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Despite a substantial body of research supporting multimodal and nonpharmacologic therapies for pain that NPs could provide, many barriers to access exist. 9 As a result of this announcement, the executive branch Mobilizing NPs to Be Advocates for ChangeĪs clinicians working in primary care and specialty settings, NPs frequently encounter patients in pain and are constrained by regulatory and payer policies that limit appropriate treatment options. On August 10, 2017, President Donald Trump declared the opioid epidemic a national emergency in the US and a worldwide problem as well. Both Democrats and Republicans agree that the opioid problem is a crisis that demands swift action. The need to devote resources to combat the public health crises of substance use disorders and overdose death has received bipartisan attention and support, a rarity in our current political environment. Among those with legitimate prescriptions National Emergency in the US 3 An estimated 2 million of these individuals have an opioid use disorder involving illicit or prescription drugs. 2 Just as costly, over 22 million Americans use illegal drugs each year, with an estimated 20 million having a substance use disorder involving alcohol and/or drugs. Recurrent pain affects 126 million Americans with 25 million adults enduring daily chronic pain, 1 costing our nation $600 billion per year in health care and disability costs. Section snippets A Staggering Health Problem