Conflict and Hypocrisy at the highest level ?

The American Pharmacists Association which claims to represent all the Pharmacists in the country and which adopted the Pharmacist’s Oath listed below in RED.. In reality, only a small minority of Pharmacist are paid members of APhA … IMO.. the APhA’s endorsement of the CDC GUIDELINES seems to be in direct conflict of the Pharmacist’s Oath the same organization supports..  Especially the first “bullet point” of the Pharmacist’s Oath…

“I promise to devote myself to a lifetime of service to others through the profession of pharmacy. In fulfilling this vow:

  • I will consider the welfare of humanity and relief of suffering my primary concerns.
  • I will apply my knowledge, experience, and skills to the best of my ability to assure optimal outcomes for my patients.
  • I will respect and protect all personal and health information entrusted to me.
  • I will accept the lifelong obligation to improve my professional knowledge and competence.
  • I will hold myself and my colleagues to the highest principles of our profession’s moral, ethical and legal conduct.
  • I will embrace and advocate changes that improve patient care.
  • I will utilize my knowledge, skills, experiences, and values to prepare the next generation of pharmacists.

I take these vows voluntarily with the full realization of the responsibility with which I am entrusted by the public.”

WASHINGTON, DC – The Centers for Disease Control and Prevention (CDC) released final guidelines today that provide recommendations for prescribers with a goal of improved care and safety of patients being treated for  chronic pain. The guidelines target primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care. In addition, the guidelines promote integrated pain management and collaborative working relationships with other providers, such as pharmacists; and make reference to collaborative practice models for the dispensing of naloxone.
>“The CDC’s decision to release the guidelines is consistent with other public and private efforts that aim to curb prescription drug abuse while attempting to balance patient access to medically necessary treatment,” according to Jenna Ventresca, JD, APhA Associate Director of Health Policy.
>In its Guideline, CDC recommends:
>• Non-opioid therapy as the preferred treatment for chronic pain outside of active cancer treatment, palliative care, and end-of-life care.
>• Prescribing the lowest effective dosage when opioids are used.
>• Working with patients to establish pain treatment goals, checking for improvements in pain and function regularly, assessing for risks and benefits, and tapering or discontinuing opioids when risks outweigh benefits.
>The Institute of Medicine (IOM) estimates that there are 100 million Americans living with chronic pain—a number that does not include the additional 46 million individuals the CDC estimates suffer from acute pain due to surgery.  “Given the sheer number of Americans living with pain, policy changes and guidelines that influence treatment decisions will have far-reaching consequences,” Ventresca noted.
>“Viable solutions to curb opioid abuse will require everyone working together, including health care professionals, patients, and federal, state and local governments,” said Ventresca. “The Guideline represents CDC’s effort to help primary care clinicians communicate with, and treat patients in pain.”  APhA is in the process of reviewing the Guideline and will be soliciting member feedback to better understand the pharmacist’s perspective.
>APhA recently developed a resource center to address the challenge with opioids. For more information, go to
>About the American Pharmacists Association
>The American Pharmacists Association, founded in 1852 as the American Pharmaceutical Association, is a 501 (c)(6) organization, representing more than 63,000 practicing pharmacists, pharmaceutical scientists, student pharmacists, pharmacy technicians and others interested in advancing the profession. APhA, dedicated to helping all pharmacists improve medication use and advance patient care, is the first-established and largest association of pharmacists in the United States. For more information, please visit
>If you would rather not receive future communications from American Pharmacists Association, please go to
>American Pharmacists Association, American Pharmacists Association Foundation 2215 Constitution Ave., NW, Washington, DC, 20037-2985 District of Columbia, USA

2 thoughts on “Conflict and Hypocrisy at the highest level ?

  1. The cdc guidelines are and will cause millions in chronic pain to be under treated or not treated at all with the only medicine that actually helps many endure the misery of chronic pain.Long term treatment with opioids in spite of the doubts of some,is safe and effective.To treat chronic pain patients with the disrespect that is currently occuring is wrong.The vast majority of those who safely and responsibly are treated with the Opiods should not be treated as addicts and denied treatment because of the irresponsibility of the minority of people who cannot control themselves,or use these meds for illegitimate purposes.

    Yes,there is a problem that needs to be resolved and controlled,but the current hysteria and exaggeration is not fair to those who are not part of that problem.Doctors are now failing to adequately relieve the misery of many in chronic pain,due to over regulation and the climate of fear imposed upon them by agencies that are not listening to the professionals nor their patients.More guidelines,more regulations,and more intrusion into the doctor patient relationship,is causing more misery than is necessary to chronic pain patients whose lives are already miserable enough.

  2. In the aerly 2000’s when joint commission, the accredidation of hospitals, put out standards for the proper treatment of pain and said that it was a patients right to pain management, hospitals tied quality indicators to monitor commpliance with those standards. I was a Director of a surgical floor before Parkinson’s disease made me retire. We tied our patient satisfaction to pain management and I recieved one call of complaint with the patient telling me it was the law that she got proper pain management. This led to nurses getting paranoid that their patients would complain but all in all they patients were comfortable. I did an inservice on pain management during this time with a well respected Doctor. He said there is a difference in addiction and dependancy. I believe that. I am now in the same boat in Ky. My primary care physician quit prescribing and now I DRIVE 4 HOURS to a pain clinic that treats me bad. I’ve lost 50 lbs in the last year because of all the Parkinsons meds. I have dystonia that pulls my head down and to the side having ruptured cervical discs and lumbar. The nerve impengement is unbearable. I am very under treated and considering hospice care.

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