Very well stated matt, I am not sure the medical practice boards that establish guidelines for physicians are entirely free of political influence or at least do not consider political positions and views when making decisions. I can’t imagine where else this thought process would originate.
Every study I have read on pain and pain management since the mid 1990’s shows whether client controlled via say a morphine pump or doctor directed, larger dosages at the onset of pain results in patients using less medication over time, and they are free of pain medication use in a shorter time frame. To me this indicates being free of pain while it is present reduces stress and speeds healing.
It all started in 1815, with the Holy Alliance between Prussia, Russia, and Austria. Then, in October 1873, German Chancellor Otto von Bismarck negotiated the League of the Three Emperors between the monarchs of Austria-Hungary, Russia and Germany. This agreement failed because Austria-Hungary and Russia could not agree over Balkan policy, leaving Germany and Austria-Hungary in an alliance formed in 1879, called the Dual Alliance. This was seen as a method of countering Russian influence in the Balkans as the Ottoman Empire continued to 1882, this alliance was expanded to include Italy in what became the Triple Alliance.