The Opioid Epidemic

Discussion in 'The Mainboard' started by steamengine, Jun 23, 2017.

  1. Redav

    Redav My favorite meat is hot dog
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    The number of pills prescribed per person in West Virginia is mind blowing
     
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  2. dblplay1212

    dblplay1212 Well-Known Member
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    Right. They are so ridiculously high that not a single person in the chain can say "Oh well we just didn't notice it." Bullshit. They knew and just didn't care.
     
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  3. Redav

    Redav My favorite meat is hot dog
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    Weed still illegal though
     
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  4. Tobias

    Tobias dan “the man qb1” jones fan account
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    no rovell but that's 31 pills every single day for two years for every single resident. seems excessive
     
  5. JeremyLambsFace

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    Sounds like this pharmacist is the plug for a pretty big operation
     
  6. Bruce Wayne

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  7. Marbles

    Marbles Trudging the road to happy destiny
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    Not surprising using a chapter 11 for reorganization to pay settlements. Happens a lot.
     
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  8. Bruce Wayne

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  9. TC

    TC Wake up, remember. We are born of one breath
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    [​IMG]

    "Where's all the dope coming from in this country? Foreigners and ethnic criminals, no doubt!"
     
  10. Tony Ray Bans

    Tony Ray Bans Most Overlooked. Most Overbooked.
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    ”Government investigators alleged in internal documents previously obtained by The Post that the company’s lack of due diligence could have resulted in nearly 44,000 federal violations and exposed it to $2.3 billion in fines. But after negotiations with the Justice Department, the company in 2017 reached a $35 million settlement and admitted no wrongdoing for its drugs that were shipped to Florida.”

    That'll teach em!
     
  11. Beeds07

    Beeds07 Bitch, it's Saturday
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    Hey guys, nothing to see here. This Qanon supporting teacher who is running against Ilhan Omar says this is just opioid hysteria.

    Sidenote: Omar won her district by 55 points
     
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  12. Pharm

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    No, no it doesn't. If you are taking your medicine appropriately, using a legit doctor, and have tried alternative therapies then there is no way it affects you in anyways.

    I work for an insurance company, I'd you have cancer pain or terminal illness there is no restrictions and you can get as much as the doctor sees fit. What a shitty, uniformed opinion.
     
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  13. Goose

    Goose Hi
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    It’s too bad she’s dumb


    upload_2019-7-24_9-51-13.jpeg
     
  14. Tony Ray Bans

    Tony Ray Bans Most Overlooked. Most Overbooked.
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    Agree. I have seen a lot of people complain about the hoops you have to jump through for pain management but I am of the opinion that those complaints are only based on the fact that people got used to a system where you could complain about tooth pain and get 500 oxys no questions asked. The "hoops" involved in getting lab quality heroin should have been there from the beginning
     
  15. Bruce Wayne

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  16. PCH

    PCH 2017 & 2019 National Champions - Clemson Tigers
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    I have 50 oxycodones. I'm afraid to even take them.
     
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  17. Pharm

    Pharm Right Handed
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    Are you in pain?
    Does alternative therapies not work or contraindicated?
    Do you have a family history of substance abuse?
    Have you ever taken an opiate before?
     
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  18. dblplay1212

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    How can I read this without having a sub?
     
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  19. PCH

    PCH 2017 & 2019 National Champions - Clemson Tigers
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    Yes.
    Ice helps, but that only 15 min every hour
    Extended family, yes
    Yes.

    It's not bad enough that I need the pills yet. Just don't even want to crack the seal if I don't need to.
     
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  20. Pharm

    Pharm Right Handed
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    Good news, you are using them how they need to be used. They are absolutely terrifying, but also have a place for medical use. I guess I would argue going straight to oxycodone, over soemthing like tramadol or lortab is a bit of a stretch. Either you or someone needs to be able to realize if you truly need them.

    Also, Ive been sober over 3 years from mainly opiates, it doesn't mean I should never take one again if medically NECESSARY, however there it would have to be soemthing damn serious for me to consider and I would have to have a plan in place.
     
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  21. NYGator

    NYGator Well-Known Member
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    That chart is insane.
     
  22. NYGator

    NYGator Well-Known Member
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    The charts won't show up, but here is the text. (get a subscription. support a source that is doing good work.)

    How many pain pills
    went to your pharmacy?

    By Armand Emamdjomeh, Andrew Ba Tran, Aaron Williams, Danielle Rindler, and Tim MekoAug. 12, 2019

    Nearly 83,000 pharmacies are at the front lines of the opioid crisis in America.

    The pharmacies and the amount of pain pills they handled are revealed in a previously unreleased database maintained by the Drug Enforcement Administration. The database tracks the path of more than 70 billion pills that contain oxycodone and hydrocodone from manufacturers to retail pharmacies.

    While the crisis makes it clear that many of the opioids were diverted to the black market, the DEA database obtained by The Post does not track the pills after they reach the pharmacies. There are legitimate reasons small pharmacies can have outsize volumes, including proximity to surgical centers.

