Noted U.S. patient advocate Richard "Red" Lawhern tells us all that's wrong with the CDC's rewrite of its disastrous 2016 opiate prescribing guideline, just out for comment. According to Red, who's slogged through all 211 pages of what he calls this new "little shop of horrors," the rewrite will hurt even more patients than the original did—and even more doctors, too. Patients' needs, clinicians' expertise, scientific evidence:  these still go unconsidered, as if the prescribing catastrophe of the last five years never happened, never mind the wreckage it's caused on both sides of the border.