When I looked at the AAPS website, that put the above article into perspective. I don't believe they really want to advocate the "advice" above, I believe it is a semi-satire piece in response to the "war on pain doctors" articles from the same website and perhaps even a survival manual to doctors. It is really sad that law enforcement officials and insurance companies can tell doctors (who have attended many years of graduate school and OTJ training) what is medically necassary Anybody ever seeen "JOHN Q" --don't be surprised if this happens more often--and not just for transplant patients.

Doctors say US Drug policy forces pain patients to extreme measures, turns doctors into criminals

Administration declares war on doctors; vows to treat “like Taliban”

US DEPARTMENT OF JUSTICE ARRESTS ESTEEMED PAIN PHYSICIAN DR. WILLIAM HURWITZ PART OF A DISTURBING NATIONAL TREND MEDICAL EXPERTS AND NATIONAL PAIN CARE ADVOCATES SPEAKING OUT

et. al.