A nervous and trepidatious world eagerly awaits the pending release of the comprehensive paper on opioid use from the Executive Committee (EC) of the International Association of Industrial Accident Boards and Commissions (IAIABC). While we wait, I thought I would make a few suggestions to “ease the tension” and make the release the middling success…
My Brain on Drugs and Enemas
My brain has been saturated with drugs the last couple weeks, and not in a fun way. It has been inundated with information and discussions on opioids (and lack of Regulator leadership thereof), prescription abuse, repackaged drugs and physician dispensing. I even attended a Physicians Dispensing Summit, where, despite its promising name, not a single…
Greater Claim Costs. Longer Injury Durations. Dispensing Physician Heal Thyself.
#PDSummit -Well, I am flying back from the Physician Dispensing Summit in Boston, and what a worthwhile trip it was. We already knew that physicians dispensing repackaged drugs drove prescription costs up. We knew that the battle to stop this practice has been long and hard. And we suspected claims that they improved care and…
Florida Physician Dispensing – Will Non-Payment Be The Final Line of Defense?
It is time again to grapple with that pesky problem known as Physician Dispensing, and the battle raging on the topic here in Florida. I won't go into detail about what physician dispensing is, but if you need that background info you can find it here. And here. And here. And here. And here. And…
IAIABC Opioid Decision is Matter of Life and Death
Over 20,000 people die from prescription drug overdoses in this country every year. That is one every 20 minutes or so. Not all of them are workers' comp related, but a significant number are. As an industry we have blood on our hands, and it isn't going away anytime soon. Several weeks ago, the Executive…
Protecting New Mexico's Drunk Garbage Truck Drivers
New Mexico may indeed be the Land of Enchantment, but it is certainly not the land of clear and concise legislative language. An attempt to clarify the law, to give judges more flexibility to deny all or most benefits to intoxicated workers who are injured on the job, was blocked last week by a House…
Physician Dispensing and Arguing with Idiots
I got into one of my more animated debates yesterday with a fellow on LinkedIn over the issue of physician dispensing. This particular person appears to be a PR rep hired by a dispensing physician in an attempt to scrub the indelible stain on the soul that prescribing for fun and profit undoubtedly brings. As…
Is Texas Legalizing "Workers Comp" Again?
Last November I wrote an article about a website, www.texasworkerscomplaw.com, which had been shut down by a legal threat from the Texas Department of Insurance. The state was citing existing law that it contended prevents anyone from using the term “Texas” and “Workers’ Comp” or “Workers’ Compensation” in connection with a website or blog, and…
Bend Over, Florida – Your Legislature Debates Physician Dispensing
If only we could get a kiss when our legislature is through with us. Last year the state of Florida tried to get a handle on the soaring cost of physician dispensed medications, only to have the effort crash and burn in an embarrassingly spectacular fashion; a failure that was specifically driven by a massive…
Vertigo, Valentine’s Day and a Good Ménage à Trois
I was not prepared for Valentine's Day this year. I spent the first part of this week laid out in bed, experiencing the delightful sensations of “Positional Vestibular Vertigo” for the very first time in my life. It came on suddenly, and Monday I was able to do nothing but clutch a bucket and incompetently…