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Anna Nicole Smith and the Overprescribing of Drugs

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You may not give a darn about Anna Nicole Smith but the recent verdict in a Los Angeles criminal case stemming from her drug-overdose death has certainly captured the attention of doctors nationwide. I'll bet insurance companies specializing in malpractice medical coverage have snapped to attention as well.

After Anna Nicole Smith died in February 2007 three of the people closest to her -- her attorney and lover Howard K. Stern, her psychiatrist, Dr. Khristine Eroshevich and her personal physician, Dr. Sandeep Kapoor -- were criminally charged. Among the most serious of the original 23 charges was "providing controlled substances to a known addict." Interestingly, the trio was never accused of actually causing Smith's death and along the way some of the other charges were dismissed. It came down to a trial about whether they'd engaged in a conspiracy to help the 39 year old former Playboy cover girl and TV personality obtain prescription drugs through the use of false names and misrepresentation.

During nine weeks the jury testimony boiled down to this: Stern, Eroshevich and Kapoor finagled prescriptions using both real and fictitious names to get mountains of drugs for Smith. She had recently given birth to a baby girl and a few days later she suffered through the overdose death at her hospital bedside of her 20 year old son, Daniel. So, as the defense team presented it at trial, no wonder the poor woman needed drugs to get her through the ordeal! The prosecution argued this threesome of so-called professionals -- an attorney and two doctors -- acted not only unethically but that they each also crossed the line sexually with Anna Nicole Smith.

The 11 drugs found in Smith's systems ranged from methadone, (10 pills a day as prescribed by Dr. Kapoor and taken even while Smith was pregnant) to powerful sleep aids like chloral hydrate and a long list of narcotic painkillers like Vicodin (prescribed by Dr. Eroshevich.) The name found most often on her prescription bottles was Howard K. Stern but the doctors also used Jane Brown, Susie Wong and Vickie Lynn Marshall which just happens to be Anna Nicole's real name. Dr. Eroshevich was warned by two different pharmacists that the type and amount of prescriptions she was writing for her patient amounted to "pharmaceutical suicide." Still, the state said, Eroshevich personally transported massive amounts of prescription drugs to Smith in both Florida and the Bahamas.

The jury ultimately acquitted Dr. Kapoor but found Stern and Dr. Eroshevich guilty of the false name conspiracy. While the dead starlet's supporters moaned that it wasn't enough of a conviction the verdict still sent an earthquake sized shock through Hollywood's celebrity, medical and legal communities.

California defense lawyer Harlan Braun told the Associated Press that writing bogus prescriptions in today's paparazzi inspired media atmosphere is routine. "It's absolutely necessary for survival in Hollywood. If ... keeping these people anonymous is a criminal act, a lot of doctors will have to refuse to take celebrity patients."

Do famous people deserve privacy about their medical conditions? You bet. Do their doctors get to break the law while attempting to facilitate their privacy? No way. I, for one, hope we're witnessing the beginning of a trend where overprescribing doctors are charged with serious crimes and lose their medical licenses permanently if convicted.

Prescription drug abuse is at epidemic levels. We spend millions on campaigns against street drugs like cocaine, methamphetamine and heroin but we say little about the scourge of desperation and crime left behind by those drugs that come via a prescription pad or an illicit internet "pharmacy." I quoted studies in this space last year saying a total of 34 million Americans are currently taking painkillers or anti-depressants. Our kids watch us do it and many mimic the behavior.

L.A. based attorney and addiction intervention specialist Darren Kavinoky agrees. "The fact is that we, as a nation, love our drugs. Pharmaceuticals appeal to a broader (and sadly, younger) audience, because they don't have the stigma associated with street drugs, and are readily available ... pills are now number two behind marijuana for young people, and we are seeing more addiction and more overdose deaths because of it."

On the verdict in the Anna Nicole case Kavinoky says there's one upcoming defendant who should be shaking in his boots. He is Dr. Conrad Murray who was tending to Michael Jackson when the entertainer died last June and who is set to go on trial soon on charges of involuntary manslaughter. Kavinoky explains that to reach their guilty finding the Smith jury had to have dismissed the expert medical testimony, "We're all taught to believe doctors, to trust their judgment as being superior to our own. Those jurors had to disregard this notion in order to get to a conviction. This willingness to disregard the judgment, wisdom and experience of a medical professional should make Dr. Murray righteously nervous."

Frankly, I hope it makes overprescribing doctors everywhere mighty nervous.

Diane Dimond can be reached through her official web site: www.DianeDimond.com Her latest book, Cirque Du Salahi is available at Amazon.com