Like you said, Dr. Smith, most doctors do know / understand this, but they act as if they did not know / understand anything. I think they are afraid of the American Medical Association (AMA), their State Medical Board, the DEA... I also believe the bureaucrats, politicians, and lawmakers do not want to know / understand this because they and their loved ones do not have to deal with such severe chronic pain on a daily basis. Who else does not want to know / understand? Many family members and caregivers, without forgetting the patients' friends and coworkers... If everyone got together to really ACT, maybe something would change... I hope...