This Substack is my space for clear, evidence-based writing on pain, addiction, and the public policies that affect millions of patients and the general public every day. After four decades as a practicing pain physician and researcher, I’m committed to cutting through fear-driven headlines and political spin with facts, clinical context, and honest critique.

In my posts I’ll include:

  • Policy analysis—Straightforward breakdowns of new laws, guidelines, and proposals and their real-world impact on people in pain and those with substance-use disorders.

  • Critical takes on dominant narratives—Examining where the data supports (or contradicts) today’s headlines and helping you separate signal from noise.

  • Clinical insight you won’t find elsewhere—Perspectives drawn from 350+ clinical trials, decades of patient care, and my own research on pain, analgesics, opioids, and addiction risk.

  • No-clickbait, no sensationalism posts—Thoughtful essays designed to inform and sharpen your own critical thinking.

My goal is simple: to help readers become better informed and more discerning about one of the most important—and most misunderstood—areas of medicine today: pain and addiction.


Subscriptions are Free

As a subscriber you’ll:

  • get full access to the newsletter and publication archives.

  • stay up-to-date. Never miss an update—every new post is sent directly to your email inbox. For a spam-free, ad-free reading experience, plus audio and community features, get the Substack app.

  • be part of a community of people who share your interests. Participate in the comments section, or support this work with a subscription.


To learn more about the tech platform that powers this publication, visit Substack.com.

User's avatar

Subscribe to Pain, Addiction, and Public Health

This Substack is about clear, evidence-based writing on pain, addiction, and the public policies that affect millions of patients and the general public every day.

People