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Palm Partners’ innovative and consistently successful treatment includes: a focus on holistic health, a multi-disciplinary approach, a 12-step recovery program and customized aftercare. Depend on us for help with:

MAT Drug Makers Spending Millions Lobbying Congress for Opioid Laws

 MAT Drug Makers Spending Millions Lobbying Congress for Opioid Laws

In efforts to combat the ongoing opioid crisis in America, the US House of Representatives is currently working to push through dozens of bills that many believe could help curb the rising overdose death rates and give the country a fighting chance. However, some have pointed out that Big Pharma MAT drug makers are spending millions lobbying Congress, and those same companies stand to bank big money off these new laws.

So, while we want to believe that new laws supporting Medication Assisted Treatment or “MAT” could help with harm reduction efforts, it is also good to point out that the drug companies who are positioned to benefit substantially are also those who have been racking up a lot of influence in Washington through huge donations.

In just a two week period, the House has already cleared several measures that would soon launch these MAT drug manufacturers into a sales spike.

Top MAT Drug Makers Lobbying Congress

So how much are these Big Pharma companies spending?

  1. Alkermes

This biopharmaceutical company focusing mainly on central nervous system disease has already spent $1 million in lobbying. Part of that money went to support a bill that would fund full-service centers where people can:

This MAT drug maker is poised to cash in on this law because it could bolster the sales of anti-addiction injection Vivitrol. This is currently Alkermes best-selling product. However, the need for patients to fully detox before taking the drug is a limitation.

The aggressive marketing tactics this company is using, on top of their big budget for trying to influence Washington is already gaining them some attention. One thing that draws some of that attention is that the main focus of Alkermes lobbying was the bill presented by Representatives Brett Guthrie and Gene Green. Coincidentally, one of Alkermes main lobbyists served as Guthrie’s chief of staff, and another was Green’s former legislative director. Yet another example of people working in Congress making a jump to rallying government officials behind drug companies.

Guthrie and Green both reject any implication that they drafted the bill to support Alkermes. It is true that by several MAT drug makers also support their proposal.

  1. Indivior

This UK based specialty pharmaceutical company spent $180,000 on lobbying Congress. Indivior’s money went to support a bill easing restrictions on certain controlled substances used in injectable anti-opioid treatments.

Indivior rivals Vivitrol with their own product, Sublocade. This anti-addiction treatment is a once-a-month injection to fight opioid cravings. The bill they are bidding for would make it much easier for doctors to buy Sublocade for addiction treatment.

Sublocade was approved back in 2017 as an extended release buprenorphine compound. It became the first once-monthly injectable buprenorphine formulation for treating opioid use disorder (OUD).

  1. Braeburn Pharmaceuticals

Braburn Pharmaceuticals is an MAT drug maker from Pennsylvania that dropped a cool $100,000 along with Indivior to support the same bill for easing restrictions on controlled substances.

Braeburn is also developing a competing injectable MAT drug. But back in January, the FDA sent a complete response letter to the company. In the letter the FDA requests more data to be compiled for the therapy. The product was previously recommended for approval by the FDA’s Psychopharmacologic Drugs Advisory Committee in November 2017.

As of May 2018, Braeburn announced Phase 3 of testing on CAM2038- the buprenorphine weekly and monthly injectable- had some positive developments. The results we published online in the Journal of the American Medical Association (JAMA) Internal Medicine.

If this MAT drug does get approval, it will be the first and only injectable opioid use treatment that healthcare professionals can administer from Day 1 of patient’s treatment.

But let us not forget that each of these injectable MAT drug treatments says they should only be a part of a complete treatment program that includes counseling and psychological support.

  1. Big Pharma Supergroup

That may not be the actual name, but it is essentially what we are talking about. A group of non-opioid pain relief drug makers has also spent hundreds of thousands of dollars on lobbying. This Big Pharma “supergroup” aims to push for legislation that will allow for additional Medicare payment for non-opioid pain drugs. One such drug company is Heron Therapeutics out of California.

Heron alone spent $40,000 from January to March lobbying on the issue of setting rates for post-surgical non-opioid drugs.

