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We talk about McKinsey’s recent settlement over its role in the opioid crisis, the history of heroin, the Sackler family and Perdue Pharmaceuticals, and all the sickos making bank getting you and your family high as shit

Marketing of Oxycontin 

History of Oxycontin told through Purdue docs 

Oxycontin Crusade 

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Comments

Evan Moore

as someone working in these communities and supporting folks experiencing fentanyl addiction i want to say that your comments toward the end of this ep re: decrim were extremely disappointing. safe supply (legal pharma grade drugs) for addicts in the face of a toxic drug crisis is a matter of dignity. please think harder on this. come to toronto and see what we're doing at moss park before you call me a libertarian. i'm a big fan so this stung.

Alexandria Henderson

I needed this alert to pull me out of a debate with a lib on reddit. Thanks for that ❤️

orc

Very excited to listen to this

Puet

Love the “history of junk” in the intro.

hk

Damn y’all see new Adam Curtis talkin bout this

hk

Ya that’s what the film is about

Michael S. Judge

my doctor has 40-something clocks on the walls of his office to show how many pharma reps have tried to bribe him with free shit

Taz

Best friend is still a junkie, known so so so many young people who have died from fent and dope. Thank you for doing this. Liz has the right idea. Central Park for all of them.

Avalon W-K

Holy shit my psychiatrist kept pushing high doses of gabapentin on me for anxiety and I never knew why she was going so hard on it!!! I shoulda figured 🤦🏼‍♀️

john n lomax

My mom was a heroin / opioid / opiate addict. Cough syrup as often as not, but whatever she could get her hands on. She was also very interested in the history of the drug and its market status at any given time. Basically she thought it had almost as much clout as many another staple of the world economy; not as much as oil, but maybe as much as cotton or sugar. Anyway, she had all kinds of conspiracy theories at all times. Any heroin conspiracy theories that existed before her death in 1998, she believed. And I have come to believe them to, for the most part. And here is what I know for a fact: she would have seen 9/11 as being in large part an impetus to reseize the poppy fields of Afghanistan. The Taliban had choked them off, and lo and behold, a year or so later, we concoct an excuse to invade, and then after we take over the country, and have all these poppies in our control, we go hogwild prescribing Oxy and such.

Baily McDaniel

This episode resonates with me so much and I'm deeply appreciative for Brace's honesty and Liz's empathy. My experience with dope mirrors Brace's in so many ways. Everything he said about being a junkie was exactly what it was like for so many of us. You completely lose yourself and are unlikely to ever make yourself whole. It has ruined so much for so many.

Áine MacDhubháin

I hope you’ll read about those with legitimate pain problems who were also caught up in this when they cracked down on prescriptions. https://thomasklinemd.medium.com/opioidcrisis-pain-related-suicides-associated-with-forced-tapers-c68c79ecf84d

Chris Coleslaw

https://youtu.be/BgvBWR0Tr7I

Andrew Rassling

My best uncle was destroyed by opiates. I'm so fucking enraged right now. I can't do dick, but I will try to build power to do something. I'm a relatively recently recovered alcoholic fuckup. but hope I can succeed in something half as heroic as you in the future.

Jack Nancy

lots of love

BruceInAdelaide

well said Brace, stout fellow!

Anonymous

Perdue Pharma also invested heavily in the rehab industry--they did the plot of Inherent Vice IRL

Mick Liebgrin

Why is the music so good in this episode?

beanbuddy

Such a fucking awesome episode. Really resonated with me that it's not just okay - but healthy- to be enraged at the system that lets American oligarchs fuck us over repeatedly.

Nicholas Yuhasz

The way they cure a continuous boner from viagra is by using a syringe to remove the blood from your member.

James

Without sounding too cringe here but the USA is really the United States of Addiction. Lost quite a few friends in the opioid crisis, lost a few more to deaths of despair. Got caught up in it myself and still struggle with it. As I was getting older I thought it was just normal to have your friends drop from existence. It’s not and it’s really just the system in which we live. Great episode, much love.