    The opioid crisis: 15 percent of the pharmacies handled nearly half of the pills.

    The Post has analyzed and mapped the pharmacy data, which covers 2006 through 2012. It provides a first-ever, granular look at the number and type of pills that flowed into pharmacies and their local communities during a period in which nearly 100,000 people died nationwide from overdoses.

    The map below shows how many opioid pills were handled by retail and chain pharmacies, as well as how many pills were shipped to pharmacies near a specific address.

    Circles in the map are scaled by the total number of pills shipped to each pharmacy from 2006 through 2012.

    This analysis used two measures for comparison: the number of pills per person per year within a five- to 10-mile radius of each pharmacy and the cumulative number of pills per person based on the county population.

    Comparing the yearly pill count within a smaller radius shows how many pills were within local communities across the county. However, measuring the total pill count available within five to 10 miles does not account for people who may travel further distances to acquire prescription pills. To address this, The Post analysis also looked at the number of pills per person within the county because counties offer a larger geographic comparison.

    To study the pharmacies at the county level, The Post examined the total number of pills that contained oxycodone and hydrocodone distributed to each pharmacy in a county from 2006 through 2012, as well as the populations of those counties.

    Pharmacies with the most pills per person, based on county population, 2006-2012
    Click on a column to sort the table.

    PHARMACY TOTAL PILLS PILLS PER PERSON PER YEAR
    SHEARER DRUG

    CLINTON COUNTY, KY

    6,778,550

    96

    HARDIN COUNTY DISCOUNT PHA

    HARDIN COUNTY, IL

    2,789,740

    90

    ARNZEN'S KAMIAH DRUG

    LEWIS COUNTY, ID

    2,298,640

    88

    BOONEVILLE DISCOUNT DRUGS

    OWSLEY COUNTY, KY

    2,850,040

    86

    C & R CLINIC PHCY

    MORTON COUNTY, KS

    1,916,920

    85

    GLENN'S APOTHECARY

    CRITTENDEN COUNTY, KY

    5,171,800

    80

    SMITH COUNTY DRUG CENTER INC.

    SMITH COUNTY, TN

    9,508,190

    72

    STROSNIDER

    MINGO COUNTY, WV

    13,168,350

    70

    MAIN STREET PHARMACY

    COMANCHE COUNTY, KS

    915,740

    70

    HOWARD'S DRUGS

    LAKE COUNTY, OR

    3,706,210

    68

    Pharmacies in cities that are also considered counties, most of which are in Virginia, are not included.

    The data is extracted from the Drug Enforcement Administration’s Automation of Reports and Consolidated Orders System, known as ARCOS. The Post and HD Media, which publishes the Charleston Gazette-Mail in West Virginia, waged a year-long legal battle for access to the database, which the government and the drug industry had fought to keep secret. A judge ordered its release on July 15.

    Last month, the Post published a version of the full database, which shows how many pills containing hydrocodone and oxycodone went to individual states and counties, and which companies and distributors were involved.

    The Post’s analysis of the data found that a small percentage of pharmacies received nearly half of the pills distributed in the United States between 2006 and 2012.


    From 2006 through 2012, 15 percent of pharmacies ...

    1,000 pharmacies

    ... received 48 percent of pain pills

    100,000,000

    pills

    Other findings include:

    America’s largest drug companies distributed billions of oxycodone and hydrocodone pain pills across the country between 2006 and 2012. Just six companies distributed 75 percent of the pills during this period.

    Opioid death rates soared in the communities that were flooded with pain pills.The national death rate from opioids was 4.6 deaths per 100,000 residents. But the counties that had the most pills distributed per person — many in West Virginia, Kentucky and southwest Virginia — experienced more than three times that rate on average.

    Internal documents show the pressure within drug companies to sell opioids in the face of numerous red flags during the height of the epidemic. The documentsalso show how some employees were concerned about the huge volume of pain pills streaming across the nation.

    • While drugmaker Purdue Pharma has borne the brunt of public criticism for inventing and deceptively marketing OxyContin, records show a handful of obscure generic-drug manufacturers were selling the bulk of the opioid pills flooding the country.
     
  23. TC

    TC Wake up, remember. We are born of one breath
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    I thought that was a big part of this whole problem, specifically with Oxycontin. People were taking them exactly as directed (don't redose before 8 hours) and that was causing them to develop withdrawal symptoms and cycle from highs to lows, thus leading to addiction. Doctors were going back to the drug manufacturer saying we can't prescribe it this way, it's readymade for addiction, and the manufacturer was strictly saying "stick to the 8 hours thing, it's what makes our drug stand out."
     
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  24. herb.burdette

    herb.burdette Meet me at the corner of 8th and Worthington
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    Tug this is part of the ARCOS data we were talking about last month.
     
  25. Tug

    Tug Well-Known Member
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  26. herb.burdette

    herb.burdette Meet me at the corner of 8th and Worthington
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  27. Tug

    Tug Well-Known Member
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    It’s great that they’re counting how many pills are have been sold but we’re talking about different things here.
     
