Law or not?

In 2016 the CDC put out guidelines to improve communication between clinicians and patients about the risks and benefits of opioid therapy for chronic pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated with long-term opioid therapy.
The CDC recommends that chronic pain patients are not offered opoids as a first option for pain relief, that doctors consider the pros and cons of keeping CP patients on higher (> 90MME) opiod doses.
But, the CDC Guidelines do NOT endorse mandated involuntary dose reduction. IE, they don’t insist CP patients’ dosage be automatically reduced to 90 MME or anything else: it’s a SUGGESTION.
Due to this misconception, you have pharmacies asking to see medical charts. Explicit taper plans as a condition for filling prescriptions (!). And, worst of all, you now have pain professionals and clinics actively striving to rid themselves of chronic pain patients who require higher morphine equivalent dosages – simply to avoid the giant pain in the ass such patients have become.
Equally lousy, some clinics are forcing invasive and unneeded procedures such as spinal injections in order to even get one’s prescriptions in the first place. I can relate to this last: several pain clinics have tried this one on me. Horrified at the thought, I ran like hell.
Many VA hospitals and practitioners now refuse to give our vets narcotics at all. Great. Fight for our country, get your leg blown off, suffer from severe pain due to it – and nope, no pain meds for you. The rate of pain-ridden vet suicides is rising by the day, though: that’s one way to rid oneself of those pesky chronic pain vets.
Elders aren’t being ignored in these unlaudable, opoid witch-hunt times. The current rumor is that Medicare simply won’t pay for opoids. How are elders, arguably those with the worst chronic pain by dint of having lived the longest with it, to live semi-normal lives? Expect another massive influx of suicides when/if this one goes through.
All over what? CDC “Recommendations” which were never meant to become law. How is it that Attorney Generals for certain states are now becoming experts on pain management, deciding what’s good for their states? Therein hangs another article.