellate-courts/ca3/20-3638/20-3638-2022-05-19.html
  13. https://news.bloomberglaw.com/health-law-and-business/optumrx-pharma-board-partially-prevail-in-due-process-lawsuit
  14. https://www.columbianprogress.com/optumrx-sues-mississippi-board-pharmacy-alleges-due-process-violation-677d5e853a87a
  15. https://www.ftc.gov/system/files/ftc_gov/pdf/611919.2024.10.09_optum_rxs_answer_to_complaint_0.pdf
  16. https://paasnational.com/facing-potential-disciplinary-action-pbms-require-notification/
  17. https://www.reddit.com/r/legaladvice/comments/1fio2ag/employer_forced_me_into_optumrx_now_theyre/
  18. https://professionals.optumrx.com/content/dam/o4-dam/resources/pdfs/provider-manuals/optum-rx_pharmacy-provider-manual-2025-Ver1.1-010125.pdf
  19. https://law.justia.com/cases/federal/district-courts/texas/txndce/3:2024cv01878/392503/27/
  20. https://www.bipc.com/growing-concern-for-pennsylvania-pharmacies-the-surge-in-state-board-inspections-and-the-collateral-impact-on-pbm-relationships

UnitedHealth Group stands at the very top in the insurance, pharmacy benefit manager (PBM), and mail order prescription (Rx) space when measured by gross annual revenue. For 2024, UnitedHealth Group reported total revenues of approximately $400.3billion, solidifying its position as the highest-grossing healthcare company in the United States by a wide margin12345. This revenue spans its combined health insurance (UnitedHealthcare) and its Optum segment, which includes its massive PBM business (OptumRx).

Within the PBM/mail order segment:

  • OptumRx, UnitedHealth’s PBM arm, generated about $133.2billion in gross revenue for 2024, marking a 14.8% growth year-over-year67.

  • OptumRx is the third-largest PBM in the country by claims volume, trailing only Cigna’s Express Scripts and CVS Caremark, but it is the largest by parent company gross revenue891011.

For comparison, here is how UnitedHealth/OptumRx stacks up with primary competitors in annual revenue (2024 estimates):

Company (PBM parent) Total Gross Revenue PBM Division Revenue PBM 2024 Prescription Market Share
UnitedHealth (OptumRx) $400.3B $133.2B 23%
CVS Health (Caremark) $357.8B ~$169.2B (2023) 27%
Cigna (Express Scripts) $179.4B (2023) $132.0B (2023) 30%

UnitedHealth’s dominance is thus clear both in the scale of its overall business and in the core PBM/mail-order field13467.

  1. https://www.macrotrends.net/stocks/charts/UNH/unitedhealth-group/revenue
  2. https://companiesmarketcap.com/united-health/revenue/
  3. https://www.healthcarefinancenews.com/news/unitedhealth-group-hits-4003-billion-revenue-credits-optumrx
  4. https://stockanalysis.com/stocks/unh/revenue/
  5. https://www.managedhealthcareexecutive.com/view/unitedhealth-group-s-2024-revenue-grows-to-reach-400-3-billion
  6. https://www.beckersasc.com/asc-transactions-and-valuation-issues/optum-earned-253b-in-2024/
  7. https://finance.yahoo.com/news/unitedhealth-group-inc-unh-q4-070205447.html
  8. https://www.beckershospitalreview.com/pharmacy/top-pbms-by-2024-market-share/
  9. https://www.drugchannels.net/2025/03/the-top-pharmacy-benefit-managers-of.html
  10. https://www.statista.com/statistics/239976/us-prescription-market-share-of-top-pharmacy-benefit-managers/
  11. https://www.redsailtechnologies.com/blog/the-state-of-pbms-2024-report
  12. https://en.wikipedia.org/wiki/UnitedHealth_Group
  13. https://www.unitedhealthgroup.com/content/dam/UHG/PDF/investors/2024/2025-16-01-uhg-reports-fourth-quarter-results.pdf
  14. https://www.healthcaredive.com/news/unitedhealth-unh-2024-record-revenue/737477/
  15. https://www.unitedhealthgroup.com/newsroom/2025/2025-16-01-uhg-reports-fourth-quarter-results.html
  16. https://www.biz.uiowa.edu/henry/download/Pharmacy_Benefit_Management.pdf
  17. https://www.drugchannels.net/2025/06/the-top-15-us-pharmacies-of-2024-market.html?pfstyle=wp
  18. https://www.sec.gov/Archives/edgar/data/731766/000073176624000023/a2023q4exhibit991.htm
  19. https://www.fiercehealthcare.com/payers/unitedhealth-group-posts-144b-profit-4003b-revenue-2024
  20. https://www.forbes.com/sites/brucejapsen/2025/01/16/unitedhealth-group-2024-profits-hit-14-billion-despite-cyberattack-rising-costs/
  21. https://www.maxor.com/pbm-2024-year-in-review/
  22. https://www.macrotrends.net/stocks/charts/UNH/unitedhealth-group/gross-profit
  23. https://www.sec.gov/Archives/edgar/data/731766/000073176625000022/a2024q4exhibit991.htm
  24. https://www.healthcare-brew.com/stories/2025/01/16/unitedhealth-earnings-beat-expectations-first-report-ceos-killing
  25. https://www.managedhealthcareexecutive.com/view/unitedhealth-group-ceo-andrew-witty-defends-pbms
  26. https://www.beckerspayer.com/payer/unitedhealth-profit-dips-to-14-4b-in-2024/
  27. https://www.unitedhealthgroup.com/content/dam/UHG/PDF/investors/2024/UNH-Q3-2024-Release.pdf
  28. https://www.emarketer.com/content/unitedhealth-group-s-mixed-q4-earnings-report-comes-amid-scrutiny-of-pbm-practices
  29. https://www.sec.gov/Archives/edgar/data/731766/000073176624000146/a2024q1exhibit991.htm

How many chronic pain pts have died because of these people?

 

We are all STRUGGLING – ONE DAY AT A TIME!

I don’t usually do these things, but right now knowing so many are suffering right along with me, with us… I asked myself yesterday How long will I struggle and be in so much pain? Its worse than when my neck, back and sacrum/coccyx were fractured…I understand… I’ll keep on trying to continue walking further each time…YOU KEEP PUSHING THROUGH AND PRAYING RIGHT ALONG WITH US BECAUSE PRAYER, HOPE AND DETERMINATION ARE ALL WE HAVE RIGHT NOW….
Asking for prayers. We are getting an online prayer circle going. My love to everyone who reads this. Let’s pray for each other today because prayers are needed right now. If I don’t see your name, I’ll understand. I ask my friends to kindly post this status for one hour, to whisper a prayer for all of those who have family problems, health struggles, job issues, or worries of any kind and just need to know that someone cares. Do it for all of us, for nobody is immune. I hope to see this on the walls of my family and friends just for moral support. I did it for someone else, and you can, too! I copied & posted it to my wall. Done! ❤️🙏🏼
I dont usually do these things, but right now knowing so many are suffering right along with me, with us… I asked myself yesterday How long will I struggle and be in so much pain? Its worse than when my neck, back and sacrum/coccyx were fractured…I understand… I’ll keep on trying to continue walking further each time…YOU KEEP PUSHING THROUGH AND PRAYING RIGHT ALONG WITH US BECAUSE PRAYER, HOPE AND DETERMINATION ARE ALL WE HAVE RIGHT NOW….
Asking for prayers. We are getting an online prayer circle going. My love to everyone who reads this. Let’s pray for each other today because prayers are needed right now. If I don’t see your name, I’ll understand. I ask my friends to kindly post this status for one hour, to whisper a prayer for all of those who have family problems, health struggles, job issues, or worries of any kind and just need to know that someone cares. Do it for all of us, for nobody is immune. I hope to see this on the walls of my family and friends just for moral support. I did it for someone else, and you can, too! I copied & posted it to my wall. Done! ❤️🙏🏼
I dont usually do these things, but right now knowing so many are suffering right along with me, with us… I asked myself yesterday How long will I struggle and be in so much pain? Its worse than when my neck, back and sacrum/coccyx were fractured…I understand… I’ll keep on trying to continue walking further each time…YOU KEEP PUSHING THROUGH AND PRAYING RIGHT ALONG WITH US BECAUSE PRAYER, HOPE AND DETERMINATION ARE ALL WE HAVE RIGHT NOW….
Asking for prayers. We are getting an online prayer circle going. My love to everyone who reads this. Let’s pray for each other today because prayers are needed right now. If I don’t see your name, I’ll understand. I ask my friends to kindly post this status for one hour, to whisper a prayer for all of those who have family problems, health struggles, job issues, or worries of any kind and just need to know that someone cares. Do it for all of us, for nobody is immune. I hope to see this on the walls of my family and friends just for moral support. I did it for someone else, and you can, too! I copied & posted it to my wall. Done! ❤️🙏🏼

