Millions of Americans living with chronic pain struggle because two important public health issues— chronic pain and opioid addiction—are misunderstood and have been conflated. Until these two health conditions are properly distinguished, studied and addressed, the problems associated with both will continue. Tension and misunderstanding surrounding chronic pain and opioid addiction characterize the state of pain in 2016.

We are pleased to announce the release of this important report and hope that you will share it with others. This report is a product of the Pain Action Alliance to Implement a National Strategy (PAINS) and the Center for Practical Bioethics.

This report is designed as a tool for PAINS members to support their work to improve pain policy. In the spirit of the alliance, the report is designed as an “open document” so any member organization or individual can brand it with their name and contact information. The back page of the report is designed with a space marked “This copy is made available to you by:” for easy personalization.

Everyone can download a master electronic copy. Hard copies can be ordered in a package of 5. There is a flat rate mailing cost of $5.00. If you want larger quantities, please contact us.


Help Us Share the Report Online

We encourage you to highlight this report on your website, to forward an electronic copy to your constituents and share on social media to get the word out.

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Tweet: @PAINSProject releases Lost in Chaos: The State of Pain 2016. Download the PDF


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