Kristian T. Kenwood

as a recovering addict, this episode really hit hard. definitely gonna be delving into these links

hanfjob

this was a perfect cold open. you were random and entertaining but also setting up the episode and had me curious to hear the rest. nice!

Amazon Abyss

sometimes your show is amazing. thank you for this excellent episode. read Blitzed: Drugs in Nazi Germany by Norman Ohler (great book that reads kind of like a fast-paced novel).

KS

i have been waiting for you to do an episode on this subject, can't wait to listen

swervegriffin

shoutout cure for pain by morphine

Corey Bryce

do you know if they’ve done the same thing with suboxone (albeit on a much smaller scale)?

laihall

No heroin in Vancouver - just down

TrueAnonPod

Suboxone has a weird history because it was basically illegal for sub doctors to see more than something like 75 patients for a while but the laws changed and now it's really common. Purdue has a patent on suboxone wafers filed a few years ago too lol

laihall

Idk if it exists in the same scale but there is an insane parasitic and exploitative non profit industry in Canada that revolves around research and allyship with drug users while syphoning then into this insaaane liminal status between prison and hospitalization. Universities, police, health care providers are all collaborating and the scope boggles the mind

Corey Bryce

jeez us. they push it real hard as part of government contracts where I work in MD now that they opened up patient limits. bupe’s not inherently bad but i always wonder who’s been profiting off it in recent years

Vincent Utah

Brace, you’re a better history professor than half of these nerds I work with. Also Liz, opioids are actually all over Idaho and the rural western interior right now. The farming communities are getting bought out either by large agricultural conglomerates and developers, or they’re just falling apart completely because the profit and pay is generally shit. I run into few people out of places like Coeur d’Alene for example that haven’t been affected by painkillers. The populations are significantly smaller though, so you don’t hear about it much. In the towns that haven’t been hit terribly, either the Mormons run everything (they’ll throw your ass in jail for a gram of weed) or meth is the drug of choice and has done its own damage.

laihall

I believe it - it’s still a drug Mecca but very different. Could talk for days about my old research job there.

Lara Sea

This whole episode gave me flashbacks. I used to live in Cincinnati Ohio and had multiple friends who had pill mill connections in Kentucky. Literally everyone I met after college fucked with percs or oxys (including myself) and I ended up moving to the middle of nowhere colorado to get away from that / get sober from pills. If I showed up for work at the warehouse early, I was given free percs by some of the guys so we could all be high while unloading the trucks. I also remember grinding up pills with my dealer while their kids played in the living room. And then there’s my ex getting so dope sick I ended up draining my bank account completely to get him more shit so he would stop puking. Even back in 2004, I remember my middle school friend’s dad getting caught for writing himself pain pills (he was a orthopedist) and he spent three years in rehab in Florida and had his license reinstated. It was so prevalent in all demographics in Ohio you couldn’t get away from it, even if you tried. PS the book Dopesick is a solid read if you want to keep learning more about this topic Edited to add: I remember working @ UPS and dude overdosing on fentanyl patches - he was sucking on one and the rest all over his body

Mosie

Thank you for sharing again, Brace. I’ve lost family, friends, and acquaintances to overdoses of opioids and opiates, both people who got it from the street and who got it from their family doctor. Thank you both for talking about this issue with such care, as always.

Baron

What was the “second secret Holocaust”? Iraqi chemical warfare, the Intifada, the Contras, something else?

boop

liz skincare episode when ?!?!?!

John Harwood

Thanks for sharing so much of your experience, Brace. I very nearly lost my brother to the Sacklers, and I will never forget it. I also work with art world sickos who constantly apologize for that horrible family without doing anything substantive because they are so scared of what might happen to them if they do. So thanks to you, Liz, and YC for the renewal of my cleansing fire of rage at these assholes.

John Harwood

Also, reading is always best, but if you don’t have the luxury, the two-part Dollop on the history of opium is well worth your time. Informative, infuriating, and funny, just like this TA ep.