When PUSH comes to SHOVE in getting proper pain management

Usually when I ask a AI prgm a question, the answer it provides causes me to have another question.

This is just one such situation that I asked the AI prgm a question and ended up asking two more questions.

This started by asking what should/could a pt do when the practitioner reduced/stopped the pt’s pain meds and the pt’s normal BP increases to hypertensive crisis level. Since the majority of practitioners are employees of large hospital systems, this is the premise that I used.

There are three hyperlinks below are the questions and answer from this interchange with a AI. The top hyperlink is the first question asked.

As you read these responses from the AI prgm. If you haven’t had your daily dose so opioids cut yet, it is just a matter of time. Remember that large hospitals don’t like bad news/publicity. You are not the only one that is getting their opioids taken away, and if still are getting your opioids, it may be just a matter of time before you do.

Law firms like to find some entities that are harming people and they have deep pockets, the more people the entity is harming, the better the law firm will listen.

I had a Pharmacist friend that had worked for CVS for about 40 yrs and he had MS and he decided to sue CVS over three federal issues, ADA violation, & it has been too long for me to remember the other two. When told me that he had found a law firm and was filing the lawsuit. I told him at the time if he walked away with less than EIGHT FIGURES (10 million) I would be surprised.  It never went to trial but at a second mediation there was a settlement.

Of course, he had a non-disclosure agreement, but he never denied that the settlement was more than EIGHT FIGURE that he would walk away with.

I think that the answers from the AI prgm are good and it gave some pro and cons of various options a  chronic pain pt could take from a legal perspective.

Document

 

The HYPOCRITE OATH

Many state that it is stated in the Hippocratic Oath that it says “to do no harm” here is a hyperlink to the original oath and the last revision. I have done a word searched in both versions and the word “harm” does not appear.  https://doctors.practo.com/the-hippocratic-oath-the-original-and-revised-version/

I think that most would agree that various practitioners are suppose to be “healers”. There are many pts that “healing” is not really a option, and neither is a “cure”, but we have many options to help “manage” a pt with a multitude of medical issues and hopefully optimize their QOL.

I hear from so many pts that for whatever reason(s), practitioners have decided to reduce/cut/eliminate a pt’s pain meds. Seemingly to the surprise of their practitioner, their pain and other health issues start going in the wrong direction.  I often hear from pts that when the pain meds are reduced their blood pressure can often go up to what the American Heart Association labels as a HYPERTENSIVE CRISIS LEVEL. For some strange reason, their pain doc sees no relationship between their reduction of pain  meds

and their dramatic increase in BP. The pain doc will state that he doesn’t treat hypertension and the pt’s PCP will claim that he doesn’t treat pain. I can remember AS A KID that high blood pressure was referred to as “the silent killer”. The PCP will most likely but the pt on the four different categories of BP meds and NOTHING HAPPENS with the pt’s HYPERTENSION.

If  I was a pt and found myself in this sort of situation, I share these three graphics with the pain doc and point out all the damages the pt could encounter because of their high blood pressure and their elevated pain levels.

A pain level above 5 on the 1–10 scale is commonly associated with a significant impact on a patient’s ability to perform personal care and daily activities.

