[pavulon]

The medication back-order problem has been ongoing for years now. The core of the issue is that, like every business, companies don't want to make low profit products when they could be making high profit products. Local anesthetics and many opiates are low cost cost meds with low profit margins and are regularly unavailable. Intermittent but repetitive propofol, ketamine, lactated ringers, rocuronium and succinylcholine (all now well off patent too) and several other medications are facts of life in my work. Oddly, bullshiz medication and hospital marketing never goes on back order. Nor do obtuse regulations. Health care is about benjamins.