41 comments
  • jijji7y

    The article makes the assumption that the likes of Walmart, Walgreens and CVS should be responsible for "monitoring" what doctors legitimate prescriptions are being asked to fill, as if they were doing anything illegal by doing this. If a licensed MD writes a prescription for a medication, their responsibility begins and ends with fulfilling that legally authorized prescription. It is bizarre to think that these companies should have some system in place to refuse to fill these legally authorized prescriptions. If the DEA wants these drugs off the street, they should work with congress to have these drugs added to the Schedule I list. Speaking of the Schedule I list, which includes Heroin (an opiod), I've never understood the rationale that could conclude that Heroin (an opiod) would be listed as a Schedule I (no medical benefit), yet all the other opiod analogs are not listed there as well. As a matter of fact, there is an Analogs Act [0] that has been in place to specifically deal with analogs of Schedule I substances. These drugs, like Oxycontin, Oxycodone, Hydrocodone, other opiod analogs, you would think would fall under the Analogs Act, but for some reason they were lobbied to not be part of that -- therefore allowing a few large players to make billions of dollars a year because of it and allow millions of people to overdose.

    [0] https://en.wikipedia.org/wiki/Federal_Analogue_Act

    • anigbrowl7y

      I don't understand why you would post a comment that ignores so much information in the article, starting with the very first paragraph. There are in fact laws about reporting unusual volumes of drug sales and people employed by drugstores specifically to perform that task.

      It seems like you just wanted to express your opinion and did so by suggesting that the article was somehow misleading or not grounded in reality.

      • celticmusic7y

        I think you're being unfair to the above poster.

        They expressed both sides of the issue. That what they're doing isn't technically illegal, and that they've obviously lobbied congress to keep certain drugs available because they can legally fulfill them for massive profits.

        By no means did the above poster give these companies a pass, they just did it in a way that's closer to reality and less histrionic.

    • harimau7777y

      Pharmacists' job includes watching for mistakes in what the MDs choose to prescribe. That's why they are required to go through a challenging college program and get licensed.

      • lotsofpulp7y

        This isn’t about doctors making mistakes, this is about doctors intentionally prescribing opioids to people who want them just to get high. How is a pharmacist supposed to know who has legitimate pain versus those who don’t? That conversation happens between the patient and the doctor.

        The only way you would know is do you had a system wide view and could see which doctors are prescribing abnormally high amounts of opioids, not something in the purview of a pharmacy.

        • dhdidhdu7y

          When your county is devastated by opioids and your pharmacy sells more opioids than your entire state should be reasonably consuming [0] maybe alarms bells should ring.

          [0] happened in WV

        • 7y
          [deleted]
    • throwaway20487y

      It is absolutely a pharmacy and pharmacists job to understand and monitor what drugs are being prescribed to their patients, and intervene in cases of harm.

      • lotsofpulp7y

        How is a pharmacist supposed to know if an opioid is legitimate or not? Anyone can claim to have a pain issue and if the opioid isn’t mixed with other problematic medicines, what other indication does a pharmacist have that the doctor is dealing drugs?

        • 50656E69737y

          According to the article, the alarm bells should be going off when there are obviously absurd amounts of drugs are being ordered.

          >The Walgreens employee was bewildered by the quantity of opioids the company was shipping to just one store. Its pharmacy in Port Richey, Fla. (population 2,831) was ordering 3,271 bottles of oxycodone a month.

          From another article on the same topic:

          >The company sold 6.4m pills to the small pharmacy, notorious in a town of about 3,000 people for the long lines of out of state cars at its drive-through window.

          https://www.theguardian.com/us-news/2019/jul/19/opioids-cris...

        • dhdidhdu7y

          “How is a pharmacist supposed to know if an opioid is legitimate or not? ”

          Any single prescription, there is no way.

          But if your selling enough pain pills to give everyone in your county 10 daily doses, perhaps you should call the state attorney general.

        • Simon_says7y

          Technically the pharmacist is dealing drugs.

        • 7y
          [deleted]
    • mnm17y

      You think there's a rationale behind the drug schedules? I mean other than locking up undesirables? There you go, that's your problem. I recommend learning about history. That'll get rid of such silly, incoherent thoughts.

