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    Part One: The Sackler Family: America's Deadliest Drug Dealers

    enApril 16, 2019

    Podcast Summary

    • Building Meaningful Connections in Uncertain TimesNeighbor to Neighbor encourages community bonds, Chumba Casino offers entertainment and winnings, Picasso lets you co-own luxury homes, and Behind the Bastards teaches valuable lessons

      No matter how uncertain the world may feel, there are ways to build meaningful connections within your community. Neighbor to Neighbor, a California volunteer network, emphasizes the importance of relying on your neighbors for social bonds and preparedness during times of need. Meanwhile, for those seeking entertainment and potential winnings, Chumba Casino offers a variety of social casino style games with real cash prizes. Additionally, Picasso provides an opportunity to co-own luxury vacation homes, bringing family and friends together in amazing locations. Lastly, Behind the Bastards, a podcast that delves into the lives of notorious figures, offers a reminder that we can all learn from the stories of others, and sometimes, the line between ourselves and these "monsters" may not be as clear as we think.

    • The Myth of Cool Cops and the Dangers of Legal DrugsThe Sackler family's success with OxyContin, a legal but highly addictive opioid, highlights the complexities and risks of the pharmaceutical industry. Regulating and monitoring prescription drugs is crucial to prevent harm and addiction.

      The image of "cool cops" who turn a blind eye to minor drug offenses might be a myth. The Sackler family, known for their production and distribution of OxyContin, a highly addictive and deadly opioid, became successful and wealthy through legal means, yet the drug caused widespread harm and destruction. The discussion also touched upon the dangers of OxyContin and how it can easily lead to addiction and fatal overdoses. Despite being a legal drug, it's not without risks and can be as dangerous as, if not more than, illegal substances. The Sackler family's story serves as a reminder of the complexities and consequences of the pharmaceutical industry and the importance of regulating and monitoring prescription drugs.

    • The Sackler family's purchase of Purdue Frederick in 1952 marked the beginning of aggressive marketing in the pharmaceutical industry.The Sackler family's marketing-driven approach to medicine led to overprescription, overdiagnosis, and the rise of the pharmaceutical industry's influence in healthcare.

      The Sackler family's purchase of Purdue Frederick in 1952, which was initially a company selling "snake oil" remedies, marked the beginning of a pharmaceutical industry shift towards aggressive marketing, leading to the overprescription and overdiagnosis of certain conditions. Arthur Sackler, the family patriarch, was a pioneer in using color advertisements in medical journals to boost sales, which paved the way for the company's first major success with Librium (the first marketed version of Valium). This marketing-driven approach to medicine, rather than a doctor-driven approach, contributed to issues such as electroshock therapy's overuse and the overdiagnosis of ADD. The Sackler family's rise to wealth and influence in the medical field came at a cost, with the consequences still being felt today.

    • Marketing Valium for psychic tension leads to massive sales and museum donationsThe Sacklers' marketing of Valium for psychic tension resulted in record-breaking sales and the family's tradition of donating large sums to museums, some with questionable financial practices.

      Arthur Sackler's marketing of Valium as a solution for psychic tension, a term he coined for stress, led to its widespread use and massive sales, making it the first medication to surpass $100,000,000 in sales in the US. This success marked the beginning of the Sackler family's tradition of donating large sums of money to museums, some of which involved questionable financial practices. The Sacklers were wealthy, but not quite billionaires, and their methods, while not outright evil, were considered questionable by some. The use of Valium was compared to the earlier practice of lobotomies as potential solutions for mental health issues. The Sacklers' actions, while not villainous in the traditional sense, raise ethical questions regarding the intersection of profit, power, and public health.