  • Pain rated 6–7: This range typically indicates moderate to severe pain that starts to interfere significantly with concentration, mood, sleep, and the physical ability to carry out tasks like bathing, dressing, grooming, or moving around. Many patients with pain at this level will report needing to rest more often or finding personal care activities much more difficult.

  • Pain rated 8 or higher: At this intensity, most patients find it extremely hard or sometimes impossible to manage self-care without assistance. The pain can severely restrict physical capability and even make attempts at self-care distressing or unsafe.

For chronic pain management, providers often use a threshold of greater than 5 as an indicator that pain is not being adequately controlled and is likely interfering with quality of life and daily function, including basic personal care. Regular pain above this level usually warrants reassessment of the pain management plan to prevent further decline in independence and function.

The above is from perplexity.ai and apparently what I have stated many, many times. Pain at 5 or below is most likely tolerable and pain > 5 is a torturous level of pain.

If I was a pt under these circumstances, I would with a word processor, generate a letter including these graphics and if your practitioner is on a electronic health care system – LIKE EPIC with “my chart”. Send it to the practitioner via an attachment to the message system that is typically available.

I would also take a picture of the letter or the name of the letter as it is attached to the email. I would also check back every few months to see if it is no longer on your medical records. If you suffer some of the issues listed in those graphic, especially premature death – the practitioner can’t say “I didn’t know”.

Causing a pt harm, is often considered malpractice and medical errors are the third highest reasons for death, but if the pt has warned the practitioner that the pt is intentionally being put at harm because of the prescriber’s neglect. That maybe more than just your “garden variety” malpractice. 

This is were the HYPOCRITE OATH comes into play, they put themselves out as a “healer”, but they know that they are not with some disabled pts.

Just remember there are entities out there that are using our laws, to deprive pts from the medically necessary medications. Pt are going to have to try and find some law firms that will defend disabled pts from being discriminated against. You are not the only one in a practice and if the practice is owned by a large hospital system, most likely it is someone from the E-suite or legal that is behind your denial of proper treatment.

VOTE as if your LIFE DEPENDED ON IT!

If you pay attention to the talking heads in the media, at least once a week, they talk about how MUCH or how LITTLE money a particular party has amassed to help one party or the other will control the House and the Senate, because they are in the majority.

In a typical U.S. midterm election, about 40–50% of eligible voters cast ballots—a significantly lower turnout than the roughly 60–67% seen in presidential election years

For example, the 2022 midterm election saw approximately 107.7 million valid votes cast in the U.S. House elections, representing about 45.1% of the estimated voting-eligible population

In Nov, 2026, 435 members of the House and 33-34 Senate members will be up for election or re-election. That is ~ 85% of Congress is up for election or re-election.

With 100+ million chronic pain pts, this community COULD control every seat that is being voted on in Congress next year and years to come. Here is what Bondi is quoted as saying about all the legal controlled meds: Bondi’s statement as to what the DOJ & our law enforcement is planning on doing.  “eradicating drugs from our country.”

Who is going to save us from all the “DO-GOODERS”?

You want to find out how your member of Congress stands on the covert genocide our Fed AG seems to be planning?

https://www.house.gov/  here is how you can find the website for your house member – if you know the zip code you live in

Here is https://www.senate.gov/senators/senators-contact.htm to find your senator.

Go to their website, send them a message via their “Contact section” GLAD YOU ASKED: what happens to your correspondence sent to Congress  this blog post will lead you to what you should say and what you shouldn’t say, when reaching out to members of Congress or your local TV media.

Explain how your QOL is being adversely effected by DOJ/DEA/law enforcement/judicial system. Ask them how many other people with chronic health issues is the OVER LORDS going to stop their therapy and crash their QOL?

Does all of this sort of reminds anyone of a fairly INFAMOUS gentlemen in central Europe, in the early 20th century, that had a VERY OVERT GENOCIDE to “purify” the society within the country that he was in control of. To get rid of what he considered “undesirables” within his domain.

If you do write your member of Congress, be sure to request a response from them. Feel free to share with me for sharing with the community if you get back a “word salad – with no salad dressing” – meaning NOT ONE WORD in the response addressed what your inquiry was addressing.

