i know not everystate has them and yes they have their bad qualities....but this is why i like kaiser...because your p.m. doctor can't just cut you loose and if you do not like him/her you can go to another one...they can not cut you loose and i hear about that so much form the pain site i belong too. i can feel for people who get put in that position and get treated like drug addicts...there is a difference between dependence and addiction...anyways sorry if i hijacked the thread i just feel very stongly for people that get cut loose from pain clinics when they hurt and are in need and no one wants to help them