Pros and Cons

None of this is to say the MAT drug makers should not support more options for addiction treatment. There should always be support for establishing more comprehensive and inclusive treatment opportunities. In the midst of one of the most devastating drug epidemics in American history, every little bit counts. MAT programs and harm reduction can save a life and give someone an opportunity to get treatment.

But we should also be aware of how much money any drug maker is pouring into the political system in hopes of greasing the wheels of the legislative branch. When the opioid crisis became a major campaign issue, Congress used February’s budget deal to authorize $6 billion in spending to address the epidemic. That is what suddenly inspired over 300 drug companies and interest groups to rush to Capitol Hill and lobby.

Overall, the House package is something that many anti-addiction advocates and other lawmakers see as only minor progress toward addressing such a massive public health crisis. Most agree that it is important to take what steps you can. Still, many agree these efforts fall far too short of what is truly necessary in order to make an impact.

These proposals can be a good step in the right direction. MAT drug programs can be useful in giving people a chance at getting off illicit drugs. However, MAT is only one element to treatment. It is not a sustainable substitute. Hopefully, more energy and funding in the future will help create detox and treatment expansion programs. Then more people can get the help they need instead of depending on drug companies to provide them with a temporary solution to such a complex issue.

Palm Partners Recovery Center believes in providing personalized and holistic treatment options. That is why we also offer MAT programs for those in need. Recovery is never one-size-fits-all, and we strive to help each individual find the recovery plan that is right for them. If you or someone you love is struggling, please call toll-free now. We want to help.

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Fentanyl: Understanding the Infamous Synthetic Opioid

Fentanyl: Understanding the Infamous Synthetic Opioid

Years ago if you asked the average American what fentanyl was, odds are they wouldn’t be able to tell you. Most would probably assume it was some important medical compound found only in hospitals. It almost sounds like the name of some edgy chemical you’d associate with either Breaking Bad or the Unabomber. Sadly, gone are the days of such blissful ambivalence.

Today, America has a more realistic idea of what fentanyl is.

Most adults and young people have at the very least heard the horror stories about this now intensely infamous drug. If you have a television or a smartphone, odds are you have at least glimpsed the headlines. Because in the last few years the devastation caused by this powerful synthetic drug has spread all over the country, and cost countless lives.

Using data from the National Vital Statistics System, researchers have shown an involvement of fentanyl in opioid overdose deaths has quickly skyrocketed:

  • 2010- 14.3% of opioid overdoses involved fentanyl
  • 2016- 46% of opioid overdoses involved fentanyl

With nearly half of opioid-related overdoses, fentanyl is now involved in more deaths than:

  • Prescription opioids- 40 % in 2016
  • Heroin- 36.6 % in 2016

More than one drug is commonly involved in many of these deaths. Therefore, in some cases heroin and fentanyl are both accounted for. However, we can see how fentanyl has a growing presence that can definitely be felt, as dozens of thousands of Americans are dying every year due to exposure to this deadly drug.

So if you’re still unclear as to what exactly fentanyl is, let us look at how to better understand where it comes from and why it is so lethal.

Pain Medication Origins

Some people were indeed ahead of the curve when it comes to understanding fentanyl because it has actually been around for a very long time. The synthetic opioid is used as a pain medication, and in some cases combined with other medications for anesthesia. It has been used for years by hospitals, doctors, and even veterinarians to treat patients and puppies.

  • 1960- Fentanyl was first created by Paul Janssen
  • 1968- Fentanyl was approved for medical use in the United States
  • 2015- 1,600 kilograms/3,500 pounds of fentanyl were used globally
  • 2017- Fentanyl was the most widely used synthetic opioid in medicine

On its own, the substance typically looks like a white powder. As a medicine, fentanyl is available in a number of forms, including:

  • Injection
  • Sublingual
  • Skin patch
  • Intranasal
  • Lozenges

And it may be hard for some to believe, but it’s true that one of the deadliest chemicals on the street today can actually be found in lollipop form for medical use.

