Deprescribing, when I first encountered the concept years and years ago, was a very different beast than this shit. There is a kernel of a good idea in here - med lists for people in long term care facilities or being treated by a rotating cast of people with prescriptive authority adding medications to their regimens more or less at random. People who want to stop taking medications but whose concerns are dismissed. Bad medicine, bad pharmacy, whatever. It's beside the point because that is not what deprescribing in practice looks like.

What it has looked like in practice is this shit. It's unconsciable, it's cruel, the people I've seen who do it are, for lack of a better term, gleeful sadists who share with the ghouls who would medicate anyone who deviates slightly from the norm into oblivion against their will a total contempt for bodily autonomy or material consequences or anything besides making an arbitrary metric (# meds prescrived/patient, # controlled scripts/patient-year) go down.

I'm not getting into specifics right now. The people who support this are absolute ghouls. RFK is the perfect representative of the crunchy granola school of fascist who wants anyone who deviates from whatever he decides normal is dead, or institutionalized, or whatever, so long as we're out of sight and they can pat them selves on the back for being so enlightened.

From what I've seen, the most vigorous advocates of deprescribing-in-practice are the exact kind of provincial petty bourgeois boat-dealership class dullards who should not be trusted to run anything but do through the power of nepotism alone. The dudes love steroids, for whatever reason - somehow, this doesn't count. They have med lists just as long as the people they're enthusiastically deprescribing. Some of us were raising concerns about the increased monitoring and surveillance of controlled substance prescriptions (including the rollout of PMPs) a long time ago and, look at that! Exactly what we said would come to pass is coming to pass, exactly the way the people who have been pushing this shit have been saying it would for at least 25 years now.

Every single one of them the most obnoxious meathead I've ever met, pill cops who would turn to dust if they were capable of self-reflection. ACAB includes this shit. Watch an 80 year old go through benzodiazepine withdrawal before winding up in hospice and going right back on them if you think this shit is okay and get back to me. Leftists shouldn't be supporting the groundwork being laid for woke 21st century Burgerreicher Aktion T4, imo.