Another Victim in the War on Some Drugs

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From that bastion of anti-law-enforcement liberal-media bias, National Review:


October 24, 2005, 8:37 a.m.

Sick
A Florida paraplegic needs relief.

By Radley Balko
[blockquote]
Today, Richard Paey sits in a wheelchair behind high walls and razor wire in a high-security prison near Daytona Beach. Paey is a 46-year-old father of three, and a paraplegic. His condition is the result of a car accident, a botched back surgery, and a case of multiple sclerosis — three setbacks that have left him in a chronic, debilitating state of pain. After moving to Florida from New Jersey, Paey found it increasingly difficult to get prescriptions for the pain medication he needed to function normally — to support his family, and to be a parent to his children.

Paey's difficulties finding treatment were in large part due to federal- and state-government efforts to prevent the illegal use — or "diversion," as the feds call it — of prescription pain medicine. Doctors today face fines ,suspension, the loss of license or practice, the seizure of property, or even prison time in the event that drug cops (most of whom have no medical training) decide they are prescribing too many painkillers. As a result, physicians are understandably apprehensive about aggressively treating pain.

Like many pain patients, Paey found himself on the blunt end of such policies. He went from doctor to doctor, looking for someone to give him the medication he needed. By the time he eventually turned to his old New Jersey doctor for help, he had already attracted the attention of Florida drug-control authorities. What happened next is disputed, but it ended with Paey getting arrested, getting his home raided, and eventually getting convicted of drug distribution.

Paey insists his old doctor wrote him the prescriptions he needed. The Florida pharmacists who testified at his trial back him up. But the doctor says he forged the prescriptions. For his part, Paey holds no animus against his former doctor. Cops gave the doctor a devil's bargain — give Paey up, or face 25-years-to-life imprisonment for the excessive proscribing of painkillers. Paey still maintains the prescriptions were legitimate, but understands why his doctor turned against him.

The larger issue, of course, is why a man who is clearly not an addict (he wasn't taking the medication to get high) and had a legitimate use for the medication wasn't given access to what he needed in the first place.

State prosecutors concede there's no evidence Paey ever sold or gave his medication away. Nevertheless, under draconian drug-war statutes, these prosecutors could pursue distribution charges against him based solely on the amount of medication he possessed (the unauthorized possession of as few as 60 tablets of some pain medications can qualify a person as a "drug trafficker").

After three trials, Richard Paey was convicted and put in prison for 25 years, effectively a life sentence for someone in his condition. Ironically, the state of Florida now pays for a morphine pump connected to Paey's spine which delivers the same class of medication at the same doses the state of Florida told him wasn't necessary, and put him in prison for trying to obtain.

Prosecutors originally offered Paey a plea bargain that would have helped him avoid jail time, but Paey refused, insisting that (a) he did nothing wrong, and (b) even if he had, it shouldn't be a crime to seek relief from chronic pain. Paey feared that a plea would make other doctors in the state more reluctant to treat pain than they already were.

Publicly, Paey's prosecutors have conceded that the 25-year sentence was excessive, yet they insist that Paey himself is to blame, citing his refusal to accept a plea agreement. The chilling implication: Paey is serving prison time for drug distribution not because he's guilty of actually distributing drugs — the state admits as much — but because he insisted on exercising his constitutionally-protected right to a jury trial.

Earlier this year, New York Times columnist John Tierney flew to Florida to interview Paey for a story that ran on July 19. Tierney's column was sympathetic to Paey's plight, and sharply critical of the state of Florida.

There is now strong evidence that the state of Florida and prison officials retaliated against Paey for speaking with Tierney. Two weeks after the interview, Paey was moved to a prison facility more than two hours from his wife and family. He was then moved even farther away, some 170 miles, to the Tomoka Correctional Institution near Daytona Beach. Sympathetic prison officials, other inmates, and medical staff have since told Paey he was moved away from his family because the guard who sat in on his interview with Tierney had complained to prison authorities about what Paey had revealed to the journalist.

At about the same time, prison medical staff told Paey that the state of Florida had refused to give permission for them to refill his morphine pump. For Paey, this information was the equivalent of a death sentence. The state of Florida left him to agonize for weeks before finally authorizing the refill, the day before his pump was scheduled to run dry. Here again, Paey has since been given strong reason to believe that the threat to withhold his medication was in retaliation for relaying his story to the New York Times.


