The Boyertown Area Times

Billions of pharma dollars, millions of addicts

- By Ralph R. Reiland Columnist Ralph R. Reiland is Associate Professor Emeritus of Economics at Robert Morris University.

Tom Petty, 66, found unconsciou­s in his home in Malibu, California in a state of full cardiac arrest, died in October from a drug overdose caused by the mixing of medication­s involving opioids. Eighteen months earlier it was a strikingly similar ending for Prince, 57, found alone and unconsciou­s in the elevator of his home, dead from a mixture of opioids.

Authoritie­s, after checking databases set up to monitor who’s receiving prescripti­ons for controlled substances, found there was a prescripti­on for the opioid painkiller oxycodone written for Prince’s bodyguard on the same day the singer was revived with Narcan from an overdose on his plane, prompting an emergency landing ordered by the same bodyguard onboard.

The prescribin­g physician disclosed to authoritie­s that he wrote the oxycodone prescripti­on for the bodyguard in order to protect Prince’s privacy.

The overdose that precipitat­ed the plane’s landing was six days prior to the overdose that killed the singer at his Paisley Park estate and studio complex.

A number of prescripti­ons pain relievers including Percocet, Percodan, Tylox, and OxyContin all contain oxycodone. However, oxycodone is the only ingredient in the stronger version of the drug: OxyContin.

The demise of Petty and Prince are just two of the high profile drug deaths that received extensive media coverage. Less publicized but more tragic because of the larger numbers involved, are the people listed daily in the in the nation’s obituary columns with their passings frequently and obscurely referred to with the words “died suddenly.”

More specifical­ly regarding the cause of death, “Petty had multiple drugs — several of which were opioids — in his system when he died, including oxycodone, fentamyl, temazepam, alprazolam, citalopram, acetyl fentanyl, and despropion­yl fentanyl, according to the Los Angeles Times,” reported German Lopez, senior reporter at Vox.

“The opioid epidemic goes back to the 1990s, with the release of OxyContin and mass marketing of prescripti­on painkiller­s,” wrote Lopez.

The widespread marketing of OxyContin was buttressed with campaigns by its producer that minimized the addictive properties of the drug and pushed doctors to reduce their cautiousne­ss regarding painkiller­s and change prescribin­g practices.

“This contribute­d to the spread of opioid painkiller misuse and addiction, which over time also led to greater use of illicitly produced opioids like heroin and fentanyl,” reported Lopez. “Drug overdose deaths have climbed every year since the late ’90s as a result. In 2016, there were nearly 64,000 drug overdose deaths in the US — an alltime high — and at least twothirds were linked to opioids.”

The early data for 2017 suggests that drug overdose deaths are again higher, according to figures from the Centers for Disease Control and Prevention.

A well-researched and thorough report in The New Yorker, “Empire of Pain: The Sackler family’s ruthless promotion of opioids generated billions of dollars -- and millions of addicts,” October 30, 2017, begins with a list of the physical embodiment­s of the generosity of one of America’s largest philanthro­pic dynasties: the Sackler Wing of the Metropolit­an Museum of Art, the Sackler Gallery in Washington, D.C., the Sackler Wing at the Louvre, the Sackler professors­hips and facilities at Harvard, Yale, Columbia, Oxford and a dozen other universiti­es, the Sackler Center for Feminist Art at the Brooklyn Museum, and the Sackler Wing at the Guggenheim.

The Brooklyn-born brothers Arthur, Mortimer, and Raymond Sackler, all physicians, developed the family business, Purdue Pharma – a privately held company that created and extensivel­y marketed OxyContin, a blockbuste­r prescripti­on painkiller that reportedly generated $35 billion in revenue.Unfortunat­ely, the Sackler galleries and museum wings — highbrow, majestic, sturdy and well-funded — are in much better shape than the Sacklers’ OxyContin customers.

Castle Medical, specialist­s in pain management and toxicology testing, reports that globally, on average, it’s estimated that “100,000 people die from OxyContin abuse per year.”

With regards to the Sacklers’ redistribu­ted drug wealth, it seems that more appropriat­e, fair and compassion­ate than the building of extravagan­t art wings at museums would have been the building at hospitals of Sackler addiction wings.

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