I'm actually laughing! I could have written those last two paragraphs of yours. :-D Yes, too many people want a Daddy to take care of them so they don't have to think. Makes it really easy for power-hungry statists to do what they've been doing incrementally for decades and now completely out in the open.
The reason I mentioned that bit about hospitals is that none of them in my very urban area will supply schedule II narcotics in the ER as a matter of policy. They're already covered up with uninsured people with runny noses and hangnails who have zero intention to pay a dime, so it's only one way they can even try to put a dent in the drug seekers that clog the ERs. Yes, the government says patients have to be treated in an ER, but "treated" means something completely different. Their job is to make sure patients are stable and not in immenent danger of death. Withdrawal, unless there is another underlying medical condition that could be life-threatening, isn't something that will cause death. Usually they'll prescribe a few days of comfort meds like clonidine and/or a benzo of some kind but that's about it. Just because the doctors and facilities are allowed to prescribe something, doesn't mean they're required to do it. Yet. :-/
I doubt very much my doctor will insist on calling my insurance company. The nurse had called me telling the prior authorization finally was approved, so my doctor is aware already. Record keeping (medical records, notes, etc.) cover all this type of stuff. I've also discovered some more information:
"A practitioner may orally prescribe up to a five-day supply of Schedule II, III and V controlled substances, as well as benzodiazepines. Within 72 hours after authorizing an oral prescription for controlled substances, the practitioner must furnish the pharmacist with the written follow-up prescription. Prescriptions for Schedule II controlled substances may only be orally prescribed in an emergency situation. These follow-up prescriptions must also have written or typed on the face the words: "Authorization for Emergency Dispensing."
So it seems it's a huge hassle and risk for doctors to do emergency prescriptions because of the DEA scrutiny. That explains a lot then.
Regarding what you said about hospitals I think you are mistaken. This is what I've found so far:
"Only unlicensed interns, residents, and foreign physicians may prescribe under a hospital's DEA registration, provided they are authorized by the hospital to do so and are assigned a suffix that must be indicated on the prescription."
But hospitals/ER doctors are forced to treat you unlike general practitioners and specailists in private practices. However, the patient in pain in the ER will most likely get only a 3 day supply or so, and likely a lesser dosage as well. This is what my research online has told me. My doctor's nurse already gave me permission to go to the ER if I must. So I will either suffer for another 8-9 days, or go to the ER and receive substandard care. As a genuine chronic pain patient, the society and circumstances in which we live are becoming more and more difficult to survive under. Soon enough, our country will become a complete fascist police state, as if it's not already. Ignorance and fear together represent the demise of our civilization. I'm ashamed more and more to call myself an American, and now fully comprehend why many other countries, nations, etc. despise us. Our blatent ignorance and arrogance is confused for patriotism, acting as if USA is the only country that matters and as if it were a fact. Ignorance breeds stigma and further ignorance. Only knowledge breeds understanding and acceptance. The government will continue to run a fear monger lead society regardless who is President.
“Because we fear the responsibility for our actions, we have allowed ourselves to develop the mentality of slaves. Contrary to the stirring sentiments of the Declaration of Independence, we now pledge "our Lives, our Fortunes and our sacred Honor" not to one another for our mutual protection, but to the state, whose actions continue to exploit, despoil, and destroy us.” Butler D. Shaffer
Your doctor will probably want to put in a call to the insurance company first. That alone will prove to him there is a big problem and you're not making it up to scam more drugs. Don't bother going to the ER. They don't hand out schedule II prescriptions. Period.
State and federal regulations are causing more and more problems every day for chronic pain patients on opiate therapy. It's a big problem for us and a big problem for the doctors too. That's one reason I'm getting off them. I'd rather be in pain than jump through all the regulatory hoops among other issues. Given enough time, narcotics stop working anyway and I refuse to keep asking for dose increases. I'm not saying that's what you should do. Not at all. It's a much too personal and important decision.