My position on the opioid controversy is quite simple and I ask all concerned to consider it:
1. We have a long-standing standard known as the World Health Organization 3 Step Analgesic Ladder (1982). Only when non-opioid treatments fail are opioids to be used, because they have known complications;
2. There cannot be a cap on dosages as patients vary. The government should certify or recognize the MDs who will prescribe high dose opioids, so patients who need high dosages can get the help they need;
3. Patients who are currently on high-dose opioids and doing well should be left on them.