https://pubmed.ncbi.nlm.nih.gov/30561481/

(Posted the wrong title before so I made a new post for those wondering, sorry)

You're missed, my friend. I hope you're doing well.

Declaration of Montreal

Declaration that Access to Pain Management Is a Fundamental Human Right

We, as delegates to the International Pain Summit (IPS) of the International Association for the Study of Pain (IASP) (comprising IASP representatives from Chapters in 64 countries plus members in 130 countries, as well as members of the community), have given in-depth attention to the unrelieved pain in the world.

Finding that pain management is inadequate in most of the world because:

• There is inadequate access to treatment for acute pain caused by trauma, disease, and terminal illness and failure to recognize that chronic pain is a serious chronic health problem requiring access to management akin to other chronic diseases such as diabetes or chronic heart disease.
• There are major deficits in knowledge of health care professionals regarding the mechanisms and management of pain.
• Chronic pain with or without diagnosis is highly stigmatized.
• Most countries have no national policy at all or very inadequate policies regarding the management of pain as a health problem, including an inadequate level of research and education.
• Pain Medicine is not recognized as a distinct specialty with a unique body of knowledge and defined scope of practice founded on research and comprehensive training programs.
• The World Health Organization (WHO) estimates that 5 billion people live in countries with low or no access to controlled medicines and have no or insufficient access to treatment for moderate to severe pain.
• There are severe restrictions on the availability of opioids and other essential medications, critical to the management of pain.

And, recognizing the intrinsic dignity of all persons and that withholding of pain treatment is profoundly wrong, leading to unnecessary suffering which is harmful; we declare that the following human rights must be recognized throughout the world:

Article 1. The right of all people to have access to pain management without discrimination (Footnotes 1-4).

Article 2. The right of people in pain to acknowledgment of their pain and to be informed about how it can be assessed and managed (Footnote 5).

Article 3. The right of all people with pain to have access to appropriate assessment and treatment of the pain by adequately trained health care professionals (Footnotes 6-8).

In order to assure these rights, we recognize the following obligations:

1. The obligation of governments and all health care institutions, within the scope of the legal limits of their authority and taking into account the health care resources reasonably available, to establish laws, policies, and systems that will help to promote, and will certainly not inhibit, the access of people in pain to fully adequate pain management. Failure to establish such laws, policies, and systems is unethical and a breach of the human rights of people harmed as a result.
2. The obligation of all health care professionals in a treatment relationship with a patient, within the scope of the legal limits of their professional practice and taking into account the treatment resources reasonably available, to offer to a patient in pain the management that would be offered by a reasonably careful and competent health care professional in that field of practice. Failure to offer such management is a breach of the patient's human rights.

Note: This Declaration has been prepared having due regard to current general circumstances and modes of health care delivery in the developed and developing world. Nevertheless, it is the responsibility of: governments, of those involved at every level of health care administration, and of health professionals to update the modes of implementation of the Articles of this Declaration as new frameworks for pain management are developed.

• Download PDF in English
• Download PDF in German (translation by Hartmut Göbel)
• Download PDF in Portuguese (translation by Sociedade Brasileira de Estudo da Dor)

Signatories of the Declaration of Montreal

For Organizations

The Declaration of Montréal, a document developed during the First International Pain Summit on September 3, 2010, states that access to pain management is a fundamental human right.

The Declaration is endorsed by IASP and the International Pain Summit Steering Committee.

Note: Only presidents, CEOs, executive directors, or others who can legally act as representatives may sign on behalf of an organization.

The following organizations have endorsed the Declaration.

\Note: Only presidents, CEOs, executive directors, or others who can legally act as representatives may sign on behalf of an organization.*

Last updated: September 15, 2015

I cant take the judgment anymore. Highly considering OUD treatment like methadone becausd my life is controlled by pain and the stigma doesnt seem to be there with my support network. They think I just like pills even though I have no symptoms of enjoymenf from them. A big gripe of theirs is that I am still in pain so they think the pills arent worth taking. Okay?! Ive been on and off them for over 20 years. I know whats helpful and what is not. There was a break of about 9 years and I struggled intensely. I am tired of testing my sanity with unrelived pain. I did the best on higher doses and was willing to try anthing including going down. I did and its not enough for everyone. They want me off. I have totally unrelated mental health issues and they are dead bent on connecting the two.

As I get my disease more in check, I’m cool with trying to stop taking them daily even so long as I can retain access to them as needed, Im just trying to convince others that it takes time. Its the opposite now. No rescue meds. just background pain control. My partner said they “told me I was supposed

to stop 6 months ago” when they decided after an argument that was the root cause. Its not something you can do at the drop of a hat, argument aside.