 

Regain your quality of life – VOTE THE BUMS OUT

The prevalence of chronic pain in the United States increases significantly with age, with the highest rates seen in older adults. According to the most recent CDC National Health Interview Survey data from 2023:

  • Among adults age 18–29, about 12.3% report chronic pain.

  • For those age 30–44, it rises to approximately 17% (exact 2023 data not quoted, but trends are consistent with prior years).

  • Adults age 45–64 experience chronic pain at rates near 29%.

  • For those 65 and older, the prevalence is 36%135.

High-impact chronic pain, defined as pain that frequently limits life or work activities, also rises sharply with age—from 3.0% among 18–29-year-olds to 13.5% in adults 65 and over15.

To summarize, the age distribution of chronic pain patients in the U.S. in 2023 is as follows:

Age Group % with Chronic Pain
18–29 12.3%
30–44 ~17% (est.)
45–64 29%
65+ 36%

These findings demonstrate that chronic pain is most prevalent among older adults, with nearly 1 in 3 Americans aged 65 and older experiencing the condition, compared to about 1 in 8 young adults1356.

Note: Specific breakdowns for the 30–44 age group in 2023 were not stated but can be inferred from consistent multi-year CDC trends6.

Caveat: Most statistics represent non-institutionalized adults, so rates among residents in nursing homes or assisted living may differ. The numbers above are based on self-reported pain experienced “most days” or “every day” in the past three months136.

  1. https://www.cdc.gov/nchs/products/databriefs/db518.htm
  2. https://www.cdc.gov/mmwr/volumes/72/wr/mm7215a1.htm
  3. https://www.statista.com/statistics/1189525/chronic-pain-adults-prevalence-by-age-us/
  4. https://www.nccih.nih.gov/research/research-results/defining-the-prevalence-of-chronic-pain-in-the-united-states
  5. https://www.mcknights.com/news/one-in-3-older-americans-deal-live-with-chronic-pain-study-reports/
  6. https://www.cdc.gov/nchs/products/databriefs/db390.htm
  7. https://journals.lww.com/painrpts/fulltext/2022/08000/impact_of_demographic_factors_on_chronic_pain.1.aspx
  8. https://northlakespain.com/chronic-pain-statistics-in-the-united-states/
  9. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2804995
  10. https://pmc.ncbi.nlm.nih.gov/articles/PMC6146950/
  11. https://pmc.ncbi.nlm.nih.gov/articles/PMC10189566/
  12. https://www.sciencedirect.com/science/article/pii/S1526590010006012
  13. https://www.sciencedirect.com/science/article/pii/S1526590018304802
  14. https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.19076
  15. https://www.sciencedirect.com/science/article/abs/pii/S1526590024005558
  16. https://hpi.georgetown.edu/backpain/

Who is going to save us from all the “DO-GOODERS”?

Below is a post I made this AM, where Trump told Bondi.  Now here is Dr Oz with an email this afternoon with his new email series to help you stay healthy. With a recommendation of start walking 30 minutes a day.  Bondi wants to take pain meds away from an estimated 100+ million chronic pain pts, and OZ wants those people to walk 30 minutes a day. Is this a simple left hand doesn’t know what the right hand is doing. I wonder if Oz will insist that those addicts going thru rehab will have to walk 30 minutes a day while they are going thru withdrawal and trying to sober up?

Please read what President Trump has instructed Pam Bondi to do and what Bondi’s statement as to what the DOJ & our law enforcement is planning on doing.

“eradicating drugs from our country.”

President Trump’s edict: we are going to “get you healthy” even if we kill you

Stay healthy with Dr. Oz.

Stay Healthy with Dr. Oz
Stay healthy with Dr. Oz.

Barbara and Steven,

I’m Dr. Mehmet Oz, head of the Medicare program, and I‘m excited to introduce my new email series to help you stay healthy. As a doctor, I believe simple daily habits, like smart food choices and regular exercise, can help keep you healthier for longer and prevent future health problems.

