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InvisibleveggieM

Registered: 07/25/04
Posts: 17,504
Whites More Likely to Get ER Narcotics
    #7821564 - 01/01/08 08:32 PM (16 years, 1 month ago)

Whites More Likely to Get ER Narcotics
January 1, 2008 - magicvalley.com

CHICAGO - Emergency room doctors are prescribing strong narcotics more often to patients who complain of pain, but minorities are less likely to get them than whites, a new study finds.

Even for the severe pain of kidney stones, minorities were prescribed narcotics such as oxycodone and morphine less frequently than whites.

The analysis of more than 150,000 emergency room visits over 13 years found differences in prescribing by race and ethnicity in both urban and rural hospitals, in all U.S. regions and for every type of pain.

"The gaps between whites and nonwhites have not appeared to close at all," said study co-author Dr. Mark Pletcher of the University of California, San Francisco.

The study appears in Wednesday's Journal of the American Medical Association. Prescribing narcotics for pain in emergency rooms rose during the study, from 23 percent of those complaining of pain in 1993 to 37 percent in 2005.

The increase coincided with changing attitudes among doctors who now regard pain management as a key to healing. Doctors in accredited hospitals must ask patients about pain, just as they monitor vital signs such as temperature and pulse.

Even with the increase, the racial gap endured. Linda Simoni-Wastila of the University of Maryland, Baltimore, School of Pharmacy said the race gap finding may reveal some doctors' suspicions that minority patients could be drug abusers lying about pain to get narcotics.

The irony, she said, is that blacks are the least likely group to abuse prescription drugs. Hispanics are becoming as likely as whites to abuse prescription opioids and stimulants, according to her research. She was not involved in the current study.

The study's authors said doctors may be less likely to see signs of painkiller abuse in white patients, or they may be undertreating pain in minority patients.

Patient behavior may play a role, Pletcher said. Minority patients "may be less likely to keep complaining about their pain or feel they deserve good pain control," he said.

Stricter protocols for prescribing narcotics may help close the gap.

A New York hospital recently studied its emergency patients and found no racial disparity in narcotics prescribed for broken bones. Montefiore Medical Center aggressively treats pain and is developing protocols for painkillers that dictate initial dosages and times to check with patients to see if they need more pain medicine, said Dr. David Esses, emergency department associate director at Montefiore.

Such standards may eliminate racial disparities, Esses said.

In the study, opioid narcotics were prescribed in 31 percent of the pain-related visits involving whites, 28 percent for Asians, 24 percent for Hispanics and 23 percent for blacks.

Minorities were slightly more likely than whites to get aspirin, ibuprofen and similar drugs for pain.

In more than 2,000 visits for kidney stones, whites got narcotics 72 percent of the time, Hispanics 68 percent, Asians 67 percent and blacks 56 percent.

The data came from a well-regarded government survey that collects information on emergency room visits for four weeks each year from 500 U.S. hospitals. The new study was funded by federal grants.

"It's time to move past describing disparities and work on narrowing them," said Dr. Thomas L. Fisher, an emergency room doctor at the University of Chicago Medical Center who was not involved in the study.

Fisher, who is black, said he is not immune to letting subconscious assumptions inappropriately influence his work as a doctor.

"If anybody argues they have no social biases that sway clinical practice, they have not been thoughtful about the issue or they're not being honest with themselves," he said.


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OfflineMolasses
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Re: Whites More Likely to Get ER Narcotics [Re: veggie]
    #7821661 - 01/01/08 08:59 PM (16 years, 1 month ago)

well, fuck us white people


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OfflineDelta9Hippie
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Re: Whites More Likely to Get ER Narcotics [Re: veggie]
    #7821723 - 01/01/08 09:13 PM (16 years, 1 month ago)

the contemporary idea of "striving for equality." If only it were so black and white:smirk:.  This is definitely interesting, and worth investigating further, but this does not at all say that doctors/hospitals are racist as some of the article alludes to, all it says is that whites receive more pain killers than any other "racial" group.  This could be for so many different social reasons.  I really hope more research is done in this area, and that this doesn't linger too long.  It would be a shame if yet another government action to "equalize" a situation were to happen, those always suck in the big picture.

