The best outcome would be directing resources at preventing and treating opioid addiction, not at punishing the drug manufacturer.
But also the Sacklers are only like 8% of the problem. All the rest of the opioids, (92%), came from other companies. So, theoretically, if we confiscated all of the wealth of all of the owners and stockholders in all of these companies we'd get the money we need to at least ameliorate some of the carnage. Because we'd have at least 90% more than we'd have by just confiscating the Sackler wealth alone.
All that's just theory though. I don't even know if it's possible to hold ownership responsible? Because wouldn't that put people who buy stock in whatever company at risk if the company was doing something sufficiently untoward?
But I get it. Someone dies and it’s the drug dealers fault, and punishing them will make everyone feel better. Except it doesn’t do anything about the actual problem (opioid addiction).
It feels to me like the elation here is because the Sacklers are rich and people really don’t like that, rather than any sort of victory in combating opiate addiction.
That’s far more than just manufacturing and opened them up to significantly increased liability.
The lying in marketing, over the period 1995-2001, was already litigated in 2007.
https://katherineclark.house.gov/_cache/files/a/a/aaa7536a-6...
https://www.statnews.com/2016/09/22/abbott-oxycontin-crusade...
But again, the Sackler's are only 8% of the problem. So if you go after them, and the owners and stockholders of the companies that provided the other 92% of opioids, and the doctors who wrote the prescriptions in bad faith, you probably come up with an amount of money that could make a dent.
https://arstechnica.com/science/2019/05/world-health-organiz...
When they learned doctors were prescribing it for eight hours, they tried to "re-train" them to use the "proper" (read: their) dosing recommendation, because there were cheaper drugs with six of eight hour doses.
Sure, the doctors made the prescriptions, but you, and I, and everyone who thinks honestly about it for two and a half seconds realizes that no matter what the recommendation is, enough people who are in bad enough pain to be prescribed oxy will take it when they need it, recommendation be damned, that to have issued that recommendation in the first place was an act of bad faith.
They marketed the drug on a lie in order to get doctors to prescribe it, which fueled — if not created — an epidemic, which has killed tens of thousands of people. Their hands are not clean, here.
This seems a bit of a stretch to me.
The doctors prescribed it, even given readily available research, the FDA approved it, knowing full well this was a risk. Those are the guilty parties here. Purdue filled their role just fine, they just happened to be making an opiate and so they're getting chased for it now because China is dumping fentanyl. Pretty ridiculous really.
“Purdue Pharma used front organizations and sponsored research to deceive the World Health Organization and corrupt global public health policies”
If that is true and public policy was corruptly manipulated , how can you claim that this is all ok because it was allowed by public policy?
Public policy that can be readily manipulated by bad actors (as the drug industry is certainly full of) should not be used as the final say for anything. Systems need to be able to tolerate: corruption, false information, and true but misleading information. Our regulatory systems in general seem to struggle with any of the above. If "health authorities" (to avoid naming any particular organization) can only effectively screen out good actors inadvertently engaged in bad behavior, then they're effectively useless - because bad actors do exist, and they're vastly more dangerous than the former.
The same is even true of things such as the FAA and the aviation industry where there were analogous issues. All of this is emphasizing that these organizations, which can be quite the burden on 'good players', are ultimately ineffective at restraining bad players which (I suppose depending on your philosophical view) should be their primary purview.
Making wide sweeping statements based on very specific issues simply demonstrates ignorance of how these organizations actually interact with the systems they regulate.
PS: As to FDA ‘rubber stamping’ the drug, using opioids for treatment of end of life cancer pain is perfectly reasonable. OxyContin is just one of a huge list of similar drugs that have been in use long before this outbreak. It’s not the chemical that’s the problem is the other actions by the company.
And this story repeats over and over since our entire regulatory system is, when it comes to the big and influential players from Purdue to Boeing, mostly just glorified self regulation. And that leads to a worst of both worlds scenario. We get the lack of oversight inherent in self regulation, yet it's paired with an undue faith in our regulatory systems as many people don't understand the actual regulatory processes, or lack thereof.
[1] - https://www.washingtonpost.com/national/health-science/fda-d...
Opioids are addictive and become less effective over time. Opioids can also be a valuable tool for relief of severe pain over a short to moderate period. The actual issue is not the drug in this case it’s a drug company pushing for more scales.
PS: I have seen a friend become addicted while in cancer treatment. But, I have also been prescribed opioids after major surgery. So yes they are clearly extremely dangerous, but they can treat levels of pain that are difficult to describe.