By Kevin D. Williamson
Sunday, February 07, 2016
It was strange to see Hsiu-Ying “Lisa” Tseng in chains,
but there she was: shackled, in purplish county-jail scrubs, heavy chains
swinging across her belly. She doesn’t look like much of a menace to society;
in fact, she looks exactly like what she is: an unimposing, middle-aged, female
doctor in Rowland Heights, Calif., a Los Angeles suburb that is home to a large
and largely well-off Asian-American community, mainly of Chinese, Taiwanese,
and Korean background.
She is going away, for 30 years to life, sentenced late
last week on three second-degree murder convictions related to deaths in which
she did not have a direct hand, at murder scenes she was nowhere near. It’s the
rest of the charges that tell the story: 19 counts of unlawful prescription of
a controlled substance, one count of obtaining a controlled substance by fraud.
Dr. Tseng is the first physician to be convicted of
murder for contributing to the current epidemic of prescription-opiate
addiction — the motive force behind the national heroin epidemic — through her
criminally wanton over-prescription of pharmaceutical painkillers. She probably
won’t be the last: Dr. Gerald Klein of Palm Beach, Fla., was charged with
first-degree murder under similar circumstances last year, though in the end he
was acquitted of all but one relatively minor drug charge. Other cases are in
the works.
Dr. John K. Sturman Jr. had his admitting privileges
revoked in the state of Indiana in 2012, and he had earlier been disciplined by
state authorities in California for his irresponsible handling of opiate prescriptions.
Naturally — inevitably, really — he was hired by our corrupt and incompetent
Department of Veterans Affairs, to work at a VA hospital in Danville, Ill.,
where his responsibilities included — can you guess? — implementing an “opioid
safety initiative.” Last summer, he was charged with three homicides and 16
felony counts related to improper prescriptions.
He was arrested at a VA hospital management meeting.
Fifteen VA patients died of opiate overdoses under his
care.
Last year, an extensive report by the Center for
Investigative Reporting and the VA’s inspector general uncovered outrageous
opiate abuses at a VA hospital in Tomah, Wis., that had come to be known among
its patients as “Candyland.” “There were outrageous refills, patients who told
us they lost their drugs for the fifth time,” former chief pharmacist Ron
Pelham told investigators. One veteran, struggling with PTSD and alcohol
addiction, sought treatment at the hospital, and his alcohol habit was cured
with a prescription-drug habit. After he became a full-blown addict, he ended
up committing an armed robbery and, as a condition of avoiding prison time, was
ordered by the court to seek treatment — at the same VA hospital where he had
become an addict in the first place.
That worked out about how you’d expect.
In New Orleans, emergency-room admissions for opiate
overdoses were up 250 percent in December. Those were mainly from heroin. But,
as chief medical officer Dr. Peter DeBlieux says, it is prescription drugs
driving the heroin boom, not the other way around. Recent attempts to reform
prescription abuses — from medical task forces to the relatively clumsy
instrument of first-degree murder charges — have had some effect on the supply
side of the market, but not on the demand side. Addicts stay addicts.
“They are driven toward alternatives,” Dr. DeBlieux says,
“and heroin is one of those alternatives.”
A fair number of people become addicted to opiate
painkillers after medical procedures. One addiction specialist talks about
taking his daughter home from the hospital after a surgical procedure and being
dismayed that she had been prescribed a quantity of painkillers that was
“enough to addict her.” He himself was offered opiates after a procedure whose
pain he counteracted with ordinary, over-the-counter painkillers no stronger
than Tylenol.
But the doctor in the middle of the mess in Wisconsin
wasn’t a pain specialist at all — he was a psychiatrist. Burn victims and
cancer patients have serious pain and need serious painkillers. The psychiatric
effect of these opiates is a medical concern, but it is an afterthought.
Psychiatrists don’t prescribe for pain, usually — they prescribe for the
psychiatric effects themselves. These patients were in psychic pain, not
physical pain.
There are several factors at play here. One is the
interaction of the medical profession’s prestige with its arrogance: Patients
are deferential to physicians and their advice, and the normal skepticism that
regulators and oversight authorities would bring to, say, the manufacture of
automobile airbags or the organization of commercial banks, often is partly
suspended for physicians, who occupy the sanctum sanctorum in our national cult
of expertise.
A second factor is that patients who are not deferential
often are patients who complain. You know who doesn’t complain? A patient who
is high out of his mind on oxy or knocked on his ass by Xanax. A stoned patient
is a cooperative patient.
The underlying moral calculus here will be familiar to
anybody who has spent any time on a farm — or anybody who has had a pet dog,
for that matter. When a sick collie or an injured horse is in pain and beyond
help, we put them down to end their suffering. We do this in the name of mercy.
But veterans with PTSD aren’t injured racehorses. Poor
people, alcoholics, and the mentally ill aren’t our pets, and we owe to them
more than the simple pharmaceutical easing of their pain on their way to an
early death via opiate toxicity.
What we have here isn’t just a prescription-drug problem:
It is slow-motion euthanasia for the most vulnerable among us.
No comments:
Post a Comment