On the broader issue of "equality", let's not force people to live homogenized lives, and by people I mean individuals by themselves, and/or in social groups (race, gender, minority groups other than those based on race, etc...).  Because this is what is happening, and I see that it is destroying our humanity, our very being human rather than mechanized whatevers.  Equal should mean respectful actions, and that you treat someone as a human being, just as yourself.  Of course its simple to fall into easy rationalizations and jump to conclusions.

So, I may be jumping to conclusions myself by talking about bureaucratic action, but this article just hit me as a starting point for these government "solution" issues that happen frequently in our society.  Have a happy new year!!

Oh, and if you're white, and you want to get high, just go to a doc and complain about your pain, don't worry, they know you're faking, but they don't care they get paid either way.


--------------------
"During evolutionary time, the avenues of possible progress have become progressively restricted, until today only one remains...Man...has been suddenly appointed managing director of the biggest business of all, the business of evolution."

Life begins the day you start a garden.

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Offlinefapjack
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Re: Whites More Likely to Get ER Narcotics [Re: Delta9Hippie]
    #7822005 - 01/01/08 10:54 PM (16 years, 1 month ago)

I would love to know how they know that blacks are less likely to lie to receive opioid pain medication as whites. I wonder if the people who conducted that study knew that blacks are more likely to lie to people conducting surveys than white people.


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OfflineGrylls
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Re: Whites More Likely to Get ER Narcotics [Re: fapjack]
    #7822034 - 01/01/08 11:06 PM (16 years, 1 month ago)

I went to a doctor a year ago for my severed fingertip (the disc brake on a mountain bike I was adjusting ripped the tip of my index finger off at an angle, exposing the bone in the finger to fresh air) and when I asked him what I could do for the pain, he prescribed me a bottle of 20, 5mg hydrocodone pills with three refills!


--------------------
Alone in the clouds all blue.  Lying on an eiderdown.  You can't see me, but I can you.


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InvisibleAfroshroomerican
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Re: Whites More Likely to Get ER Narcotics [Re: fapjack]
    #7822052 - 01/01/08 11:13 PM (16 years, 1 month ago)

Quote:

fapjack said:
I would love to know how they know that blacks are less likely to lie to receive opioid pain medication as whites. I wonder if the people who conducted that study knew that blacks are more likely to lie to people conducting surveys than white people.




Are painkillers even a "black" stereotyped drug? Granted yeah I love them--it's not one of "nigga drug" according to stereotype.

I could see if it were Crack/Weed, but it isn't. Mostly whites I know do these kind of drugs.

I guess it's just preferential treatment, which is not something new in any arena, including health care.


--------------------
"We must learn to live together as brothers or perish together as fools."

~Martin Luther King Jr.~

<passitbobbie> if I just showed you a closeup of my ass
<passitbobbie> youd think it was female

"You owe errrbody up in here an apology fow youwe shit, HO!" - classic


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OfflinePoisonedV
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Re: Whites More Likely to Get ER Narcotics [Re: Afroshroomerican]
    #7822119 - 01/01/08 11:43 PM (16 years, 1 month ago)

Most black people I meet talk like fucking hustlers. How the fuck do they think that anyone would trust them? Most whites I have met are {fairly} respectable. Of course there are always exceptions {white trash, wiggers}

EDIT: Just want to add, this is just my personal experience. This may just be in my area, or everywhere... I don't know.


--------------------
Lazy...


Edited by PoisonedV (01/01/08 11:47 PM)


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InvisibleAfroshroomerican
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Re: Whites More Likely to Get ER Narcotics [Re: PoisonedV]
    #7822128 - 01/01/08 11:48 PM (16 years, 1 month ago)

You're probably meeting ghetto blacks.

Based on my neighborhood I'd think most whites were white trash. :mypleasure:


--------------------
"We must learn to live together as brothers or perish together as fools."