    • Sackler family's shift in marketing strategy for MS ContinThe Sackler family capitalized on a seemingly less addictive painkiller, MS Contin, for non-cancer uses, setting the stage for the opioid crisis with OxyContin

      The Sackler family's Purdue Pharmaceutical identified a profitable strategy by marketing a seemingly less addictive, slow-release morphine pill, MS Contin, for various ailments beyond cancer, despite initial skepticism due to the stigma against opiates and their addictive properties. This shift in marketing approach, fueled by questionable research suggesting low addiction rates, set the stage for the future blockbuster drug OxyContin, which would unfortunately lead to a devastating opioid epidemic in the US. The family's relentless ambition and focus on marketing, led by Richard Sackler, ultimately drove the company's growth and transformation, but at a great cost to public health.

    • Purdue Pharmaceuticals' Decision to Develop OxyContinDespite evidence of MS Contin's addictive potential, Purdue chose to develop OxyContin, a highly addictive and abused prescription opioid, focusing on marketing strategies instead of creating a less addictive alternative.

      During the late 1990s, Purdue Pharmaceuticals, led by the Sackler family, saw the patent for MS Contin, their time-release oxycodone drug, expiring. Instead of creating a time-release version of a less addictive drug, they chose to develop OxyContin, a similar time-release oxycodone. Oxycodone had a dark history, with its early form Scopolamine-oxycodone-ephedrine mixture, known as Scofidol, being popular among the Nazis. Despite evidence of MS Contin's addictive potential, Purdue pushed forward with OxyContin, assuming it would be just as effective. They focused on marketing and advertising strategies, creating an exciting name and image for the drug. The result was a highly addictive and abused prescription opioid that contributed significantly to the opioid crisis in the United States.

    • Misleading information and manipulationBe aware of potential deceptions, challenge assumptions, and consider long-term consequences to avoid disastrous outcomes.

      Deception and manipulation can lead to disastrous consequences. In the case of OxyContin, Purdue Pharmaceutical knowingly misled doctors about the drug's addictive properties and ease of abuse, leading to an opioid epidemic. Meanwhile, in a different context, consumers can also be misled into overpaying for services, like wireless plans. The takeaway from the Chumba Casino discussion is to explore options and challenge assumptions, as there may be better deals available. In the spring cleaning analogy, the clarity and savings gained from downsizing and finding more affordable alternatives can be life-changing. Overall, it's essential to be aware of potential deceptions and manipulations, and to always consider the long-term consequences of our actions and decisions.

    • Purdue Pharma hid OxyContin's potency from doctorsPurdue Pharma intentionally misled doctors about OxyContin's strength to boost sales, with executives discussing the need to downplay its potency in emails.

      Purdue Pharma, the maker of OxyContin, deliberately misrepresented the potency of oxycodone to physicians in the late 1990s to expand its market beyond cancer pain. This was revealed in lawsuits filed against the company, with emails showing high-level executives discussing the need to maintain the perception that oxycodone was weaker than morphine to encourage wider use. Despite acknowledging the deception, Purdue argued that they had accurately disclosed the drug's potency and simply chose not to emphasize it. This strategy led to significant sales growth, with $48 million in revenue in the first year and Richard Sackler expressing his commitment to the drug's success. When deposed, Sackler denied participating in a lie to doctors, instead offering benign interpretations of emails that appeared to minimize OxyContin's risks and euphoric effects. The company's actions have since been criticized as a form of fraud, despite Purdue's attempts to distinguish it from a lie.

    • Deceptive Marketing of OxyContin during the 1990sThe interplay of corporate interests, regulatory oversight, and human behavior can lead to the spread of dangerous misinformation about prescription drugs.

      During the 1990s, the pharmaceutical company Purdue Pharmaceuticals deceptively marketed OxyContin as less addictive than morphine due to its delayed absorption. This claim was enabled by the Food and Drug Administration (FDA) examiner Curtis Wright, who allowed Purdue to include the note "believed to reduce the abuse liability" on the package. However, people soon discovered ways to abuse the drug by crushing and snorting or injecting it. Wright, who left the FDA to work for Purdue, later defended his actions by stating that it was believed at the time that extended-release formulations were inherently less abusable. This shows how the interplay of corporate interests, regulatory oversight, and human behavior can lead to the spread of dangerous misinformation about prescription drugs.