Cara

In nico walkers novel/ memoir ‘Cherry’ the protagonist (heroin user) is dealing with one guy for awhile who is reasonably dependable who then gets arrested and passes his clientele over to his brother, also named Black

Chris

Anyone looking to get deeper into this topic should absolutely read Dreamland by Sam Quinones.

Paul Beresniewicz

woaw, the switch from oxy to heroin was for real!! 3 friends of mine in upstate NY made the switch! 2 dead now....fuck this shit.

TrueAnonPod

yeah I talked to him about that---the books real good depiction except only one guy I knew robbed a bank

Grant De Hoogh

Really good episode. I’m still listening so forgive me if I haven’t heard it yet. Another factor for the opioid epidemic was in 2014, Hydrocodone was rescheduled from a Class 3, to a class 2. As a class 3 controlled substance, patients could get 6 months worth of refills from one doctors visit. As a class 2 controlled substance, you can only get a one month supply, so you have to see a doctor every month, which is more $$$. And yeah, heroin is cheaper

Chris Hildreth

I used to cop in Chicago. It was always white. I wonder if I’ve ever seen real heroin sometimes, or if it was always fentanyl. I got sober in 2010 and I always appreciate you talking candidly about being a junkie. I grew up a junkie and I relate. My family relates. My community relates and knowing how they were targeted is empowering in a weird way. It’s also depressing af in the same way.

Cara

He’s a very good writer, maybe the bank thing is less of an urban phenomenon- they always seemed to be going slightly outside Cleveland to do the robberies. Great ep thanks for doing the work to get this info out there in an accessible way. It’s still an underreported topic considering the magnitude of the crisis.

Eric Currie

Wonderful episode. I lost a few years to the oxy to fent pipeline. Wrecked havoc on my personal life and now that I’m on suboxone I’m picking up the pieces. Anyway, good shit, Brace.

Jimothy Realname

Yeah, fent is really bad stuff. I have a friend who got into it some years ago, and he would get this weird paradoxical reaction where he got extremely energetic, jumping around and clapping his hands and shit. But at the same time he looked half dead, all pale and sunken. It was a disturbing juxtaposition, like he was possessed. He OD'd a bunch of times before he finally got clean. Very lucky he got out. Definitely don't do fentanyl

Paynuss Fibbus

Do an episode on the Replication Crisis in Psychology ✌️

Ruban

opiates are like a hot ex that I’ll never fuck again but will often masturbate to the memories of

Gavin Collier

My dad grew up in Florida and was in the drug scene very heavy. He moved away in the early 90s which probably saved his life. Oxy killed almost all of his friends from back home, fuck these ghouls

Brian Long

Thank you for sharing so much for your experience, Brace. Great episode.

Ronald Waterson-Hills

Liz mentioned this topic and here’s a great article by Yves Smith of Naked Capitalism on McKinsey compared to Goldman Sachs https://www.nakedcapitalism.com/2021/02/goldman-is-evil-but-mckinsey-is-worse.html

KS

can you say more on this? I work for a non-profit in Edmonton that focuses on housing and it feels like we're constantly floundering trying to both save people from overdoses and help them access treatment/detox (if that's what they want). But the systems seem completely impenetrable, the drugs are getting stronger with carfentanil on the rise, and there doesn't seem to be a plan beyond stocking everyone up on naloxone

mrakobesiye

I lived there for 30 years and the thought of Vancouver having no heroin is ... just impossible to believe. Unbelievable.

Smallbusinessman

Lolol turning that doctor in after he was of no use to them is cold blooded. Rational but so twisted.

