As is often the case in the US, without someone chiming in with a bunch of specifics, it’s hard to understand the scope of what I mean as being as dark as it is. We institutionally went from “no pain is allowed in patients, load em up!” to “patients can fucking deal with it, it probably doesn’t even hurt that much”, overnight, we didn’t land at any semblance of a sane middle ground. Hopefully the pendulum swings will behave like a real pendulum and settle lower and lower, but woof, it’s bad out there.