The drug is such an effective painkiller because it is typically considered to be approximately 75% stronger than morphine for a given amount. However, there are fentanyl analogs such as carfentanil (carfentanyl) which can actually be as much as 10,000 times stronger than morphine. When translated to the illicit drug world, that means fentanyl and its derivatives blow heroin out of the water when it comes to potency and risk.

As a medication, fentanyl can be useful in treating chronic pain patients when utilized correctly. Pre-surgical and post-surgical use of powerful pain management medications is sometimes a necessary step to helping patients recover. In fact, fentanyl patches are on the World Health Organization’s List of Essential Medicines, meaning it is considered one of the most effective and safe medicines needed in a health system.

Black Market Poison

Despite the seemingly altruistic intentions behind the invention of fentanyl, it has been used illicitly since the mid-1970s. Now, there are more than 12 different analogs of fentanyl that have been identified as being illegally made and used recreationally. The synthetic opioid is used through:

  • Smoking
  • Snorting
  • Injecting
  • Taken orally

Some people who abuse opioids do seek out fentanyl. Fentanyl is sometimes sold on the black market after being diverted from legitimate medical supplies. Recently drug manufacturers have also been accused of racketeering in order to boost sales of fentanyl. Even the gel from inside the transdermal patches may be ingested or injected. Those fentanyl lollipops have also made their way into the illegal drug trade.

But a large number of people who end up using fentanyl do it unintentionally. It has been used to adulterate or ‘cut’ heroin, and it has been pressed into counterfeit pain pills and sedatives sold on the illicit drug market. More recently there has been a rise in overdose deaths among cocaine users involving the drug, which suggests that fentanyl is being heavily cut into cocaine as well.

So why are dealers using it? To name a few reasons:

  1. As mentioned before, it is extremely potent
  2. It is easier to smuggle into the U.S.
  3. The drug is very cheap to produce

In China, carfentanil was not a controlled substance until March of 2017, meaning it had been legally manufactured and sold over the internet up until barely a year ago.

While it is a profitable move for drug traffickers, it is a life-threatening variable for drug users. Variations of the compound can be so strong they are incredibly poisonous. Simply breathing air with atomized fentanyl in it, or touching a contaminated surface can kill you.

Fentanyl Overdose

Because of the massive reach of the outbreak, it is important than ever to be aware of the symptoms of fentanyl overdose. These warning signs can include:

  • Confusion
  • Dizziness
  • Difficulty thinking, speaking, or walking
  • Excessive drowsiness
  • Frequent fainting spells (nodding off)
  • Throwing up
  • Pale face
  • Blue- or purple-colored lips, fingernails, or extremities
  • Choking sounds
  • Pupil size reduced to small black circles in middle of eyes
  • Low blood pressure
  • Slowed heart rate
  • Unresponsive
  • Seizures
  • Coma
  • Difficulty breathing
  • Hypoventilation (slow, shallow breathing)
  • Respiratory arrest
  • Death

Adding to the terrible risk of coming into contact with illicit fentanyl or one of its derivatives is that opioid overdose antidotes like naloxone are not as effective when trying to reverse the effects. Sometimes an individual will require multiple doses of naloxone to be revived, ance revived a new overdose can actually occur when the initial dose of naloxone wears off. It is critical that someone who experiences an overdose received medical treatment immediately.

The nation has been caught up in a growing opioid crisis for years now, serving a shock to the healthcare system and public health officials everywhere. As the death toll climbs and more people are suffering and dying every day it is crucial that we raise awareness and take action to address drug abuse and addiction. One of the essential tools to fighting back is effective and innovative treatment options. If you or someone you love is struggling, please call toll-free now.

CALL NOW 1-800-951-6135

Doctor Shopping is Still an Element of the Opioid Crisis

Doctor Shopping is Still an Element of the Opioid Crisis

Author: Justin Mckibben

When discussing the very real devastation of the opioid crisis some people are still skeptical as to how big of a part prescription opioids play in the problem. While all patients should have access to comprehensive care for conditions relating to severe pain, ignoring the fact that prescription drug abuse is a crucial element of the epidemic is far too careless.

