Tag Archives: opioids

Go cry me a river

OK, at times it is important to keep a moral foundation towards the actions we take. Some people (the non-Germans) were hesitant to be named a recipient by Adolf Hitler. There are Africans that did not consider accepting any honours from Idi Amin Dada; there was opposition by some towards the grants from Muammar Al Gadhafi, even if he looked like Jeffrey Ross. Many have been in a place where question marks are held high. Yet I think that we have taken the left to a whole new level (of stupidity) when we see: ‘Austerity forcing arts institutions to accept gifts from billionaires‘ (at https://www.theguardian.com/culture/2019/mar/22/austerity-forcing-arts-institutions-to-accept-gifts-from-billionaires). The setting here is: “More than £100m of government cuts to annual arts funding has forced the nation’s top art galleries, theatres and opera houses to accept gifts from billionaires, including the controversial Sackler family, which made a fortune from the deadly opioid painkiller crisis“, I am not in a financial happy place, so when the Sackler family gives me a £5 million grant, I will bow, smile and say “Thank you very much!” You see, the question is not what their morality allowed for, the question becomes, were criminal acts done?

It is important to take another look at https://www.theguardian.com/us-news/2019/mar/21/sackler-family-500-cities-counties-and-tribes-sue-oxycontin-maker, where we are introduced to: ‘Massive lawsuit says Sackler family broke laws to profit from opioids‘, even as we see the word ‘lawsuit’, that does not imply that the law was broken. There we see: “accusing members of the Sackler family, who own the maker of the opioid painkiller OxyContin, of helping to create “the worst drug crisis in American history”“. I am also very aware of the state of accusation that is given with: “Court documents accuse the eight family members of purposely playing down the dangers of the prescription painkiller OxyContin, which is more potent than heroin or morphine. They are accused of deceiving doctors and patients and directing sales and marketing techniques that drove huge over-prescribing and ever stronger doses for many patients who should never have been prescribed the pills in the first place“. In that text the two words that matter are swept under the carpet. The part ‘prescription painkiller‘ is at the centre of that part and there we see a clear shift. In this he first issue becomes the GP, or medical professional that prescribed the painkiller in the first place. Then we get the FDA (the US Food and Drug Administration) who should have put an initial stop to the issue if there was one. Was this done? As we now see the claims like ‘House Democrats Want More Information On Sackler Family’s Role In Opioid Epidemic‘, and a whole range of other accusations, we need to take a larger look. The FDA gives the direct part: “Get emergency help right away if you take too much OXYCONTIN (overdose). When you first start taking OXYCONTIN, when your dose is changed, or if you take too much (overdose), serious or life-threatening breathing problems that can lead to death may occur. Never give anyone else your OXYCONTIN. They could die from taking it. Store OXYCONTIN away from children and in a safe place to prevent stealing or abuse. Selling or giving away OXYCONTIN is against the law.

In addition we find information like: “Oxycodone is used for managing moderate to severe acute or chronic pain when other treatments are not sufficient.” again we see ‘when other treatments are not sufficient‘, now we see the crying of a collection of bitches whilst the direct investigation on these patients has optionally not been done. When we look at the history of these people and to what was initially prescribed we are likely to find a whole range of crying whiners who shouted and screamed for the strongest painkillers neglecting other alternatives, I feel certain that with all the data I would be able to find well over 10% failing the case from the very start. There is documentation on OxyContin going back to 1996, and NOW we see an optional case? 22 years later? I believe that there is a much larger issue in play. I believe that responsible parties have given in towards whining patients for decades, so is the Sackler family to blame for any of that? I do not believe that to be the case.

In addition we see: “Among the eight Native American tribes suing the Sacklers are parts of the Cherokee, the Chippewa and the Sioux, the Oneida Nation and the Blackfeet. Drug overdoses now kill more than 72,000 people in the US a year, according to government figures from the Centers for Disease Control and Prevention, and 49,000 of those are caused by opioids.” We see the facts, yet who prescribed these drugs? The direct and simplest of questions and none of the articles give a correct or decent answer, the direct application of the failing of the Unites States through lawsuits that will not go anywhere ever. I am decently certain that when the doctors are called to testify and they describe the harassing and badgering patients that needed more and more and stronger painkillers, we will see a prescription failure to a much larger degree. In this light it is important to take the Native American Tribes into view as well. From my point of view there is a whole different range into the need of medication between rural (Native American or not) and metropolitan medication needs. That too must be taken into account. In addition, such an overload of opioids also puts the pharmacies into view. They have a duty to report such an increase of prescribed of opioids, as well as the physicians prescribing them. I will give you one better, the TV show Lou Grant (1978-1982) actually had one episode focused on that issue, an issue before OxyContin was in existence. A systemic failure brought into the limelight by a TV series and well over 13 years before there was OxyContin, so at this point, is there a clear directive to take a much larger view before you merely throw your lawsuit needy fingers towards the Sackler family?

