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A Push for Balanced Drug Policy Is Transforming Pain Relief in India | Open Society Foundations (OSF)
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</div></div> </div> <div class="views-field views-field-field-featured-media-1"> <div class="field-content"><div class="view view-media view-id-media view-display-id-block_7 view-dom-id-edeb3dd46c2a6a197765991551e3e671"> </div></div> </div> <div> <div> </div> </div> </div> </div> </div> </div> </div> </div><div class="block block-system block-main block-system-main even block-without-title" id="block-system-main"> <div class="block-inner clearfix"> <div class="content clearfix"> <article about="/voices/push-balanced-drug-policy-transforming-pain-relief-india" typeof="sioc:Item foaf:Document" class="node node-blog-entry node-published node-not-promoted node-not-sticky author-asadler odd clearfix" id="node-blog-entry-56756"> <div class="content clearfix"> <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p>How do you care for a patient in pain? It’s a deceptively complicated question—one that garners vastly different responses depending on where you are in the world. In some places, pain is poorly understood, and medicines to relieve pain are unavailable or stigmatized.</p> <p>Dr. M.R. Rajagopal is the founder and chairman of Pallium India, a palliative care organization emphasizing compassionate care and working to ensure patients are offered adequate treatment for their pain. Dr. Rajagopal has dedicated decades to ensuring quality of life for his patients and is a committed advocate for better access to controlled medicines—particularly morphine, an affordable and effective, yet highly stigmatized, treatment.</p> <p>In 80 percent of the world, political, regulatory, and social barriers—often related to the UN’s International Drug Control Conventions—mean that patients do not receive medication for pain relief. “This is a global issue,” Dr. Rajagopal says. “It really hurts in developing countries.”</p> <p>Dr. Rajagopal’s advocacy has contributed to law reform in India—a critical step in reducing needless suffering and allowing millions to access pain relief. He is now working with doctors, nurses, patients, and government officials to implement reforms at the state level. India’s growing leadership in palliative care, and recognition of the need for balanced drug policy, will change the lives of millions.</p> <p>In April, the UN will meet for the <a href="https://web.archive.org/web/20160404220522/https://www.opensocietyfoundations.org/explainers/what-ungass-2016">General Assembly Special Session on drugs</a> (UNGASS), a chance to move global drug policies in a more compassionate direction. Dr Rajagopal’s work is an excellent example of the potential of this mindset, and proof that our war on drugs must not needlessly claim more victims.</p> </div></div></div><div class="field field-name-field-footer-text field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even">Pallium India is a grantee of the Open Society Foundations. <em>At Open Society</em> is a video series highlighting the people and ideas that are inspiring our work—and changing the world.</div></div></div><div class="field field-name-field-call-to-action field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p><a href="/web/20160404220522/https://www.opensocietyfoundations.org/podcasts">Subscribe to <em>At Open Society</em> via iTunes or RSS.</a></p> </div></div></div><div class="field-group-format group_learn_more field-group-div group-learn-more speed-fast effect-none"><h3><span>Learn More:</span></h3><div class="field-items"><span class="field-type-taxonomy-term-reference"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/regions/asia">Asia</a></span>, <span class="field-type-taxonomy-term-reference"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/issues/health">Health</a></span>, <span class="field-type-taxonomy-term-reference"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/about/programs/global-drug-policy-program">Global Drug Policy Program</a></span>, <span class="field-type-taxonomy-term-reference"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/topics/access-medicines">Access to Medicines</a></span>, <span class="field-type-taxonomy-term-reference"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/topics/drug-policy-reform">Drug Policy Reform</a></span>, <span class="field-type-taxonomy-term-reference"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/topics/law-and-health">Law and Health</a></span>, <span class="field-type-taxonomy-term-reference"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/topics/palliative-care">Palliative Care</a></span></div></div> </div> <div class="clearfix"> <nav class="links node-links clearfix"><ul class="links inline"><li class="comment-add first last