The Sackler Family – A Secretive Billion Dollar Opioid Empire

ColdFusion
27 Jul 201927:38

Summary

TLDRThe video script delves into the Sackler family's role in the opioid epidemic, detailing how their company, Purdue Pharma, aggressively marketed the painkiller OxyContin, contributing to widespread addiction and overdose deaths. It explores the family's tactics, from influencing medical professionals to lobbying for favorable regulations, and their subsequent legal battles and philanthropic endeavors. The narrative questions the ethics of profiting from an epidemic and highlights the ongoing struggle for accountability and solutions.

Takeaways

  • 😷 The Sackler family, through Purdue Pharma, played a significant role in the opioid epidemic in the United States, promoting the painkiller OxyContin despite knowing its addictive nature.
  • 💊 OxyContin was marketed aggressively, with Purdue Pharma employing a vast sales force and using deceptive practices to downplay the drug's addictive potential to doctors and patients.
  • 📈 The Sackler family amassed a multibillion-dollar fortune from the sales of OxyContin, even as the drug contributed to a public health crisis with hundreds of thousands of deaths.
  • 🏥 The opioid epidemic has been linked to increased rates of addiction and overdose, with Purdue Pharma accused of prioritizing profits over patient well-being.
  • 🚑 OxyContin's addictive nature became evident soon after its release, but Purdue Pharma allegedly continued to mislead about the risks, even internally acknowledging higher addiction rates than publicly stated.
  • 🤝 Purdue Pharma allegedly influenced the medical community by paying clinicians to speak on their behalf and encouraging the prescription of opioids for a wider range of patients.
  • 💸 The Sackler family has a history of philanthropy, with their name associated with numerous cultural and educational institutions, which has been called into question due to the source of their wealth.
  • 📉 In response to the crisis, Purdue Pharma has faced numerous lawsuits and settlements, though the Sackler family has largely avoided direct legal repercussions.
  • 🛑 Attempts to reformulate OxyContin to make it less susceptible to abuse may have inadvertently driven users to more dangerous opioids like heroin.
  • 🏛 There is growing public backlash against the Sackler family, with cultural institutions beginning to reject their donations and the family's reputation being increasingly scrutinized.
  • 🌐 The Sackler family's actions have sparked a global conversation about corporate responsibility, addiction, and the ethics of profiting from a public health crisis.

Q & A

  • What is the Sackler family's connection to the opioid epidemic?

    -The Sackler family is partly responsible for the opioid epidemic due to their involvement with the drug maker Purdue Pharma and their infamous opioid painkiller, OxyContin. Their aggressive marketing strategies and downplaying of addiction risks contributed to the widespread use and abuse of the drug.

  • How has the opioid epidemic affected the United States according to the transcript?

    -The opioid epidemic has led to just under 50,000 deaths per year, making drug overdoses the leading cause of death for people under 50 in the United States. It has also caused countless lives to be destroyed through addiction.

  • What was the role of Arthur Sackler in the pharmaceutical industry?

    -Arthur Sackler was an advertising pioneer in pharmaceuticals, being the first to convince the Journal of the American Medical Association to run a color ad brochure. He also made Valium the first drug to pass 100 million in sales by marketing it for a wide range of ailments.

  • What was the initial purpose of MS Contin, and how did Purdue Pharma expand its use?

    -MS Contin was initially developed for hospice care to help terminally ill patients manage pain. Purdue Pharma expanded its use to the general market with the release of OxyContin, which was a stronger and more addictive version of MS Contin.

  • How did Purdue Pharma's marketing strategy contribute to the opioid crisis?

    -Purdue Pharma employed armies of sales reps, paid off doctors, lobbied for favorable regulations, and used aggressive marketing to push OxyContin as a solution for a wide range of pain issues, leading to over-prescription and addiction.

  • What was the FDA's role in the approval of OxyContin and its marketing claims?

    -The FDA approved OxyContin and allowed Purdue Pharma to market the drug with claims that its delayed absorption would reduce the probability of abuse, despite evidence suggesting a higher addiction rate than advertised.

  • How did Purdue Pharma handle the issue of OxyContin's addictive nature?

    -Instead of addressing the addictive nature of OxyContin, Purdue Pharma blamed patients for not taking the drug as directed and continued to push for higher dosages, which increased the risk of addiction.

  • What was the impact of Purdue Pharma's actions on the medical community and patients?

    -Purdue Pharma's actions led to widespread prescription of OxyContin, addiction among patients, and a significant increase in overdose deaths. They also corrupted the medical community by paying off doctors and influencing regulations.

  • What steps has Purdue Pharma taken to mitigate the opioid crisis they contributed to?

    -Purdue Pharma reformulated OxyContin to make it harder to abuse by snorting or injecting, but this may have led some users to switch to other, harder opioids like heroin. They have also faced numerous lawsuits and settlements.

  • How have the Sackler family's philanthropic efforts been affected by the opioid crisis?

    -The Sackler family's philanthropic efforts have been tainted by the crisis, with some museums and institutions rejecting their donations and the family facing public backlash for their role in the epidemic.

