Opioid Reckoning
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| Author | : Amy C. Sullivan |
| Publisher | : U of Minnesota Press |
| Total Pages | : 364 |
| Release | : 2021-10-19 |
| Genre | : Social Science |
| ISBN | : 1452962553 |
Examines the complexity and the humanity of the opioid epidemic America’s opioid epidemic continues to ravage families and communities, despite intense media coverage, federal legislation, criminal prosecutions, and harm reduction efforts to prevent overdose deaths. More than 450,000 Americans have died from opioid overdoses since the late 1990s. In Opioid Reckoning, Amy C. Sullivan explores the complexity of the crisis through firsthand accounts of people grappling with the reverberating effects of stigma, treatment, and recovery. Nearly everyone in the United States has been touched in some way by the opioid epidemic, including the author and her family. Sullivan uses her own story as a launching point to learn how the opioid epidemic challenged longstanding recovery protocols in Minnesota, a state internationally recognized for pioneering addiction treatment. By centering the voices of many people who have experienced opioid use, treatment, recovery, and loss, Sullivan exposes the devastating effects of a one-size-fits-all approach toward treatment of opioid dependency. Taking a clear-eyed, nonjudgmental perspective of every aspect of these issues—drug use, parenting, harm reduction, medication, abstinence, and stigma—Opioid Reckoning questions current treatment models, healthcare inequities, and the criminal justice system. Sullivan also imagines a future where anyone suffering an opioid-use disorder has access to the individualized care, without judgment, available to those with other health problems. Opioid Reckoning presents a captivating look at how the state that invented “rehab” addresses the challenges of the opioid epidemic and its overdose deaths while also taking readers into the intimate lives of families, medical and social work professionals, grassroots activists, and many others impacted by the crisis who contribute their insights and potential solutions. In sharing these stories and chronicling their lessons, Sullivan offers a path forward that cultivates empathy, love, and hope for anyone affected by chaotic drug use and its harms.
| Author | : Chris McGreal |
| Publisher | : PublicAffairs |
| Total Pages | : 346 |
| Release | : 2018-11-13 |
| Genre | : Social Science |
| ISBN | : 1541773772 |
A comprehensive portrait of a uniquely American epidemic -- devastating in its findings and damning in its conclusions The opioid epidemic has been described as "one of the greatest mistakes of modern medicine." But calling it a mistake is a generous rewriting of the history of greed, corruption, and indifference that pushed the US into consuming more than 80 percent of the world's opioid painkillers. Journeying through lives and communities wrecked by the epidemic, Chris McGreal reveals not only how Big Pharma hooked Americans on powerfully addictive drugs, but the corrupting of medicine and public institutions that let the opioid makers get away with it. The starting point for McGreal's deeply reported investigation is the miners promised that opioid painkillers would restore their wrecked bodies, but who became targets of "drug dealers in white coats." A few heroic physicians warned of impending disaster. But American Overdose exposes the powerful forces they were up against, including the pharmaceutical industry's coopting of the Food and Drug Administration and Congress in the drive to push painkillers -- resulting in the resurgence of heroin cartels in the American heartland. McGreal tells the story, in terms both broad and intimate, of people hit by a catastrophe they never saw coming. Years in the making, its ruinous consequences will stretch years into the future.
| Author | : Travis Rieder |
| Publisher | : HarperCollins |
| Total Pages | : 333 |
| Release | : 2019-06-18 |
| Genre | : Social Science |
| ISBN | : 0062854666 |
NPR Best Book of 2019 A bioethicist’s eloquent and riveting memoir of opioid dependence and withdrawal—a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic. Travis Rieder’s terrifying journey down the rabbit hole of opioid dependence began with a motorcycle accident in 2015. Enduring half a dozen surgeries, the drugs he received were both miraculous and essential to his recovery. But his most profound suffering came several months later when he went into acute opioid withdrawal while following his physician’s orders. Over the course of four excruciating weeks, Rieder learned what it means to be “dope sick”—the physical and mental agony caused by opioid dependence. Clueless how to manage his opioid taper, Travis’s doctors suggested he go back on the drugs and try again later. Yet returning to pills out of fear of withdrawal is one route to full-blown addiction. Instead, Rieder continued the painful process of weaning himself. Rieder’s experience exposes a dark secret of American pain management: a healthcare system so conflicted about opioids, and so inept at managing them, that the crisis currently facing us is both unsurprising and inevitable. As he recounts his story, Rieder provides a fascinating look at the history of these drugs first invented in the 1800s, changing attitudes about pain management over the following decades, and the implementation of the pain scale at the beginning of the twenty-first century. He explores both the science of addiction and the systemic and cultural barriers we must overcome if we are to address the problem effectively in the contemporary American healthcare system. In Pain is not only a gripping personal account of dependence, but a groundbreaking exploration of the intractable causes of America’s opioid problem and their implications for resolving the crisis. Rieder makes clear that the opioid crisis exists against a backdrop of real, debilitating pain—and that anyone can fall victim to this epidemic.
