A position paper by

JATH Educational Consortium, LLC

Thomas F. Kline MD, PhD
Robert Parangi, MD
Jed Graham, MD
Carolyn Concia, NP

Editor: Leslie Bythewood

High-dose limits make sense. Most medications have FDA (Food and Drug Administration) limits on their doses. When maximum doses are exceeded, toxic reactions and death can occur. This is the reason for dose limits in most all prescription drugs of all kinds. For example, anti-depressants have fixed FDA dose limits; go over the limit and you’re in trouble, putting you at risk of death. This is is not the case with opiate pain medicine because…

July 13, 2020


Email: JATHeducational@gmail.com

Carolyn D. Concia, Nurse Practitioner, Portland, Oregon
Thomas F. Kline, M.D., Ph.D, Physician, Raleigh, NC

We are not winning the war against Covid-10. Wearing masks and staying home is not completely effective. It is only half a plan. We need the other half of the control plan — direct spread protocols. The government can only do so much. The rest is up to us as individuals to guard our own health. We will explain how to add direct control plans to stop spread of disease.

Direct spread works by getting…

JATH Educational Consortium. LLC

Carolyn Concia, NP
Erin LeBlanc
Thomas F. Kline MD, PhD

January, 2020. draft

The word “opioid misuse” is being misused. Misuse is a term created by those wishing to promote non-science based agendas, like “overdose deaths” leaving off the critical adjective “Heroin overdose deaths” Misuse is being used by the federal agency SAMHSA along with “abuse” to fuel the moralists who believe pain is not important enough to be treated with our drug of choice opiates. Misuse/Abuse is defined as “not taking the prescription as the doctor prescribed it”. This is not addiction.

The issue then…

CDC PRESCRIPTION PAIN MEDICINE LIMITS — did the Guidelines really say that? Did CDC have the authority? What has happened as a result?

(also see essay CDC 90 LIMIT NOT FOR CHRONIC PAIN PATIENTS in Medium)

note: {brackets} denotes terms you can web search to find the original documents. Bolding indicates quotes from the CDC Guideline of March 15, 2016.

From my viewpoint as a practicing physician the CDC is attempting to reverse centuries old standards of medical practice without asking practicing physicians. Since these guidelines were not generated from the broader physician community, they must be viewed with sharp questioning before we adopt a new ways of medical practice. The idea of limiting dosage for all pain medications comes soley from a…

CDC 90mg — it’s not actually in the Guideline

Raleigh, North Carolina

This attempt to override the FDA’s federal prerogatives in the regulation of all prescription medications is not based on anything but the opinion of those who wrote the unauthorized CDC Guideline of 3–15–2016. The CDC staff working with the Physicians for Responsible Opioid Prescribing (PROP), a private medical group, together have limited the use of prescription opiate pain medications for all Americans. What’s happened as a result is the disenfranchisement of millions of chronic and rare painful disease patients. …


Raleigh, North Carolina

Opioid FAQ’s (Part one)

Alexis M. Haynes, B.A.
Thomas F. Kline, M.D., Ph.D.

Opioids are derived from the poppy plant, Papaver somniferum, and its use dates back to Mesopotamia (Iraq) around 3400 B.C. Variations of the term include the following: opium derivatives, opiates, opioids, narcotics, and controlled substances. These terms are all interchangeable. Ninety percent of opium products are used to treat pain; therefore, “pain medicine” is the most appropriate term for opioids.

  • How common is addiction? Type 1 addiction for marijuana, cocaine, amphetamines, and LSD, is far more common than…



Nearly all the 10 million people in the United States requiring long-term opiate pain medicines are those with identifiable long-term, rare painful diseases; not just tender knees or sore backs. All have very serious, unimaginably painful diseases that are worse than most people have ever experienced, even for a few hours. The pain and resultant loss of function has robbed the people with these diseases of a normal life. Cardiac disease is treated with cardiac medicine. Rare, painful diseases are treated with pain medicine. What has happened?

This safe medicine has been used for 4000 years, and yes, in…

Written By:

Thomas Kline MD, PhD,
Jed Graham, M.D.
Robert Parangi, M.D.
Jessica Stewart

Edited by:
Erin LeBlanc

David Williams

A JATH Educational Consortium, LLC Publication *

Prologue: Understanding addiction facts is to understand how millions of pain refugees were created in the last three years since the voluntary CDC “Guideline”. Pain patients have been taken off their pain medicines without consent something we have never done before as healers. Left in agony and disgrace millions of pain refugees have been banned from our health care system. Why?

The answer is Fear of Addiction Phobia. In order to rescue…


Comments on the tragedy and facts for writers and journalists


Thomas F Kline MD, PhD

David John Williams, Jaime James Sanchez, Carolyn M. Concia, NP, Editing and Research

Raleigh, North Carolina 27613

Revised November 2019

A We are presenting facts for the first time. Fear of Addiction Phobia is not based on fact.

We at JATH are watching with horror as an estimated 4000 people per day are cruelly cut off of effective pain suppression medicines without consent, per week.

We have never seen or heard of a health care crisis of this magnitude…


The story of Henry Anslinger the man responsible for the fear, dishonesty, and over reach into the practice of medicine by the federal police and the story of PROP a dangerous extremist group of pain nihilist physicians.

Erin O. LeBlanc, Thomas F. Kline, MD. PhD.

Beginning in the spring of 2016, unintended consequences of the CDC Guideline for Opioid Prescribing began — the Opioid Refugee Crisis, a crisis of failure to provide medical treatment for 6.5 million Americans with long term painful…

Thomas Kline, MD, PhD

42 years varied primary care • former Chief, Hospital in Home Service @harvardmed • formerly: @UofMaryland, @StanfordDeptMed, @uoregon • thomasklinemd.com

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