Two activist groups representing pain patients — the Pain Relief Network and the November Coalition — have begun a campaign urging Governor Jeb Bush to grant Richard Paey a pardon. Governor Bush should hear them out. Richard Paey is not a criminal. He isn't a threat to anyone. He's a tragic figure who has become a political prisoner of America's allegiance to zero-tolerance drug prohibition.

The Paey case has already cast a good deal of shame on the state of Florida. Just how much more shame his story brings to the state depends on whether political leaders move to rectify his plight, or rather choose simply to ignore him, and continue to intimidate him into spending the rest of his 25-year prison term in silence.

Governor Bush should free Richard Paey. And Florida lawmakers should pass reforms to ensure that drug-war fanaticism no longer prevents sick people from getting the medication they need.
[/blockquote]
 
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An earlier article about Richard Paey from Reason:


April 23, 2004

Pill Sham
A man seeking pain relief gets 25 years for drug trafficking

Jacob Sullum

[BLOCKQUOTE]
Here's a bit of legal information that may interest Rush Limbaugh: Under Florida law, illegally obtaining more than 28 grams of painkillers containing the narcotic oxycodone—a threshold exceeded by a single 60-pill Percocet prescription—automatically makes you the worst sort of drug trafficker, even if you never sold a single pill. Even if, like Richard Paey, you were using the drugs to relieve severe chronic pain.

Although prosecutors admitted Paey was not a drug trafficker, on April 16 he received a mandatory minimum sentence of 25 years for drug trafficking. That jaw-dropping outcome illustrates two sadly familiar side effects of the war on drugs: the injustice caused by mandatory minimum sentences and the suffering caused by the government's interference with pain treatment.

Paey, a 45-year-old father of three, is disabled as a result of a 1985 car accident, failed back surgery, and multiple sclerosis. Today, as he sits in jail in his wheelchair, a subdermal pump delivers a steady, programmed dose of morphine to his spine. But for years he treated his pain with Percocet, Lortab (a painkiller containing the narcotic hydrocodone), and Valium prescribed by his doctor in New Jersey, Steven Nurkiewicz.

When Paey and his family moved to Florida in 1994, he had trouble finding a new doctor. Because he had developed tolerance to the pain medication, he needed high doses, and because he was not on the verge of death, he needed them indefinitely. As many people who suffer from chronic pain can testify, both of those factors make doctors nervous, since they know the government is looking over their shoulders while they write prescriptions.

Unable to find a local physician who was comfortable taking him on as a patient, Paey used undated prescription forms from Nurkiewicz's office to obtain painkillers in Florida. Paey says Nurkiewicz authorized these prescriptions, which the doctor (who could face legal trouble of his own) denies.

The Pasco County Sheriff's Office began investigating Paey in late 1996 after receiving calls from suspicious pharmacists. Detectives tracked Paey as he filled prescriptions for 1,200 pills from January 1997 until his arrest that March.

At first investigators assumed Paey must be selling the pills, since they thought the amounts were too large for him to consume on his own. But the police never found any evidence of that, and two years after his arrest prosecutors offered him a deal: If he pleaded guilty to attempted trafficking, he would receive eight years of probation, including three years of house arrest.

Paey initially agreed but then had second thoughts. His wife, Linda, says he worried that he could go to prison if he was accused of violating his probation. More fundamentally, he did not want to identify himself as a criminal when he believed he had done nothing wrong. He has since turned down other plea deals involving prison time.

Meanwhile, prosecutors have pursued Paey in three trials. The first ended in a mistrial; the second resulted in a conviction that the judge threw out because of a procedural error; and the third, which ended last month, produced guilty verdicts on 15 charges of drug trafficking, obtaining a controlled substance by fraud, and possession of a controlled substance.

A juror later told the St. Petersburg Times he did not really think Paey was guilty of trafficking, since the prosecution made it clear from the outset that he didn't sell any pills. The juror said he voted guilty to avoid being the lone holdout. He suggested that other jurors might have voted differently if the foreman had not assured them Paey would get probation.

The prosecutors, who finally obtained the draconian sentence that even they concede Paey does not deserve, say it's his fault for insisting on his innocence. "It's unfortunate that anyone has to go to prison, but he's got no one to blame but Richard Paey," Assistant State Attorney Mike Halkitis told the St. Petersburg Times. "All we wanted to do was get him help."