| Author | : Eric Eyre |
| Publisher | : Simon and Schuster |
| Total Pages | : 304 |
| Release | : 2020-03-31 |
| Genre | : Social Science |
| ISBN | : 198210533X |
A New York Times Critics’ Top Ten Book of the Year * 2021 Edgar Award Winner Best Fact Crime * A Lit Hub Best Book of The Year From a Pulitzer Prize–winning investigative reporter at the Charleston Gazette-Mail, a “powerful,” (The New York Times) urgent, and heartbreaking account of the corporate greed that pumped millions of pain pills into small Appalachian towns, decimating communities. In a pharmacy in Kermit, West Virginia, 12 million opioid pain pills were distributed in just three years to a town with a population of 382 people. One woman, after losing her brother to overdose, was desperate for justice. Debbie Preece’s fight for accountability for her brother’s death took her well beyond the Sav-Rite Pharmacy in coal country, ultimately leading to three of the biggest drug wholesalers in the country. She was joined by a crusading lawyer and by local journalist, Eric Eyre, who uncovered a massive opioid pill-dumping scandal that shook the foundation of America’s largest drug companies—and won him a Pulitzer Prize. Part Erin Brockovich, part Spotlight, Death in Mud Lick details the clandestine meetings with whistleblowers; a court fight to unseal filings that the drug distributors tried to keep hidden, a push to secure the DEA pill-shipment data, and the fallout after Eyre’s local paper, the Gazette-Mail, the smallest newspaper ever to win a Pulitzer Prize for investigative reporting, broke the story. Eyre follows the opioid shipments into individual counties, pharmacies, and homes in West Virginia and explains how thousands of Appalachians got hooked on prescription drugs—resulting in the highest overdose rates in the country. But despite the tragedy, there is also hope as citizens banded together to create positive change—and won. “A product of one reporter’s sustained outrage [and] a searing spotlight on the scope and human cost of corruption and negligence” (The Washington Post) Eric Eyre’s intimate portrayal of a national public health crisis illuminates the shocking pattern of corporate greed and its repercussions for the citizens of West Virginia—and the nation—to this day.
| Author | : Patrick Radden Keefe |
| Publisher | : Anchor |
| Total Pages | : 574 |
| Release | : 2021-04-13 |
| Genre | : Biography & Autobiography |
| ISBN | : 038554569X |
NEW YORK TIMES BESTSELLER • A NEW YORK TIMES NOTABLE BOOK OF THE YEAR • A grand, devastating portrait of three generations of the Sackler family, famed for their philanthropy, whose fortune was built by Valium and whose reputation was destroyed by OxyContin. From the prize-winning and bestselling author of Say Nothing. "A real-life version of the HBO series Succession with a lethal sting in its tail…a masterful work of narrative reportage.” – Laura Miller, Slate The history of the Sackler dynasty is rife with drama—baroque personal lives; bitter disputes over estates; fistfights in boardrooms; glittering art collections; Machiavellian courtroom maneuvers; and the calculated use of money to burnish reputations and crush the less powerful. The Sackler name has adorned the walls of many storied institutions—Harvard, the Metropolitan Museum of Art, Oxford, the Louvre. They are one of the richest families in the world, but the source of the family fortune was vague—until it emerged that the Sacklers were responsible for making and marketing a blockbuster painkiller that was the catalyst for the opioid crisis. Empire of Pain is the saga of three generations of a single family and the mark they would leave on the world, a tale that moves from the bustling streets of early twentieth-century Brooklyn to the seaside palaces of Greenwich, Connecticut, and Cap d’Antibes to the corridors of power in Washington, D.C. It follows the family’s early success with Valium to the much more potent OxyContin, marketed with a ruthless technique of co-opting doctors, influencing the FDA, downplaying the drug’s addictiveness. Empire of Pain chronicles the multiple investigations of the Sacklers and their company, and the scorched-earth legal tactics that the family has used to evade accountability. A masterpiece of narrative reporting, Empire of Pain is a ferociously compelling portrait of America’s second Gilded Age, a study of impunity among the super-elite and a relentless investigation of the naked greed that built one of the world’s great fortunes.
