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Placebos Without Deception: A Case Study

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Honest Deception---Regulating Placebo Treatment to Address Painkiller Abuse in the United States
Introduction
When highschooler Eric Schulz arrived home on an average day, he did not expect to discover his father lying dead on the floor. The cause was morphine overdose. Like many others, Lee Russell Schulz, former father and husband, became addicted to painkillers after losing his job (Mintz). Decades of survey data published by the Substance Abuse and Mental Health Service Administration show that painkiller addiction rates among the unemployed are three times as high as among those with stable careers (“Table 1.22A”). Addressing this issue is especially urgent now. While the number of people diagnosed with opioid addiction from 2010 to 2016 …show more content…
Facing America’s opioid epidemic and the potential benefits of placebos leads to the question: To what extent will regulating “open-label” placebo interventions in clinical trials decrease painkiller addiction rates in the United States? Surveying and analyzing evidence on the effect of placebo treatments through an economic, psychological, medical and ethical lens demonstrates that regulating “open-label” placebo intervention in clinical trials will alleviate dependency on active drugs and its side effects, reduce medical costs for patients, while maintaining an honest patient-healer …show more content…
On one hand, biomedicists argue that the cognitivity of expectation, or what the patient believes the treatment will achieve, leads to significant symptom improvement. For instance, trust and faiths potentially mediate expectancy to placebo treatment (Kaptchuk, “Maybe I”). Such expectancy can even counter the original pharmacological effect of the drug. An experiment published in the Journal of Clinical Investigation discovered that subjects experienced a decrease in nausea after consuming ipecacuana, a known potent emetic, if told it was an anti-emetic (Wolf). Findings like these raise suspicion over the true necessity of traditional, over-the-counter prescriptions with potentially harmful side

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