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How to kill 300,000 Americans - Review

Goatman

ADC
Book Reviewer
And in 2020


Source : USA Today
//tinyurl.com/y3m9gy4h


WASHINGTON – Purdue Pharma, the company whose OxyContin painkiller contributed to a nationwide opioid epidemic, has agreed to plead guilty to federal criminal charges as part of a settlement with the government that includes fines of more than $8 billion, the Justice Department announced Wednesday.

The company, according to the agreement, will plead guilty to fraud and violations of the federal kickback laws. The criminal charges do not, however, absolve the company's owners, the Sackler family, of future criminal liability, federal authorities said.

The settlement is the highest-profile display yet of the federal government seeking to hold a major drugmaker responsible for an opioid addiction and overdose crisis linked to more than 470,000 deaths in the country since 2000.

OxyContin's manufacturer faces criminal charges related to the national opioid epidemic.


OxyContin's manufacturer faces criminal charges related to the national opioid epidemic.
TOBY TALBOT, AP
Deputy Attorney General Jeffrey Rosen, who announced the deal, said that if the resolution wins court approval it "will redress past wrongs, and will also provide extraordinary new resources for treatment and care of those affected by opioids addiction."


In a statement, the Sacklers maintained family members who served on Purdue's board of directors "acted ethically and lawfully," adding that the agreement was aimed at avoiding "years" of legal proceedings while directing funds to "communities in need."

"We have deep compassion for people who suffer from opioid addiction and abuse and hope the proposal will be implemented as swiftly as possible to help address their critical needs," the family said.


While the settlement involves massive amounts in fines, the company is in bankruptcy so payouts will be subject to court approval.


Lawmakers: 'They intentionally addicted millions'

The agreement met immediate resistance from lawmakers and some state officials who believe it did not go far enough to address the swath of human destruction caused by the epidemic.

"Today’s deal doesn’t account for the hundreds of thousands of deaths or millions of addictions caused by Purdue Pharma and the Sackler family," New York Attorney General Letitia James said. "Instead, it allows billionaires to keep their billions without any accounting for how much they really made. From the beginning, we’ve aimed to unearth how much the Sacklers actually profited and how much they continue to hide away. While no amount of money can ever compensate the pain that so many now know, we will continue to litigate our case through the courts to secure every cent we can to limit future opioid addictions."

New York Attorney General Letitia James has filed a suit seeking to dissolve the NRA following a fraud investigation.


New York Attorney General Letitia James has filed a suit seeking to dissolve the NRA following a fraud investigation.
AP
Last week, 38 House members signed a letter to Attorney General William Barr expressing their concern for a settlement that would include criminal charges against the Sackler family.

"Purdue and the Sackler family perpetrated one of the most egregious criminal acts in American history," the lawmakers wrote Oct. 15. "They intentionally addicted millions of unsuspecting people to powerful painkillers for profit, and their actions have directly contributed to the deaths of tens of thousands of Americans."

The settlement comes less than two weeks before a presidential election where the opioid epidemic has taken a political back seat to the coronavirus pandemic and other issues. But the deal does give President Donald Trump’s administration an example of action on the addiction crisis, which he promised early in his term.



Breakdown of the crimes

As part of the resolution, Purdue will admit that it impeded the Drug Enforcement Administration by falsely representing that it had maintained an effective program to avoid illegal diversions of the drug and by reporting misleading information to the agency to boost the company’s manufacturing quotas, officials said.

"Purdue continued to market its opioid products to more than 100 health care providers whom the company had good reason to believe were diverting opioids and by reporting misleading information to the DEA to boost Purdue’s manufacturing quotas," the government claimed. "The misleading information... included prescriptions written by doctors that Purdue had good reason to believe were engaged in diversion."

The kickback offenses, according to federal officials, occurred between 2009 and 2017 when Purdue "made payments to two doctors through Purdue’s doctor speaker program to induce those doctors to write more prescriptions of Purdue’s opioid products."