~Martin Luther King Jr.~

<passitbobbie> if I just showed you a closeup of my ass
<passitbobbie> youd think it was female

"You owe errrbody up in here an apology fow youwe shit, HO!" - classic


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InvisibleBirdsIView
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Re: Whites More Likely to Get ER Narcotics [Re: PoisonedV]
    #7822185 - 01/02/08 12:09 AM (16 years, 1 month ago)

Quote:

PoisonedV said:
Most black people I meet talk like fucking hustlers. How the fuck do they think that anyone would trust them? Most whites I have met are {fairly} respectable. Of course there are always exceptions {white trash, wiggers}

EDIT: Just want to add, this is just my personal experience. This may just be in my area, or everywhere... I don't know.




Why do you think they talk like hustlers? Maybe it's because they feel that's the best way to live their lives because of shit like this. They aren't treated fairly in the first place and have to go by other means to live their life.


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Invisiblefastfred
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Re: Whites More Likely to Get ER Narcotics [Re: BirdsIView]
    #7822481 - 01/02/08 02:22 AM (16 years, 30 days ago)

I don't think this study holds water. There are too many confounding factors that don't seem to have been taken into account.

Blacks more often are not going to have as good of health insurance or as much disposable income. Doctors don't like to prescribe more expensive meds to people who aren't going to pay for them. Other factors would be that more blacks than whites end up in ghetto hospitals where they get hustled every day by countless junkies. They also probably keep a lower inventory to prevent getting robbed and because of a smaller operating budget.

If the data was compared blacks vs. whites at the same hospital and they each had the same level of insurance coverage I'd bet that the disparity would be much smaller. Probably around 5-10%, which isn't unreasonable.


-FF


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Offlinerubixcubies
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Re: Whites More Likely to Get ER Narcotics [Re: fastfred]
    #7822900 - 01/02/08 08:41 AM (16 years, 30 days ago)

its probly jsut whites cant handle pain for shit.


--------------------
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OfflineAzrah
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Re: Whites More Likely to Get ER Narcotics [Re: rubixcubies]
    #7823461 - 01/02/08 11:53 AM (16 years, 30 days ago)

If you think about it, it kinda makes sense that white people would be in the hospital more and need more pain killers. Just for the fact white people are crazy lol. I mean we got bmxing, skydiving, skateboarding, parqour, skating, and a bunch of other things that mostly white people do. Im not trying to stereotype, but it makes sense that white people would have more hospital visits.


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InvisibleDyingTree
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Re: Whites More Likely to Get ER Narcotics [Re: veggie]
    #7823924 - 01/02/08 02:12 PM (16 years, 30 days ago)

You can call me racist for posting this all you want. but I do have black friends and I do have Puerto Rican friends and this was sent to me by my puerto rican friend which happens to be my best friends. The fact is each race stereotypes themselves and it makes it harder for the ones who actually give a shit and try to make something of themselves to tear away that label, but not many this day want to change you got a majority of the whites and blacks running are being "gangster" thinking the ghetto life is the shit.

There are African Americans,

Mexican Americans,

Asian Americans,

Arab Americans,

Native Americans, etc.

...And then there are just

Americans.



You pass me on the street

and sneer in my direction.

You Call me "White boy,"

"Cracker," "Honkey,"

"Whitey," "Caveman,"

...And that's OK.



But when I call you Nigger,

Kike, Towel head, wetback,

Sand-nigger, Camel Jockey,

Beaner, Gook, or Chink,

...You call me a racist.



You say that whites commit a lot

of violence against you,

so why are the ghettos the most

dangerous places to live?



You have the United Negro College Fund.

You have Hispanic History Month.

You have Martin Luther King Day.

You have Asian History Month.

You have Black History Month.

You have Cesar Chavez Day.

You have Ma'uled Al-Nabi.

You have Yom Hashoah.

You have Kawanza.

You have the NAACP.

And you have BET.



If we had WET

(White Entertainment Television)

...We'd be racists.



If we had a White Pride Day

...You would call us racists.



If we had White History Month

...We'd be racists.

If we had any organization for only whites

to "advance" OUR lives,

...We'd be the racists.



We have a Hispanic Chamber of Commerce,

a Black Chamber of Commerce,

and then we just have the plain

Chamber of Commerce.

Wonder who pays for that?



If we had a college fund that only gave

white students scholarships

...You know we'd be racists.



There are over 60 openly-proclaimed

Black-only Colleges in the US,

yet if there were "White-only Colleges"

...THAT would be a racist college.



