Yes, pain is not a vital sign. I agree. I see patients, eating macdonalds with pain 10/10 nearly evey day because after Mcdonalds they want percocet for decert. There is an agenda to make as more drug addicts in our hospitals as possible. Hospitals are stealing bussiness from dope dealers. Yes, Cancer patients needs strong painkillers but I do not think so about surgery. I myself had surgery, according to docs, with very painfull recovery. After wakening up, I have not taken any painkiller and still alife.