| Author | : Yngvild Olsen |
| Publisher | : What Everyone Needs to Know(r |
| Total Pages | : 345 |
| Release | : 2019 |
| Genre | : Medical |
| ISBN | : 0190916036 |
An incisive, essential guide to understanding one of today's most urgent -- and complex -- problems. The Opioid Epidemic: What Everyone Needs to Know® is an accessible, nonpartisan overview of the causes, politics, and treatments tied to the most devastating health crisis of our time. Its comprehensive approach and Q&A format offer readers a practical path to understanding the epidemic from all sides. Written by two expert physicians and enriched with stories from their experiences on the front lines of this epidemic, this book is a critical resource for any general reader -- and for the individuals and families fighting this fight in their own lives.
| Author | : Gerald Posner |
| Publisher | : Simon and Schuster |
| Total Pages | : 816 |
| Release | : 2020-03-10 |
| Genre | : Business & Economics |
| ISBN | : 1501152041 |
Award-winning journalist and New York Times bestselling author Gerald Posner reveals the heroes and villains of the trillion-dollar-a-year pharmaceutical industry and delivers “a withering and encyclopedic indictment of a drug industry that often seems to prioritize profits over patients (The New York Times Book Review). Pharmaceutical breakthroughs such as antibiotics and vaccines rank among some of the greatest advancements in human history. Yet exorbitant prices for life-saving drugs, safety recalls affecting tens of millions of Americans, and soaring rates of addiction and overdose on prescription opioids have caused many to lose faith in drug companies. Now, Americans are demanding a national reckoning with a monolithic industry. “Gerald’s dogged reporting, sets Pharma apart from all books on this subject” (The Washington Standard) as we are introduced to brilliant scientists, incorruptible government regulators, and brave whistleblowers facing off against company executives often blinded by greed. A business that profits from treating ills can create far deadlier problems than it cures. Addictive products are part of the industry’s DNA, from the days when corner drugstores sold morphine, heroin, and cocaine, to the past two decades of dangerously overprescribed opioids. Pharma also uncovers the real story of the Sacklers, the family that became one of America’s wealthiest from the success of OxyContin, their blockbuster narcotic painkiller at the center of the opioid crisis. Relying on thousands of pages of government and corporate archives, dozens of hours of interviews with insiders, and previously classified FBI files, Posner exposes the secrets of the Sacklers’ rise to power—revelations that have long been buried under a byzantine web of interlocking companies with ever-changing names and hidden owners. The unexpected twists and turns of the Sackler family saga are told against the startling chronicle of a powerful industry that sits at the intersection of public health and profits. “Explosively, even addictively, readable” (Booklist, starred review), Pharma reveals how and why American drug companies have put earnings ahead of patients.