    • Purdue Pharma's Marketing Strategy for OxyContin: Declaring a War on PainPurdue Pharma's marketing strategy for OxyContin involved advocating for pain to be treated as the fifth vital sign, leading to increased prescriptions and the opioid crisis.

      During the late 1990s, Purdue Pharma's marketing strategy for OxyContin involved declaring a war on pain and pushing for pain to be treated as the fifth vital sign. They invested heavily in backing doctors who advocated for opioid treatment for chronic pain, forming advocacy groups, and lobbying organizations. This led to regulators treating pain more seriously, and the introduction of a one to ten pain scale during doctors' visits. However, this scale lacked objectivity, and Purdue took advantage of this by increasing the number of prescriptions. Despite OxyContin not being very effective against chronic pain, Purdue advised doctors to increase doses rather than dosing frequency, leading to a cycle of increased pain and prescription use. This strategy was successful in increasing profits for Purdue, but also contributed to the opioid crisis.

    • Manipulation and Influence in Various IndustriesFrom selling addictive painkillers to showcasing unnecessary products, manipulation and control are prevalent in various industries. However, building meaningful connections and leveraging technological advancements can help mitigate their negative impacts.

      Control and manipulation can be found in various forms, whether it's in the pharmaceutical industry selling addictive painkillers or in the advertising world showcasing products to consumers. In the discussion, the marionette man revealed how Purdue Pharma manipulated doctors into believing OxyContin was less addictive than it actually was, leading to a massive opioid crisis. On a lighter note, the conversation also touched upon the power of advertising and how it can influence consumers to buy products, even if they're not necessarily needed. Furthermore, the importance of community and connection was emphasized through the introduction of Neighbor to Neighbor, a California volunteer network that helps people build meaningful social bonds and prepare for emergencies. Lastly, the future of technology was explored in a clip from the Technically Speaking podcast, showcasing the potential of AI in transforming various industries. In essence, the conversation covered a range of topics, from manipulation and control to community building and technological advancements. It's a reminder that while there are forces that can influence us in negative ways, there are also opportunities for growth and connection.

    • Purdue Pharma misrepresented OxyContin's euphoria-inducing effects to doctorsPurdue Pharma and its executives lied to doctors about OxyContin's euphoric effects, contributing to the opioid epidemic in the US.

      During the late 1990s and early 2000s, Purdue Pharma and its executives, including Richard Sackler, misrepresented the euphoria-inducing effects of OxyContin to doctors. They claimed that the drug caused less euphoria than other opiates, despite having no evidence to support this. In court, Sackler argued that it was acceptable for his employees to lie to doctors about OxyContin's effects because there was no agreed statement of facts at the time. This deceptive marketing strategy contributed to the significant increase in OxyContin prescriptions in the US during this period, reaching 6 million per week by 2001. Despite the immense profits, Sackler was not satisfied, expressing disappointment when sales reached only $20 million a week. This dishonest marketing of OxyContin played a significant role in the opioid epidemic in the US.

    • The Sackler family downplayed OxyContin's dangers despite reports of deaths and addictionThe Sacklers continued to promote OxyContin, denying its deadly consequences and blaming addicts, contributing to the opioid epidemic

      The Sackler family, who owned a significant portion of Purdue Pharma, continued to downplay the dangers of OxyContin even as reports of deaths and addiction emerged. By 2001, Purdue held over half of the market share for long-acting opioids, and annual sales of OxyContin surpassed $1 billion. However, the drug was involved in at least 120 deaths in the year 2000, and journalists were beginning to investigate the issue. When the Sackler family learned of this, they crafted a response to deflect attention away from themselves and maintain the perception that they were helping people in pain. Despite growing concerns about the deadly consequences of OxyContin, Purdue and the Sacklers continued to promote the drug and blame addicts for their own misuse. This denial and deflection contributed to the opioid epidemic that would claim tens of thousands of lives in the following years.

    • Sackler family blamed and attacked users instead of addressing root causeThe Sackler family's strategy of denying liability and stigmatizing OxyContin users worsened the opioid crisis by discouraging help-seeking and maintaining profitability through monopoly tactics.