Paey's real crime, it seems, is not drug trafficking but ingratitude. "My husband was so adamant, and so strongly defending this from the very beginning, that it might have annoyed them," says Linda Paey. "They were extremely upset that he would not accept a plea bargain. They felt that anyone who had any common sense would....But he didn't want to say he was guilty of something he didn't do."
[/BLOCKQUOTE]
 
Paey's real crime, it seems, is not drug trafficking but ingratitude. "My husband was so adamant, and so strongly defending this from the very beginning, that it might have annoyed them," says Linda Paey. "They were extremely upset that he would not accept a plea bargain. They felt that anyone who had any common sense would....But he didn't want to say he was guilty of something he didn't do."

...and a lot of you don't understand why a good many of us don't trust the gooberment.
 
Anytime government wants more power or money they declare "war" on something. The war on poverty, drugs, terror ect;ect. Everytime it leads to an erosion of liberty and loss of property rights. But there's no end to the flag waving police state patriots standing in line to justify the abuse just so long as thier guy is in power.
 
"It's unfortunate that anyone has to go to prison, but he's got no one to blame but Richard Paey," Assistant State Attorney Mike Halkitis told the St. Petersburg Times

"It's unfortunate that anyone has to be horse-whipped, but he's got no one to blame but Mike Halkitis"

Heads on pikes.

:fire: :fire: :fire:
 
illegally obtaining more than 28 grams of painkillers containing the narcotic oxycodone—a threshold exceeded by a single 60-pill Percocet prescription—

Just out of curiosity, how much more than 28 grams did Richard Paey obtain? 29? 29,000?

Paey used undated prescription forms from Nurkiewicz's office to obtain painkillers in Florida. Paey says Nurkiewicz authorized these prescriptions, which the doctor (who could face legal trouble of his own) denies.

Again, how many of the "undated" scrips did Mr. Paey use? One? Two? Two hundred?

Two different juries of Mr. Paey's peers found him guilty of the charges. 24 different "good men and true" found him guilty beyond a reasonable doubt of the charges on two seperate occasions.

That tends to make me believe that there might accidently be a little more to this case than what is being presented here.

Of course, I could be wrong.

LawDog
 
Yes, you probably are wrong.

A juror later told the St. Petersburg Times he did not really think Paey was guilty of trafficking, since the prosecution made it clear from the outset that he didn't sell any pills. The juror said he voted guilty to avoid being the lone holdout. He suggested that other jurors might have voted differently if the foreman had not assured them Paey would get probation.

:(
 
Was that from the first jury to find him guilty, or the second?

LawDog
 
He's only a victim because he wouldn't take a plea bargain like all the other "normal people" do when they are subjected to state extortion?

I read last week that 47% of middle aged people now take prescription drugs. Talk about playing with fire! That Christian Science thing is looking better all the time.
 
I had an aunt who died of Leukemia. I saw her the day before she died. They where giving her the maximum safe dose of whtever painkill they where using and she was still in visible pain. It hurt me to see her that way. It is simply criminal that the Feds are restricting effective pain medication because it has the "possibility" to be misused. I hope this man is able to take this to the supreme court and hopefuly get some of our idiotic drug laws thrown out.:fire:
 
The prosecutors, who finally obtained the draconian sentence that even they concede Paey does not deserve, say it's his fault for insisting on his innocence. "It's unfortunate that anyone has to go to prison, but he's got no one to blame but Richard Paey," Assistant State Attorney Mike Halkitis told the St. Petersburg Times. "All we wanted to do was get him help."
Curious logic, indeed. If the man was acknowledged not to be a dealer, why was he charged with being a dealer? If he falsified prescriptions, I'm sure that's against the law and he could have been charged with that, without also being charged with TRAFFICKING

Looks to me like another instance of prosecutorial overreaching, but I'm sure Mr. Halkitis smugly tells himself that he was only doing his job.

Miserable son of an unwed mother.
 
Is there more information on this case somewhere like Lawdog was asking for. I am not going to rush to judgment based on a totally one-sided article.

How much did he have?
How many prescriptions?
 
Mr. Jeeper,

Are you in the illness management profession?

