to ask each person to rate their pain on a scale from $1.00 to $10.00 doctors and hospitals were mohnish to if they did not treat this pain the joint commission developed this pain as the 5th vital sign. as part of a grant to that was provided to them by the pharmaceutical company purdue pharma the joint commission on accreditation of healthcare organizations recently defined and adopted stringent pain standards on the basic thrust of our new standards is that organizations of practitioners have an obligation to ask the patient even if the patient doesn't look like he or she is in pain ask them to surprise but here when you go to a doctor's office how they ask you or are you having pain. though you may go for a raise that has nothing to do with pain which just added lighter fluid to the fire because because it became equivalent to say if you have pain you need opioids. at least in the united states you know 2 plus. you know probably not for making people smile and on oxycontin produce marketing of oxycontin depending on how you look at it very successful very tragic all the marketing leg