      The Sackler family, through their company Purdue Pharmaceuticals, responded to concerns about the addictive nature and fatal consequences of OxyContin by blaming and attacking the users, rather than addressing the root cause of the problem. This strategy, which involved denying liability and stigmatizing those who became addicted, only worsened the crisis by discouraging people from seeking help and keeping them buying the drug. Despite growing awareness of the dangers of OxyContin and the expiration of its patents, Purdue managed to extend its profitability by convincing the FDA to ban generic versions of the drug, maintaining its monopoly and keeping people dependent on its product. This is a disturbing example of a corporation prioritizing profits over people's health and well-being.

    • Purdue Pharma's Attempts to Classify OxyContin as an Uncontrolled Drug in GermanyPurdue Pharma's efforts to classify OxyContin as an uncontrolled drug in Germany could have worsened the opioid crisis by increasing sales and addicts, potentially leading to more overdoses and addiction to more dangerous substances.

      The actions of Purdue Pharma and Richard Sackler, specifically their attempts to classify OxyContin as an uncontrolled drug in Germany, could have potentially worsened the opioid crisis. By doing so, they may have increased sales but also increased the number of addicts and overdoses due to the lack of regulations. This is evidenced by the fact that when Germany refused to classify OxyContin as an uncontrolled drug, Purdue expressed disappointment and considered appealing the decision. Furthermore, OxyContin is known to be safer than heroin and Fentanyl, so making it more accessible could have led to more people turning to these more dangerous substances. The potential consequences of these actions were recognized by those involved, with one executive warning of the likelihood of addiction and eventual control of the drug. Thankfully, Germany chose to prioritize public health over potential sales and kept OxyContin under strict regulations.

    • Exploring the opioid crisis and Purdue Pharmaceutical's roleThe opioid crisis has deep roots, involving the pharmaceutical industry's past issues with opiates, and Purdue Pharmaceutical's marketing tactics will be a key focus in upcoming episodes.

      The opioid crisis in the US has a long and complex history, with the pharmaceutical industry playing a significant role. During this episode of the podcast, the hosts discussed the past issues with opiates and previewed upcoming topics, including the 2007 court case against Purdue Pharmaceutical and the marketing tactics used to promote opioids. They also encouraged listeners to check out their various projects, such as the improv show Alchemy and the podcast It Could Happen Here. The hosts also shared some personal anecdotes and plugged various sponsors, including Neighbor to Neighbor, a California volunteer network, and Chumba Casino. The episode ended with a promotion for Zen nicotine pouches and a reminder to switch to Straight Talk Wireless for affordable family plans. Overall, the discussion highlighted the intricacies of the opioid crisis and the various efforts being made to address it.

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    https://www.hrw.org/report/2023/02/15/thats-when-nightmare-started/uk-and-us-forced-displacement-chagossians-and

    https://archive.is/KvGqw#selection-1769.0-1781.535

    Vine, David. Island of Shame: The Secret History of the U.S. Military Base on Diego Garcia (p. 18). Princeton University Press. Kindle Edition.

    https://www.aljazeera.com/opinions/2019/2/25/how-britain-forcefully-depopulated-a-whole-archipelago/

    https://archive.org/details/webofdeceitbrita0000curt/page/432/mode/2up?q=chagos

    https://journals.openedition.org/oceanindien/2003

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    Patrick Radden Keefe is an award-winning staff writer at The New Yorker and the bestselling author of Empire of Pain: The Secret History of the Sackler Dynasty. In this episode, Patrick tells the story of the Sackler family and Purdue Pharma - makers of the pain management drug OxyContin, providing the backdrop for the ensuing opioid epidemic and public health crisis. He reveals the implicit and sometimes explicit corruption of all parties involved in the development, approval, and marketing of OxyContin, leading to a cascade of unintended consequences including addiction and death. He explains the unfortunate lack of accountability for the current crisis, as well as what it all means for those with legitimate pain management needs. Finally, he examines the difficult path ahead towards finding a solution.

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