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This is an investigation of the Sackler family and their company, Purdue Pharma, creator of OxyContin and it s predecessor, MSContin It s an examination of their knowledge of OxyContin s potential for abuse, their extensive marketing campaign that was responsible for misrepresenting the drug, and the lack of action taken by Purdue once they realized the drug was being abused by at risk populations as well as healthy people It s an indictment of their business practices and ethics There are stories interspersed of medical professionals, individuals, and communities affected by OxyContin and their response to Purdue Pharma s inaction Ultimately, it s the story of almost 15 years of failure by Purdue, medical professionals, insurance companies, and the government to tell the truth about this powerfully addictive drug and take actions to curtail its rampant misuse We now know the extent to which drug overdoses have devastated communities around the country OxyContin is a large part of that narrative fascinating is that this is a reprint of a book that came out in 2003 It has been updated to reflect new findings and the release of legal documents and evidence uncovered during a federal investigation of Purdue Pharma The fact that this book existed, and that knowledge of OxyContin s potential for addition were known in the late 1990s, is just depressing This whole book is depressing The United States has suffered significantly.You ll learn something from this book, but you won t be happy about it And the story is still evolving.Purdue was charged with felony Misbranding in the mid aughts, which came with a monetary penalty, as were its three top executives Its executives were given 400 hours of community service, spared jail time, but owed millions as well Since then lawsuits galore from New York, Massachusetts, Connecticut, Rhode Island, and Utah have filed suits against the Sackler family, museums have cut ties with the family, refusing to accept further donations subsequent research would support Ballantyne s warning as prescient Researches in Denmark a country that keeps detailed records on how patients respond to differing medical treatments found that pain patients put on non drug treatments recovered at a rate four times faster than patients given opiods Researchers with the U.S Department of Veterans Affairs would report similar findings The opioid crisis is actually two separate crises, each with its own causes and solutions One involves illegal narcotics, such as counterfeit fentanyl, and requires the attention of law enforcement as well as compassionate treatment for those addicted to lethal drugs The other crises lies int he medical use of opioids, and it s solution is much easier There is no question that opioids, particularly when used at low dosages, work for some patients who can t otherwise find relief a new approach to the treatment of pain must become a priority Many experts believe that most types of pain can be successfully treated with methods popular before the opioid era began, such as physical therapy, exercise, behavior modification, and non narcotic drugs November 2000, a physician recommended this directly to Purdue and the FDA Replace OxyContin with Oxy Nx oxycodone naloxone reviewer s note substance used in narcan , which would presumably cut down substantially on the amount of abuse of the drug Why was this never done Why I ve been following the story of the Sackler family and Purdue Pharma for several years, how the company and family were largely responsible for starting and then fanning the flames of the opioid epidemic The evidence presented by Meir that undercuts their denial of any knowledge of an abuse problem with OxyContini before early in 2000 is quite damning He wrote And the company knew by 1996, internal Purdue emails showed, that addicts had discovered how to defeat MS Contin s time release formulation in order to extract morphine from a tablet so they could shoot it up It was not a few scattered incidents, as Purdue officials claimed.In late September of 2006 federal prosecutors sent a 120 page memo to John Brownlee, then the U.S Attorney for the Western District of Virginia, that contained recommendations for indictments that included three senior company executives If convicted, the three men would have served prison time They didn t because the investigation was aborted by senior Justice Department officials Meir quoted the following on page 177 from the prosecutor s memo Had the conspirators provided Congress and their sales representatives with the truth, that is that PURDUE had been aware, at least as early as 1997 1998, that both MS Contin and OxyContin were subject to widespread abuse and diversion but continued to market OxyContin as less addictive, abusable and subject to diversion in the face of this knowledge, the sales representatives would have lost all credibility with health care providers, and PURDUE s conduct would likely have been subject to much greater regulatory and Congressional scrutiny.Barry Meir didn t have to convince me of the family s and company s complicity in generating perhaps the