In the Million-Man March,

you believed that you were

marching for your race and rights.

If we marched for our race and rights,

...You would call us racists.



You are proud to be black,

brown, yellow and red,

and you're not afraid to announce it.

But when we announce our white pride

...You call us racists.!



You rob us, carjack us, and shoot at us.

But, when a white police officer

shoots a black gang member

or beats up a black drug-dealer

who is running from the LAW and

posing a threat to ALL of society

...You call him a racist.



I am proud to be white.

...But, you call me a racist.



Why is it that only

whites

can be racists?


--------------------
"Psychedelics are illegal not because a loving government is concerned that you may jump out of a third story window, psychedelics are illegal because they dissolve opinion structures and culturally lay down models of behavior and information processes. They open you up to the possibility that everything you know is wrong, and government and society spend a lot of money educating you into being a loyal worker, consumer, debt payer and citizen."


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OfflineDelta9Hippie
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Re: Whites More Likely to Get ER Narcotics [Re: DyingTree]
    #7824147 - 01/02/08 03:28 PM (16 years, 30 days ago)

Quote:

DyingTree said:
Why is it that only

whites

can be racists?





Just to play devil's advocate, the group of the richest, most powerful & influential people in the WORLD is DOMINATED by white, western european descended people. The majority of organizations and systems around the globe "advance" white people over any other people. The mental models as well, around the globe, keep white people on top. These public institutions/organizations that you mention are there to make it not seem so bad, but the fact is that white people are STILL #1 around the globe, and most definitely here in the US.

I do see where you are coming from though, but the fact is that white people enslaved THE WORLD for a very long time, and it wasn't until the last 100 or so years that this has become unofficial, yet the same continues in a more discreet way (now that communication is so fast & knowledge so free... and revolutions can be energized so quickly). And, the fact remains that minorities here in the US are discriminated against, this has been shown in numerous studies, for instance in the housing market.

You are being racist. You needn't worry though, the global infrastructure favors white.

And, "being racist" applies to all human beings. Even within groups, like the black community and what is now recognized as "colorization", a form of black on black racism based on "how black" an individual is. But, this is such a politically touchy subject in our society that we don't hear or talk about it too much in public, thereby creating and sustaining a social structure that supports racism. viola.


--------------------
"During evolutionary time, the avenues of possible progress have become progressively restricted, until today only one remains...Man...has been suddenly appointed managing director of the biggest business of all, the business of evolution."

Life begins the day you start a garden.

Check out my trade list in My Journal...


Edited by Delta9Hippie (01/02/08 03:34 PM)


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InvisibleDyingTree
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Re: Whites More Likely to Get ER Narcotics [Re: Delta9Hippie]
    #7824176 - 01/02/08 03:35 PM (16 years, 30 days ago)

No don't get me wrong I think I hate my own race (the whites) more than any other, mainly because of the rich fucks in office. I wish that all the rich whites had their fortunes ripped right from underneath them.


--------------------
"Psychedelics are illegal not because a loving government is concerned that you may jump out of a third story window, psychedelics are illegal because they dissolve opinion structures and culturally lay down models of behavior and information processes. They open you up to the possibility that everything you know is wrong, and government and society spend a lot of money educating you into being a loyal worker, consumer, debt payer and citizen."


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OfflinePoisonedV
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Re: Whites More Likely to Get ER Narcotics [Re: DyingTree]
    #7824316 - 01/02/08 04:21 PM (16 years, 30 days ago)

Dying tree that was an excellent post.


--------------------
Lazy...


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OfflineDelta9Hippie
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Re: Whites More Likely to Get ER Narcotics [Re: DyingTree]
    #7824344 - 01/02/08 04:33 PM (16 years, 30 days ago)

Quote:

DyingTree said:
mainly because of the rich fucks in office. I wish that all the rich whites had their fortunes ripped right from underneath them.




Comrade, Revolution is in the air. We need to inform our brothers of the situation, educate the masses to the realities of the contemporary world. Although, in a sense, it is getting better, but we all have to be aware of the past, present and future if we want to progress humanity. Be active. You know?


--------------------
"During evolutionary time, the avenues of possible progress have become progressively restricted, until today only one remains...Man...has been suddenly appointed managing director of the biggest business of all, the business of evolution."

