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I have nothing to disclose. Pain is a major public health issue. In fact, pain is cited as the most common reason Americans access the healthcare system. Pain affects more Americans than diabetes, heart disease, and cancer combined. According to the National Center for Health Statistics, 1 out of every 4 Americans have reported that they suffered from pain that lasted 24 hours and millions more suffer from acute pain. As a result, pain is a major contributor to healthcare costs which is estimated at over $635 billion dollars per year in medical treatment and lost productivity. Between 1999 and 2010, the sale of opioid pain relievers used to manage pain has actually risen over 4-fold. In 2010, enough opioid pain relievers were prescribed to medicate every adult in America around the clock taking 1 pill every 4 hours for a month. Yet despite the use of potent narcotics to manage pain, 40% of patients still report being inadequately treated for pain. Why do physicians use urine drug tes
