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Ensuring Effective Pain TreatmentA National and Global Perspective
Allyn L. Taylor, JD, LLM, JSD;
Lawrence O. Gostin, JD;
Katrina A. Pagonis, JD, MPH, LLM
JAMA. 2008;299(1):89-91.
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Medical availability of effective pain medication is vitally important domestically and globally. Medical advances have substantially improved the technical capacity to control pain and diminish its consequences. Worldwide, millions of persons with chronic, acute, and terminal conditions have found relief from excruciating pain through medical intervention. However, richer countries have disproportionately benefited from improvements in access to and use of pain medication. The tragedy is that for most of the world's population, particularly persons in poorer countries, effective pain control is entirely unavailable.
An estimated 80% of persons worldwide do not receive adequate treatment for pain, and severe undertreatment for pain is an acute problem in more than 150 countries.1 Hospice and palliative care services exist or are being developed in about 100 countries, but their global distribution is uneven. Although the majority of . . . [Full Text of this Article] Attitudinal Barriers
Author Affiliations: O’Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC.
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