  • What are some of the broader implications and potential solutions discussed in the script?

    -The script discusses the need for medical reforms to prevent companies from misleading the public about drug risks, the importance of understanding addiction, and the potential role of alternative treatments like medical cannabis in addressing the opioid crisis.

Outlines

00:00

🔍 The Sackler Family and the Opioid Epidemic

This paragraph introduces the Sackler family's role in the opioid crisis, highlighting their responsibility for the widespread addiction and death toll linked to their company's drug, OxyContin. It discusses the family's pursuit of wealth at the expense of public health, the scale of the epidemic in the United States, and the connection between opioid prescriptions and addiction. The paragraph sets the stage for a deeper dive into the Sackler's actions and the impact of their pharmaceutical empire.

05:02

💊 The Genesis of OxyContin and its Marketing Tactics

The second paragraph delves into the development and marketing of OxyContin by Purdue Pharma, detailing the company's strategies to push the drug onto the market. It discusses the initial use of MS Contin in hospice care and the subsequent release of OxyContin as a stronger alternative. The paragraph also covers the misinformation campaign that downplayed the risk of addiction, the company's aggressive marketing to healthcare professionals, and the corruption within the supply chain that contributed to the epidemic.

10:04

📈 Purdue Pharma's Expansion and the Spread of Addiction

This section examines Purdue Pharma's tactics to expand the use of OxyContin beyond cancer patients, leading to a surge in prescriptions and addiction rates. It describes how the company manipulated regulations, incentivized doctors to prescribe the drug, and capitalized on the trust patients have in their healthcare providers. The paragraph also highlights the company's targeting of vulnerable populations and the consequences of Purdue's actions, including the increase in overdose deaths and the transition to even more dangerous substances like heroin.

15:05

🚨 The Fallout and Legal Battles of Purdue Pharma

The fourth paragraph discusses the legal challenges Purdue Pharma faced as the addiction crisis unfolded. It outlines the numerous lawsuits, settlements, and the company's evasive tactics to avoid accountability. The paragraph also reveals the company's internal knowledge of the drug's addictive nature and the subsequent attempts to reformulate OxyContin to mitigate abuse, which inadvertently led to an increase in heroin use.

20:06

🌐 Purdue's International Ambitions and the Sackler Family's Philanthropy

This section explores Purdue Pharma's plans to expand into international markets and the Sackler family's philanthropic endeavors. It raises questions about the ethics of their donations, especially in light of the opioid crisis, and discusses the growing public backlash against the family's name. The paragraph also touches on the family's attempts to distance themselves from the crisis and the ongoing debate about their responsibility for the epidemic.

25:07

🌿 The Search for Solutions and the Road to Recovery

The final paragraph focuses on the efforts to address and mitigate the opioid crisis. It discusses the role of the US government in providing emergency response tools, the use of alternative treatments like cannabis, and the importance of medical reforms to prevent similar crises in the future. The paragraph concludes with a call to action to learn from the past and a tribute to those working to help those affected by the epidemic.

Mindmap

Keywords

💡Epidemic

An epidemic refers to a sudden, widespread occurrence of a particular disease in a community at a particular time. In the context of the video, the term is used to describe the rapid and extensive spread of opioid addiction in the United States, which has been termed the 'worst public health epidemic' in the country's history.

💡Sackler family

The Sackler family is a powerful and wealthy family that owns Purdue Pharma, the maker of OxyContin, an opioid painkiller. The video discusses the family's significant role in the opioid epidemic, highlighting their pursuit of wealth at the expense of public health and their subsequent efforts to distance themselves from the crisis.

💡Opioid

Opioids are a class of drugs that include prescription painkillers like OxyContin, as well as illegal drugs like heroin. The video emphasizes the role of opioids, particularly OxyContin, in causing widespread addiction and death in the United States, making it a central theme of the crisis discussed.

💡OxyContin

OxyContin is a brand name for the opioid painkiller oxycodone, which is the focus of the video as the primary drug responsible for the opioid epidemic. The script details how the Sackler family's aggressive marketing of OxyContin contributed to the crisis, leading to addiction and overdose deaths.

💡Addiction

Addiction, in the context of the video, refers to the compulsive use of a substance despite harmful consequences. The script describes how the widespread prescription of opioids, including OxyContin, led to a significant number of people becoming addicted, resulting in a public health crisis.

💡Purdue Pharma

Purdue Pharma is the pharmaceutical company owned by the Sackler family that developed and marketed OxyContin. The video discusses the company's unethical practices, such as misleading doctors and patients about the drug's addictive potential and engaging in aggressive marketing tactics to increase sales.

💡Overdose

An overdose occurs when a person consumes a harmful or lethal amount of a substance, in this case, opioids. The script highlights the tragic reality of opioid overdoses, which have become a leading cause of death among people under 50 in the United States.

💡Marketing

Marketing, in the context of the video, refers to the strategies and tactics used by Purdue Pharma to promote OxyContin. The script describes how the company employed deceptive marketing practices, including misrepresenting the drug's addictive potential and targeting vulnerable populations.