  • yomly7y

    How curious, when companies look to optimize for profits, and when their profits are pegged to consumption of pharmaceuticals, they look to get people hooked on them so they can sell in quantity

    I didn't see this coming at all

    /s

    Also notice the similarities with the food/big-sugar industry

  • paulstovell7y

    Having a legal requirement for companies to report “suspicious” orders seems destined to fail. You receive an order for $XM in a product you sell. It looks suspicious.

    You can fulfil the order and make $XM, or you can report it and get... nothing.

    Now as the employee of course you want to do the right thing, so you run it up the chain. And someone says to the board “we should invest millions in better systems and people to detect suspicious orders, so that we can make less money but do the right thing”. Any wonder this didn’t happen?

    The blame here seems to be with the design of the regulation/oversight. Where was the FDA/other agency reviewing a random sample of those orders and then smashing the companies for missing the suspicious ones?

    • seeker617y

      It appears from this comment that you have not read the article.

    • jmull7y

      > ...and then smashing the companies for missing the suspicious ones?

      These legal efforts are the smashing you are calling for. This is what makes the decision to fulfill a suspicious order rather than report it a potentially costly one.

  • mnm17y

    No one is going to go to jail. Nothing at these companies or others that will take their place will change. None of this will help people who are addicted especially since the only thing that can help them now is to not get cut off from their supply and have access to treatment and opiates like methadone, suboxin, or even good old heroin in pure form. Our governments are so fucking incompetent in dealing with this crisis, even a multi-billion dollar settlement won't do shit. I wonder if they even really care or is this just another show they're putting on to pretend like they care when they don't? You don't need storage space to store thousands of bottles of opiates because they go very quickly. It's not a wonder, it's called tolerance. Even such basic concepts are not understood by the idiots running these governments. Nothing will change. People will continue to die. Because nothing mentioned here is an actual solution. Probably because the problem isn't opiates. The problem is people living shit lives in a shitty society. Poverty. Loneliness. Alienation. Lack of support. Lack of culture. Lack of community. Anyone who thinks our government is qualified or even cares about fixing these fundamental issues with American society is delusional. At the very least we could legalize drugs, stop the crime around them as they would be incredibly cheap, and stop the overdosing from unknown combinations that often include fentanyl or carfentanyl drugs that are tens to hundreds or thousands of times more potent than morphine. But of course, the idiots in charge won't even do that, because then how are you going to lock up all the black and brown people? What a farce.

    • dhdidhdu7y

      “No one is going to go to jail. ”

      Normally I’d agree w/ you, but the folk in WV are super pissed

  • tathougies7y

    Court filings are just statements made by random people. The simple act of a court filing saying something neither proves nor disproves the argument being made

  • 11thEarlOfMar7y

    This chart shows that the acceleration of deaths from the synthetics starting in 2014. By 2015 it was unmistakable: After being more or less stable over the prior decade, overdoses of Fentanyl, Tramadol, etc. tripled over 2 years and then tripled again. [1]

    This is 2019, 4 years later, and only now are we seeing the results of action. How does this horror persist, growing so fast, killing so many and the US government under both Obama and Trump not declare war on the drug companies?

    [1] https://www.kff.org/other/state-indicator/opioid-overdose-de...

    • slavik817y

      The war on drugs has been an utter failure. Nothing about a war addresses the underlying human problems. The worst aspect of it all is that every failure becomes evidence that we're not fighting hard enough. That if we just fight harder, we'll win the war.

      Ostensibly, point of the war on drugs is to help the addicts. Yet in most contexts, they get treated with disdain. We provide very little direct help. There's basically nothing to help respectable people, so respectable people don't get help. Instead, they hide their problem until it grows too large to be contained.

      It sometimes feels like compassion for drug addicts starts and ends with punishing drug dealers. Maybe it's just easier that way. I think we as a society need to take a hard look in the mirror and ask ourselves if we really did all that we could do to save those lives.

    • anigbrowl7y

      It's much easier to blame all the USA's ills on Mexico and the lack of a wall along the southern border, notwithstanding the volume of drugs that come in by ships and other vectors.

