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Updated: Aug 7, 2025

Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
Published on: July 7, 2023
Doctors and Pain Patients Avoid "Ruan" in the Supreme Court
Mark A Rothstein1, Mary E Dyche2, Julia Irzyk3
1LOUIS D. BRANDEIS SCHOOL OF LAW, THE UNIVERSITY OF LOUISVILLE, LOUISVILLE, KY, USA.
Abstract:
Physicians' fear of criminal prosecution for prescribing opioid analgesics is a major reason why many chronic pain patients are having an increasingly difficult time obtaining medically appropriate pain relief. In Ruan v. United States, 142 S. Ct. 2370 (2022), the Supreme Court unanimously vacated two federal convictions under the Controlled Substances Act. The Court held that the government must prove that the defendant knowingly or intentionally acted in an unauthorized manner.
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