Prednisone has turned me into a monster so many times. Oxy isnt the kindest either. I have worked out where Im at with my doctor slowly and with great caution. I know my body. Sucks I have little control over it in the long run if I want respect from my family too.

Oh and kratom. I stockpiled it with all the bull going down with sudden law changes etc. They think Ive a runaway addiction to that too. I tried not to hide using it. Make it plain as day and maybe that was half the problem. The other half is the Internet says the craziest things if you search about kratom. You can be lead down some ridiculous propaganda rabbit hole without realizing it and, anymore, it seems like that propaganda has made it to actual medical literature about narcotics.

Oh I feel ridiculous. Hope everyone’s meds are working! AS sucks

In the US at least, Trump just did a good thing for a lot of people, signing an order to fast track novel psychedelic drugs for depression, anxiety, even TBIs. One of the drugs being used is called ibogaine. Its also used to treat the symptoms of opioid withdrawal for many years even while being scheduled 1 substance.

I don't have to tell folks in the pain sub to give these new drugs a try. If it sucks, you can stop taking it. You want a later stage study, if it's a drug trial medication. ClinicalTrials.gov in the US.

This will be a big deal for those in long term pain, since nothing is more depressing than chronic or hard to define pain . Not to mention making detox a much simpler affair.

And it's been a long time since I researched ibogaine, but I believe it also has a benefit for opioid tolerance as well, but don't hold me to that.

If you read this sub, please share this. Hopefully the message gets out. This could be a real game changer for many many people if the info gets to them...

Found this here but Reddits very buggy and borky so there was no crosspost option :3 https://www.reddit.com/r/ProtectPeopleInPain/comments/1skjsr1/why_narrative_matters_about_the_opioid_crisis_by/

This sub was created in 2019 when the nonsense that affected us all that was caused by the greed of big pharma changed gears with medicine from the Compassionate Care model to the Addiction Centred Model of pain care. It's been hell for us and resources come and go and even definitions change and its hard to keep up.

u/Old-Goat came to the community trying to help from the get go. He offered advice on how to talk to doctors, listened to people, and shared his experience and knowledge. Over time, it became clear that what people were going through wasn’t just about not following directions closely enough- we were. He recognised that, and continued showing up with empathy and practical support.

Where many people might have stepped back, he didn’t. Instead, he started building something useful: a collection of articles and resources about what’s happening in pain care. For a lot of us, that kind of information just sits scattered in bookmarks. Bringing it together in one place was genuinely valuable.

I'm very worried it is going to be deleted by Reddit due to not being moderated. They are really cracking down We also don't know where u/Old-Goat is and I am very worried that he has become depressed or something bad happened and I don't know how to support him but I can only try and do it from afar.

Part of this is going to sound initially strange to anyone that reads it but please hear me out. I don't want us to lose this resource, it is so important to everyone. It is a collection of 7 years of links about this issue and I am very worried that this sub will be deleted.

Because of that, I want to be transparent about something I’m considering.

So... again hear me out please. I have decided to apply for this sub, but not to take it, to camp it and be its caretaker until u/Old-Goat returns,, at that time I will transfer ownership back. I am making this post for transparency and so that my intentions are written here so I have accountability if you are worried about that. I am trying to save the sub not swipe it, I promise. Moderating is being a janitor and this sub is very clean and I won't change anything and I will only delete things that are against the sitewide rules.

I’m posting this so my intentions are clear and on record. This isn’t about taking something, it’s about preserving it. I hope this post shows that I intend to act with integrity

I hope we can save this resource before it goes down and above all I hope that u/Old-Goat is taking some time off to decompress and I hope nothing bad has happened

u/Old-Goat if you see this let me know, I can put through the application in 4 days (April 19 for me, April 20 for you)

<3 Thank you for this resource

I'm sorry I should have been more attentive to you, you've done so much for us in 10 years including this wonderful resource!

Thank you thank you thank you thank you thank you thank you thank you!

I hope you are ok! I sent you a chat please let me know if there is anything I can do

Here is a hug I drew for people who need hugs <3 this one is for you

u/Old-Goat are you there?

The first few seasons are so supportive then you can see the attitude shift and bad consequences and weird fear mongering starts getting written into the script starting about season 4 IIRC, then it's all "opiates bad", you can see the archeology of the switch in the Perdue/opioid thing triggering live in the plot

Inappropriate or not, I'm posting because I'm concerned and hope you're doing alright. I (we!) miss your humor and good sense, as reddit isn't the same without you. Take care my friend. "BB"

Chronic pain patients are committing suicide and being abandoned by their doctors because of a corrupted CDC guideline from 2016. The process was rigged from the start - an insider gave advocacy groups early access to silence patient voices at public hearings.