KS

oh shit also, hi jacob, we used to see each other at shows

laihall

like, there are heavy heavy opiates available in 5 minutes of wherever you are at any time - but theres no "organic heroin" anywhere. when you're trying to cop no one sells heroin, just "down" which is like a catchall term for heroin like stuff but it can be anything from fent, dillies, carfent etc etc etc... its just a soup of whatever opioids and opiates have been circulating among dealers. its led to fucking batshit insane concotions and the most horrifying overdoses. there was a batch of fentanyl cut with synthetic weed for awhile. lately fent has been getting cut with benzos so trying to respond to an overdose with narcan is totally ineffective. the range of overdose responses from fent have been so fucked as well, theres clinical reports about averse reactions in operating rooms that happen in the street that completely took everyone off guard - namely flailing... because netxt to no one who worked on frontline overdose reponse when i was doing it had any medical education or training or even experience using drugs themselves no one knew what to make of someone slamming some down and responding by uncontrollable flailing and whipping themselves around but that had been a documented side effect for years. theres a whole gneration of users in vancouver that have gotten irreparable injuries who were otherwise healthy because they shot what they thought was heroin and wound up whipping their body around and smacking into the concrete floor of a shelter or getting hit by a car or assaulted by pigs who didn't know what they were doing

laihall

the short story is the harm reduction model has been absorbed by health providers in vancouver via projects like insite, but by extension its also extended to collaborate with the police, courts, tenancy branches and other provincial services - but not in a way which is truly "progressive" or moving towards something like safe supply or dignified accomodation but containment of criminalized populations. ryan shouted out phs and thats like the main model here - the most glaring example is that i would have to do room checks every night to make sure people were around, they were mandatory and people didnt have the option not to let us in. the policy was supposed to like make sure people werent in medical distress but if someone wasnt sround for 4 room checks the manager would file a missing person report - basically we just facilitated the cops keeping track of every resident. this extended to other stuff as well

Claire

Laudanum was like Victorian lean.

laihall

like, harm reduction has become a racket where using populations are "empowered" and drug use is "destigmatized" by a campaign to flood the street with millions of dollars of narcan but make no substantive policy changes. its just responsibilizing the using population and creating these fucked up castes within healthcare (through terms like "at risk" which initiate police contact, and giving 22 year old white knight complex white kids the power to section anyone living at a project they work at)

laihall

@kalie waaat what gigs? please dont mention bands i was in lolll

Albuquerque -- MEEP MEEP!

This ep was fucking solid. Glad you made it through those dark times, Brace. The world would be an even shittier place without you. ❤️

(Noah J)

I really appreciate the honesty of Brace and Liz here. This was an especially hard hitting episode for me. I lost my brother to an overdose a few years ago. Brace's description of the path he was on was similar to my brother's. My brother didn't make it out.

KS

yeah that checks out, the place i work at is sort of similar to the PHS model but each resident has a housing worker and the idea is that they will move on to market housing and use the hotel as a stepping stone. But some people have ended up living there for a long time, some people have died there, and some do go on to become housed. But once they're housed they don't have enough support and are usually isolated from their community (partially due to edmonton being so sprawling) and many have ended up back where they started. Alberta has actually threatened to limit our narcan supply, so we are having to fight just to prove that it's useful. I get the sense from what I've heard from van that harm reduction has almost become this trendy buzzword that allows certain white knight white kids, as you say, to feel like they're playing the saviour while power is still kept out of the hands of the community. I'm still pretty green to this world though, i appreciate your insight

KS

and i'm pretty sure we met in like 2011 through Erin D who was at Emily Carr with you, and then would see each other around from time to time. i remember seeing you play but don't remember any of the bands names so don't worry lol

Mandy Maddey

i'm so glad i'm at the point now where i can listen to an episode like this and not feel the cravings i would have a couple years ago. cathartic episode. thankful you're alive, brace!

KS

this actually explains a lot of fucked up shit i've seen recently

Carolina

Thank you all for talking about this. I lost my cousin two years ago and I know so many people whose families have struggled with this shit. Pls never stop being depressing. People need to know about this.

CC

This was a fantastic episode. Thanks folks. ❤️ Big Respect to you Brace. 💪

mrakobesiye

Crazy. I know my sister carries naxolone around in her purse just in case because fentanyl is in everything

Dany R

A girl I was friends with in high school had a pharmaceutical rep mom and a DEA agent dad. Their house was full of all kinds of pharma swag the mom had accumulated over the years. Every now and then I'll think back on that and wonder what the fuck was happening in that relationship.