And between April and December 2016, Purdue made payments to Practice Fusion Inc., an electronic health records company, in exchange for "referring, recommending, and arranging for the ordering of Purdue’s opioid products..."

Of the $8.3 billion in fines, about $5.5 billion would satisfy criminal penalties and $2.8 has been designated for civil damages.

Purdue also would be effectively dissolved and converted to a public benefit company that would be overseen by a trust. Under terms of the agreement, the Sackler family would not be involved in the restructured company.

The company is also required to cooperate with the ongoing federal investigation and potential other prosecutions.

Contributing: Associated Press


18 hours ago
---------------- --------------

Aunty's take on it here :

 
Congresswoman Mary Bono (Rep) talking about how Purdue Pharmaceutical threatened to cut funding to her state (Florida) if she continued to investigate prescription Opioids....

" Today only 17% of Americans say they can trust the Government to do what is right ...compared with 40 % in 2000 "
Wonder what that statistic looks like today...
 
Doctors are effectively employees of their patients

They can actually go in and ask for particular drugs... Bit of a shock watching NCIS in LA and having ads for prescription meds next to the ones for Cheerios.... Particularly amused by the ass-cover gabble at the end.. "side effects may include......sudden death..."
 

Goatman

ADC
Book Reviewer
See @labrat 's comment above:

" The interesting thing with fentanyl is the narrow band between ‘therapeutic dose’ and ‘dead’ "


Based on the title I thought this going to be a thread about Donald Trump’s COVID-19 memoirs.

To my knowledge, the current incumbent has NEVER , and I say this with the utmost confidence*, personally benefited from the untimely death of 300,000 U.S citizens.



















[* straining at a leagl gnat here , but - are we sure on this? Please speak: Ed. ]
 
Last edited:
And in 2020


Source : USA Today
//tinyurl.com/y3m9gy4h


WASHINGTON – Purdue Pharma, the company whose OxyContin painkiller contributed to a nationwide opioid epidemic, has agreed to plead guilty to federal criminal charges as part of a settlement with the government that includes fines of more than $8 billion, the Justice Department announced Wednesday.

The company, according to the agreement, will plead guilty to fraud and violations of the federal kickback laws. The criminal charges do not, however, absolve the company's owners, the Sackler family, of future criminal liability, federal authorities said.

The settlement is the highest-profile display yet of the federal government seeking to hold a major drugmaker responsible for an opioid addiction and overdose crisis linked to more than 470,000 deaths in the country since 2000.

OxyContin's manufacturer faces criminal charges related to the national opioid epidemic.'s manufacturer faces criminal charges related to the national opioid epidemic.


OxyContin's manufacturer faces criminal charges related to the national opioid epidemic.
TOBY TALBOT, AP
Deputy Attorney General Jeffrey Rosen, who announced the deal, said that if the resolution wins court approval it "will redress past wrongs, and will also provide extraordinary new resources for treatment and care of those affected by opioids addiction."


In a statement, the Sacklers maintained family members who served on Purdue's board of directors "acted ethically and lawfully," adding that the agreement was aimed at avoiding "years" of legal proceedings while directing funds to "communities in need."

"We have deep compassion for people who suffer from opioid addiction and abuse and hope the proposal will be implemented as swiftly as possible to help address their critical needs," the family said.


While the settlement involves massive amounts in fines, the company is in bankruptcy so payouts will be subject to court approval.


Lawmakers: 'They intentionally addicted millions'

The agreement met immediate resistance from lawmakers and some state officials who believe it did not go far enough to address the swath of human destruction caused by the epidemic.

"Today’s deal doesn’t account for the hundreds of thousands of deaths or millions of addictions caused by Purdue Pharma and the Sackler family," New York Attorney General Letitia James said. "Instead, it allows billionaires to keep their billions without any accounting for how much they really made. From the beginning, we’ve aimed to unearth how much the Sacklers actually profited and how much they continue to hide away. While no amount of money can ever compensate the pain that so many now know, we will continue to litigate our case through the courts to secure every cent we can to limit future opioid addictions."