Many states had to face the issue of pill mill clinics and doctor shopping. Now one state, in particular, is now taking massive action in hopes of ending a very serious problem that has only grown over the years. Authorities in North Carolina took a close look at how prescription drugs wind up on the streets.

One of the key factors to narcotic medications hitting the illicit market was doctor shopping.

Doctor Shopping Stats

First, let us explain what doctor shopping is for those unfamiliar with the concept. Innovations in Clinical Neuroscience described the practice of doctor shopping, saying it:

“- entails the scheduling by patients of office visits with multiple clinicians for the same agenda, either for a continuing illness or to procure prescription drugs illicitly. As expected, the explicit definitions in the literature vary considerably, with a significant proportion focusing on a given illness episode.”

Essentially, doctor shopping is when patients visit multiple doctors with the intention of having a prescription given and then filled from each physician, giving them an abundance of medications.

Now in the case of North Carolina, this tactic grew a great deal of momentum as the opioid epidemic spiraled out of control in the past few years. According to WRAL, a Raleigh-based news outlet:

  • In 2010, the State Bureau of Investigation says there were 88 doctor shopping cases.
  • In 2016, that number rose to 184
  • That is a 110% increase in doctor shopping incidents!

According to NBC Charlotte:

  • Approximately three people North Carolina die every day in due to drug overdoses.
  • Around half of those deaths are due to opioid painkillers.

So now, what moves is North Carolina making to try and fight back?

The Strengthen Opioid Misuse Prevent Act

After realizing just how big of an issue prescription drugs were playing into their current drug problem, officials in North Carolina have decided to put measures in place to try and prevent doctor shopping.

Starting January 1st with the new year, North Carolina enacted a new law, referred to as the Strengthen Opioid Misuse Prevent Act. So what does this new measure do?

  • It allows doctors to only give a five day supply of opioids for pain from certain injuries, like broken bones.
  • After a surgery, it allows doctors to prescribe a seven day supply.
  • Refills can be given as needed, but the first refill will be limited.

North Carolina also gave some thought to protecting those in severe need of pain management resources. The new law does not apply to those with:

  • Chronic pain
  • Nursing home residents
  • People in hospice care

Local Authorities Unsure of the Future

The executive director of the North Carolina Board of Pharmacy, Jay Campbell, told reporters that while the action is being taken, it will probably never be completely eliminated. Campbell states,

“We’re certainly hoping that we can radically reduce the scope of drug diversion from pharmacies or any place else. But it is a problem that is never going to go away.”

However, Campbell believes there are certain indications of doctor shopping that pharmacists can keep an eye on as well, such as:

  • The patient is visiting a pharmacy far outside their normal location.
  • The patient brings in prescriptions from doctors the pharmacy is not familiar with.

Officials trying to stop doctor shopping in the area are asking pharmacists to be alert and ask questions when appropriate. Meanwhile, they are also working to develop other means of drug monitoring, including a system in which North Carolina doctors can register when they prescribe opioids to monitor records and catch patterns of doctor shopping.

There may now be some light at the end of the tunnel. Overdose death rates due to many legal prescription opioids are still rising, but they are rising far more slowly than that of fentanyl and other synthetic opioids according to a CDC report. While it is terrible that the death rates are still increasing, the fact that the rate of progression has slowed noticeably could suggest that many of the recent efforts aimed at curbing widespread over-prescribing practices could be starting to have a positive impact on the extent of the opioid crisis.

Medical Detox for Opioids

An important thing to remember is that for those suffering from substance use disorder or a physical dependency to opioids should always seek safe medical treatment in order to get off these powerful drugs. Opioid abuse presents an inherent risk to the body and the brain. Because of the often difficult and uncomfortable withdrawals, detoxing from opioids is best done in a safe medical environment.

Palm Healthcare Company’s detox facilities will offer a more comprehensive model for recovery from opioid addiction. Medical detox consists of both psychological treatment from professionals for both addiction and co-occurring mental health issues, as well as pharmacological treatment from medical specialists who can decide if there are optional medications to help ease the detox process.

What a medical detox for opioids should always do is provide a trained staff to monitor important vital signs like:

  • Respiration levels
  • Blood pressure
  • Body temperature
  • Heart rate

Abruptly discontinuing opioids can be painful or even damaging to the body. Make sure to seek the appropriate help. If you or someone you love is struggling, do not wait. Please call toll-free now. You are not alone.

CALL NOW 1-800-951-6135

Big Pharma Propaganda: How Drug Companies Feed the Crisis

Big Pharma Propaganda: How Drug Companies Feed the Problem

Author: Justin Mckibben

Overprescribing of powerful prescription medications is just one part of how the current American opioid crisis came to be. While incredibly dangerous synthetic drugs like fentanyl came pouring in from across the globe, the pharmaceutical industry right in our own backyard thrived off of the devastation it was helping create. And as more people became aware of how prescription drugs were contributing to one of the worst drug epidemics in the country’s history, Big Pharma has come under fire for a number of things over the years. To name a few, we’ve seen arguments against drug companies for:

With recent reports, such as the explosive piece of 60 Minutes last month, we have also been exposed to the corruption, greed and a disregard for the well-being of the consumer.

The Big Pharma propaganda machine has paid out countless dollars for criminal and civil settlements over the years. Now even state officials are resorting to lawsuits against drug manufacturers in the fight against the ongoing opioid crisis.

So how did all this happen? How deep does the Big Pharma propaganda go? Some of this you might already know, but some of it might actually surprise you.

Prescription Politics

In case you didn’t know, the pharmaceuticals and health products industry spends the most money on lobbying politicians. And not even by a little.

  • Big Pharma and Health Products spent $3,714,580,815

That means that Big Pharma spends:

  • $1,134,783,913 more than 2nd place- Insurance Companies
  • $1,717,237,691 more than Oil/Gas Companies

The pharmaceutical industry, including dealers of medical products and nutritional/dietary supplements, is consistently a top contributor more to federal campaigns than any other industry.

In essence, drug companies spend big money on politics.

Whether we can always see it or not, this kind of financial incentive is more than likely playing into our current work on policy. For example, moves to pass legislation earlier this year were called into question by one source who pointed out 13 senators who were trying to push through a bill that would benefit the health insurance and pharmaceutical companies were receiving hundreds of thousands of dollars in contributions from these companies between 2010 and 2016, including:

  • Utah Republican Senator Orrin Hatch led the way with more than $471,000
  • Kentucky Republican Senator Mitch McConnell with over $433,00 in donations

FUN FACT- Many lobbyists working on behalf of Big Pharma companies have previously held government jobs.

Information Manipulation

Truthfully, drug companies spend several years before a drug even makes it to the market on planning a strategy for selling it to you. Part of that strategy is proving drugs have value for treatment. However, according to some industry insiders, a lot of the time there is not enough comprehensive data to prove that value.

What you might also find surprising is that some of the earliest information drug companies have published about their products aren’t actually from credible sources. Ad agencies will hire writers to produce articles on behalf of the drug maker highlighting benefits of a drug. But the data is often cherry-picked and incomplete.

These articles are then sold to the public as ‘scientific’ because they are printed and published by some of the biggest scientific and medical publications, such as the New England Journal of Medicine. Those articles are then picked up by television and other news sources.

So essentially, drug companies often team up with marketing companies to fool not just doctors, but the public into thinking their product provides something that has yet to be proven. Big Pharma propaganda corrupts the research into their drugs and makes people believe their products are safer and more effective than they are.

For more important information on the dangers of prescription drugs, download our FREE E-BOOK “Big Secrets of Big Pharma: Why They Secretly Hope You Get Hooked”

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Big Pharma’s Billions in Ads

It isn’t just behind the scenes that Big Pharma propaganda takes place. Drug makers spend around $21 billion a year just to pedal products through advertising. One big problem for Americans is that many of their promotional techniques have been called out for being false advertising or misleading, to say the least.

  • 2015, the industry spent a record-breaking $5.4 billion of direct-to-consumer ads alone.
  • The same year, Americans spent over $450 billion on prescription drugs.

Some sources indicate there are about 80 drug advertisements per hour. While drug companies want people to think it is raising awareness, it is most definitely a commercial to sell you something.