💡Lobbying

Lobbying is the act of attempting to influence decisions made by officials in government, typically legislators or members of regulatory bodies. The video discusses how Purdue Pharma and the Sackler family engaged in lobbying to secure favorable regulations and policies that would benefit their drug sales.

💡Class-action lawsuit

A class-action lawsuit is a legal action taken by a large group of people who have suffered similar harm from the same issue. The script mentions that Purdue Pharma faced numerous class-action lawsuits due to their deceptive practices regarding OxyContin, often settling out of court to avoid public scrutiny.

💡Bankruptcy

Bankruptcy is a legal status for individuals or entities that are unable to repay their outstanding debts. The video suggests that Purdue Pharma is considering filing for bankruptcy as a strategy to protect the company's assets amidst the thousands of lawsuits it faces for its role in the opioid epidemic.

Highlights

The Sackler family is implicated in the opioid epidemic, with their company Purdue Pharma's drug OxyContin being a major contributor.

Opioids, including OxyContin, are responsible for nearly 50,000 deaths per year in the United States.

The Sackler family has made a multibillion-dollar empire from the sale of OxyContin, despite its addictive properties.

Purdue Pharma's aggressive marketing strategies, including employing armies of sales reps and paying off doctors, contributed to the widespread use of OxyContin.

High prescription rates of opioids correlate with high overdose rates, indicating a direct link between availability and abuse.

The Sackler family has invested in prestigious institutions worldwide, distancing their name from the controversial OxyContin.

Arthur Sackler pioneered advertising in pharmaceuticals, using research papers to leverage the marketing of drugs like Valium.

MS Contin, a precursor to OxyContin, was initially used for hospice care but was later marketed for general use, leading to addiction issues.

Purdue Pharma's internal studies showed a 13% addiction rate for OxyContin, contradicting their public claims of a less than 1% rate.

The FDA approved a claim that OxyContin's delayed absorption would reduce the probability of abuse, despite evidence of corruption.

Purdue Pharma targeted poor areas with high labor work, where instances of workplace injury led to higher uses of OxyContin.

The company recorded information about prescription quantities to target doctors who prescribed the most pills.

Purdue faced numerous lawsuits, often settling out of court to avoid public record and testimonies from executives.

In response to the crisis, Purdue reformulated OxyContin to be harder to abuse, but this may have led to an increase in heroin use.

The Sackler family has been largely shielded from legal repercussions, despite their significant involvement in Purdue Pharma's operations.

Purdue's lobbying efforts have secured the continued sale of OxyContin without generic competition, extending their profits.

The company has expanded into new markets and is reportedly considering bankruptcy to protect assets amidst thousands of lawsuits.

Protests and rejections of Sackler donations in the art world indicate a growing public awareness and backlash against the family's role in the opioid crisis.

The opioid crisis has sparked national efforts to address addiction, including the use of overdose-reversal drugs and medical reforms.

Transcripts

play00:00

we are in the middle of an epidemic an

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epidemic in fact it's called the worst

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public health epidemic in our history as

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eight members of the Sackler family

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caused much of the opioid epidemic and

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the case is shining a spotlight on the

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powerful family behind the drug maker

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they were all hell-bent on becoming

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super rich imagine a medical industry

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that's supposed to keep a nation healthy

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but becomes so completely corrupt that

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it causes an epidemic this has become a

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reality in the United States where

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opioids of course just under 50,000

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deaths per year according to recent

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figures and that's just the tip of the

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iceberg countless other lives have been

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destroyed through addiction in the

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United States drug overdoses of a

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leading cause of death and people under

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50 that's a lot to take in but imagine

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if most of this tragedy was caused by

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one secretive family working behind the

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scenes once again this is a reality that

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families name is Sackler the Sackler

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family is not only partly responsible

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for the epidemic but has also made a

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multibillion-dollar Empire from it you

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may not know about them but you've

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surely heard of oxycontin before welcome

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to the story of how billionaires and

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doctors became the drug dealers that

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caused an epidemic

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you are watching ColdFusion TV the

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opioid epidemic in the United States was

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caused by a variety of factors but one

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of the main ones is the involvement of

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the Sackler family and their infamous

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opioid painkiller oxycontin in 2017 when

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over 100 people per day were dying

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President Trump declared the opioid

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crisis and national emergency he is the

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problem patients are often given strong

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painkillers when in hospital for surgery

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or chronic pain while the drugs are life

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enabling for many patients to avoid

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excruciating pain from injury or

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otherwise many fall into addiction

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cycles from withdrawals some people

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graduate from prescription

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pharmaceuticals onto cheaper and more

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potent alternatives like heroin or

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fentanyl the cases and causes come from

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far and wide but research indicates that

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there is a strong correlation between

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regions of high opioid prescription

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rates and high overdose rates and if you

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look at it four of five injectable drug

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users started getting opioids whether it

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be oxycontin prescription or

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non-prescription pill taking so there is

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a direct correlation between the two

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annually more than 214 million

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prescriptions for opioid pain have been

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given out with more than 11 million

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people abusing their medication but how

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did this problem get so catastrophic