| Author | : Stefan Franzen |
| Publisher | : Fulton Books, Inc. |
| Total Pages | : 463 |
| Release | : 2021-06-04 |
| Genre | : Medical |
| ISBN | : 1649520344 |
The criminalization of opioid medications has made it all but impossible for pain patients to receive adequate treatment in the United States for more than one hundred years. In 1996, the pain medicine community of doctors attempted to expand the treatment to include patients with severe pain from diseases other than cancer or sickle cell disease. This movement of compassionate care ended definitively in 2016 when a small group of doctors who call themselves Physicians for Responsible Opioid Prescribing (PROP) convinced the Center for Disease Control to take an unusual step to publish new draconian prescribing guidelines. As implemented, current prescribing enforces a hard limit for prescriptions to all patients, regardless of their disease. Furthermore, the new guidelines have not improved either addiction or opioid-overdose rates. Meanwhile, the leaders of PROP are profiting from their role as consultants and expert witnesses for the law firms suing the opioid manufacturers. The book delves into the neurobiology of pain and addiction to explain why pain specialists believe that compassionate care can work. The movement was hijacked by opioid pharmaceutical companies that aggressively marketed opioids to doctors and government agencies that permitted their illegal practices to proceed. This book poses the question: Precisely, how is the massive reduction of prescription medications going to reduce the 80% of the overdose fatalities due to heroin and fentanyl? Instead of curtailing prescription medicine, the appropriate reform would be to treat addiction as a medical condition and include services to prevent and treat addiction as part of pain medicine. Patient Z is a pain patient whose treatment exposes deficiencies in the practice of pain medicine. The story of Patient Z is common to millions of people who have had their pain medication cut in recent years. Persistent pain can affect anyone. Anyone could become Patient Z.
| Author | : Yngvild Olsen |
| Publisher | : Oxford University Press |
| Total Pages | : 336 |
| Release | : 2019-05-01 |
| Genre | : Self-Help |
| ISBN | : 0190916044 |
The opioid epidemic is responsible for longest sustained decline in U.S. life expectancy since the time of World War I and the Great Influenza. In 2017, nearly 50,000 Americans died from an opioid overdose - with an estimated 2 million more living with opioid addiction every day. The Opioid Epidemic: What Everyone Needs to Know® is an accessible, nonpartisan overview of the causes, politics, and treatments tied to the most devastating health crisis of our time. Its comprehensive approach and Q&A format offer readers a practical path to understanding the epidemic from all sides: the basic science of opioids; the nature of addiction; the underlying reasons for the opioid epidemic; effective approaches to helping individuals, families, communities, and national policy; and common myths related to opioid addiction. Written by two expert physicians and enriched with stories from their experiences in the crosshairs of this epidemic, this book is a critical resource for any general reader -- and for the individuals and families fighting this fight in their own lives.
| Author | : Evan Hughes |
| Publisher | : Doubleday |
| Total Pages | : 227 |
| Release | : 2022-01-18 |
| Genre | : True Crime |
| ISBN | : 038554491X |
The inside story of a band of entrepreneurial upstarts who made millions selling painkillers—until their scheme unraveled, putting them at the center of a landmark criminal trial. • SOON TO BE THE MAJOR MOTION PICTURE PAIN HUSTLERS STARRING EMILY BLUNT AND CHRIS EVANS "Unfolds with the velocity and verve of a Scorsese film…A tour de force."—Patrick Radden Keefe, New York Times bestselling author of Empire of Pain and Say Nothing John Kapoor had already amassed a small fortune in pharmaceuticals when he founded Insys Therapeutics. It was the early 2000s, a boom time for painkillers, and he developed a novel formulation of fentanyl, the most potent opioid on the market. Kapoor, a brilliant immigrant scientist with relentless business instincts, was eager to make the most of his innovation. He gathered around him an ambitious group of young lieutenants. His head of sales—an unstable and unmanageable leader, but a genius of persuasion—built a team willing to pull every lever to close a sale, going so far as to recruit an exotic dancer ready to scrape her way up. They zeroed in on the eccentric and suspect doctors receptive to their methods. Employees at headquarters did their part by deceiving insurance companies. The drug was a niche product, approved only for cancer patients in dire condition, but the company’s leadership pushed it more widely, and together they turned Insys into a Wall Street sensation. But several insiders reached their breaking point and blew the whistle. They sparked a sprawling investigation that would lead to a dramatic courtroom battle, breaking new ground in the government’s fight to hold the drug industry accountable in the spread of addictive opioids. In The Hard Sell, National Magazine Award–finalist Evan Hughes lays bare the pharma playbook. He draws on unprecedented access to insiders of the Insys saga, from top executives to foot soldiers, from the patients and staff of far-flung clinics to the Boston investigators who treated the case as a drug-trafficking conspiracy, flipping cooperators and closing in on the key players. With colorful characters and true suspense, The Hard Sell offers a bracing look not just at Insys, but at how opioids are sold at the point they first enter the national bloodstream—in the doctor’s office.
