The Palm Beach Post

Optometry bill would endanger patients, worsen opioid crisis

- JAIME MEMBRENO, ORLANDO Editor’s note: Dr. Jaime Membreno is legislativ­e chairman of the Florida Society of Ophthalmol­ogy.

As a doctor of medicine who has taken a solemn oath to do no harm, I am extremely troubled by a bill sponsored by state Rep. Manny Diaz, R-Hialeah, that would allow optometris­ts — practition­ers who do not go to medical school — to use scalpels and lasers to perform surgery on the human eye.

While this is an extremely dangerous component of House Bill 1037, there is another portion that is just as dangerous. The bill would enable optometris­ts to prescribe virtually all oral medication­s in the Physician Desk Reference, including opioids and other habit-forming narcotics. In fact, the bill authorizes the state Board of Optometry to allow optometris­ts to prescribe some of the most addictive narcotics such as hydrocodon­e (Vicodin) and oxycodone (OxyContin).

Florida is the epicenter of our nation’s opioid addiction epidemic. The Washington Post reported earlier this week that “180,000 lives have been lost” due to opioid addiction since 2000. And The Palm Beach Post has reported that the opioid epidemic cost Florida hospitals over $1.1 billion in the first nine months of 2015, and contribute­d to nearly 600 overdose deaths in 2016.

As a medical doctor who treats thousands of patients with eye diseases each year, I’ve prescribed pain medication­s to only a handful of my patients. To combat this public health crisis, the last thing the state of Florida should do is issue new prescribin­g pads to 4,000 nonmedical profession­als.

I’m not naïve. I fully understand that the optometris­ts have funneled millions of dollars into the legislativ­e process. It’s no shock to me that they would seek something in return. I am shocked, however, that lawmakers are being misled into giving them something that would endanger patients and exacerbate the opioid addiction epidemic that scourges our state.

The right thing to do is for Diaz to pull his bill. Do it for the patients. Do it for those who are addicted, and do it for their kids. Do it to protect the people who elected him to serve on their behalf.

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Membreno

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