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enter the sackless the cycle has pushed

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oxycontin to everyday people who had

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little use for the drug they corrupted

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the entire supply chain employing armies

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of sales reps paying off doctors

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lobbying for favorable regulation and

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making billions while masses fell into

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devastating addiction but in care much

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for the addictive properties of their

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drugs they were more concerned with

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their bottom line

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the name is everywhere yet not many

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people know about them the Sackler

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family have invested a substantial

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portion of their 14 billion dollar net

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worth into many museums art galleries

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and universities the world-famous Louvre

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museum in Paris has a Sackler wing Kate

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Middleton was stunned when she opened

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the Sackler courtyard in the Victoria

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and Albert Museum which consists of

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11,000 handmade porcelain tiles London's

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famous Gothic church Westminster Abbey

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even has a window and named after the

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sackless while the family is happy to

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put their name on any prestigious

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institution that will receive their

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money it's a name that is far removed

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from their golden product oxycontin the

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reason why will soon be very obvious so

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to understand the cycle isn't for we

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must first look at the Sackler story the

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story of the Sackler starts in 1952 when

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three psychiatrist brothers Arthur

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Mortimer and Raymond purchased a small

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pharmaceutical company called Purdue

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together they co-authored over a hundred

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research papers on the biochemistry of

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mental illness

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Arthur Sackler doubled as an advertising

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pioneer in pharmaceuticals perhaps by

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using his research papers as leverage it

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was the first to convince the Journal of

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the American Medical Association to run

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an ad brochure in color Arthur went on

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to make valium the first drug to pass

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100 million sales he did this by

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marketing it as a drug to cover all

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kinds of ailments with a made-up term he

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called psychic tension previously that

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kind of drug was strictly only for

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anxiety so with the introduction of the

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invented idea of psychic tension it

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could be prescribed to a much wider

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market almost anyone could fit the

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symptoms not just anxiety sufferers by

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this stage are classic LA was inducted

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into the medical advertising Hall of

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Fame during the 1980s a recent movement

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in medicine was taking place it was

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called hospice the hospice sector takes

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care of the terminally ill and

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end-of-life patients around this time

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the cyclist company Perdue would release

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a morphine based pill called MS Contin

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that could help cancer patients sleep in

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the hospice market addiction wasn't an

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issue because the patients would soon

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pass Perdue would take this concept one

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step further they would release MS

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Contin

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general use unfortunately MS Contin

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would be the precursor to the drug that

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would help create an epidemic in the

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United States MS Contin became the

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benchmark for pain relief among cancer

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patients during the 1980s several papers

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and articles claimed that the link

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between opioids and addiction was

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minimal and previously overstated a

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letter published to the New England

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Journal of Medicine stated that the risk

play05:47

of addiction was less than 1% even

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though this letter was later attracted

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by the author it didn't stop over 600

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citations at the letter in medical

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journals the misinformation had already

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spread and it was difficult to stop

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advertising genius and co-founder of

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Purdy

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Arthur Sackler had a nephew named

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Richard Richard would later become the

play06:06

president of Purdue but got his start as

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a research scientist in the company

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Richard would constantly be

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brainstorming ideas trying to find new

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uses for MS Contin much like his uncle

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Arthur he was heavily interested in the

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commercial and marketing side of the

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business

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Purdue's former executive director of

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product management recalled that Richard

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didn't always work for the research

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results Richard Sackler would like to

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become the president of the company in

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1999 and co-chair in 2003 his uncle and

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father became the co-ceos of Purdue

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within Purdue Richard was an avid micro

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manager he would send out bulletins

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which halfway through it read if you're

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reading this call my secretary and he

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would leave secret passwords in the

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texts based on which sales reps called

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the secretary and delivered the password

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Richard would know exactly who was

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reading the bulletins and who wasn't

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during the 1990s the company realized

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that they needed to do something about

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MS Contin the patent was set to expire

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by the end of the decade in addition the

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use of morphine as an end-of-life

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medication stigmatized the drug from

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being more widely available the company

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moved to make a new drug called

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oxycontin with the active ingredient

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oxycodone replacing the morphine many

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doctors falsely believe that oxycodone

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was weaker than morphine the truth was

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the active ingredient in oxycontin

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oxycodone was in fact 50% stronger than

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morphine later in an unpublished study

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by Purdue in 1999 the company found that

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the addiction rate was 13% not 1% the

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FDA even approved a claim the

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oxycontin's delayed absorption would

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reduce the probability of

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abuse the FDA examiner he was involved

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in the approval of this claim left the

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FDA shortly and within two years had

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accepted a role at Purdue sadly this

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move hints at corruption in 2015

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Purdue was granted FDA approval to

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market the drug to children as young as

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11

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almost immediately after oxycontin was

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released the cases of addiction became

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apparent but rather than admit that drug

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was addictive the company simply blame

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people for not taking the drug as

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directed even Purdy themselves had to

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fire one of their secretaries after she

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became addicted to oxycontin so the

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question has to be asked why was the use

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and abuse of oxycontin so widely spread

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well it wasn't by accident the company

