because we are displayin made t. we prescribe really aggressively and here is the key may be prescribing progressively would have been okay if we did it according to any evidence base that we didn't and here's the scary part, a whole bunch of doctors still don't. but now we are terrified of opioids because we read the newspaper and what is happening is they are killing a bunch of people so they are telling doctors to stop killing people so we are squeezing the supply and now we are hurting patients in another fun way. we are failing in multiple ways and thatt is crazy. so the next section i'm going to read is trying to figure out a little bit of just how bad we are at a justin and how much we have to improve before we do anything like responsible prescribing of opioids. this is about my mom in about two years after i've gone through my own, and my mom had to have both her knees replaced. this is an excruciatingly painful surgery. she and i knew she was going to need a lot of pain medication. she was terrified and i w