Richard A. Lawhern is a nationally recognized health care educator and patient advocate who has spent nearly three decades researching pain management and addiction policy. His extensive body of work, including over 300 published papers and interviews, reflects a deep critique of U.S. health care agencies and their approaches to chronic pain treatment. Now retired from formal academic and hospital affiliations, Richard continues to engage with professional and public audiences through platforms such as LinkedIn, Facebook, and his contributions to KevinMD. His advocacy extends to online communities like Protect People in Pain, where he works to elevate the voices of patients navigating restrictive opioid policies. Among his many publications is a guideline on opioid use for chronic non-cancer pain, reflecting his commitment to evidence-based reform in pain medicine.
At age 80, I am an old man. I am also an experienced writer and voracious reader. I’ve been active in internet bulletin boards and social media interest groups since the 1980s—in what we used to call “users net” (USENET)—before the emergence of the World Wide Web.
In the 1980s, I briefly moderated a community on the internet called “Internet Village Elders.” The forum was intended to share information between librarians …
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Why Americans are failing to keep up with essential knowledge
For years, the U.S. public has been hearing that prescription opioid pain relievers are always and forever a bad thing—and that doctors and big pharma companies are supposedly responsible for an epidemic of addiction and drug overdose-related deaths. However, these assertions are outright lies. Both the U.S. Centers for Disease Control and Prevention and the Veterans Administration know it.
The recent national opioid settlement is as bogus as a three-dollar bill—and …
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The real cause of the opioid crisis isn’t what you think
Dedicated to my friend and colleague Pat Irving to whom I first told the story.
I’m 80 years old and I’ve been writing for over 60 years—first in systems engineering, later in advanced technology, and more recently in public health policy for the regulation of pain medicine. At this stage of my life, some of my writing is introspective, in an attempt to extract and share “lessons learned” with others. Thus, …
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5 questions in mental health counseling – and life
As a U.S. health care writer and patient advocate for almost 30 years, I read a lot. Recently, some of that reading is in court transcripts of doctors being persecuted out of medicine or into jail by various prosecutors and their hired “experts.” I use the term “persecuted” intentionally. I believe that “medical experts” in many court or Medical Board proceedings are simply “hired guns” – clinical predators hired for …
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How biased medical experts are destroying doctors’ lives and careers in the opioid crisis
As a health care writer and patient advocate for people in pain, I spend a lot of time online on venues like Facebook, Quora, LinkedIn, and X (formerly Twitter). I am visible. And because I am visible, many people reach out to me seeking help or doctor referrals to the few clinicians who are still prescribing safe and effective opioid pain relievers. In recent years, I have also been contacted …
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Unmasking online scams: How to stay safe as a visible patient advocate
Anyone reading health care news today must be aware that American medicine – particularly pain medicine – is in crisis. Doctors are experiencing high levels of burnout due to administrative burdens, prior authorization demands, and a health care system that often prioritizes efficiency over patient care. This burnout is leading to mental health issues and, in some cases, physician suicides.
Medicare payments to physicians have decreased by 26 …
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The truth behind opioid use disorder
As a health care writer and subject matter expert in public health policy for the treatment of chronic pain and opioid addiction, I spend a lot of time online reading or writing. Nearing the age of 80, I have time for such occupations. In that context, I recently ran into a quite profound quotation on Facebook:
I lived when simply waiting was a large part of ordinary life: when we waited, …
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Transform relationships: Embrace real interactions over digital distractions
I write widely as a patient advocate and subject matter expert on public policy for the regulation of prescription opioid analgesics in pain medicine.
Like many people younger than myself, I also visit many social media platforms almost daily. I am active on these platforms to share recent health care news and to support hope among people who increasingly struggle to find clinicians and pharmacists who will treat their pain by …
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From advocacy to early cancer detection
In 1990, Ronald Melzack published a paper in Scientific American titled “The Tragedy of Needless Pain.” Many would regard Melzack as the “father” of pain science and the treatment of pain. In that paper, he described the science behind several observations that many clinicians and public health policy decision-makers would find startling in today’s hostile and fraught regulatory environment surrounding the U.S. opioid crisis.
… the fact is …
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Pain medicine realities: beyond the opioid crisis
I write widely as a subject matter expert on U.S. policy for the regulation of prescription opioid pain relievers and of clinicians who employ them in managing their patients’ chronic pain. Because I am a patient advocate and the spouse of a chronic pain patient, I hear from a lot of suffering people. In one form or another, many of their pleas amount to, “My doctor has deserted me, …
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Rethinking U.S. opioid policy
“In July 2015, journalist Johann Hari gave a TED Talk that over 20 million people have since viewed. Hari offered convincing evidence that vulnerability to opioid addiction is a consequence of the conditions under which people live — the social determinants of health — rather than simple exposure to opioid pain relievers. This theme is brilliantly elaborated by economist Anne Case and Nobel Prize winner Angus Deaton …
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Everything the government thinks it knows about the opioid crisis is wrong
We’ve all heard about America’s so-called “opioid epidemic.” Nearly 100,000 people died in 2021 of causes that included overdose by one or more narcotic drugs and often alcohol. We also hear assertions from anti-opioid advocates that this epidemic was caused by doctors “over-prescribing” opioid pain relievers to their patients. These assertions are fundamentally wrong on fact. U.S. national health care policy and law redirections are needed to correct such distortions.
Doctors …
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The real cause of America’s opioid crisis: Doctors are not to blame