active"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/voices/push-balanced-drug-policy-transforming-pain-relief-india#comment-form" title="Share your thoughts and opinions related to this posting." class="active">Add your voice</a></li></ul></nav> <div id="comments" class="comment-wrapper" class="comment-wrapper"> <div class="comments-header"> <h2 class="title"> 7 Comments </h2> <div class="comments-toggle"><img class="icon" src="/web/20160404220522im_/https://www.opensocietyfoundations.org/sites/all/themes/osf_theme/img/icn-close.png"><span class="action">Hide</span></div> </div> <a id="comment-29840"></a> <article class="comment comment-by-anonymous clearfix" about="/comment/29840#comment-29840" typeof="sioc:Post sioct:Comment" class="comment comment-by-anonymous clearfix"> <header class="submitted"> <div class="submitted-user"><span rel="sioc:has_creator"><span class="username" xml:lang="" typeof="sioc:UserAccount" property="foaf:name" datatype="">April Wolff</span></span></div> <div class="submitted-date"><span property="dc:date dc:created" content="2016-03-31T17:07:51-04:00" datatype="xsd:dateTime" rel="sioc:has_creator">posted on Mar 31, 2016</span></div> </header> <div class="comment-arrow"></div> <div class="content"> <span rel="sioc:reply_of" resource="/voices/push-balanced-drug-policy-transforming-pain-relief-india" class="rdf-meta element-hidden"></span><div class="field field-name-comment-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p>I hear of minorities in New York hospitals getting inadequate pain meds when, for example, having a gall bladder operation. If your English is bad, you can't be in pain?</p> </div></div></div> </div> <footer> <ul class="links inline"><li class="comment-reply first last"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/comment/reply/56756/29840">reply</a></li></ul> </footer> </article> <a id="comment-29841"></a> <article class="comment comment-by-anonymous clearfix" about="/comment/29841#comment-29841" typeof="sioc:Post sioct:Comment" class="comment comment-by-anonymous clearfix"> <header class="submitted"> <div class="submitted-user"><span rel="sioc:has_creator"><span class="username" xml:lang="" typeof="sioc:UserAccount" property="foaf:name" datatype="">Vinanti Sarkar</span></span></div> <div class="submitted-date"><span property="dc:date dc:created" content="2016-03-31T17:16:58-04:00" datatype="xsd:dateTime" rel="sioc:has_creator">posted on Mar 31, 2016</span></div> </header> <div class="comment-arrow"></div> <div class="content"> <span rel="sioc:reply_of" resource="/voices/push-balanced-drug-policy-transforming-pain-relief-india" class="rdf-meta element-hidden"></span><div class="field field-name-comment-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p>Thanks for Dr. Rajagopal's voice in explaining global drug policies ... esp. in the USA ...</p> </div></div></div> </div> <footer> <ul class="links inline"><li class="comment-reply first last"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/comment/reply/56756/29841">reply</a></li></ul> </footer> </article> <a id="comment-29844"></a> <article class="comment comment-by-anonymous clearfix" about="/comment/29844#comment-29844" typeof="sioc:Post sioct:Comment" class="comment comment-by-anonymous clearfix"> <header class="submitted"> <div class="submitted-user"><span rel="sioc:has_creator"><span class="username" xml:lang="" typeof="sioc:UserAccount" property="foaf:name" datatype="">John M Leveroni</span></span></div> <div class="submitted-date"><span property="dc:date dc:created" content="2016-04-01T08:37:55-04:00" datatype="xsd:dateTime" rel="sioc:has_creator">posted on Apr 1, 2016</span></div> </header> <div class="comment-arrow"></div> <div class="content"> <span rel="sioc:reply_of" resource="/voices/push-balanced-drug-policy-transforming-pain-relief-india" class="rdf-meta element-hidden"></span><div class="field field-name-comment-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p>Compassionate health care requires pain relief...</p> </div></div></div> </div> <footer> <ul class="links inline"><li class="comment-reply first last"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/comment/reply/56756/29844">reply</a></li></ul> </footer> </article> <a id="comment-29845"></a> <article class="comment comment-by-anonymous clearfix" about="/comment/29845#comment-29845" typeof="sioc:Post sioct:Comment" class="comment comment-by-anonymous clearfix"> <header class="submitted"> <div class="submitted-user"><span rel="sioc:has_creator"><span class="username" xml:lang="" typeof="sioc:UserAccount" property="foaf:name" datatype="">Stephen Appiah ...</span></span></div> <div class="submitted-date"><span property="dc:date dc:created" content="2016-04-01T16:16:53-04:00" datatype="xsd:dateTime" rel="sioc:has_creator">posted on Apr 1, 2016</span></div> </header> <div class="comment-arrow"></div> <div class="content"> <span rel="sioc:reply_of" resource="/voices/push-balanced-drug-policy-transforming-pain-relief-india" class="rdf-meta element-hidden"></span><div class="field field-name-comment-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p>Well not responding to patients in pain may be cruel. However continuous usage of pain reliefs do not help suffers of chronic pain.