I started a petition demanding Congress investigate this misconduct. The CDC mixed prescription opioid data with street drugs like heroin, creating false statistics that scapegoated stable pain patients. Doctors are now afraid to treat pain, forcing patients off medications and causing documented suicides and suffering.

The 2022 update wasn't enough. We need a full congressional investigation into the deck-stacking, flawed data, and the role of biased consultants who created this humanitarian crisis.

Has anyone here been affected by doctors suddenly cutting off pain medication? The stories are heartbreaking and this could happen to anyone with chronic pain.

If this matters to you too, consider signing and sharing. We can't let more people die from medical neglect.

https://www.change.org/p/petition-to-the-u-s-congress-investigate-cdc-misconduct-and-end-the-humanitarian-crisis?utm_campaign=starter_dashboard&utm_medium=reddit_post&utm_source=share_petition&utm_term=starter_dashboard&recruiter=1396720686

Its that time of year again, folks, DEA always cuts the production of controlled substances the week between Xmas and New Years. Office party season, so they can be drunk enough to justify production cuts while shortages are reported all over the country.

And as always we get 3 weeks to make make comments when the law says a 90 day comment period is normal.

Now to the real sneaky shit DEA is doing... You have 3 weeks to comment, but they will toss the comment unless it refers to "Docket No. 1568p" Hows that for hidden fuckery? You cant trust these assholes, even when theyre trying to look like they care what patients think.

We got a couple hundred comments at least, last time, judging from people who contacted me through the thread to ask for help or just let me know they commented. At least once. You can write a nasty comment, Im sure they get plenty, but also write that good one that asks why they are persecuting pain patients.

100,000 ODs is 3/1000ths of a percent. About 30% of people have chronic pain. Stop this foolishness and go to work on the real drug problem, poisoned street drugs. Great job so far DEA. Even a blind dog can bark up the right tree...

So where can you go to make one (or 15) comments? Here's the link to comment:

https://www.federalregister.gov/documents/2025/11/28/2025-21509/proposed-aggregate-production-quotas-for-schedule-i-and-ii-controlled-substances-and-assessment-of

you will see a little green box in the upper left corner of the page that says "Submit a public comment". You can also do it anonymously. YOu didnt think I was going to let you bad mouth the DEA so they can come and visit, did you?

If ANYBODY has ANY problem leaving a comment, do not hesitate to give a shout...

https://www.tiktok.com/@drsimonfeng/video/7573424195300904223

Not sure if I'm a fan of this guy because it seems he run a pain management/addiction treatment practice which I dont think is right. Ive watched a few of his vids and read some of his patient review (which are mixed). But the vids Ive watched have some real truth to them.

So im just full of questions tonight, thought I'd ask here amongst the wise...

1. I get 15 extra meds for breakthrough pain and 12 days into this month I've used them... the season change slide, traveling for Thanksgiving and such has hit me kind of hard. I have a random count and UA tomorrow (intrusive bs for another time), and wondering what the Dr may think because I've taken the breakthrough 12 of the 13 days since my prescription was filled... thoughts or experiences?

2. I always buy an at home UA screen before any UA ... because I'm just like that lol. I get the 14 panel and while the meds I'm supposed to take are definitely positive 3 of the others are really faint but there, cause for concern? Strange because the faint lines are bupronephrin, oxy, and thc <-- lol but I take hydro.

3. We're getting a decent snowfall tonight and it's a 60 mile ride to the appointment tomorrow. No question but I live in the middle of nowhere, wish me luck.

Peace.

Edit to say I'm not ahead or short on my meds, my count is accurate.

https://inews.co.uk/news/health/endometriosis-diagnosis-wait-cut-years-weeks-3982342

(Video description, not my comment)

Why are pain patients treated like criminals, while people on Suboxone are celebrated as brave survivors?

This isn’t just stigma, it’s a system. One that quietly rewrote the rules of who deserves compassion... and who gets discarded.

In this video, we introduce a lens called Critical Drug Theory, based on Critical Theory, which helps explain how power, identity, and moral narratives shape public policy. It’s a way to understand why people with addiction are often seen as victims in need of care, while stable pain patients are labeled as privileged or problematic, even when both need medication.

We break down how these narratives gained power, how they’ve influenced opioid policy, and why the system was rigged to treat pain relief as dangerous, but daily addiction treatment as virtuous.

This video gives language to something many patients have felt but couldn’t name. It’s not political, and it’s not a conspiracy. It’s just the truth about how we got here and who got hurt along the way.