Many pharma companies even have deep financial ties to medical communication companies (MCC) like WebMD or Medscape. This is just one more way they can influence physicians and consumers without people realizing the drug makers are funding the information.

Doctors Recruiting Doctors

But the drug makers don’t stop with recruiting politicians to support them. They also utilize doctors to help them push their products. The main target audience in most of the campaigns pushed by Big Pharma propaganda is not necessarily the consumer as much as it is the person who writes the prescriptions.

Drug companies giving kickbacks to doctors is nothing new.

So drugmakers create an advisory board, where some of the most successful and well-respected doctors are put on the payroll with huge payoffs to help drug companies design a marketing campaign that will help promote the drugs to other doctors. Once these doctors have helped highlight the best ways to convince other physicians these drugs work, they themselves validate the drug in a way that encourages other doctors to prescribe the drug.

Drugs to Treat Drugs

A while back there was an ad that ran during the Superbowl that caught the attention of a lot of people. It was an ad selling an anti-constipation drug for those so dependent on prescription opioids that they were suffering from constipation as a side effect.

This is another huge problem with how drugs are marketed to us… in tandem.

Instead of suggesting an alternative treatment, drug companies want to give you more drugs to combat the effects of other drugs. Doctors will often prescribe a second medication for no other purpose than to treat the effects of the first medication. Big Pharma propaganda can literally sell you the illness and the medicine in the same marketing campaign. A 2012 study published in the journal Annals of Family Medicine describes this as “prescribing cascade”.The study indicates that the practice of using drugs to treat problems with other drugs is a key component to the heavy reliance on pharmaceuticals in healthcare.

Another devastating way this has taken place is when doctors prescribe powerfully and potentially habit-forming narcotic medications to combat illicit drug use and substance use disorder. Heroin addicts are being treated with other strong narcotics, which can actually have their own withdrawal symptoms and side effects. They even highjacked the opioid overdose antidote and several makers gouged the prices to offensive new heights during the rise of the opioid epidemic.

Drug Companies Abuse of Americans

Now let us be fair; modern medicine does provide us with some life-saving resources that can be paramount to the health and wellness of our population. Thanks to great strides in medicine doctors are able to treat some conditions or illnesses that were once thought of as a death sentence. Today, we have some of the greatest opportunities to receive quality care with innovative and well-researched treatments.

However, the fact remains that drug companies have been caught red-handed more than a few times misrepresenting their products, hiding the side-effects, falsely advertising their benefits and even recently some huge names in pharmaceuticals have been accused of bribery and racketeering to sell potent and extremely dangerous drugs.

So, what can be done?

  1. We can take a closer look at how Big Pharma propaganda influences or elected representatives and their decisions on policy.
  2. We can pay attention to how the information provided by pharmaceutical companies or marketers is not always as reliable as it may seem.
  3. Look into excessive advertising for potent drugs
  4. Do more to combat drug makers from paying doctors to promote their drugs to other doctors.
  5. Pursue other forms of treatment that don’t require expensive and powerful drugs.

When it comes to drug abuse, maybe we shouldn’t let the drug companies continue to make massive profits from a problem they have a large hand in creating. There needs to be more commitment to finding alternative treatments that don’t rely so heavily on drugs in order to help people get healthy.

Holistic drug addiction treatment is a unique and effective way of helping people struggling with substance use disorder. The fact that powerful drugs help cause addiction, let us not forget the value of offering healing options that don’t require more drugs. Building a strong foundation with personalized therapy and innovative treatment opportunities helps thousands of people all over the nation overcome addiction. Palm Partners Recovery Center is committed to providing quality care for those dealing with drug abuse, whether it is illicit drugs or prescription drug dependence. If you or someone you love is struggling, please call toll-free now. We want to help.   

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Ex-DEA Agent Blames Congress and Big Pharma for Opioid Crisis

Ex-DEA Agent Blames Congress and Big Pharma for Opioid Crisis

Author: Justin Mckibben

Ever since the true nature of the opioid epidemic in America began to come to light, and people started to see the gravity of its impact in communities across the country, there have been plenty of efforts to find out how we ever got this far. We continue to ask who should be held accountable. Was it the black market drug trade? Was it the synthetic opioids coming from overseas? How did it get this bad?

