American Pain Foundation Position Statement on Access to Pain Care

Pain is a serious and costly public health issue—together, acute and chronic pain significantly and negatively affects the lives of an estimated one out of every four Americans, costing more than $100 billion each year in medical claims, disability payments, lost wages, and lost productivity.This figure does not begin to cover the physical, emotional, and economic strain of pain on the individual and his or her family members and friends. Unfortunately, many barriers exist in our society and culture that place access to pain management out of reach for many Americans. Barriers are multifaceted and entrenched, ranging from a lack of pain providers who are knowledgeable and willing to provide appropriate pain care, to financial affordability, disparities and discrimination, and unnecessarily restrictive regulation. Furthermore, unintended consequences exist in policy, third-party payer rulings and professional conduct based on fear and stigma that continue to erode access to effective pain management among those who are suffering. The effects of pain on the individual and society can be alleviated or managed with proper medical attention. Early intervention can reduce health care costs, limit disability, and dramatically improve the lives of people living with pain and their loved ones.