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knew exactly what they were doing Purdue

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strategy for marketing their new drug

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oxycontin began in 1995 first the

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company focused the drug on the same

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marketers MS Contin cancer patients the

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move was made to win wide regulatory

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acceptance and the integration of the

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drug into medical programs the company

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began their targeted advertisements on

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health professionals during this stage

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sales representatives were encouraged to

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lie about the addictive nature of the

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drug that our best strongest pain

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medicines are the opioids but these are

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the same drugs that have a reputation

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for causing addiction and other terrible

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things now in fact the rate of addiction

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amongst pain patients who are treated by

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doctors is much less than 1% they don't

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wear out they go on working they do not

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have serious medical side effects and so

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these drugs which I repeat are our best

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strongest pain medications should be

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used much more than they are for

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patients in pain then things got really

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dirty Purdy then began paying off all

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the links in the supply chain

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distributors were guaranteed rebates

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pharmacists were given refunds and

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patients were given coupons for starter

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suppliers academia also got their share

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in grants medical journals were even

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making money from advertising the drug

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politicians were given campaign

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donations from both Purdue and the

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Sackler family but the most important

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link in the whole chain was the doctors

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after all they were the ones who use

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their discretion on what

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describe patience Purdue had speaking

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events where doctors would be flown in

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to so-called seminars which were

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essentially golfing trips thousands of

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clinicians were paid to speak at

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conferences on the company's behalf

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prominent doctors on the Purdue payroll

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played down the effects of opioids

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calling them a gift from nature and

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stated that the notion that opioids

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caused addiction was a medical myth

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during a nine-year stretch from 2006 to

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2015

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Purdue and other drug manufacturers in

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the industry have spent almost 900

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million dollars in political payments

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and lobbying

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perdy lobbied and encourage regulations

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that require doctors to ask patients to

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rate their pain on a scale of one to ten

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this gave them a more quantifiable and

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tangible reason to prescribe opioids the

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company was trying to make oxycontin a

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viable treatment for non cancer patients

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an excerpt from a squire who did a piece

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in the sackless reads the company

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rebranded pain relief as a sacred Rite a

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universal narcotic entitlement available

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not only to the terminally ill but to

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every American by 2001 and your

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oxycontin sales had surged past one

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billion dollars

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business was booming in the five-year

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period between 1996 and 2001 in the

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United States

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oxycontin grew from 300,000

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prescriptions to almost 6 million opioid

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abuse cases began rising to the surface

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and studies which showed direct

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correlations between the location of the

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cases and the volume of opioid

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prescriptions in that area Purdue even

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targeted poor areas with high labor work

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the higher instances of workplace injury

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led to higher uses of oxycontin the

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company also recorded information about

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prescription quantities that individual

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doctors were writing sadly this was so

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that the sales reps would have a better

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idea of which doctors to target like

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casinos targeting clients that would

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spend the most

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perdy was targeting doctors that would

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prescribe the most people trust their

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doctor and they think that the doctor is

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prescribing things appropriately and

