@ChadDKollas I am a physician the guy put out a business as an addiction doctor using buprenorphine for about 20 years. What about the ceiling effect and rapid metabolizers? As you indicate the whole system is crazy. I’m not necessarily advocated for buprenorphine for pain, but has its place
The ability of demagogues & autocrats to surprise, to create a new scandal every day, is their superpower. It diminishes attention to the previous day's transgressions & normalizes them. It slowly numbs the senses, including outrage. Values are the only defense. Hold them dear.