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Patricia L. Morgan 17D
From: Mitchelllan [lanMitchell @colliergov.net]
Sent: Thursday, December 16, 2010 8:39 AM
To: Patricia L. Morgan
Subject: FW: Attention: Commissioner Fred Coyle
Attachments: Comments before the Collier County Board of Commissioners 14 December 2010.doc
Regards,
Ian Mitchell
Executive Manager, BCC
(239) 252 -8097 phone
(239) 252 -6406 fax
ianmitchell @colliergov.net
From: nopainenogain@comcast. net [ mai Ito: nopainenogain(abcomcast.netl
Sent: Wednesday, December 15, 2010 8:42 PM
To: MitchellIan
Subject: Attention: Commissioner Fred Coyle
Dear Sir,
Yesterday I was one of the speakers addressing the Board in Reference to the proposed moratorium
on "pill mills."
Commissioner Coyle requested a copy of my comments which are enclosed. Please forward to him
these remarks
as well as my email address. I am available should he require any further information.
Thank you for your assistance in this matter.
Gregory F. Paine, M.D.
Comprehensive Pain Center of Naples
11161 Health Park Blvd
Naples, FL 34110
239 - 436 -6711
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17D
Comments before the Collier County Board of Commissioners 14 December 2010
Gregory F. Paine, M.D.
Good morning, my name is Dr. Gregory Paine and I am a board certified
anesthesiologist, fellowship trained and board certified pain specialist and am
representing today both the Collier County Medical Society as well as the Lee - Collier
County Chapter of the Florida Society of Interventional Pain Physicians. I have lived in
Collier County for five years and previously served in the U.S. Navy and was the
Assistant Pain Fellowship Director for the Navy's only Pain Management Program. I
bring the military ethos to my practice.
We as physicians have seen firsthand the carnage caused by the rampant spread of
prescription substance abuse and welcome the opportunity to partner with law
enforcement and local government to eradicate this problem in our community.
However, the urgency for action must be balanced by a wise and prudent course of
action.
In principle, we support the institution of a moratorium of new pain clinics in the county
as an emergency measure until a reasonable and effective ordinance can be formed. The
ordinance must not impede the practice of medicine, but rather prevent the establishment
of criminal enterprises who operated under the guise of providing medical care. We must
allow law enforcement the tools to arrest and be able to prosecute those trafficking in
narcotics. Unfortunately, the current language in the moratorium creates a few problems.
The physicians who are working act at the pill mills are medical charlatans who will
morph and find loopholes in whatever rules are passed as we are already witnessing with
the S.B. 2272. For example, Pain Clinics are changing their branding to that of a Family
Care or Urgent Care practice, and some are even offering injections (interventional pain
procedures, not injections of narcotics) or physical therapy on site. The reality is that
their patients are only interested in medical management, that is obtaining their pills and
want nothing to do with injections or physical therapy. The moratorium will not halt
those physicians masquerading as another form of practice from continuing to operate as
a pill or prescription mill.
Additionally, no protection is provided to existing physicians who may have their group
practice disband or wish to expand or move their practice to another location. Some
means of protection should be included in the language of the moratorium to
accommodate these concerns.
Medicine is the highest regulated profession and we as physicians do not want any further
regulation as it adds to our ever increasing overhead while our reimbursements continue
to decline. We ask the Board of Commissioners to allow us to help write, edit and have
comment on any future ordinance to be brought before the Board prior to it becoming an
agenda item. We need sufficient time to act and provide valuable input to create an
instrument that is in the best interest of patients, physicians, law enforcement,
government and the citizens of Collier County.
17D
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