One of the simplest ways to start is walking! Just 30 minutes of walking a day can:

  • Lower your risk of heart disease, stroke, and type 2 diabetes

  • Help manage your weight

  • Strengthen your bones and muscles, and reduce the risk of falls and injuries

  • Boost your mood and mental well-being

Tips To Get Moving

If 30 minutes a day is more than you can do right now, start slowly and gradually increase your time and distance. Remember to wear sturdy shoes and warm up before your walk.

Talk with your doctor during your yearly wellness visit about how walking might fit into your personalized prevention plan. I encourage you to take that first step. Even a short walk today is a step toward better health tomorrow.

Stay well,

Dr. Oz


President Trump’s edict: we are going to “get you healthy” even if we kill you

INVOLUNTARY

Please read what President Trump has instructed Pam Bondi to do and what Bondi’s statement as to what the DOJ & our law enforcement is planning on doing.

“eradicating drugs from our country.”

Here is one of Pam Bondi’s TV ads when she was running for reelection as FL AG – 10 yrs ago.

 

How many times have we heard the word INVOLUNTARILY in describing what is being done to chronic pain pts and their pain management medications?

We all know that Trump’s oldest Brother died prematurely from alcoholism. Perplexity.ai could not find any direct relationship with Bondi and a close relative or friend, but mentioned that many parents have shared a picture of one of their kids have died from taking illegal street drugs.

Apparently we have two people who are at the top of the federal “food chain” and have collectively decide to “sanitize our population” of having/using both legal and illegal drugs.

Maybe the community needs to focus their efforts on RFK,Jr, and VP JD Vance. Both has some first hand experience with substance abuse and their relatives. How are we going to make any advances with MAHA if we are trying to rid all of our society from having access to certain Rx legal and illegal meds.  Maybe their final goal is to rid our society of all those “takers” via some sort of “covert genocide”, so that the percentage of the population that are legally or illegal using some Rx medications or illegal substances are still alive. So that the percentage of the population is LESS, and will give the ILLUSION that our society/population is MORE HEALTHY!

Just like you can take a horse to water … you can’t make them drink… you can force someone into drug rehab, but they may not want to get sober.. you can take away or limit a chronic pain pt’s pain medication, but it will not make them healthy, but they may end up committing suicide or dying prematurely from their under/untreated pain.

Typical elderly chronic pain pt, and how she spends most of her day, in her lazy boy, on her sofa and/or in her bed. After she had her chronic pain meds dramatically reduced or eliminated involuntarily. She also has trouble doing personal care because of her untreated and unrelenting intractable chronic pain.

“The moral test of a government is how it treats those who are at the dawn of life, the children; those who are in the twilight of life, the aged; and those who are in the shadow of life, the sick and the needy, and the handicapped.” – Hubert Humphrey, Pharmacist,VP

Pam Bondi’s Statement

While the full text of Bondi’s statement is not yet widely available, she has reinforced the administration’s priorities of “getting back to basics”—focusing on public safety, removing violent criminals from the streets, and “eradicating drugs from our country.” Her office has confirmed that implementation will begin immediately, with cooperation between the Department of Justice, Health and Human Services, Housing and Urban Development, and Transportation

Pam Bondi’s Announcement on Rehab for Addicts (Week of July 21, 2025)

Background

This week, Attorney General Pam Bondi acted in response to a new executive order from President Donald Trump, unveiling a major shift in federal policy on homelessness and addiction. The initiative is designed to move homeless individuals, many of whom struggle with substance use or mental health disorders, from city streets and encampments into rehabilitation and treatment facilities.

Key Points of the Announcement

  • Executive Order: President Trump’s executive action, signed July 24, 2025, specifically directs Attorney General Pam Bondi to “overturn judicial precedents and terminate consent decrees” that have so far limited the ability of state and local governments to relocate homeless people from public spaces into rehab and treatment centers.123

  • Redirection of Federal Resources: The order mandates a shift in federal funding to prioritize treatment and rehabilitation for homeless individuals, ensuring those affected are moved from public areas into appropriate facilities. The precise amount of new funding or details on implementation are yet to be released.12

  • Legal Authority: Bondi has been tasked with leading efforts to remove current legal barriers, making it easier for local governments to commit individuals living on the streets to receive addiction and mental health treatment—even involuntarily, where applicable.142

  • Focus on Safety and Support: The official statement emphasizes two aims:

    • Making communities safer by addressing issues related to drug use, urban encampments, and associated crime.

