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Most of the world's people who die in cancer pain have no access to morphine, a drug that costs pennies, because of restrictive national rules. Fixing the rules, not inventing new drugs, is the answer.
The Lancet Commission on Global Access to Palliative Care and Pain Relief estimated that the great majority of the world's need for opioid analgesia in serious illness goes unmet, concentrated in low- and middle-income countries. Barriers are regulatory: unrealistic national import estimates submitted to the International Narcotics Control Board, prescribing restricted to a few specialists, short prescription limits, and fear of prosecution. A country-level reform package with realistic quota estimation, expanded prescriber lists, and prescribing training could change this in years.
Shares Locally prepared oral morphine solution, licensed for nurse prescribing, Pain relief and palliative care are unavailable to most, Most of the world has almost no cancer care.
Shares Pain relief and palliative care are unavailable to most, Most of the world has almost no cancer care.
Shares Global access and affordability roadmap: essential medicines and generics → biosimilars and frugal trials → reliance, pooling and homegrown innovation, Most of the world has almost no cancer care.
Shares Pain relief and palliative care are unavailable to most, Most of the world has almost no cancer care.
Shares Pain relief and palliative care are unavailable to most, Most of the world has almost no cancer care.
Shares Pain relief and palliative care are unavailable to most, Global access and affordability roadmap: essential medicines and generics → biosimilars and frugal trials → reliance, pooling and homegrown innovation, Most of the world has almost no cancer care.
Shares Global access and affordability roadmap: essential medicines and generics → biosimilars and frugal trials → reliance, pooling and homegrown innovation, Most of the world has almost no cancer care.
Shares Pain relief and palliative care are unavailable to most, Most of the world has almost no cancer care.