play11:54

monitoring them appropriately and they

play11:57

think that if the bottle says take it in

play11:59

such and such a way that is perfectly

play12:00

okay to do that it is now possible to

play12:03

find regions in the country where the

play12:05

amount of prescriptions is more than the

play12:06

actual population of the region doctors

play12:09

would be arrested in the hundreds for

play12:10

running clinics which prescribe pills to

play12:12

patients without a legitimate reason

play12:13

these were often called pill mills the

play12:17

purdue company not only knew what they

play12:20

were doing but they were happy about it

play12:21

the company's memos between sales reps

play12:24

read dollars dollars dollars

play12:26

it's Bonus Time in the neighborhood some

play12:28

of the better sales reps were earning

play12:30

six-figure commissions with the company

play12:32

paying out 40 million dollars in bonuses

play12:34

in 2001 but for the Sackler family and

play12:37

Purdy things weren't going to stay so

play12:39

rosy

play12:43

by this stage there was mounting

play12:45

criticism of oxycontin but Purdue still

play12:47

managed to make things even worse the

play12:50

effects of oxycontin was supposed to

play12:52

last 12 hours enough for a good night's

play12:54

rest

play12:54

however often the effects are only

play12:57

present for eight hours now / you could

play12:59

have done one of two things increase the

play13:01

frequency of the dose or increase the

play13:03

dosage and increase the potential for

play13:05

addiction they did the latter sales reps

play13:08

was strictly instructed to inform

play13:10

doctors to increase the dosage amounts

play13:12

instead of the frequency this created

play13:14

the perfect cycle for addiction the

play13:16

increased dosage would make the patient

play13:18

feel the effects of withdrawal for a

play13:19

short period and then they would have to

play13:21

take another pill to put them at ease

play13:23

again

play13:23

this led patients down the slope of

play13:25

being prescribed more than they needed

play13:27

as their tolerance is cru they fell

play13:29

deeper into addiction every night on the

play13:32

news you'd hear someone dying in the

play13:35

state or in other states because of oxy

play13:37

cotton and it was so addictive

play13:40

and they knew that pharmaceuticals knew

play13:43

that to bring the same I have to show

play13:45

you the real impact of opioid withdrawal

play13:47

from the inside with this you can gain

play13:49

an empathetic view and understand why so

play13:52

many people don't make it out family

play13:54

time is something Travis reader does not

play13:56

take for granted the Johns Hopkins

play13:58

University bioethics professor soaks up

play14:01

every moment he can that's because two

play14:04

years ago prescription opioids stole a

play14:06

chapter of his life 2015 a serious

play14:09

motorcycle accident left Travis with a

play14:11

crushed foot he would have six surgeries

play14:13

to fix it including a transplant from

play14:16

his thigh requiring large amounts of

play14:19

pain medication it was had a follow-up

play14:21

doctor's appointment with the initial

play14:23

trauma surgeon the guy who saved the

play14:24

foot and he's the one who asked me about

play14:26

my pain level and my drugs and he's like

play14:29

oh you're on a lot of opioids you

play14:32

probably need to think like it

play14:34

Travis says his doctor suggested he

play14:36

begin weaning off of the drugs over four

play14:38

weeks he says three days in he was going

play14:42

through serious withdrawal I felt like I

play14:44

got the flu my temperature kind of went

play14:47

haywire

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I couldn't sleep very well she watched