  28. Bo Pelinis

    Bo Pelinis WE GO HARD ON EARTH
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    The thing that kills me about the pill thing is it was so obvious and preventable. This wasn't a secret. I got off my oxy as quickly as I could after a major knee surgery in 2001 because of being concerned about its addictive nature. It was so preventable but too many people were making way too much money to stop that train.
     
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  29. herb.burdette

    herb.burdette Meet me at the corner of 8th and Worthington
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    It’s how many were sold by whom and where, including all sales transactions from the manufacturer through distributors down to wholesale pharmacies.
     
  30. Tug

    Tug Well-Known Member
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    Again, literally not what I’m talking about.
     
  31. herb.burdette

    herb.burdette Meet me at the corner of 8th and Worthington
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    It also makes me wonder how many doctors should be losing their licenses. Unless prescriptions were being forged, there should be some doctors going to jail here.
     
  32. Bo Pelinis

    Bo Pelinis WE GO HARD ON EARTH
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    Listen to the Behind the Bastards on the Sackler family and Purdue Pharma. Really good background on their tactics and basically the history of the opiate crisis. Sounds like drug manufacturers were lying in their promotional materials for years (not saying docs weren't complicit).
     
  33. TC

    TC Wake up, remember. We are born of one breath
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    I agree. I know the "doctors" practicing at these "pain clinics" could be shady characters that would never be employed at a traditional doctor's office
     
  34. herb.burdette

    herb.burdette Meet me at the corner of 8th and Worthington
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    The master complaint in the federal MDL case goes through that evidence in pretty good detail as well.
     
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  35. Bo Pelinis

    Bo Pelinis WE GO HARD ON EARTH
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    Purdue Pharma, a real piece of shit company.

     
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  36. duc15

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    That article is depressing. For reference Lake County, Oregon is a rural southern Oregon county with a population of 7,800.
     
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  37. herb.burdette

    herb.burdette Meet me at the corner of 8th and Worthington
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    West Virginia filed the first one of these new wave of lawsuits against the industry about 5-6 years ago. All of the offending pharmacies seemed like these independents in rural counties willing to look the other way to fill the prescriptions.
     
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  38. Bo Pelinis

    Bo Pelinis WE GO HARD ON EARTH
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    Purdue Pharma had $3 billion in revenue in 2017 alone and they paid $600 million in the settlement. The Sacklers are worth at least $14 billion as a family. Rich people are above the law basically.
     
  39. Bo Pelinis

    Bo Pelinis WE GO HARD ON EARTH
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    Reminder: Purdue sells Oxycontin, Oxycodone, fentanyl, codeine, and hydrocodone. No worries here just nearly single handedly creating a public health crisis.
     
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  40. TC

    TC Wake up, remember. We are born of one breath
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    Correct
     
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  41. Bo Pelinis

    Bo Pelinis WE GO HARD ON EARTH
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    TC
     
  42. TC

    TC Wake up, remember. We are born of one breath
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    [​IMG]

    I got that detail out of this book. Anyone interested in the subject should read this. That Sam Quinones is honestly one of the best writers I've ever read.

    The really fucked up part is the pain pills are just the beginning. He likens those to a plow that go into a community and get it ready for the real crops -- heroin.
     
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  43. Lyrtch

    Lyrtch My second favorite meat is hamburger
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    between my hometown having this exact same path, an endless stream of it ripping through the entire NE US, and just knowing so many physicians and pharmacists that moved to rural communities for work walking into shit shows where 80yo physicians were just giving away opiates like candy i fear its going to keep getting worse for a while

    the populations try to terrorize the new people out of the community, one friend had endless death threats, brick through windows, etc for cutting off everyones (only one PCP in the community) opiate prescriptions and requiring lots of hoops for him to manage your pain

    fear is lots of these people turn to heroin
     
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  44. herb.burdette

    herb.burdette Meet me at the corner of 8th and Worthington
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    This is like the tobacco litigation in the 90’s. The plaintiffs aren’t done with them yet.

    They are settling individual cases by individual governments. $270 million for the state of Oklahoma.

    There were 39 states who filed suit against them as of January 2019. There are over 1300 cities and counties who filed RICO cases which are consolidated on an MDL in Cleveland.
     
  45. Bo Pelinis

    Bo Pelinis WE GO HARD ON EARTH
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    Good. I hope they're bankrupted and the Sacklers end up homeless.
     
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  46. herb.burdette

    herb.burdette Meet me at the corner of 8th and Worthington
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    Chapter 11 just washes it clean from their books. The states and locals become creditors like everyone else and take a place in line behind the secured debt.
     
  47. Bruce Wayne

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    Also enough for every single person in the state to have a 16 day supply

     
  48. TC

    TC Wake up, remember. We are born of one breath
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    To be fair, if you’re addicted you house that 62 day supply in a week anyway
     
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