That’s a conclusion, albeit one with caveats, of a just-released study by Princeton University’s Alan Krueger PhD.
Here’s Dr Krueger’s key takeaway, with emphasis added:
about half of prime age men who are not in the labor force (NLF) may have a serious health condition that is a barrier to work. Nearly half of prime age NLF men take pain medication on a daily basis, and in nearly two-thirds of these cases they take prescription pain medication.
Labor force participation has fallen more in areas where relatively more opioid pain medication is prescribed, causing the problem of depressed labor force participation and the opioid crisis to become intertwined.
Implications abound.
For workers comp – despite unprecedented drops in opioid prescriptions for work comp patients, there remains a large population of patients addicted to/dependent on opioids. Moving this population away from opioids will require diverse, creative, and likely expensive services, patience, and persistence.
For the economy – a double whammy of non-productive people means they aren’t generating tax and revenues while consuming lots of resources in the form of aid, government funds, healthcare services, and family income.
For health plans, especially those serving the indigent, a very expensive, and very tough to manage population will increase Medicaid costs significantly.
For opioid manufacturers, shiploads of cash.
First, do no harm. Opioids do kill (more people in the US than traffic accidents!) and do ruin lives but do not relieve chronic pain, unless the dose is constantly increased, which might be reasonable for a terminal patient, but no one else.
Opioids work “Oh So Well” to control acute pain, but so do many safer things. Don’t use them for acute pain, ever.