      However, the administration has taken action against some of these pharmaceutical industry suppliers. One firm was fined $20 million (payable over 5 years) in return for a deferred prosecution agreement. The President hasn't made much of this in his political speeches, no doubt because of his innate modesty.

      https://www.democratandchronicle.com/story/news/2019/04/23/r...

    • mnm17y

      Yeah, another war on drug producers and traffickers is exactly what we need. It worked wonders with the Mexican and Latin American cartels. It was incredibly successful. Hell a few hundred thousand or so dead Mexicans. That's success, right? Hundreds of thousand of mostly black and brown people in our jails. That's success right? Let's not address the core issues of our fucked up society like poverty, lack of community, lack of opportunity, shitty consumerist culture, etc. No, another war is exactly what we need. Because every "war" and every war America engages in is so successful. Do you even have any idea of what you're suggesting?

    • Gibbon17y

      I think the other side of the horror is reflected in the employment to population statistics. Look past the statistics and you see millions of hopeless and despondent people. Obama and Trump don't care that these people have reliable employment and enough resources to get though the day without fear. Given that why would we assume they care about people OD'd on opiates?

  • blodovnik7y

    It's incredibly weird that there's a war on drugs at exactly the same times as the corporations legally feed and profit from an opioid drug epidemic.

    Only in America could such a contradiction be possible.

    • ska7y

      Almost like the “war on drugs” doesn’t have much to do with drugs ...

      • inflatableDodo7y

        “We knew we couldn’t make it illegal to be either against the war or black, but by getting the public to associate the hippies with marijuana and blacks with heroin, and then criminalizing both heavily, we could disrupt those communities. We could arrest their leaders, raid their homes, break up their meetings, and vilify them night after night on the evening news. Did we know we were lying about the drugs? Of course, we did.”

        - President Nixon’s domestic policy chief, John Ehrlichman, in a 1994 interview with Harpers magazine.

        • Gibbon17y

          More dark stuff. In the 1950's through the early 1970's drug companies were heavily in the business of pushing amphetamines on the public. Enormous amounts were prescribed. And abuse was rampant.

          Ever notice how anti-drug propaganda describes the effects of 'marijuana dependency'? Yeah it's describing the effects of amphetamine dependency. I'm convinced attempting to shift the blame from legal amphetamines to street drugs was the other part of the drug war.

    • hyperpallium7y

      inevitable in a plutocracy

  • NetOpWibby7y

    Hey, just like the government and the crack epidemic!

    • kaycebasques7y

      What’s the story behind this idea? I’ve never looked into it so I don’t know if it’s a conspiracy theory or a well-documented event that is not common knowledge.

      Edit: I also didn’t read the opioid article because I got paywall’d.

        • anigbrowl7y

          I think it'd be accurate to say it's unresolved. The government agencies alleged to have been involved obviously had a powerful interest in refuting the claims. And it's a little hard to believe that while the CIA was engaged in arms dealing and other shenanigans in Central America they would never get involved with drugs. I would avoid interpreting the conclusions of heavily redacted reports with too much confidence.

        • povertyworld7y

          Nice link. Browsing the related articles is interesting. I wasn't aware that the CIA was alleged to have trafficked opium during their secret and illegal war in Laos. Good to know.

          • briantakita7y

            The financial sector is also heavily involved in the drug trade. For example, HSBC (Hong Kong and Shanghai Banking Corporation) started off by laundering money for the opium trade of the East India Trading Company & has recently been caught laundering drug money. A number of other historical figures & powerful families were also involved.

            http://greatgameindia.com/hsbc-bank/

            https://www.reuters.com/article/us-hsbc-probe-idUSBRE8BA05M2...

          • fabianhjr7y

            Well, the CIA also conducted illegal human trials of LSD and a mixture of IV Barbiturate + Amphetamine on its own citizens, then tried coverup everything by attempting to destroy all their own records.

            https://www.wikiwand.com/en/Project_MKUltra

            • manjana7y

              Just a fun little fact: The Unabomber was a victim of Project MkUltra.

            • povertyworld7y

              Operation Sea-Spray by the US Navy was a good one too. Hopefully for the sake of our fellow commenters the US government won't test bioweapons on San Francisco again.