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Have clinicians' hands been forced in overprescribing pain-relieving opioids in U.S. healthcare? Blogger and physician assistant Harrison Reed doesn't dispute the truth of financial and administrative pressures in day-to-day healthcare delivery, but he denounces clinicians who use them to excuse their part in creating the problem. He calls on clinicians to honor their pledge to protect patients first and contribute to solving the current crisis in this week's In Practice blog.