This is the sixth and final AAPM President’s Message of my term. Prior messages emphasized that pain and its treatment should be viewed not only as individual patient management issues, but also as public health issues related to the care of populations. The public health concept of disease combines pathophysiology, host, and environment—a framing that fits well within the multidisciplinary pain care model that AAPM has championed for decades.

This has been a turbulent time in pain medicine. During my term, the conversation about pain has understandably been dominated by the current epidemic of opioid abuse. This dominance and the reality it reflects are both catastrophic. Mass media increasingly presupposes that all pain is about opioids and all opioids are about substance abuse. From the point of view of pain treatment, we are witnessing a...

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