New York Attorney General Letitia James has filed a suit seeking to dissolve the NRA following a fraud investigation.


New York Attorney General Letitia James has filed a suit seeking to dissolve the NRA following a fraud investigation.
AP
Last week, 38 House members signed a letter to Attorney General William Barr expressing their concern for a settlement that would include criminal charges against the Sackler family.

"Purdue and the Sackler family perpetrated one of the most egregious criminal acts in American history," the lawmakers wrote Oct. 15. "They intentionally addicted millions of unsuspecting people to powerful painkillers for profit, and their actions have directly contributed to the deaths of tens of thousands of Americans."

The settlement comes less than two weeks before a presidential election where the opioid epidemic has taken a political back seat to the coronavirus pandemic and other issues. But the deal does give President Donald Trump’s administration an example of action on the addiction crisis, which he promised early in his term.



Breakdown of the crimes

As part of the resolution, Purdue will admit that it impeded the Drug Enforcement Administration by falsely representing that it had maintained an effective program to avoid illegal diversions of the drug and by reporting misleading information to the agency to boost the company’s manufacturing quotas, officials said.

"Purdue continued to market its opioid products to more than 100 health care providers whom the company had good reason to believe were diverting opioids and by reporting misleading information to the DEA to boost Purdue’s manufacturing quotas," the government claimed. "The misleading information... included prescriptions written by doctors that Purdue had good reason to believe were engaged in diversion."

The kickback offenses, according to federal officials, occurred between 2009 and 2017 when Purdue "made payments to two doctors through Purdue’s doctor speaker program to induce those doctors to write more prescriptions of Purdue’s opioid products."

And between April and December 2016, Purdue made payments to Practice Fusion Inc., an electronic health records company, in exchange for "referring, recommending, and arranging for the ordering of Purdue’s opioid products..."

Of the $8.3 billion in fines, about $5.5 billion would satisfy criminal penalties and $2.8 has been designated for civil damages.

Purdue also would be effectively dissolved and converted to a public benefit company that would be overseen by a trust. Under terms of the agreement, the Sackler family would not be involved in the restructured company.

The company is also required to cooperate with the ongoing federal investigation and potential other prosecutions.

Contributing: Associated Press


18 hours ago
---------------- --------------

Aunty's take on it here :


This reads like an episode of ‘Designated Survivor’
 

Goatman

ADC
Book Reviewer
The worst thing to me is that this , in light of the US experience, is the official NHS guidance on the government website on the use of Oxycontin in Britain:

SOURCE Oxycodone: strong painkiller to treat severe pain

It is possible to become addicted to oxycodone, but this is rare, especially if you are taking it as a doctor has prescribed.

The dose you take will be reviewed to make sure you are only taking the amount you need to control your pain.

If you're taking oxycodone to relieve pain (rather than using it as a recreational drug) it's unlikely you will get addicted to it because you're not taking it to get a "high".
 
Last edited:

endure

GCM
The worst thing to me is that this , in light of the US experience, is the official NHS guidance on the government website on the use of Oxycontin in Britain:

SOURCE

It is possible to become addicted to oxycodone, but this is rare, especially if you are taking it as a doctor has prescribed.

The dose you take will be reviewed to make sure you are only taking the amount you need to control your pain.

If you're taking oxycodone to relieve pain (rather than using it as a recreational drug) it's unlikely you will get addicted to it because you're not taking it to get a "high".
Apparently a lot of the illegitimate oxycontin use in the USA is due to 'doctor shopping', something which I suspect is less prevalent in the UK where you have to be registered with a GP to obtain prescriptions.

