ASIPP says more than 20,000 people die each year from prescription-drug overdoses, spurred by the growth of “doctor shopping” in which patients request care from multiple physicians, often simultaneously and across state lines, with no effort to coordinate care or inform the physicians about multiple caregivers.
“The lack of uniform state regulation of the prescription drug industry is to blame,” says Ron Washburn, professor of legal studies at Bryant University. “More and more instances are arising where an individual can see multiple doctors and get multiple prescriptions to either use or sell.”
One important move forward, say analysts, is the trend towards making patient databases instantly available. A federally-funded California program pushed forward by Attorney General Jerry Brown in the wake of Jackson’s death, as well as those of Britany Murphy, Anna Nicole Smith, and Heath Ledger, was unveiled in the fall of 2009.
Brown unveiled the new real-time, Internet-based prescription-monitoring database that provides physicians, pharmacists, and law enforcement officers a powerful technology to stop "drug seekers" from obtaining prescription drugs.
"The recent deaths of Anna Nicole Smith and Michael Jackson have made clear to the whole world just how dangerous prescription drug abuse can be," said Brown at a press conference.
The state's secure database, known as the Controlled Substance Utilization Review and Evaluation System (CURES), contains more than 100 million entries representing controlled substances dispensed in California. Controlled substances are classified under federal guidelines based on the potential for abuse and accepted medical use in treatment in the United States and under international treaties.
The database gives health professionals (doctors, pharmacists, midwives, and registered nurses), law enforcement agencies, and medical profession regulatory boards instant computer access to patients' controlled-substance records. It replaces the state's previous system that required mailing or faxing written requests for information. Each year, more than 60,000 such requests are made to the Attorney General's office.