And the clear part is that I am not stating that they are innocent, I am showing that there are at least three iterations of optionally guilty parties and involved players that should find themselves defending their actions in the courts before there is even a remote chance to have a go at the Sackler family and the FDA might be in court long before the Sackler members are.

So whilst you want to have a go at la dottore Raymond Sackler, be aware that those trying to make that jump will lose funds and cash by not doing their homework form day one and it took me a mere 187 seconds to realise that after these two articles were read. The biggest part is seen with: “This nation is facing an unprecedented opioid addiction epidemic that was initiated and perpetuated by the Sackler defendants for their own financial gain, to the detriment of each of the plaintiffs and their residents. The ‘Sackler defendants’ include Richard Sackler, Beverly Sackler, David Sackler, Ilene Sackler Lefcourt, Jonathan Sackler, Kathe Sackler, Mortimer DA Sackler, and Theresa Sackler,” this week’s lawsuit states“, no mention of the FDA approval, no list of hundreds of physicians prescribing the substance and no mention of a properly investigated medical history of the victims, all that got the limelight from the mere mention of ‘prescription painkiller‘. The fact that a TV Series like Lou Grant took an episode to show the failing of some physicians in such a situation was merely the icing on the cake called: “Laughingly created Court failure“.

As stated, I am not stating that they are guilty, not merely as they are presumed innocent, especially in light of the failed required elements in all this, the fact that some articles are loaded with emotion absent of 22 years of evidence that never required to await the court date is the added bonus that makes this all an optional failure, the application of common sense wins again!

In addition, consider the quote: “Court documents accuse the eight family members of purposely playing down the dangers of the prescription painkiller OxyContin, which is more potent than heroin or morphine“, yet I see no mention or any accusations towards the FDA, are they not the authority that people should turn to? Where were they in all this? Where are the approving physicians in all this? All direct questions, all without any answers. So when we consider the statement: “Drug overdoses now kill more than 72,000 people in the US a year, according to government figures from the Centers for Disease Control and Prevention, and 49,000 of those are caused by opioids.” How many of those are merely junkies looking for a fix? How many were due to illegally obtained drugs and painkillers? I wonder what remains of these numbers when we take a deeper look at that part of the data cake sliced on those influencing factors. When we do that those numbers might dwindle down for up to 80% making this a non-case and a non-event from the very beginning.

Good luck to those who shout: ‘prosecute’ whilst ignoring common sense of the matter at hand.

 

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The wrong claim to make

I have been taking a much larger interest on the entire Facebook and Cambridge Analytica issue. Not because of what was done, but because of what US politicians are about to try. In that view it seems to me that the media is assisting the US government. Pretty much every media publishes ‘Zuckerberg on Tuesday faced a variety of questions from 44 senators‘, yet not one gives us that list of these 44 senators. Online publication Vox had a list of 103 which was equally useless. So why are the readers not getting properly (read: more completely) informed?

As I have a promise to keep (to myself at least), let’s take a look at the first one who really pissed me off. The person in question is U.S. Representative David McKinley, not even a senator. Yet with the quote “Your platform is still being used to circumvent the law and allow people to buy highly addictive drugs without a prescription. With all due respect, Facebook is actually enabling an illegal activity and in so doing, you are hurting people. You’d agree with that statement?” he opened himself to all kinds of issue. So let us take a look. CNN gives us (at http://money.cnn.com/2018/04/11/technology/mark-zuckerberg-questioned-over-facebook-opioid-sales), with the additional quote “Google agreed to pay $500 million to the Department of Justice for showing prescription drug ads from Canadian online pharmacies to U.S. consumers. It stopped the practice in 2009 once it became aware of an investigation by a U.S. Attorney’s office. But sellers are still finding ways of posting about drug sales on platforms like Facebook and Instagram, which critics have accused of being reactive, largely waiting for activists, or the press, to surface issues and help police their platforms“, so the issue is a lot larger and has been around for a long time. So the US representative is not opening legal avenues attacking the Canadian Online pharmacies, no it is attacking Facebook and Google. The issue here is hypocrite on several levels. You see we see part of that evidence (at http://www.cbc.ca/news/opinion/oxycontin-in-canada-1.4607959), even as the investigation into Purdue Pharma is underway, the issue is a lot larger. We get one part from ‘OxyContin was aggressively marketed as a revolutionary painkiller. But many patients became addicted, leading to a country-wide class action lawsuit against its maker‘, the other part is seen in the NPR event “Doctors In Maine Say Halt In OxyContin Marketing Comes ’20 Years Late’“, so we see the news that is given in February 2018. These facts alone give rise to the geriatric dementia dangers that are possibly within business man David McKinley, a man currently elected as a U.S. Representative. In addition to that part, the fact that the US government failed its citizens is open to discussion in the 2015 release of “the Food and Drug Administration. (FDA) approved, in August 2015, extended-release oxycodone for use by children between 11 and 16 years old with “pain severe enough to require daily, around-the-clock, long-term opioid treatment for which alternative treatment options are inadequate“, so there is a much larger failure in play. The fact that the FDA approves (for specific reasons mind you) the use of OxyContin and the fact that it is FDA approved makes it a much larger issue.