Mary

Really good ep one poddy award for Brace 😢❤️

laihall

Yeah man it’s fucked. I worked for a research project here where we interviewed people snd part of it was cross examining what they reported using against a piss test and no matter if they said they were taking heroin fent down no piss tests ever came back for opiates only opioids in the two years i worked

ryan

Meanwhile Gabor Maté can write about the DTES and make a healthy living selling books and CEOs or directors of NGOs make six figures plus

Dean Watson

Would love to hear you all do a follow up show with Dr Carl Hart. Great episode, I haven’t seen much even approaching this level of quality of reporting on the opioid crisis

Julia

This was deeply personal to me. My community I grew up on, Levittown PA was deindustrialized after NAFTA. Many of us were able to stay afloat but opioids destroyed so many lives, including several people I went to highschool with who died from overdose, multiple cousins have been in prison, lost custody of their children, overdosed and my youngest cousin overdosed and died in October.

Groucho.Marxist

I broke my hip in 2009 and ended up on Percocet for several months. I had already taken pills recreationally for years but without getting physically addicted, so when I would run out of my script I knew where to find more on the streets. I knew people that had connections with stick up people that robbed drugstore pharmacies al up and down the west coast. Someone asked me if I could sell Oxys in Eastern Washington and I could so I did. I was getting fronted about a hundred at a time until I just sat in my room and smoked all of them and owed some kind of people that I didn't want to owe. I found another plug and contintued but at some point I knew they weren't going to be around anymore. I would buy them for 30 and could sell them for 90 at the time, since I knew heroin was going to be what everyone turned to due to the upcoming reformulation, I started selling heroin and became the first real heroin dealer in a town of about 100,000 people. I don't know it was weird that this one drug completely changed the economy on the street, what kind of drugs people used, and even what time drug stores closed (lol). Remember 24 hour pharmacies? They no longer exist because they would get robbed all the time. I have been clean for 9 years now. I osn't know what else to say about it but shit was wild. I ended up homeless and boosting shit from walmart, because I knew that if I continued to sell I was going to go to prison and something inside me knew that I would get clean at some point and I didn't want to get clean when I was in my 40s or 50s and just getting out of prison, living in a halfway house and washing dishes at a Denny's or something. I could keep going but no on has probably even read this far.

Groucho.Marxist

I should add that at the time that I broke my hip I had gone kind of given up on having any kind of a future. I had painted houses for 9 years and the ups and downs of seasonal work and my inability to manage money had left me feeling insecure about my ability to ever properly take care of myself. after the financial crisis I went from making $17 an hour to $13 an hour. when faced with that outcome I decided that being a junky and selling dope was a more sound choice, and I wasn't really wrong.

Benjamin Kelly

I make $300K/year and have a million dollars in the bank. How long could I shoot heroin before my money runs out?

Katie

re the purdue class action memos - its probs the worst shit i've read in my life. another high settlement is good but it honestly will never be enough to undo what they have done and the amount of damage that they have rued. so sad that the legal system (i.e. settlements) everywhere do not consider opportunity cost and the havoc unleashed on the communities, and also inflation. having been in the negotiating room in terms of settlements, it really does feel like all these things aren't considered and that is the #1 problem i have with the system. of course the conversations in settlement negotiations stem from what the courts would decide anyway, so it is a problem with the whole system. and perhaps the problem is even broader, with how the federal reserve and various western economic bodies assess things like inflation, how can we expect the legal system to ever change? i think it would be great if someone did the math on how much money across all settlements was actually obtained in terms of "real value" - but i guess even that is obscured because of cyprus plays a role in settlement hearings (a tragedy if you look at some cases in the past).

abraxaseyes

im a new listener and right before this came out i was listening to the koch brothers episode where brace was doing a bit about oc 80, wild

Kevin

This is such a good episode. The last 15 minutes or so are powerful. You guys really differentiate yourselves from a lot of lefty commentary by your moral clarity and care.

kf

It's absolutely wild hearing about the amount of blood on McKinsey's hands. When I was in college a McKinsey offer was considered a top prize for graduating seniors. We were all doing mountains of blow but only a couple really fucked up druggie kids would touch oxy. Nobody was doing heroin. It took me a long time to grow up and see beyond the narrow view from that very warped part of society and now it makes me feel physically ill to think about how so many ruthlessly competitive rich kids are funneled from elite colleges into these companies that directly orchestrate the devastation of entire American communities. I guarantee you none of them give even a fraction of a fuck about anything to do with opioid addicts because they don't even see "those people" as people. There really are two Americas that might as well be alternate universes. God this shit makes my blood boil.

Anonymous

Wonderful!❣️

senyarady

think he was just joking but yeah Indonesia through the contras probably counts

Sarah McLachlan

Thanks so much for doing this episode. I was put on dilaudid during my cancer surgery recovery and I have never stopped jonesing for those feels, especially during low points in depression. I am the lawful good type and have never tried to obtain it but I have so much empathy for others who were on opioids long enough to not escape. It is not shocking, but all together awful that drug companies pushed this intentionally and us peons live with the aftermath.

Anonymous

Great Episode! So how can we get brace to speak at our meeting? Zoom, in AZ

notadingdong

hi brace, is it kosher to suggest episode topics? specifically obama’s family ties to the cia ? also a brief history on singapore’s government? thanks love the pod 😁

notadingdong

maybe i should have started off with some praise for this episode! obvious to any longtime TA listener, this one was personal. thanks for speaking on your experiences and the information provided in this ep was truly very illuminating. not in a dumb way! i just learned a lot

Josh Legere

One of the best episodes I have heard from you all. Bravo.

Michael Kaitis

great work, i miss oc80’s tho

Tristan Abbott

I got my wisdom teeth removed when I was 15, in the late 90s. They gave me 40 OxyContins afterward.

Breakaway

Every time I see a gentrifier boutique that uses the word “apothecary,” I want to ask if they have laudanum.

Benjamin Cheney

You beat me to it. Dreamland is a captivating, brutal masterpiece. It came out at about the same time as that swill memoir by that ghoul JD Vance but correctly diagnoses (pun noted) the decline and misery of Ohio/Kentucky and the US as a whole. Sam would be a great guest. I was only in elementary school at the time but I remember the Oxy tsunami suddenly enveloping Maine in the late 1990s and of course it’s gone totally to fentanyl now

carl

tmi but whatever— maybe kismet in me sharing: my dad was committed to a psych ward two days ago, and it got back to me via my mom—oxy dependency. years of it. that and other factors, and he had a nervous breakdown. also, i live down the street from phillys somerset stop (k+a a couple blocks from that). even before my dad (i was pretty surprised by his addiction, but not totally), ive been so full of rage—as a lifelong pa resident, philly citizen and as a son. “strung up” in times square indeed. dilworth plaza in philly as well, and harrisburg. god i fucking hate these people. (this was one of my fav eps—thanks.)

Evan Scott

RE: contaminated drugs on the east coast, it's a pretty wild and horrifying world. I live in Philly and people are really afraid of doing coke now. I don't know anyone first hand but I've got friends of friends and know people who work in hospitals who have seen a ton of it (ppl OD'ing on fent contaminated coke) first hand. There was a bad batch of coke or something going around a couple months ago that killed a few service industry people in a weekend, it was a big story. It doesn't really make any sense to intentionally dose coke with fent and kill off your customers obviously. The popular theory, in philly at least, is that at some level in the distribution chain the same people are responsible for cutting whatever they sell as heroin together here as putting together the cocaine. And, the thought goes, if they don't clean their scales or whatever equipment, a few crystals of fent can end up in some coke. And when a few crystals of fent go into the nose of some 24 year old server who's never really been into opioids, has no tolerance, and is doing a couple lines of coke after a shift, apparently, it kills them. This obviously isn't nearly as big a problem as the wider opioid crisis here but it ends up being really visible since it suddenly kills people who don't do opioids intentionally

Evan Scott

https://whyy.org/articles/spate-of-overdoses-hits-service-industry-workers-in-philly-who-thought-they-were-doing-cocaine/

Chris Ryan

I don’t live in Philadelphia anymore (I’ll say it: thankfully, though now I’m in San Jose which is a thoroughly horrific and imaginary place) but I had been hearing very grim stories recently of people who had been servers or musicians, weekend coke warriors, dying suddenly. I myself had a pretty legit coke problem for a decade and would buy some absolute crap 20 bags over the counter at a bar, knowing it was only going to give me a headache. Let’s not get into all the dudes who sell a powder that seems “a little cut” in that it burns the shit out of your nose and tjen

Chris Ryan

And then lasts extremely suspiciously long and you feel like you have died the next day. That Philly “coke.”