 

Goatman

ADC
Book Reviewer
The US Attorney General stated that the company responsible for Oxycodone, PurduePharma:

'" intentionally addicted millions of unsuspecting people to powerful painkillers for profit'


I suggest it would be prudent for the NHS to acknowledge this.
 

endure

GCM
The US Attorney General stated that the company responsible for Oxycodone, PurduePharma:

'" intentionally addicted millions of unsuspecting people to powerful painkillers for profit'


I suggest it would be prudent for the NHS to acknowledge this.
They do. Like all narcotics (apart from Co-Codamol 8/500) it's prescription only.

Unlike the USA you can't wander from one GP to another getting multiple doses of POMs. You can only get them from your registered GP.

This isn't the USA. Things work differently here.
 

Goatman

ADC
Book Reviewer
Thanks for that Dancer - good to know that our snowbirds have given Ice the cold shoulder - and can't afford crack.

I also understand that Oxycontin abuse hasn't exploded here, for which we can only be thankful.

It's a tricky tightrope between pain relief (a good useful thing) - and inadvertently making a patient dependant on a HIGHLY addictive substance.


Fingers crossed our clinicians - who have a poor record on pain relief - keep getting the balance right.
 
Thanks for that Dancer - good to know that our snowbirds have given Ice the cold shoulder - and can't afford crack.

I also understand that Oxycontin abuse hasn't exploded here, for which we can only be thankful.

It's a tricky tightrope between pain relief (a good useful thing) - and inadvertently making a patient dependant on a HIGHLY addictive substance.


Fingers crossed our clinicians - who have a poor record on pain relief - keep getting the balance right.

The tricky thing about the neo-opioids is the much narrower band between a therapeutic dose and a lethal one than natural opioids
 

Goatman

ADC
Book Reviewer
I don't know if this has been posted already, but here's a US government article on Oxycontin abuse. It discusses the medical, social, and economic factors surrounding it.
The controversy surrounding OxyContin abuse: issues and solutions

It is important to note that Oxycontin is the most notorious of these drugs, but there is a long list of similar ones under other brand names. Oxycontin apparently became particularly well known in the US because right wing radio host Rush Limbaugh admitted to being an addict.

The article mentions that people would obtain pills by a variety of means. They would go to multiple different physicians with various vague complaints of pain and ask for pills for it. They would go to multiple different pharmacies in different areas so the scale of their purchases wouldn't be noticed. They would alter prescriptions. They would break into pharmacies. They would find doctors who would write prescriptions with few questions asked or or pharmacies who would sell the drug without one.

People who could get the drug would in many cases sell it to others. It became known as "hill billy heroin" because it was particularly popular in rural areas of the US and has similar effects to heroin when the pills are crushed or otherwise altered to allow the drug to be absorbed faster by the body.

The mandatory warnings on the drug packaging about to not crush or dissolve the pills and the news reports highlighting the dangers of this likely just encouraged abuse of the drug.

Here's an article that discusses "pill mills" in Florida. Pill mills are apparently medical practices, "pain clinics", and others that dispense large amounts of prescription drugs with few questions asked, often for cash.

Opioid Overdose Deaths and Florida’s Crackdown on Pill Mills


This 3 year old article from The Guardian discusses how heavily the US pharmaceutical industry lobbies US politicians. There are apparently two drug company lobbyists for every politician.

How big pharma's money – and its politicians – feed the US opioid crisis
 

Mr Tweedy

Old-Salt
They do. Like all narcotics (apart from Co-Codamol 8/500) it's prescription only.

Unlike the USA you can't wander from one GP to another getting multiple doses of POMs. You can only get them from your registered GP.

This isn't the USA. Things work differently here.
NHS Clinical Commissioning Groups in England all have programmes involving registered pharmacists to reduce long term opioid use. ALL patients on painkillers for more than 6 months have a mandatory review of the meds by the Medicines Safety Team, and alternatives discussed with the GP.

The aim is two fold - manage the pain better (long term meds are rarely the answer) and also to avoid unsafe use of strong painkillers (particularly Opioids)
 

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