The George Washington Farewell Project 

About the Citizen Brief (Medium)


  • Vision: Establish a vision for the individual, community, nation and the international community

  • Humanizing the epidemic: Focusing on the individual suffering with pain and addiction and confronting stigma associated with their condition

  • Social Determinants of the opioid epidemic: Social determinants such as poor housing conditions are often accompanied by neighborhood-level conditions that limit access to health care, risk-reduction information, and treatment alternatives, which are protective resources and can disrupt behaviors that ultimately lead to opioid addiction.

  • Opioid supply reduction: Reducing the supply of non-medical opioids and preventing the initiation and misuse of non-medical opioid use

  • Pain disorders: Appropriate acute and chronic pain management and medical use of opioids

  • Opioid use disorder: Prevented, properly diagnosed and properly treated. Best practice, scientifically informed addiction prevention, and abuse and dependence treatment

  • Harm reduction: Preventing and reducing harm associated with opioid use, including eliminating overdose mortality and morbidity associated with opioid use

  • “The War on Drugs”: A criminal justice system that reflects scientific understanding of opioid use and targets criminal elements associated with the pain-opioid epidemic.

Re-Claim the Role of the Citizen 


The Pain Opioid Epidemic Project and Case Presentation 


The Pain Opioid Epidemic Project (Opioid Project) is an experiment in citizen engagement (Citizenism)inspired by the belief that we as citizens must engage with our fellow citizens and relevant stakeholders to achieve solutions to the challenges that face our communities and our nation. The Pain Opioid Epidemic Project (Opioid Project) More directly the Opioid Project tests the hypotheses that citizens, provided with an organizing format, information and tools can be trusted to and should be involved in solving complex social problems. The Opioid Project is informed by the recognition that despite efforts on the international, national, state and local levels and billions of dollars spent, the opioid epidemic continues to worsen. It is not for lack of motivation, data, resources, best practice that there has been little impact on the epidemic. A more complex set of barriers and interest groups exist and must be overcome to effectively change the course of this epidemic. The challenge of pain and related opioid use required a well-formulated, coordinated effort that addresses the complexity of the pain-opioid ecosystem and the interconnection of the multiple stakeholders (government (Federal, State, local), the medical system, non-profits, as well as private industry, academic institutions, and social agencies).  


In order to achieve our vision, The Pain Opioid Epidemic Project incorporates a number of elements that address the complexity of the challenge of pain and its management, opioid use and abuse, preventing overdoses and addressing the legal and criminal justice issues associated with drug use. We use behavioral economic principles, digital technology, political insights, crowdsourcing and principles of solution journalism in our effort. Our multiphase plan includes meaningful information and tools for crowdsourcing citizen participation in the policy discussion, implementation and accountability of stakeholders.


Phase One: The  Pain Opioid Epidemic Case Presentation

Central to The Pain Opioid Epidemic Project is the Case Presentation. The Pain Opioid Epidemic Case Presentation provides a framework for an action-oriented collaborative process that addresses the complexity of the challenges associated with the opioid epidemic. The Case Presentation provides relevant and reliable background information about the problem and frames it in a manner that contributes to solving the problems identified. The Case Presentation includes The Pain Opioid  Review of Systems which uses the complexity lens to explore the various stakeholders, relevant data, and assessment of the problem and treatment plan. 



Phase Two: The County Based Pain Opioid Epidemic Platform 

We provide an easy to use platform that is used by local entities to assist in their efforts to provide solutions to the opioid-related problems. The platform includes best practice information, process, and related resources to provide services and links to providers at the local level. The Pain Opioid Epidemic Project and Case Presentation websites are focused on cities, neighborhoods, counties and other local entities. Entities interested in "duplicating" and customizing the websites for their local environment can contact  Citizens4health. 

The Website for our first local site, Montgomery County, PA, will be made "Public" April 2020. 


Phase Three: The Pain Opioid Best Practice , Evidence-based Inventory, and Database 

Developing and updating the evidence-based inventory of clinical, social, legal and public policy materials and processes related to our vision.  We start by focusing on opioid use conditions, overdose prevention and addressing "the drug war", to be followed by pain-related conditions.


Phase Four: Taking personal, social and political action 

Providing individuals facing Personal Health Manager for personal engagement for individuals suffering from pain and opioid addiction. Social and political tools to engage with stakeholders locally and nationally.


Phase Five: Real-time monitoring The Pain Opioid Epidemic and its consequences

Ongoing collection and analysis of population and individual data associated with the opioid epidemic. The data will feature The Pain Opioid  Epidemic Case Presentation progress notes and occasional Clinical Case Conference focusing on individual situations. 

Develop my Political Ecosystem

We will explore the impact of the constitution on our political ecosystem. How did the constitution shape our political ecosystem. Using the complexity lens, we put the political system under the microscope. 

Engage with  My Political Toolbox

My Political Ecosystem provides easy access to your specific ecosystem from local to national as well at the tools to actively participate in our democracy.

Take Part in the Case Presentation

The Medical Case Presentation is an essential framework for a focused disciplined approach to addressing medical problems.

Americanism and Our Civic Ritual of Freedom

  • Americanization Day:  An ongoing  exploration of the shared vision of being an American 

  • The Citizen Toolbox