I came across an amazing piece today written by Malcolm Butler, MD, Medical Director at Columbia Valley Community Health Services in Washington State. This should be required reading for all of us doing battle in the trenches of the opioid epidemic.
A link to the full piece is here. In summary, Dr. Butler confronted the central challenge of his clinic by taking proactive steps to eliminate medically inappropriate opioid prescriptions from his practice. He sums up the results of the initiative as follows: