Posts Tagged ‘Purdue Pharmaceuticals’

Opioid abuse and the white American death rate

July 12, 2016

I wrote blog posts some time back about the Case-Deaton study of the rising death rate in the 21st century among middle-aged white people without college educations—a strange trend because the death rate continues to fall for all other demographic groups and also for Europeans.

OXYCONTINI also reviewed a book, Dreamland, about over-prescription of optoid drugs and how this has led to a heroin epidemic specifically among white people.  I didn’t make the obvious connection with the Case-Deaton study.

A blogger who calls himself Lambert Strether pointed out that the body count from opioid overdoses approaches the number of deaths from AIDS.  If you think of opioid overdose as a disease, the vector of the spread is not a microbe and not unsafe sex, but the marketing strategies of certain drug companies—especially Purdue Pharma, manufacturer of OxyContin.

I accept that there are deeper reasons for the rise in drug abuse than the unethical marketing of one drug by one company.  Purdue Pharma would not have been so successful if there hadn’t been a big potential demand for its product.  I still think drug prohibition hasn’t worked, just as alcohol prohibition didn’t work and gun prohibition wouldn’t work.

This is another question for which I don’t have good answers.  What do you think?

LINKS

Genocide by Prescription: The ‘Natural History’ of the Declining White Working Class in America by James Petras and Robin Eastman Abaya [added 7/14/2016]

Credentialism and Corruption: The Opioid Epidemic and the Looting Professional Class by Lambert Strether for naked capitalism.  Very much worth reading.

Poison Pill by Mike Mariani for Pacific Standard.

Drug abuse and suicide: Why death rates have spiked among middle-aged white Americans, an interview of Angus Deaton, one of the authors of the study, by Christina Cauterucci for Slate.

Opioid Addiction 2016 Facts & Figures by the American Society of Addiction Medicine.

How heroin came to middle-class white America

August 13, 2015

DREAMLAND: The True Tale of America’s Opiate Epidemic by Sam Quinones is the story of how heroin addiction spread through rural and suburban white America.

Dreamland was the name of a popular swimming pool in Portsmouth, Ohio, a small city on the Ohio river that once was the center of the U.S. shoe manufacturing industry.

The pool closed as the shoe industry declined, but Portsmouth gave birth to a new industry—the mass prescription of  legal but addictive pain medications such as Purdue Pharmaceuticals’ OxyContin.

Regular practitioners were misled into thinking that OxyContin, a biochemical twin of heroin, and related were harmless, but industry really took off with the spread of “pill mills”—medical practices that were limited to the prescription of pills for alleged pain/

DreamlandQuinones51pEBThe business of addictive prescription drugs is one part of the story Quinones told.  The other more startling part is how poor people in the small Mexican town of Xalisco (population about 20,000) created a nationwide distribution franchise system which spread their locally-cooked black tar heroin across the United States.

The Xalisco Boys, as police came to call them, did not carry weapons, did not use drugs themselves, and never sold to black people (whom they thought were violent).   They emphasized product quality, good customer service and competitive prices, with discounts for new customers.

They created an equivalent to a pizza delivery franchise, in which customers could call a certain number and have heroin delivered to a certain spot.   The drivers were inconspicuous, kept out of trouble and drove nondescript vehicles.

They put heroin in balloons, which they kept in their mouths.  When police stopped them, they swallowed the balloons, which they were later able to recover, with the heroin intact.

As they moved out from their original base in the San Fernando Valley, they avoided areas where violent drug gangs operated. Instead they moved into areas where prescription painkillers such as OxyContin were heavily sold, and offered their product as a cheaper and easier-to-obtain substitute.

The Mexican drug cartels and urban criminal gangs are responsible for much of the heroin sold in the United States, Quinones wrote.  They control the heroin trade in Chicago, Atlanta, northern California and many other urban centers, he said; very little heroin comes from Asia any more.   The Xalisco Boys took heroin where the established traffickers never thought to go.

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