Ground-breaking legislation passed by the California Assembly (68-0 vote) and now under review by the state Senate requires doctors to inform pain patients about the dangers of opioids and the benefits of conservative care options before prescribing.
AB 888, introduced by acupuncture advocate Assemblymember Evan Low, goes a key step further by requiring doctors to offer patients a referral to an acupuncturist or other nondrug pain management provider (as determined by the doctor) in lieu of opioids; and requires both parties to sign a form acknowledging they have discussed the above.
"[A] prescriber shall discuss all of the following information with the patient, or, if the patient is a minor, the minor, the minor's parent or guardian, or another adult authorized to consent to the minor's medical treatment, before directly dispensing or issuing to a patient the first prescription in a single course of treatment for a controlled substance containing an opioid:
(1) The risks of addiction and overdose associated with the use of opioids. (2) The increased risk of addiction to an opioid for an individual who is suffering from both mental and substance abuse disorders. (3) The danger of taking an opioid with a benzodiazepine, alcohol, or another central nervous system depressant. (4) The availability of nonpharmacological treatments for pain.
"Clearly, Assemblymember Low has become a fierce advocate for both patients and the acupuncture profession," said Rona Ma, president of the California Acupuncture and Traditional Medicine Association (CalATMA), in a press release. "If Governor Jerry Brown is the 'Father of California Acupuncture' for legalization [of] acupuncture, then Assemblymember Low is the 'Uncle of California Acupuncture' for his work expanding access to it."
Acupuncture, a key pillar of traditional Chinese medicine (TCM), has been practiced for thousands of years to promote healing and restore balance within the body. However, with rapid technological advancements reshaping health care, acupuncture is entering a new era. The integration of artificial intelligence (AI) and data analytics is revolutionizing diagnostics, treatment precision, education, and research – enhancing patient outcomes like never before.
Interestingly, although lots of attention has recently been given to the role psychedelic medicines employed in therapy could play in healing PTSD and trauma generally, new research has just been published showing acupuncture can also be of significant help in alleviating this widespread disorder, and may act similarly to psychedelics on a particular quality of our brains to heal and remodel themselves: neuroplasticity.
Long COVID has challenged conventional medical paradigms. There is certainly a growing need for therapies that bridge traditional pharmacology with integrative strategies. Among the more unconventional options, nicotine – delivered via low-dose transdermal patches – has surfaced as a potential tool. While the idea may sound wacky, emerging evidence and clinical anecdotes suggest it warrants exploration.
