Until I read
Empire of
Pain by Patrick Radden Keefe and
American
Cartel by Scott Higham and Sari Horwitz, most of what I knew about the pharmaceutical
industry I learned teaching in Turkey: the only drug I take (Levothyroxine), prescribed
for folks with underperforming thyroids, cost then between $15 and $30 a month
in the U.S., but there, it was $3.50
for
a 3 months’ supply! The U.S. is Big Pharma’s cash cow and it has no compunctions
about bleeding us dry. Reading these two books, depressing as it is, gives
you chapter and verse of who’s responsible for the opioid crisis.
Keefe’s book, a slower read, outlines the history of the
Sackler Family from 1920s, who toward the end of the last century plastered
their name on wings in the Metropolitan Museum of Art, buildings at Harvard,
Cambridge, even the Louvre and the British museums. While portraying themselves
as great philanthropists, the Sackers, employing some of the best legal minds
in the country, quietly undermined the Drug Enforcement Agency, Food & Drug
Administration, and any other enforcement arm of the government that might try to
hold them to account.
Yes, and the U.S. Congress, whom they leveraged to pass laws
that were in the best interest of their industry creating an opioid addiction
crisis especially the Appalachian coal country states, while they destroyed our
democracy.These people have a lot to answer for, but so far, none has.
A few dedicated DEA people, sweat blood to hold them to account but either lost
or watched a paltry settlement that would not undo the harm done result.
The bottom line is: none
of the wealthy men and women, companies or their lawyers who brought us the
opioid crisis is in jail. None of the poor and powerless addicts, who left orphaned
children, overwhelmed grandparents, sundered communities and bereft families has been compensated. The
few court victories that have been handed down have come from juries because
they understand misery and don’t need a law to do what is right. Judges can’t
seem to sort that one.
These two books tell
us far more than we want to know, but most of what we should know about the
immorality of the drug industry, our political leaders and our courts. If you have to pick one, American Cartel is a shorter, faster paced, more comprehensive
read.
One would also do
well to take one giant step back, and ask how our own local democracy—city and
county government--has been compromised by business for whom the bottom line is
the primary value. What is the impact of 5 business people on the
Cascade City Council?