Scott Alexander argues that pseudoaddiction is a real and important concept, despite being widely denounced as pharma propaganda in the context of the opioid crisis. Longer summary

Scott Alexander argues that pseudoaddiction - the concept that some drug-seeking behaviors are due to undertreated pain rather than addiction - is real and important, despite being widely denounced as pharma propaganda. He presents several case studies from his own practice where patients exhibited 'drug-seeking behavior' for legitimate medical reasons. Scott criticizes a key paper arguing against pseudoaddiction, suggesting its arguments are muddled and flawed. He theorizes that while the concept started well-intentioned, it was co-opted by pharma companies, leading to media exaggeration and expert silence. Scott concludes that the denial of pseudoaddiction represents a failure of epistemics amid moral panic about the opioid crisis. Shorter summary

Scott Alexander presents a parody of 'Piano Man' from a doctor's perspective, humorously portraying hospital life and patient care. Longer summary

This post is a creative parody of Billy Joel's 'Piano Man', rewritten from the perspective of a doctor in a hospital. It humorously depicts various patients and their medical conditions, while highlighting the challenges and ethical dilemmas faced by healthcare professionals. The song touches on themes of addiction, chronic illness, end-of-life care, and the sometimes grim realities of hospital work, all set to the familiar tune of the classic song. Shorter summary