Dealers, Doctors and the Drug

Dopesick: Dealers, Doctors and the Drug Company that Addicted America by Beth Macy

Introduction

There is a large number of people struggling with drug addictions. The National Survey on Drug Use and Health reported that 19.7 million Americans who are above the age of 12 battled alcohol and substance use disorder. 74% of them struggle with addiction to alcohol, while 36% battled illicit drug use disorder. While there are strong arguments between a choice and a disease, addiction is undeniably driven by force stronger than an individual.  There are more deaths from overdoses that there are from HIV/AIDS, automobiles, or guns. Most of the deaths are fueled by opioids, and hence the new book by Macy (2018), the book could but have come at a more critical time and has already garnered numerous accolades. It has been listed as the top 100 notable books of 2018 by the New York Times Book Reviews.  Top 5 Best Books; in the Chicago Tribune, Best Book of the Year by the Washington Post, Best Book of the Year, and Amazon Best Book of 2018; among others.

Summary

The book reveals an up-close and devastating opioid epidemic that has plagued the country since it was incepted 23 years ago through the oxycontin prescription and the corporate greed as well as the failure of regulatory procedures. There is a huge volume of heartbreak between the ages and particularly when one stops to consider the potential of the many young lives who died too soon, the book takes us into the lives of victims and also shines a light on the heroes, the parents who are grieving and became passionate activists after their daughters and sons succumbed to an overdose and the first responders, a number of alarmed doctors, clinical workers and the pharmacists who have tried to get attention to the growing epidemic. She turns near focus on convicted drug dealers who were scheduled for a 2-hour interview in prison and ended up lasting for 6 hours.

The epidemic grabbed the toehold in the distressed communities in the central Appalachia, Midwestern Rust Belt counties, and also rural Maine. Studying the epidemic from different perspectives, she identified the factors that combined to create a perfect storm, she blames the national opioid epidemic on Purdue Pharma, for its mass production of the drugs and aggressively marketing of the signature drugs, OxyContin since it came to the market in 1996. The doctors were told it was a block buster prescription and was non addictive and hence they could safely prescribed as painkillers as non-addictive opioid and that could safely be prescribed at high dosages for both cancer, post-operative pain relief, arthritis, back problems and other issues that lead to chronic pain. It was the new oxycodone and it was formulated to be released slowly to help it last longer.  The company claimed that the drug would be less addictive since the initial euphoria of oxycodone would be muted since it has the slow release mechanism. The Food and Drug Administration, allowed OxyContin to comprise of twice the normal dosage of oxycodone grounded on the theory and nothing else. It is notable that the FDA official who supervised OxyContin’s endorsement later took a well-paid job with the company- Purdue.

The introduction of the drug coincided with the introduction of American Pain Society of the idea of pain is the fifth vital sign. The society put the assessment and the treatment of pain at same level with heart rate, blood pressure, temperature among others. pain was since then assessed and treated even if it was self-reported by patients. There followed other standards to assess and treat pain and they have since them been assessed and revised to ensure that the opioids are prescribed to patients.

The Purdue company saw this an opportunity and collected information that allowed it to identify that which the government had identified as the pain killer and the people who would be susceptible to them marketing their new drug. They wooed the doctors with gifts and free meals and were hence incentivized to sell the drug. Annual bonuses and cash prices motivated them to sell the drugs. The higher the doctors prescribed, the larger the bonuses. This strategy worked and the prescriptions increased in numbers across the country. Most of them were misinformed on the true addiction risk of the drug and hence continued to treat pain with medication.

Later it was easy to tamper with the pills and users realized that the drug could be crushed and dissolved and could be snorted like cocaine and also could be injected as heroine and instantly needed a double dose of the drug. Others people who were taking the drugs for their post-operative pain also found themselves addicted to the drug. This followed an opioid crisis which ballooned into heroin epidemic. their main ingredient was oxycodone whose molecular structure was similar to that of heroine. Addiction therefore happened rapidly and the withdrawal symptoms appear 6 to 30 hours after the patient is withdrawn and the person has severe cramping in the abdomen, anxiety, diarrhea, vomiting and nausea. When one or two pills can barely hold off, they will need more of the drug that the doctors can barely prescribe and following that, the drug started being sold in the black market and can be sold at up to $9o per single pill. This is when these people slide to heroine which is a desperate step. The epidemic therefore started when the opioids were overprescribed and people were addicted. The book has therefore provided comprehensive and an up-close look at how people could go to a place where they are dying from addictions. She also makes it clear that there is a lot that needs to be done in our society.

Conclusion

The constant demand to ingest drugs can predisposed to them as a result of their genetic makeup, however, this epidemic affect everyone who has been exposed to the drug. At that point, one cannot be told that it is their choices that have led to the addiction. It seizes to be considered a choice since the unexplainable urge to take the alcohol and drugs is beyond their control, and it is rooted deep within. How can it be a choice when it is something that sneaks up on the individual and attacks the body? Just like any other hereditary disease accounts for half of the likelihood to develop the disease, genetic links as well account for almost half the likelihood to develop an addiction.  Addiction, like any other chronic disease, can never be cured entirely. This is unfortunate for the addicts as they may keep on worrying about when they will relapse and return to their addiction. This is as a result of the long-term psychological effects of the addiction. Relapse can be as a result of a trigger which may vary from one person to the next. Careful monitoring, support, and therapy can help manage addiction in the long term

Reference

Macy, B. (2018). Dopesick: Dealers, Doctors, and the Drug Company That Addicted America (vol 12, pg 29, 2018). Library Journal143(21), 90-90.

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