    • Providing necessary support, rehabilitation, and recovery services for those battling addiction or mental illness.12

  • Additional Provisions: The executive order also prohibits federal homelessness funds from being used for supervised drug injection sites or supporting illegal drug activity. It calls for monitoring of sex offenders receiving assistance, and new program development for housing women and children.2

Pam Bondi’s Statement

While the full text of Bondi’s statement is not yet widely available, she has reinforced the administration’s priorities of “getting back to basics”—focusing on public safety, removing violent criminals from the streets, and “eradicating drugs from our country.” Her office has confirmed that implementation will begin immediately, with cooperation between the Department of Justice, Health and Human Services, Housing and Urban Development, and Transportation.142

Summary Table

Announcement Element Details
Executive Action Instructs states/cities to relocate homeless people to rehab and treatment centers
Pam Bondi’s Role Overturn legal precedents; lead federal and state coordination for implementation
Focus Public safety, substance use rehab, mental health treatment
New Provisions Bans use of federal support for drug injection sites; screening for sex offenders; new programs for women/children
Start of Implementation Immediate—July 24, 2025
1423
This marks a significant and controversial change in U.S. policy, with major impacts anticipated for both local governments and people living with addiction on the streets.123
  1. https://www.newsweek.com/donald-trump-homelessness-executive-order-treatment-centers-2103709
  2. https://www.usatoday.com/story/news/politics/2025/07/24/trump-homeless-people-streets-order-housing/85358060007/
  3. https://www.yahoo.com/news/articles/trump-looks-disband-homeless-camps-191522348.html
  4. https://www.instagram.com/reel/DMgsqJ6PXLf/
  5. https://ca.news.yahoo.com/trump-sign-order-pushing-cities-183014694.html
  6. https://www.statnews.com/2025/05/07/pam-bondi-fentanyl-experts-say-attorney-general-claims-false-implausible-misleading/
  7. https://www.addictionpolicy.org/post/attorney-general-pam-bondi-s-comments-on-addiction-and-reentry-services-during-senate-confirmation-h
  8. https://hmpglobal.com/news/us-attorney-general-pamela-bondi-provide-insights-nations-opioid-crisis-hmp-globals-rx-and
  9. https://www.rev.com/transcripts/bondi-at-drug-summit
  10. https://www.gibsondunn.com/update-on-attorney-general-pam-bondis-first-day-directives/
  11. https://www.justice.gov/opa/gallery/justice-department-highlights-dea-drug-seizures-first-half-2025-successful-operations
  12. https://www.politifact.com/factchecks/2025/may/01/pam-bondi/Bondi-Trump-fentanyl-seizures-overdose/
  13. https://www.brennancenter.org/our-work/analysis-opinion/project-2025s-plan-criminal-justice-under-trump
  14. https://www.justice.gov/opa/video/justice-department-dea-joint-announcement-actions-combat-drug-cartels-drug-trafficking
  15. https://www.youtube.com/watch?v=8VxFDJTVskk
  16. https://www.judiciary.senate.gov/imo/media/doc/Letter%20to%20AG%20Bondi%20re%20BOP%20facilities%20for%20ICE.pdf
  17. https://www.nbcnews.com/politics/trump-administration/live-blog/trump-bove-epstein-powell-npr-pbs-congress-iran-tariffs-live-updates-rcna218569
  18. https://ocasio-cortez.house.gov/sites/evo-subsites/ocasio-cortez.house.gov/files/evo-media-document/2025.06.09-letter-re-uhc-allegations-to-doj-and-hhs-oig.pdf
  19. https://www.statnews.com/2024/12/30/3-to-watch-series-chronic-disease-issues-2025-addiction-drug-policy-rfk-jr/
  20. https://www.newsweek.com/pam-bondi-cancels-speech-health-issue-torn-cornea-2103258