Live data from Hacker News

The Family Making Billions from the Opioid Crisis

esquire.com

111–120 of 259 posts

Re: The Family Making Billions from the Opioid Crisis

#111
post #27

Aren’t the doctors to blame for this as well? It always surprised me how quickly and easily they prescribe serious painkillers. A few years ago I had a tooth pulled, and the doctor gave me prescription painkiller. In the end, I ended up using regular ibuprofen, and that was more than enough. I wonder how much of this comes pharmaceutical sales reps pressuring the doctors to use their medicine. That whole system seems…

about 5-6 years ago, my wife had a small eye problem and we went to a local urgent care clinic. resolved the problem, but it was still inflamed and had some discomfort. the physician offered to write a prescription for either oxy or hydrocodone. (I can't remember which). "No, I'll be OK" my wife said. "Well, here, take this anyway", and she gave us a prescription for... 7 days of the stuff (IIRC). 2 years ago, both u…

The signs out front are to discourage drug seekers from coming in the door. They’ll prescribe it if you need it.

Re: The Family Making Billions from the Opioid Crisis

#112
post #80

Earlier quoted context omitted.

That's not a long list of countries.

It's illegal nearly everywhere.

Yea, I mean if it's only 3 out of ~194 that's a short list.

https://en.wikipedia.org/wiki/Direct-to-consumer_advertising adds Hong Kong, and that's it.

Re: The Family Making Billions from the Opioid Crisis

#113
post #83
post #78

It's interesting how HN has near-universal disdain for people covertly making billions off an addictive product. But much of our industry is explicitly, openly trying to create addictive experiences.

This smells of whataboutism and whatever the ethics of making addictive software, it's killed far fewer people so far.

>it's killed far fewer people so far.

Sitting curled up in a chair for hours straight staring into a phone is killing you a lot quicker than you might think.

Re: The Family Making Billions from the Opioid Crisis

#114
post #24

I'm reminded of that line from Chinatown. "Why are you doing it? How much better can you eat? What can you buy that you can't already afford?" Is there really no point of diminishing returns, where you can tell yourself you've made enough money?

The Mexican Fisherman

The American investment banker was at the pier of a small coastal Mexican village when a small boat with just one fisherman docked.

Inside the small boat were several large yellow fin tuna. The American complimented the Mexican on the quality of his fish and asked how long it took to catch them.

The Mexican replied, “Only a little while.”

The American then asked, “Why didn’t you stay out longer and catch more fish?”

The Mexican said, “With this I have more than enough to support my family’s needs.”

The American then asked, “But what do you do with the rest of your time?”

The Mexican fisherman said, “I sleep late, fish a little, play with my children, take siesta with my wife, Maria, stroll into the village each evening where I sip wine and play guitar with my amigos, I have a full and busy life.”

The American scoffed, “I am a Harvard MBA and could help you. You should spend more time fishing; and with the proceeds, buy a bigger boat: With the proceeds from the bigger boat you could buy several boats. Eventually you would have a fleet of fishing boats. Instead of selling your catch to a middleman you would sell directly to the processor; eventually opening your own cannery. You would control the product, processing and distribution. You would need to leave this small coastal fishing village and move to Mexico City, then Los Angeles and eventually New York where you will run your ever-expanding enterprise.”

The Mexican fisherman asked, “But, how long will this all take?”

To which the American replied, “15 to 20 years.”

“But what then?” asked the Mexican.

The American laughed and said that’s the best part. “When the time is right you would announce an IPO and sell your company stock to the public and become very rich, you would make millions.”

“Millions?…Then what?”

The American said, “Then you would retire. Move to a small coastal fishing village where you would sleep late, fish a little, play with your kids, take siesta with your wife, stroll to the village in the evenings where you could sip wine and play your guitar with your amigos."

(Of course, the MBA glosses over scaling the catching of fish, as though all fish have the same qualities.)

Re: The Family Making Billions from the Opioid Crisis

#116
post #76

Earlier quoted context omitted.

Ick! This reinforces my belief that direct-to-consumer advertising of prescription drugs should be illegal.

I'm more concerned people dragoon their doctors based on some half-incoherent Super Bowl ad. They can't possibly be convinced that's ideal for their health in most cases, but I think health insurance hides the costs of wasting your doctor's time. (Which is to say, I wouldn't be concerned about making it illegal if it stopped being so effective.)

I've heard this happens a lot. Plus, if the person is really adamant about getting whatever drug, the doctor knows that it's possible the patient will find a new doctor to prescribe it anyway.

Re: The Family Making Billions from the Opioid Crisis

#117
post #18

The Sacklers have ingratiated themselves at the highest levels of society using a fortune that's at best built on a product of dubious value, and at worst obtained at the cost of the lives of tens of thousands of people. I think this piece points to a big problem: we worship money and those that accumulate it, and often ignore the question of how much societal value was created in exchange for it. The least we can co…

I definitely don't wanna play devils advocate for these scumbags, but can't you apply your logic to basically any product? I mean, Coca-Cola. Its at best product of dubious value, and at worst produced for the need for sugar by tens of thousands of people.

Re: The Family Making Billions from the Opioid Crisis

#118
post #67

In my experience with local philanthropy, there are donors who have no interest in "naming opportunities" and those for whom it is all about the name. To me it says a lot about the character of the donor if they specifically want as little fuss as possible about the donation, and especially if they do not want something named after them. It is the cause they support, not their own egos. Personally, the more often I s…

I’m more of a consequentialist; I consider a larger philanthropist who cares about public attribution to be more admirable than someone who is a smaller philanthropist but doesn’t care about public attribution. Personally, I would absolutely like to have my name on something if I were to donate tens or hundreds of millions of dollars towards it. In my opinion the intention or ego of a philanthropist is approximately…

A better comparison may be, (a) $100M for a museum named after the donor, versus (b) Elon Musk spending his last $100M on SpaceX.

Donor (a) seems long on ego, short on imagination and ability.

We wouldn’t have the same view of the person donating a dollar to the same museum.

Re: The Family Making Billions from the Opioid Crisis

#119

I was on Oxy for about a month after smashing one of my vertibraes into pieces in a climbing accident, I was prescribed more than three times as much. I walked through hell to get out of that crap; nothing else I've encountered even comes close, including heroine and cocaine. There are several natural, less addictive and less harmful methods for treating chronic pain; cannabis, mushrooms and meditation among others.…

Also kratom

Re: The Family Making Billions from the Opioid Crisis

#120
post #83
post #78

It's interesting how HN has near-universal disdain for people covertly making billions off an addictive product. But much of our industry is explicitly, openly trying to create addictive experiences.

This smells of whataboutism and whatever the ethics of making addictive software, it's killed far fewer people so far.

I'm not equating the harms, or attempting to distract from this serious issue.

But, if we feel clear outrage about another industry, we should consider applying the same standards to our own.

Most everyone who works in opioid marketing probably thinks they are a good person too.

Post reply on HN