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Improving availability of opioid pain medications: testing the principle of balance in Latin America.

FOR A NUMBER OF YEARS, my colleagues and I have been working through a process to formulate an idea into a model that can be used to evaluate and then improve anti-drug abuse policies so they do not interfere with the use of opioid analgesics for pain relief. We refined this idea into the principle of “balance.” Our work started in Wisconsin and led ultimately to the development of policy evaluation guidelines that were endorsed by key agencies associated with the United Nations. Real world testing of the model with regulators and clinicians took place in several countries, including in Latin America.