largest public health crisis of the last 100 years However he told the story with added Notes and Sources for each chapter in an easy to follow manner that leaves no room for doubt In a closing postscript, I found it interesting that Rudy Giuliani was brought in at such a crucial time as a crisis manager or fixer for the Purdue legal team. The Sacklers and Purdue pharma are worse than the heroin dealer in your neighborhood Not only are they just as nefarious in hooking people to deadly addictive drugs for profit but doing so at a scale and with the sanction of law that no two bit scumbag selling scag could dream of Disgusting and sordid as any drug lord but only done by a corporation Much needed account of this nauseating episode in the annals of late capitalism. This book is well researched and well written, like an unfolding story then a dry report I have a very mixed reaction to this book because the author does some things very well, and I think he misses one point in a very disappointing way.The author writes with compassion and understanding of the plight of teenagers and their families who are dealing with opiate addiction He also writes with compassion understanding of the doctors and policymakers trying to make decisions about how to handle OxyContin and medications like it He even writes with compassion toward people who need opiates to deal with pain caused by cancer So it is deeply disappointing for me that he does not tell the story of someone who needs medication for severe pain caused by something other than cancer such as a spinal cord injury In fact, from the stories he chooses to tell, it seems that he is opposed to the use of long acting narcotics for people who have pain not caused by cancer, even if that pain is rated as severe However, this may be my understanding of what he says I wish I could have a conversation with him to be sure I understand where he s coming from.I like how he explains the feeling of being addicted, the pain of the addict as well as the family members I respect his book for its coverage of how addiction damages a poor society.I wish he would have used a similar tone of compassion to speak of those of us who spend most of our lives in severe pain, not by our choice, but through something like a car accident I also wish he would explain what law abiding pain medicine users in door to prove that we are not addicts When I go to the doctor to have my pain medication refilled, there are things I have to do to prove that I am using my medication responsibly My urine is tested, the nurse counts any remaining pills that I have on my person, and I am asked how my pain level is and how much medication I m taking per day I do these things because it protects me and my doctor from any accusations of abuse However, I don t enjoy this feeling, this experience of having to prove myself innocent because otherwise I m assumed to be guilty I keep a journal, a logbook of each time I take medicine, my pain level at the time, and the moods I feel at the time I do this in part to make sure that I don t tip into addiction because pain medications do have a history of causing that.I don t think the author intended to write a book that is unbalanced I think he tried hard to speak from many perspectives, and I respect that Still, reading the book made me feel isolated, stigmatized, because he seemed to be saying that the concern for people who take drugs by choice and abuse them surpasses the needs of people who genuinely have non cancerous pain He seems to downplay that the people who are abusing drugs make a choice, at least at first, to put something in their bodies I ll grant you that they think they won t get addicted, that it can t happen to them, but they do know it s wrong I think that because they tend to hide it from their parents and other adults in their lives I didn t choose to be hit head on by a car who s driver was kissing his girlfriend and not looking at the road When he does mention back pain, he generally refers to lower back pain He doesn t discuss The pain and changes in abilities from damage to the spinal cord and the nerves leading away from it with crushed vertebrae and spinal cord impingement He doesn t tell the story of a person who loses complete use of the ligament on the left side of her neck and who has blinding migraine from pressure on the base of the brain and skull He also doesn t talk about how it feels for a person to be in chronic pain, sometimes very severe pain, that cannot be fixed with some Tylenol and a quick trip to a massage therapist I have used chiropractic care, massage, and hypnosis to reduce my pain level Finally, after eight years of pain, I started using opiate medication to control pain.Pain relief allows me to do a lot of things I couldn t do, so I think it is worthwhile I feel frustrated when people put one groups needs above another s No, I don t want teenagers to overdose and die Of course I don t However, at least with consenting adults, I do think we need to acknowledge that they are making a choice to inject drugs I see people demanding that all prescription narcotics be removed except for people with cancer That might keep