Because most people who are prescribed opioids do not see themselves as being at risk for overdose, they may decline naloxone even if it is offered by a medical provider. Talking about not breathing as a possible side effect usually grabs patients' attention and will make them more open to information on naloxone.
Now is the time for medical communities everywhere to examine existing processes critically, pursue thoughtful advances in how we deliver care, and promote a culture that engages staff in the improvement process. Taking care of patients is not only about the therapies we provide but also having the most effective care delivery systems possible. By that metric, American health care still has significant room to grow.
While physician payments might seem less of a problem than toxic air pollution, the impact on the economy cannot be understated. Because Medicare is typically used as the baseline for how much private insurers pay physicians, any distortions to the Medicare have widespread effects on health care and the broader economy.