The fact that there is ample evidence that US politicians were sitting on their hands for close to 2 decades gives rise to the thought that U.S. Representative David McKinley should give up his seat in what I personally would see as too old to hold any public office position, perhaps at 71 he no longer sees the need to correctly set the dimension of information of any issue. His attack, the fact that this is a lot more complex, in part because the US government chose to not act for 2 decades is also decent evidence to add in this case. In addition, we see that the reformulation to make it harder to abuse opioids (which is an act that makes perfect sense), gave way to ‘Making opioids harder to abuse led to a spike in heroin overdoses‘ (at https://www.axios.com/opioids-heroin-overdose-deaths-1523481019-63cfb423-e1fc-4925-9a80-3406625389b5.html). Here we see “Adapted from Evans et. al., 2018,  “How the Reformation of OxyContin Ignited the Heroin Epidemic”, The National Bureau of Economic Research; Note: “Opioids” includes all opioid related deaths aside from those that are exclusively attributed to heroin“, so basically the junkies and their facilitators found another way to get high and they died in the process (serves them right). It seems that as I found all this evidence in less than 30 minutes and there is almost 20Mb of unread text for me to go through, shows just how lame (or is that blatantly idiotic) U.S. Representative David McKinley is showing himself to be. There is an accepted issue that in some cases non-US advertisements have no business being shown in the US, yet in that situation, my e-mail wad been flooded with the options for silicone tits, 14 inch sausages, Viagra and Cialis for well over a decade from US sources, so how much ‘policing’ did these US senators opt for from 1996 onwards to ‘protect’ non US citizens from these ‘illegal’ drugs? It seems to me that this is an almost perfect example of ‘sauce for the goose, sauce for the gander‘, yet we can feel decently certain that U.S. Representative David McKinley will not see it that way. In addition to that CNN gives us “More than 63,600 lives were lost to drug overdose in 2016, the most lethal year yet of the drug overdose epidemic, according to a new report from the National Center for Health Statistics, part of the US Centers for Disease Control and Prevention. Most of those deaths involved opioids, a family of painkillers including illicit heroin and fentanyl as well as legally prescribed medications such as oxycodone and hydrocodone. In 2016 alone, 42,249 US drug fatalities — 66% of the total — involved opioids, the report says“, this has been going on for a while; this was not merely some Facebook advertisement issue. The CDC shows data going back to 2000, long before Facebook became the behemoth entity it is now. So whilst everyone is kicking up every stink in the place, the issue remains that the FDA approved Purdue Pharma to start making it, so even as U.S. Representative David McKinley could have been visiting their office in Stamford, Connecticut, USA. It is now shown that kicking it on the soul of Mark Zuckerberg is much more personally rewarding for him. In that his quote “why Facebook hasn’t done more to remove posts from sellers offering illicit opioids“, in equal measure does not show the efforts that the FBI has done to crack down on the sellers either. You see, if he had done that we would have ended up (at https://www.cbsnews.com/news/opioid-fentanyl-darknet-drugs-fbi/), showing just how easy it is to the evidence we see here: “Attorney General Jeff Sessions said darknet vendors are “pouring fuel on the fire of the national drug epidemic” and this year doubled the number of federal agents working on those cases. It’s part of the Trump administration’s tough approach to the drug crisis that has focused on harsh punishments for dealers. Critics say the overall strategy resembles a return to failed drug-war tactics and that the record $4.6 billion included in the spending plan the president signed last month is not nearly enough to establish the kind of treatment system needed to reverse the crisis“, it does not absolve Facebook, but it shows that when you are in a house without a roof, blaming the faucet for all the water is just as stupid as it gets. So with this small article I introduce the honourable U.S. Representative David Bennett McKinley, who should, as I personally see it, be up for replacement at the next election.

And may he be replaced by someone who truly takes a proper look at the dimensionality of events and present them equally correct and fair. So we will leave that consideration up to the people who are part of the West Virginia’s 1st congressional district. I reckon that with a population of 615,991 (2010) there is at least one other person who is up for the job.

Now, let’s take a look at the data of the next elected numbskull, have a great Friday all!

 

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