Life begins the day you start a garden.

Check out my trade list in My Journal...


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Invisiblefastfred
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Re: Whites More Likely to Get ER Narcotics [Re: Delta9Hippie]
    #7824911 - 01/02/08 07:07 PM (16 years, 30 days ago)

Quote:

Delta9Hippie said:
I do see where you are coming from though, but the fact is that white people enslaved THE WORLD for a very long time, and it wasn't until the last 100 or so years that this has become unofficial, yet the same continues...




Your argument is unsound. All the "white" organizations in power that you mention have people of other races in them, some of them in pretty powerful positions. Case in point: Kofi Annan, UN Secretary-General. Perhaps one of the most powerful men in the world.

And while white and non-race oriented organizations usually have fairly strict rules to prevent even the appearance of racism, race based (non-white) organizations openly proclaim that they are black only.

If a business or organization discriminates against you, you can sue them and recover a good chunk of money if you can prove your case. When a black organization tells you right to your face that you can't join there's not jack shit you can do about it.


As for slavery that is another issue that people distort. Of course slavery was a horrible abomination, I'm not in any way arguing that. But the white man did not invent slavery. Slavery existed amongst every ethnic group at one time or another. Africans already had slavery when we discovered them, indians/myans had slavery and human sacrifice, so on and so forth.

If you own slaves yourself what can you really say when someone enslaves YOU? That's right, you really can't say jack shit. And Africans generally captured and enslaved their own people and neighboring tribes and sold them to the white man. That's right Africans enslaved themselves for the most part.

So you really can't say that slavery had any sort of racial beginnings. Both inter and intra-racial slavery has existed in one form or another amongst all races since the beginning of recorded history. So when you blame whites for slavery you are basically dissing one race because they were better at enslaving people than the other races were.


-FF


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InvisibleDyingTree
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Re: Whites More Likely to Get ER Narcotics [Re: fastfred]
    #7826591 - 01/03/08 07:46 AM (16 years, 29 days ago)

Quote:

fastfred said:



As for slavery that is another issue that people distort. Of course slavery was a horrible abomination, I'm not in any way arguing that. But the white man did not invent slavery. Slavery existed amongst every ethnic group at one time or another. Africans already had slavery when we discovered them, indians/myans had slavery and human sacrifice, so on and so forth.

If you own slaves yourself what can you really say when someone enslaves YOU? That's right, you really can't say jack shit. And Africans generally captured and enslaved their own people and neighboring tribes and sold them to the white man. That's right Africans enslaved themselves for the most part.

So you really can't say that slavery had any sort of racial beginnings. Both inter and intra-racial slavery has existed in one form or another amongst all races since the beginning of recorded history. So when you blame whites for slavery you are basically dissing one race because they were better at enslaving people than the other races were.







Thank you, where I grew up all I've seen is the blacks always using "You're a racist" against white people and they act as if we owe them something because "our ancestors" had them as slaves when, like you said, it was their own people who sold them into slavery. They act like they it's been so hard for them like they were treated so bad. when they themselves were never slaves. What about the holocaust, it could have been a hell of a lot worst for them.


--------------------
"Psychedelics are illegal not because a loving government is concerned that you may jump out of a third story window, psychedelics are illegal because they dissolve opinion structures and culturally lay down models of behavior and information processes. They open you up to the possibility that everything you know is wrong, and government and society spend a lot of money educating you into being a loyal worker, consumer, debt payer and citizen."


Edited by DyingTree (01/03/08 07:52 AM)


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InvisibleDyingTree
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Re: Whites More Likely to Get ER Narcotics [Re: PoisonedV]
    #7826592 - 01/03/08 07:48 AM (16 years, 29 days ago)

Quote:

PoisonedV said:
Dying tree that was an excellent post.




thank you


--------------------
"Psychedelics are illegal not because a loving government is concerned that you may jump out of a third story window, psychedelics are illegal because they dissolve opinion structures and culturally lay down models of behavior and information processes. They open you up to the possibility that everything you know is wrong, and government and society spend a lot of money educating you into being a loyal worker, consumer, debt payer and citizen."


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