play14:51

him get worse every day

play14:53

uncontrollable crying you know they

play14:56

often he would just burst into tears

play14:58

like you know he couldn't sleep

play15:01

Travis reached out to more than a dozen

play15:03

of his doctors some told him to take

play15:05

stool softeners and drink lots of water

play15:07

but no one could tell him how to get out

play15:10

of the withdrawal hell he was in hey I'm

play15:12

really in trouble here I'm feeling

play15:14

really bad it's that bad go back on the

play15:16

drugs Travis says he is not anti opioids

play15:19

and believes they do have a place but

play15:21

doctors need to prescribe them with a

play15:23

plan the failure wasn't not following up

play15:26

never telling me what to look forward to

play15:30

in my experience

play15:31

okay withdrawal was the worst feeling

play15:34

I've ever had

play15:35

hands down I have vivid memories of

play15:38

being sick in my bed sweating with the

play15:41

covers on and freezing with the covers

play15:44

off I was constantly sick I vomited

play15:47

almost every single morning it's

play15:49

something that I would never want to go

play15:50

back to you can die straight up your

play15:53

heart can explode for not having it you

play15:55

can die because when you don't have it

play15:57

your blood pressure goes up that is why

play16:00

a lot of people's heart feels like it's

play16:01

pound our chest when they have to

play16:02

withdrawal symptoms and if I didn't have

play16:04

them the hair on my head hurt not only

play16:07

that withdrawal symptoms you're going to

play16:09

be having growing up you're gonna be

play16:11

vomiting you're gonna have cold chills

play16:13

you're gonna have hot flashes you're

play16:16

gonna not be able to sleep because

play16:18

you're gonna have restless legs your

play16:19

legs are gonna be moving all over the

play16:21

place this is your legs this is what

play16:23

they're gonna be doing because you can't

play16:24

stand to be in your own skin and that is

play16:27

exactly what it feels like the

play16:28

withdrawal exactly you're also gonna

play16:31

have probably anxiety attacks maybe even

play16:34

pain

play16:34

attacks your face is flushing you might

play16:37

get scared you know so you start

play16:39

hyperventilating and things like that

play16:40

there was no counseling along the way I

play16:42

was never told that dependence was gonna

play16:44

be a problem right and then at the end

play16:46

no one knew how or was able or willing

play16:48

to appropriately wean me off so why

play16:52

wasn't anyone doing anything about this

play16:54

well soon people did as time went on

play17:01

perdy would go on to face many

play17:03

class-action lawsuits in regard to their

play17:05

practices with the drug often the

play17:07

company settle awarding plaintiffs

play17:08

millions in 2004 Purdue was sued for

play17:11

deceptive marketing as the drugs were

play17:13

meant to last 12 hours

play17:14

but lasted much less the company settled

play17:17

the suit for ten million dollars sealing

play17:19

the case under confidentiality and

play17:21

admitting no wrongdoing or changing any

play17:23

practices Purdue always avoided any

play17:26

cyclist testifying under oath

play17:27

they always reached a settlement just as

play17:29

they were going to be called upon in

play17:32

2007 the company faced a suit from the

play17:34

federal government in which Purdue was

play17:36

charged for a criminal felony of

play17:38

purposefully pushing misconceptions

play17:40

about oxycontin Purdue acknowledged that

play17:42

they knew about the misconceptions

play17:44

doctors had about their drug and

play17:45

actively exploited it for profit this

play17:47

settlement cost Purdue 600 million

play17:49

dollars even though a lot of the Sackler

play17:52

family were on the board and Richard

play17:53

Sackler had a direct hand in operations

play17:55

the CERCLA family name appeared nowhere

play17:58

in the 89 page guilty plea however the

play18:00

cyclin name did appear on an agreement

play18:02

attached to the plea which would mean

play18:04

that the government wouldn't go after

play18:06

any of the listed entities related to

play18:08

the Sackler family the company's

play18:10

eagerness to settle was in order to

play18:11

avoid anything going on the public

play18:13

record especially anything from the

play18:15

circles themselves the family's only

play18:17

testimony on the topic came in 2015 from

play18:20

Richard sealed from public view for four

play18:23

years and only released in 2009 the

play18:25

testimony showed that Richard Sackler

play18:27

knew about the dangers of oxycontin in

play18:29

2001 after it was reported that 59

play18:32

people died from oxycontin overdoses his

play18:35

email to executives read that is not too

play18:37

bad it could have been far worse

play18:43

by 2010 perdy had realized that they

play18:46

need to address the issue facing them so

play18:49

they created a new formula for their

play18:50

pill which is harder to snort or inject

play18:52

after the reformulations a study was

play18:55

conducted that found 1/3 of users

play18:57

switched to other drugs and of those a

play18:59

further 70% began using heroin it

play19:02

appears that this reformulation simply

play19:05

increased the rate that people turn to

play19:06

cheaper and harder opioids this was

play19:09

shown by the significant increase in

play19:11

cases post 2010 your money gets tiny

play19:23

you're just like well what can I get

play19:25

something close to this but cheaper

play19:32

companies do play a big role

play19:35

Purdy's actions went two step further as

play19:37

the oxycontin pattern was nearing its

play19:39

end Purdue with an apparent sudden

play19:41

change of heart

play19:42

stunningly lobbied that the drug was

play19:44

prone to abuse and then no other

play19:46

companies should be allowed to remake it

play19:48

in 2013 the FDA agreed no generic copies

play19:52

of oxycontin were to be made but

play19:54

Purdue's version of oxycontin remained

play19:56

on the market this simply meant that no

play19:59

other competitors could make their own

play20:00

versions of the drug

play20:01

so what looked like a rare noble act

play20:03

from Purdue was simply a cunning act to

play20:06

move to secure a few more years of

play20:07

competition free selling of their

play20:09

billion-dollar baby

play20:10

oxycontin with his trail of destruction

play20:14

ruining large sections of the American

play20:16

population Purdue appears to be moving

play20:19

to other markets markets with fewer

play20:21

regulations would be a simple way for

play20:23

the cyclists to keep milking their cash

play20:24

cow in 2016 and LA Times investigation

play20:29

into Purdy's child company Monday farmer

play20:31

suggested that is gearing up to take on

play20:33

international markets with their drug in

play20:36

response US lawmakers wrote a letter to

play20:38

the World Health Organization warning

play20:40

the intents of the company owned by the

play20:41

Sackler family in 2018 the SEC has

play20:46

obtained a patent for a drug which is

play20:47

used to treat opioid addiction

play20:49

ironically they might make even more

play20:52

money from the crisis they helped create

play20:55

in March 2019 Purdue settled yet another

play20:59

lawsuit this time the company agreed to

play21:02

pay 270 million dollars to the state of

play21:04

Oklahoma for its part in the opioid

play21:06

epidemic the Sackler family was not

play21:08

called by name as the defendant however

play21:10

perhaps an order to not be called to

play21:12

testify the Sackler family has

play21:13

voluntarily pledged 75 million dollars

play21:16

to the National Centre for Addiction