Pain management?

How many prescriptions is too many?

How bad does it hurt?

Do you get to decide how much someone else hurts?

What difference does it make?

So let's say he needs (or thinks he needs) 100 pills a day. So lets say he has 1000 pills. (a lot of pills)

So he has a 10 day supply.

10,000 pills would be a 100 day supply. I get my prescriptions 90 days at a time.

Everybody admits that he is not selling them. So why does it matter? He is buying the pills. Even if he is using the pills as fertilizer, he is not selling them.

Please tell me again why it matters.
 
Sounds like a poor Rush Limbaugh. If he had Limbaugh's bucks, you can bet he wouldn't be in prison.
 
Jeeper, the only information I can find at this time indicates that Mr. Paey forged 200 perscriptions in one years time, for a total of 18,000 pills.

http://adrugwarcarol.com/news/viewtopic.php?topic=792&forum=2

That information isn't backed up with hard evidence, so all we're doing at this time is a bit of creative articulation.

200 scrips per year. Call it one scrip filled ~every two days. Cropcirclewalker was kind enough to point out that the scrips could have been for 90 days worth of pills. Every two days. Ugh. Let's give Mr. Paey the benefit of the doubt and say that he drew 30 days worth of scrips every two days. Or so.

I can see how a jury might find it a little unbelievable for Mr. Paey to assert that his New Jersey doctor really wanted Mr. Paey to draw a 30 day supply of pills every two days, much less a 60- or 90- day supply every two days.

I would imagine that Mr. Paey's insurance company probably wasn't going to pay for more than one scrip worth of pills every cycle, that would leave Mr. Paey coughing up full price for opiate pain killers ~ 14 times per month.

Goodness, that's a lot of money to have to come up with. Might raise some reasonable doubt as to the source of that much money in the minds of a jury.

18,000 pills (as stated in the above linked source) divided by 365 days comes to ~49.3 pills per day.

Be interesting to discover if the morphine pump Mr. Paey has been supplied with is delivering the equivalent of 50 opiate pills every day at this time.

As usual, all of the above is simply idle ruminations on my part.

That part I would like to be given answers to, is why did one doctor (hired by the county or State of Florida) prescribe a morphine pump for Mr. Paey, but no other doctor in two states did so.

Was the option even explored? If it was, did the doctors refuse to do it, or did Mr. Paey refuse to accept it? If the previous doctors refused to prescribe the morphine pump, what was their stated reason for doing so?

Since there is obviously at least one doctor in the state of Florida prescribing morphine pumps, unless given more pressing evidence, I don't rate "Fear of the DEA" at the top of the list of reasons for not prescribing a morphine pump just yet.

LawDog
 
That part I would like to be given answers to, is why did one doctor (hired by the county or State of Florida) prescribe a morphine pump for Mr. Paey, but no other doctor in two states did so.
If the previous doctors refused to prescribe the morphine pump, what was their stated reason for doing so?
My guess would be that any doctor other than one working for a govt agency would soon find him/herself being investigated and sent to prison for dealing morphine... :(

The morphine pump is probably a cheaper solution (for the prison to pay for) than the pills, and maybe also less chance of it getting misdirected to the rest of the prison population (a guy with a busted back can't exactly fight off some thug inmate who wants to take his pills from him).

Better keep an eye out for guys in wheelchairs dealing drugs, I guess... :rolleyes:
(would that be "probable cause" now?)
 
(edited to edit the editification)

So, he has a pickup load of pain pills.

So, he has a steam ship full of pain pills.

So, he has an underground cavern full of pain pills.

The consensus is that he was not selling the pain pills. So, somebody please 'splain to me how he is a trafficker.

So, let's transmorgrify the pain pills into ammunition.

So, he has 1,000 rounds of ammunition.

So, he has a pickup load of ammunition.

So, he has a steamship load of ammunition.

So, he has an underground cavern full of ammuniton.

So, he is an avid shooter.

He bought all the ammo for his own use. So is he a trafficker?

We gotta clamp down on this outa control police state we're in.
 
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yeah really safe.

My mother is disabled and gets pain meds down here. Next she will be in jail stupid crap like this PISSES ME OFF :cuss: After we moved down here she gets at best half of the meds she got in PA.

