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The Family Making Billions from the Opioid Crisis

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Re: The Family Making Billions from the Opioid Crisis

#161
Free Splunk app that shows how to detect anomalies in drug prescriptions including anomalies in narcotics prescriptions and fraudulent providers (doctors):

https://splunkbase.splunk.com/app/3693/

Comes with 2014 medicare dataset. All supporting data can be downloaded from data.cms.gov

Story: https://www.splunk.com/blog/2017/09/28/building-a-60-billion...

Re: The Family Making Billions from the Opioid Crisis

#162

Earlier quoted context omitted.

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.

>>and at worst produced for the need for sugar by tens of thousands of people. I think you mean the want for sugar. Because humans don't need sugar.

What should humans have instead of sugar?

Re: The Family Making Billions from the Opioid Crisis

#163
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…

Money can travel - your reputation, not so much. China has a solution, a social score that travels with you everywhere. Dystopian, but it could cure that worship of money thing.

Except that score is calculated on factors such as your loyalty to the government.

Re: The Family Making Billions from the Opioid Crisis

#164
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…

A decade ago there was a giant push in the media government, and hospital administrations calling doctors heartless for not prescribing more painkillers. Hours of mandatory classes on using opioids in all sorts of situations. Exposes on chronic pain patients made to suffer.

This isn't really something that happened behind closed doors with drug reps. There was a concerted public effort to change the culture in medicine.

Re: The Family Making Billions from the Opioid Crisis

#165

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.…

I think the benefits of oxycontin for acute pain are highly contentious.

For advanced cancer pain, oxycontin is effective and the rates of addiction are very low. Patients can't wait to get off it usually if the pain improves. There are likely to be many physiological and psychological factors explaining these differences.

Re: The Family Making Billions from the Opioid Crisis

#166
post #116
post #76

Earlier quoted context omitted.

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.

Sure but medicine is a profession and doctors usually don't suffer when they lose a patient to a "competitor", so they shouldn't typically feel pressured to give a patient whatever drug they want.

Re: The Family Making Billions from the Opioid Crisis

#167

Earlier quoted context omitted.

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

It is nearly everywhere. New Zealand, USA and Brazil allow it.

If its allowed in NZ, its rare, and limited to headache medicince, asthma remedies and the like.

I'm always astonised when I'm in the US at the medical ads on TV. It seems bizarre that companies target advertising at the consumer for products that should really be selected on their behalf by a medical professional.

And those disclaimer/warning crack me up.

Re: The Family Making Billions from the Opioid Crisis

#168
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…

I've had a couple of surgeries. Honestly, ibuprofen worked better because it dealt more directly with the inflammation. The oxy was more fun in the sense that I didn't care about the pain as much, but after the prescription ran out, I won't lie - I wanted more. The story ends there, fortunately. Seeing what's going on now, I won't even fill another prescription for it if I'm ever given one.

I really wish they'd take a harder look at referring patients to cannabis. I'm not one of those people that thinks its entirely without side effects or that it's a cure for everything, but it seems like it'd be a lower risk alternative for at least some kinds of pain.

Re: The Family Making Billions from the Opioid Crisis

#169
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…

Money can travel - your reputation, not so much. China has a solution, a social score that travels with you everywhere. Dystopian, but it could cure that worship of money thing.

China doesn't have a solution at all. They've unleashed one of the greatest money & wealth rushes ever seen, at the simultaneous cost of taking on the fastest large accumulation of debt in history.

Have you seen their asset manias from the last decade? Who worships money more than the Chinese these days?

Re: The Family Making Billions from the Opioid Crisis

#170
post #157

"Behind every great fortune there is a crime." —Balzac (apocryphal)

Is Warren Buffett's fortune a crime as well?

There is definitely some tax evasion in there somewhere, plus insurance practices and all the free money seems pretty messed up but maybe not a crime. Also lots of lobbying state governments for favorable regulations.

The quote is sort of non falsifiable... It's a hidden crime we're talking about after all.

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