play21:18

Studies at Oklahoma State University the

play21:20

company is currently said to be

play21:22

considering bankruptcy in the midst of

play21:23

thousands of lawsuits in order to

play21:25

protect the assets in total a separate

play21:28

collection of about 1600 lawsuits are

play21:31

being carried out from various levels of

play21:33

government

play21:35

the circular name was kept far away from

play21:38

their products and oxycontin wasn't

play21:39

called oxy Sackler on purpose but now

play21:42

the world is waking up we're here to

play21:46

call out the Sackler family who've

play21:48

become synonymous with the opioid crisis

play21:51

the family who made billions off the

play21:53

bodies of hundreds of thousands

play21:55

protestors have began assembling and

play21:58

organizing against the cyclists in

play22:00

February 2019 the Guggenheim Museum in

play22:02

New York a common recipient of suckler

play22:04

money was taken over by protesters

play22:06

prescription papers fell from the

play22:08

balconies symbolically as carelessly as

play22:11

doctors on the cyclope roll once wrote

play22:12

them the chant

play22:14

shame on Sackler occurred throughout the

play22:16

streets of New York as angry groups

play22:17

gathered it now seems that the cyclists

play22:21

favorite domain the art and museum world

play22:23

has now been overtaken by people who

play22:25

have had enough in 2019 one by one art

play22:29

galleries around the world began to

play22:31

reject their work the National Portrait

play22:33

Gallery in the UK announced that it

play22:35

would be rejecting a 1.3 million

play22:36

donation from the Sackler trust London

play22:39

State Museum in New York's Guggenheim

play22:40

Museum both announced that any further

play22:43

donations from the sackless will not be

play22:45

accepted as far as outrage against the

play22:48

sackless goes the deeper story is more

play22:50

nuanced most of the Sackler descendants

play22:53

are involved in philanthropic work

play22:55

organizing various charities and

play22:56

well-meaning causes some have never

play22:59

owned any shares and Purdue but Barre

play23:01

the Sackler name

play23:02

should the descendants some of whom have

play23:05

no interaction with Purdue apart from

play23:07

collecting their checks which some

play23:08

estimates put as high as 1 billion

play23:10

dollars per year be held accountable the

play23:13

publication The New Yorker puts forward

play23:15

a good argument that the money received

play23:16

from ill games should go to measures to

play23:18

counter the impact that they had for

play23:21

example john d rockefeller founded

play23:23

Standard Oil which was later broken up

play23:25

into massive oil companies such as

play23:27

Chevron ExxonMobil and BP the

play23:30

descendants of Rockefeller have used

play23:31

some of their fortune to fund resources

play23:33

involved in climate change and ordered

play23:35

the companies harms due to their

play23:37

enormous moral responsibility should the

play23:39

cyclists do the same the last of the

play23:42

three original Sackler brothers who

play23:44

started the company back in the 1950s

play23:46

died in 2017 however Richard who ran the

play23:49

Purdy company and other Sackler members

play23:51

who have served on the board are still

play23:53

alive and being sued all of these

play23:57

settlements seem like pennies on the

play23:58

dollar for a company which reportedly

play24:00

earned thirty five billion dollars in

play24:02

revenue from oxycontin and further

play24:04

fueled an epidemic which has killed over

play24:07

200,000 people since 1997 one senator

play24:11

even described the settlements as an

play24:13

expensive license for criminal

play24:15

misconduct sure the cyclers are not

play24:18

solely responsible for the opioid

play24:20

epidemic a range of other drugs were

play24:22

available both pharmaceutical and on the

play24:24

street and there were other factors too

play24:26

but their large role in the entire

play24:27

crisis is undeniable perhaps there's a

play24:30

silver lining though the US government

play24:32

has taken the first steps to addressing

play24:34

the issue on a national level emergency

play24:36

response tools such as narcan nasal

play24:38

spray have saved countless lives in

play24:40

emergency overdose situations drugs such

play24:42

as buprenorphine and methadone combined

play24:44

with psychological help are often used

play24:46

to treat patients addicted to opioids

play24:48

meanwhile researchers in Canada are

play24:50

finding a 30 percent of medicinal

play24:52

cannabis patients use the drug as a

play24:54

substitute for their previous opioid

play24:56

addictions 2014 study found the deaths

play24:59

from opioids were 25 percent lower in

play25:01

states that had legalized cannabis in

play25:03

total it's a complicated issue and it's

play25:06

going to be a long road but

play25:08

understanding addiction and creating

play25:10

medical reforms that make it harder for

play25:12

companies to lie about their drugs will

play25:14

be key in the future change

play25:16

credit and a bit of thankfulness must be

play25:18

given to the countless people who are

play25:20

trying to help those affected by this

play25:21

horrible crisis hospital staff charity

play25:24

workers local police fire departments

play25:27

social workers in their own way they all

play25:30

help save lives every day but it is

play25:33

evident now more than ever the effect

play25:35

that the Sackler family has had on the

play25:37

world depending on how long the opioid

play25:39

crisis continues we still may not know

play25:41

the full and true extent of the cyclers

play25:44

efforts ironically after Sackler once

play25:47

told his children leave the world a

play25:49

better place than it was when you came

play25:51

in if you've ever seen a bigger case of

play25:53

hypocrisy please let me know the

play25:56

cyclists that were involved in creating

play25:58

an opioid epidemic cared more about

play26:00

their profits than they did about their

play26:01

patients the very people they were meant

play26:03

to help it may be too late to bring

play26:05

those responsible to justice

play26:07

or completely heal from the impact that

play26:09

their actions had on the world but it's

play26:11

not too late to stop this kind of thing

play26:12

from happening again in the future for

play26:15

the last thirty years the cycle has had

play26:18

a secret but not anymore

play26:19

and now you all know it too so that

play26:24

wraps up our look at the Sackler family

play26:26

and their role in the opioid crisis if

play26:28

you do know anyone going through this

play26:30

I'm sorry

play26:31

and I hope things get better for them

play26:34

so just a bit of housekeeping quickly if

play26:36

this video does well like the

play26:38

thoroughness video I did before and you

play26:40

guys kind of like this longer form

play26:41

content then I think I'll do one of

play26:43

these long form documentaries maybe once

play26:45

a month we'll see how we go so again

play26:48

thanks for watching this has been - go

play26:50

go you've been watching cold fusion feel

play26:52

free to share this video to anyone who's

play26:53

interested in this topic and wondering

play26:55

how this opioid epidemic actually really

play26:57

started and I'll catch you again soon

play26:59

for the next video cheers guys have a

play27:02

good one

play27:03

[Music]

play27:15

you

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you

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Related Tags
Opioid CrisisSackler FamilyPurdue PharmaOxyContinAddictionEpidemicHealthcareLegal BattlesPharmaceutical IndustryPublic HealthMoral Responsibility