</p> </div></div></div> </div> <footer> <ul class="links inline"><li class="comment-reply first last"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/comment/reply/56756/29845">reply</a></li></ul> </footer> </article> <div class="indented"><a id="comment-29856"></a> <article class="comment comment-by-anonymous clearfix" about="/comment/29856#comment-29856" typeof="sioc:Post sioct:Comment" class="comment comment-by-anonymous clearfix"> <header class="submitted"> <div class="submitted-user"><span rel="sioc:has_creator"><span class="username" xml:lang="" typeof="sioc:UserAccount" property="foaf:name" datatype="">Kristine</span></span></div> <div class="submitted-date"><span property="dc:date dc:created" content="2016-04-03T22:34:32-04:00" datatype="xsd:dateTime" rel="sioc:has_creator">posted on Apr 3, 2016</span></div> </header> <div class="comment-arrow"></div> <div class="content"> <span rel="sioc:reply_of" resource="/voices/push-balanced-drug-policy-transforming-pain-relief-india" class="rdf-meta element-hidden"></span><span rel="sioc:reply_of" resource="/comment/29845#comment-29845" class="rdf-meta element-hidden"></span><div class="field field-name-comment-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p>Mr. Appiah, you belong to a very small group of people with your statement. Before you express an opinion like this, you need to do a very large study with patients who live in high-impact, chronic pain for which there is no cure or alternate treatment that works. Until that study is done, we have to go by what the patients say, don't you think? I belong to a group of 30 million people in the US alone who would disagree with you. My story is short, so I don't have to bore you. Without my medication, I cannot walk, stand, turn, sit, use the bathroom, etc., etc. </p> </div></div></div> </div> <footer> <ul class="links inline"><li class="comment-reply first last"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/comment/reply/56756/29856">reply</a></li></ul> </footer> </article> </div><a id="comment-29850"></a> <article class="comment comment-by-anonymous clearfix" about="/comment/29850#comment-29850" typeof="sioc:Post sioct:Comment" class="comment comment-by-anonymous clearfix"> <header class="submitted"> <div class="submitted-user"><span rel="sioc:has_creator"><span class="username" xml:lang="" typeof="sioc:UserAccount" property="foaf:name" datatype="">Philomena Burke</span></span></div> <div class="submitted-date"><span property="dc:date dc:created" content="2016-04-02T18:09:44-04:00" datatype="xsd:dateTime" rel="sioc:has_creator">posted on Apr 2, 2016</span></div> </header> <div class="comment-arrow"></div> <div class="content"> <span rel="sioc:reply_of" resource="/voices/push-balanced-drug-policy-transforming-pain-relief-india" class="rdf-meta element-hidden"></span><div class="field field-name-comment-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p>I love Dr Rajagopal's phrase about treating the person who must not be seen as only a container for disease to be sent home in pain if there is no cure.</p> </div></div></div> </div> <footer> <ul class="links inline"><li class="comment-reply first last"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/comment/reply/56756/29850">reply</a></li></ul> </footer> </article> <a id="comment-29857"></a> <article class="comment comment-by-anonymous clearfix" about="/comment/29857#comment-29857" typeof="sioc:Post sioct:Comment" class="comment comment-by-anonymous clearfix"> <header class="submitted"> <div class="submitted-user"><span rel="sioc:has_creator"><span class="username" xml:lang="" typeof="sioc:UserAccount" property="foaf:name" datatype="">Kristine</span></span></div> <div class="submitted-date"><span property="dc:date dc:created" content="2016-04-03T22:41:45-04:00" datatype="xsd:dateTime" rel="sioc:has_creator">posted on Apr 3, 2016</span></div> </header> <div class="comment-arrow"></div> <div class="content"> <span rel="sioc:reply_of" resource="/voices/push-balanced-drug-policy-transforming-pain-relief-india" class="rdf-meta element-hidden"></span><div class="field field-name-comment-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p>THANK YOU, DOCTOR FOR STATING WHAT SO MANY OF US PATIENTS KNOW, BUT HAVE BECOME BLIND-SIDED BY US GOVERNMENT ENTITIES (CDC, DEA, ETC.) AND ARE FAST REDUCING AND TAKING AWAY OPIOIDS FROM PATIENTS BECAUSE THEY BELIEVE IT WILL AFFECT THE "WAR ON DRUGS." OUR VETERANS ARE SUFFERING, PEOPLE LIKE ME ARE 30,000,000 STRONG, WHO HAVE BEEN ON OPIOIDS (ME FOR 15 YEARS) FOR WHICH GIVES ME A LITTLE BIT OF A LIFE. PLEASE READ THE NATIONAL PAIN REPORT ONLINE. LOOK FOR SOME OF MY ARTICLES AND MANY MORE FROM PATIENTS Pen name: (Krissy Anderson) PLEASE HELP US OFFICIALS AT THIS CONFERENCE. THEY MUST BE SWAYED BY MONEY BECAUSE THEY DIDN'T ALL OF A SUDDEN AGREE THAT OPIOIDS DON'T WORK! I WILL PASS THIS ON TO A FEW HUNDRED PEOPLE I KNOW.