I'd liek to see them try and live with some of the pain people who need strong pain medications suffer from when off their meds. They would be curled up in a ball crying, the goverment is redicules with this now and they do a half assed job of it.

They declare a war on drugs and invest in massive amounts of sea power, yet it flows like water across a border they refuse to secure.

They raid drug lords that get off with clever defense lawyers but waste their resources on medical paitents trying to get pain relief. They leave people selling crack to kids roam free as "informants" yet bust a few college boys that just wasted ten bucks on a bag of oregano they thought was something else. People run crack houses and drug trafficing rings. But it is a guy with more pain meds then the feds agree with that gets prosecuted for the trafficing when he never sold a pill to anyone in his life. It is utterly redicules.

This "war on drugs" is sickening and so twisted it is almost unbelievable.
 
This makes me so mad I cannot see straight.

We cannot make life "idiot-proof". :banghead:
Or, as someone (forget who) on this very forum said in his sigline,
"Stupid hurts". There WILL be casualties in a free and open society, and there will be abuse of freedoms.

Protecting potential junkies from their damnselves by denying adequate pain management to legitimate patients should be prosecuted!

Guess they'll be coming for me next, since I need a hip replacement and am trying to hold out until I lose a significant amount of weight before having the procedure (thus decreasing odds of complications, and increasing odds of positive outcome)
...and holding out involves careful, daily management of significant pain.
:cuss: :fire: :banghead:
 
My grandma spent the last 20 years of her life bedridden in a nursing home. She was completely lucid and there was never anything wrong with her mind, but her body gave out on her years before it was her time to go. Severe osteoporosis caused her spine to deteriorate, which created excruciating pain. As a result, she took high doses of percocet and some other narcotic painkillers.

Right around the time she went into the nursing home for the last time, she had a knee replacement surgery. The hope was that if her knee was fixed, she'd be able to walk again and not be entirely bedridden. The surgery itself apparently went well, but when we visited her afterward she was in a lot of pain, writhing on the bed and crying.

We rang for the nurse and asked if they couldn't give her more pain medication.

"No," the nurse replied, "that's all the medication that's been ordered." We told her to call the doctor, because there had to be some mistake. They were giving her less pain medication after major surgery than she'd been taking daily for years!

The doctor, when gotten on the phone, refused to give grandma any more painkillers. Apparently he'd gotten in some trouble the year before, for "over prescribing" painkillers for his patients, and he wasn't going to risk having his license pulled just because some old lady was in agonizing pain.

Oh, that's not the end of the story; my mom and I kicked up enough fuss that the hospital was heartily sick of us by the time Grandma got out, and she did get her painkillers ... eventually. It was like pulling teeth to find a doctor who was willing to put his name on the order.

But why should it be like that? What harm would it do for one bedridden little old lady to have enough pills to send her higher than a kite? And why is any of this your business, you busybody rule-makers!?

pax
 
Lupinus said:
yeah really safe.

My mother is disabled and gets pain meds down here. Next she will be in jail stupid crap like this PISSES ME OFF :cuss: After we moved down here she gets at best half of the meds she got in PA.

I'd liek to see them try and live with some of the pain people who need strong pain medications suffer from when off their meds. They would be curled up in a ball crying, the goverment is redicules with this now and they do a half assed job of it.

They declare a war on drugs and invest in massive amounts of sea power, yet it flows like water across a border they refuse to secure.

They raid drug lords that get off with clever defense lawyers but waste their resources on medical paitents trying to get pain relief. They leave people selling crack to kids roam free as "informants" yet bust a few college boys that just wasted ten bucks on a bag of oregano they thought was something else. People run crack houses and drug trafficing rings. But it is a guy with more pain meds then the feds agree with that gets prosecuted for the trafficing when he never sold a pill to anyone in his life. It is utterly redicules.

This "war on drugs" is sickening and so twisted it is almost unbelievable.

It's easier and safer to go after someone who isn't going to be a threat.
 
The best part is....

Ironically, the state of Florida now pays for a morphine pump connected to Paey's spine which delivers the same class of medication at the same doses the state of Florida told him wasn't necessary, and put him in prison for trying to obtain.

There is no better example of a screwed up system than this.

Decide X is illegal, arrest a man for doing X, put the man in prison for doing X, and then pay for him to do X in prison.

Yep,... genius,... absolutely genius.
 
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