Yes, the PCP doesn't even prescribe meds to my family member, all meds go through pain clinic and they have reduced meds signaficantly. My question is what is the goal of a pain mgt. clinic? Are they supposed manage pain or has the focus now switched to reduction of pain medication? Are they all entered for a drawing at the end of the year for a trip to a tropical destination based on the # of people they are documenting as having a reduction of medication? The pcp tells one thing and the pain clinic dr. says something else. What is the truth. When in chronic pain and somebody says the pain is unbearable and quite frankly would rather just give up than live in pain what good have you served them by removing a potentially harmful medication from them? I get you have people who drug shop but there are millions of other people who do not.