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 and 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 me 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 i mean probably not for making people spilling an oxy contemn produce marketing of oxycontin that's depending on how you look at it very successful very tragic all the marketing legislative maneuvering cash and free giveaways handed to doctors and politicians might have been justified if opioids were a safe effective non-addictive treatment for chronic pain but the