some teens from overdosing, but it would mean a lot of people like me would go back to being in terrible pain almost every day and night I have been told that I should be able to handle my pain with a couple of aspirin or Tylenol It s as if the people who tell me this assume I haven t tried that They also tell me I should do acupuncture, massage, or get deep brain stimulation treatment I would be happy to do these things if Medicaid covered them I would be thrilled if these therapies allowed me to cut back on or even stop taking my opiate medication Telling me to just take a little Tylenol does seem somewhat cool to me, especially since Tylenol can cause kidney and liver failure if you take it on a regular basis over a long period of time Yet so many books like this one and articles in popular magazines seem to say that removing opiates from the market is the best strategy for everyone That solution makes a value judgment, choosing to protect people who choose to abuse drugs but not assisting people who are in severe pain I don t want to see the reverse happen either I don t think my right to having pain relief should come at the expense of peoples lives I think we can find solutions that meet both needs if we really try We need compassion and understanding for both sides to make that work This book could be very helpful in that way because of its style, except that the author doesn t really cover the plight of a person in severe pain It s the only piece that s missing There is a way to do this We can t get there though if we can t first acknowledge truths about both groups of people. A damning, upsetting expose into Purdue Pharma, the company that created and promoted OxyContin single handedly catalyzing the opioid crisis in the US, one of the worst, and most preventable public health crises in recent history It is an updated 2018 version from its original publishing in 2003, so the info pre 2003 is much thorough than the updates from the last 15 years which was disappointing I m still not sure why the FDA DEA didn t prevent the drug from being produced without Naloxone which makes it infinitely harder to get high from crushing the pill However, it is clear prescribing any form of opioids have contributed substantially to the epidemic I wish it had included details of what should have been could be done by which government agencies or citizen groups to curb the crisis and or prevent future public health crises fueled by Pharmaceutical companies in the future Really scary stuff. Just finished Pain Killer An Empire of Deceit and the Origin of America s Opioid Epidemic by Barry Meier, the third of three books I ve read that focus on the opioid crisis the others are Dopesick Dealers, Doctors, and the Drug Company that Addicted America by Beth Macy and Dreamland The True Tale of America s Opiate Epidemic by Sam Quinones Each of the books gives a comprehensive look at the causes and personal devastation from opiate addiction with the same basic cast of characters at the core Pain Killer puts the most detail against Perdue Pharma the company that created Oxycontin and the legitimate pain market they claimed to be chasing It is truly a tale of corporate and personal greed Dopesick has a particular slant on the physiological and psychological impact of abusing opiates Dreamland describes in detail the sales marketing strategies of the Mexican Drug cartel, using cheap heroin often laced with fentanyl as a substitute for Oxycontin as black market pricing escalated It is no wonder this perfect storm devastated so many families.I strongly recommend these three books if you want a good understanding of the opiate crisis. An important and still relevant book about the myriad of agendas and movement behind the scenes that led to the current opium crisis. The stories Barry tells in this 2003 book could be told today, of addiction, death, and a pharmaceutical companies desire to not take the blame for causing issues with abuse, misuse and dependence. My ex wife died from an Oxycontin overdose and I went through physical withdrawal from it after using heavy doses for recovery from a major car accident I d never read a book about the roots of the issue but the story is basically as expected Everything about the American drug scene is driven by money whether the drugs are legal or illegal That s the whole problem in my mind The marketing and pushing of the drug is the sin here not the legality of the drug If it wasn t Oxycontin it would have been something else for my ex and others Let s treat why people want to use the drugs and control the marketing of them and let s not eliminate use and access for people who need them. `Download Book ☔ Pain Killer: A "Wonder" Drug's Trail of Addiction and Death ⇨ Best E Book, Pain Killer A Wonder Drug S Trail Of Addiction And Death Author Barry Meier This Is Very Good And Becomes The Main Topic To Read, The Readers Are Very Takjup And Always Take Inspiration From The Contents Of The Book Pain Killer A Wonder Drug S Trail Of Addiction And Death, Essay By Barry Meier Is Now On Our Website And You Can Download It By Register What Are You Waiting For Please Read And Make A Refission For You