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Tyler Eschberger | Daily News Sen. Rand Paul at Middlesboro ARH for a roundtable discussion concerning important healthcare issues.

Middlesboro ARH welcomed Sen. Rand Paul to a roundtable discussion concerning ways to improve and implement healthcare needs of the hospital and Bell County.

Fellow of the American College of Healthcare Executives (FACHE) Community CEO Michael Slusher introduced Paul to the room of various physicians and hospital personnel and opened the floor for discussion on different market forces the hospital has found challenging.

MARH Chief Regulatory Affairs Officer Vicki Thompson was the first to address Paul regarding the patient population of the area.

Bell County ranks 115 out of 120 counties representing the overall health condition. Theres a lot of reasons for that. We have a higher rate of obesity, smokers. 38 percent of our counties lives below the poverty line; 52 percent of that being our children. And that is very distressing to all of us, she said.

Another problem we face here in Bell Countyour opioid crisis. We at one point from 2012 and 2015 were the second-ranked county for the worst overdose and overdose deaths here in Kentucky with heroin and narcotics being the main culprits.

Discussion of the shift from opioid addiction to heroin addiction was raised, with Paul asking if the medical community shared some guilt with having too many people on opioids to begin with.

Slusher stated that he didnt feel guilt was the right term, citing the pain is the fifth vital sign push as part of the problem with opioids.

Pharmacist Steve Weaver stated that the hospital is now using the drug Naloxone as a way to treat opioid dependence and overdose. The drug is prescription free. A protocol has been developed for dispensing Naloxone, he said. First responders, school workers and concerned family members are all able to receive the product with the proper education on the subject.

I think the drug company shares some blame in this too for saying Oxycontin is no big deal and its not really addictive and this a great drug for your patients, they wont get addicted to it. That may have been a lie, said Rand.

Paul went on to say that the spread of opioids was more rapid in areas of high Medicaid and high disability.

Disability you can understand, theyre taking medication for painin most of the counties that have expanded Medicaid they have a worse problem now because, again, more legal opioids because its free. We do need to think through what we can do to make it better, said Paul.

Reach Tyler Eschberger at 606-248-1010, ext. 1126 or on Twitter @TylerEsch89.

Tyler Eschberger | Daily News Sen. Rand Paul at Middlesboro ARH for a roundtable discussion concerning important healthcare issues.

http://www.harlandaily.com/wp-content/uploads/2017/08/web1_rand.jpgTyler Eschberger | Daily News Sen. Rand Paul at Middlesboro ARH for a roundtable discussion concerning important healthcare issues.

Discusses opioid issues

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Paul visits Middlesboro ARH - The Harlan Daily Enterprise