</p> </div></div></div> </div> <footer> <ul class="links inline"><li class="comment-reply first last"><a href="/web/20160404220522/https://www.opensocietyfoundations.org/comment/reply/56756/29857">reply</a></li></ul> </footer> </article> <h2 class="title comment-form">Add your voice</h2> <form class="comment-form user-info-from-cookie" action="/web/20160404220522/https://www.opensocietyfoundations.org/comment/reply/56756" method="post" id="comment-form" accept-charset="UTF-8"><div><div class="form-item form-type-textfield form-item-name"> <label for="edit-name">Name <span class="form-required" title="This field is required.">*</span></label> <input type="text" id="edit-name" name="name" value="" size="30" maxlength="60" class="form-text required"/> </div> <div class="form-item form-type-textfield form-item-mail"> <label for="edit-mail">Email <span class="form-required" title="This field is required.">*</span></label> <input type="text" 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This compilation of reports by researchers and civil society offers recommendations for how governments can work to improve drug treatment in Brazil, Colombia, the Dominican Republic, Guatemala, Mexico, and Puerto Rico. "/> </div> <ul class="piped slug-icons"> <li class="slug odd first"> Report </li> </ul> <h5 class="title">No Health, No Help</h5> <ul class="piped metadata"><li class="first authors">by Denise Tomasini-Joshi</li></ul> </a> </div> <div class="views-row views-row-2 views-row-even new-featured-work-block even"> <a href="https://web.archive.org/web/20160404220522/https://www.opensocietyfoundations.org/voices/vancouver-has-pioneered-people-first-approach-drug-issues" class="featured-work-video"> <div class="featured-work-image-wrap"> <img class="homepage_block_image" typeof="foaf:Image" src="https://web.archive.org/web/20160404220522im_/https://www.opensocietyfoundations.org/sites/default/files/styles/homepage_block_image/public/photos/liz-evans-at-open-society-carousel-20160314.jpg?itok=qSCOZtqw" width="378" height="252" alt="Liz Evans" title="Still image from “At Open Society: Liz Evans.” Insite, North America’s only supervised injection site, joins the nearly one hundred similar sites around the world that treat drug dependence as an issue of public health rather than criminal justice. Liz Evans, founder and former director of PHS Community Services Society in Vancouver, has seen firsthand the lives saved by this kind of pragmatic approach."/> </div> <ul class="piped slug-icons"> <li class="slug odd first"> Voices </li> <li class="even last"> <i class="icon-video">(video)</i> </li> </ul> <h5 class="title">Vancouver Has Pioneered a People-First Approach to Drug Issues</h5> <ul class="piped metadata"><li class="first authors">by Sarah Evans</li><li class="last bubble-wrap"><div class="bubble-comment"><span class="bubble-comment-count">10</span></div></li></ul> </a> </div> <div class="views-row views-row-3 views-row-odd views-row-last new-featured-work-block odd last"> <a href="https://web.archive.org/web/20160404220522/https://www.opensocietyfoundations.org/reports/detention-and-punishment-name-drug-treatment"> <div class="featured-work-image-wrap"> <img class="homepage_block_image" typeof="foaf:Image" src="https://web.archive.org/web/20160404220522im_/https://www.opensocietyfoundations.org/sites/default/files/styles/homepage_block_image/public/photos/20160315-detention-and-punishment-name-drug-treatment-carousel.jpg?itok=uBWxSMNj" width="378" height="252" alt="Report cover" title="Cover of Detention and Punishment in the Name of Drug Treatment. This report highlights considerations of UN bodies calling for the closure of compulsory drug detention centers and an expansion of voluntary, scientifically and medically appropriate forms of treating drug dependence in the health system."/> </div> <ul class="piped slug-icons"> <li class="slug odd first"> Report </li> </ul> <h5 class="title">Detention and Punishment in the Name of Drug Treatment</h5> <ul class="piped metadata"><li class="first authors">by Joanne Csete, Richard Pearshouse</li></ul> </a> </div> </div> </div> </div> </section> </div> </aside> </div> </div> </div></section> <footer id="section-footer" class="section section-footer"> <div id="zone-footer-wrapper" class="zone-wrapper zone-footer-wrapper clearfix"> <div id="zone-footer" class="zone zone-footer clearfix container-24"> <div class="grid-9 region region-footer-first" id="region-footer-first"> <div class="region-inner region-footer-first-inner"> <section id="footer-first-content" class="clearfix"> <a 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