Chris Ryan

One more thing is that I am experimenting with being sober (except weed) in part because I have admitted finally that brace and Michael judge may know something that I don’t

Jen H

I waited a long time (too long) to become a TA patreon, but this episode finally got me to subscribe. Thank you both for doing such a thoughtful and thorough and personal episode about the opiate epidemic and the horrible people who created it. My brother and my family have spent the last 17 years living through it first hand, so I really appreciate this one ❤️

markers

"West L.A. fade awayy..."

Jordan Thompson

this episode got me to subscribe. thank you.

Leslie Cerniglia

Sincerely, thank you for this episode. My younger brother died of a Methadone overdose in 2015. It was his first week in “treatment” and the doses the “clinic” gave him TO TAKE HOME were just too high. Thank you for talking about these evil fucks, when the msm has been more than happy to ignore that people are still dying in THIS epidemic.

Fhjklmn bo

Ever hear of "opiate rage"? I wonder how much this could affect the psychology of a country as a whole...

Allyson Hurst

I’m late asl to this episode but my mom takes like 3200mg of gabbies a day now holy fuck

Floyd Hill

In Canada we got generic Oxycontins, like 8 companies make em, although no longer paid for by the cheapest med insurance, the government one, but they're much cheaper and like the old CDN print by Purdue. Even all those lawsuits won't kill Purdue, they are the sole provider of HydromorphContins, which is used a lot more in Canada, you guys had it for one year back in 2000 as Palladone XR or such but it was removed because apparently drinking a beer would cause "dose dumping", destroying the beads in the capsules XR and turn them into really high dosage plain Dilaudid (which is also only made by Purdue, and in Canada, the brand name Dilaudids are safe to inject without sophisticated filters (alhough they now give em for free at exchanges or through social workers now). Point is, have generics become available much sooner in your country and things will not escalate like this. Also for some reason, they always preferred scripting instant action Oxycodone over here and not Percocets and Percodans, although they exist, the few times I had a script for pain, it was Supeudol or "Oxy IR" 5 or 10mg, not made by Purdue and a couple times where I had the highest dosage available here for fun, those 20mg footballs....holy crap. I could see why some would bother chewing OC's...the mechanism was so easy to break, that's the real thing, not that it is more addictive than other oral opioids at high doses (maybe except codeine), those high dosage (12 hour release) Hydrocodone, Morphine, Hydromorphone etc. pills. or that holy grail Oxymorphone which isn't marketed here...you can still get it but only through a special prescription through a compounding pharmacy; can be just as addictive, although oxycodone as a very high oral bioavailability...near 90%, which made me laugh back then when those idiots would snort or worse slam them...there's no rush to oxycodone and you won't save money taking it another way. Anyways, the opioid-phobia wasn't warranted, rather, they should wonder why kids suddenly would do hard drugs in this society of ours, where it had been in constant decline since the 80's until that small bump in the road in the 2010's....maybe something to do with how shit our lives have become?

Michael S. Judge

It's probably worth adding, now that I know it firsthand, that opioids also flat do not work for chronic pain. You get a week's worth of Vicodin (or used to) because, apart from the addiction problem, any longer than that, and you'd need a higher dose; the body habituates to the extra endorphins and dopamine so quickly that every dosage eventually becomes useless. I went up and up and up, over 5 years, till I was on 80mg of Vicodin every single goddamn day (and not just that), some days WELL over the lethal concentration, and feeling NOTHING from it. **Any competent doctor should know that you do not give opioids to chronic pain cases.**