Just this past week 60 Minutes and The Washington Post joined forces to interview Joe Rannazzisi, who is said to be the most important whistleblower ever on 60 Minutes.

Joe Rannazzisi is a former agent of the Drug Enforcement Administration (DEA) who ran the Office of Diversion Control; the department in charge of regulating and investigating the pharmaceutical industry. He is a former DEA deputy assistant administrator with a law degree, and a pharmacy degree, who believes the great injustice done to the American people cannot go overlooked.

Bad Business with Big Pharma

Through this inside look with Rannazzisi, he implicates Big Pharma drug makers in willingly distributed hundreds of millions of drugs to rogue pharmacies and pain-clinics-turned-pill-mills for over two decades.

Rannazzisi believes that the Big Pharma companies, some even multi-billion, Fortune 500 companies, have contributed to the problem by ignoring the truth; that powerful prescription pain medications were being diverted from doctors, clinics and pharmacies for illicit use. In the interview, Rannazzisi calls out a number of key drug makers, including:

He also calls out the three largest drug distributors:

  • Cardinal Health
  • McKesson
  • AmerisourceBergen

Saying they control probably 85%- 90% of drugs “going downstream.”

In fact, Rannazzisi said the way pain clinics seemed to pop up overnight all over the country made the whole crack-cocaine epidemic look like nothing, saying he had never seen anything like it, adding:

“These weren’t kids slinging crack on the corner. These were professionals who were doing it. They were just drug dealers in lab coats.”

Rannazzisi says after prosecuting pain doctors and pharmacists didn’t seem to put a real dent in the problem, he knew he had to work his way up; they went after distributors.

While drug distributors tried to defend themselves saying it was all on the doctors for over-prescribing medications, Rannazzisi says they know exactly how many pills are being sent out. Under the Controlled Substances Act, these distributors are required by law to report and stop what the DEA refers to as “suspicious orders”.

So what might “suspicious orders” look like? Probably something lie unusually large and/or frequent shipments of opioids being made to a location. Kind of like what was happening all over the nation for years and years.

For example, just one pharmacy in Kermit, West Virginia ordered 9 million hydrocodone pills in just over 2 years. That’s for a town of only 392 people. That’s over 11,479 pills a person each year! Almost 1,000 pills a month! From only one of the town’s pharmacies.

DEA investigators say many drug distributors ignored the DEA requirements and shipped anyway.

DEA Fighting Back

Rannazzisi wasn’t the only DEA agent to speak up about Big Pharma’s bad business. Several other DEA veterans say they saw thousands of suspicious orders and tried to fight the growing problem. Others said they tried on multiple occasions to get these companies to fix the issue, but they did nothing.

Eventually, in 2008 the DEA was able to hit some distributors with hefty fines for filing hundreds of suspicious orders, including:

  • $13.2 million fine against the country’s largest drug distributor, McKesson
  • $34 million fine against second-largest distributor, Cardinal Health

The fines for drug distributors over the last 7 years add up to around $341 million.

The High Rollers

In 2011, Cardinal Health attorneys called Rannazzisi’s boss at the Justice Department, who called Rannazzisi and pressed for an explanation for his policies. Rannazzisi believes that even after they had gone after small companies hundreds of times before, as soon as they went after the Fortune 500 drug makers, their power and influence started getting in his way.

Rannazzisi says that with these massive Big Pharma empires there was now money and influence being used to pressure top lawyers at the DEA to pursue a softer approach on penalizing drug distributors who broke the rules.

Former DEA attorney Jonathan Novak noticed that shocking shift in the way these kinds of cases were handled. Stating:

“These were not cases where it was black — where it was grey… These were cases where the evidence was crystal clear that there was wrongdoing going on.”

But suddenly the higher ups started to demand more and more evidence to stall the system. Fewer cases against Big Pharma companies were being approved, and road-blocks from Novak’s bosses seemed to pop up everywhere.

Novak also said he saw a huge migration of DEA lawyers switching sides to defend the drug industry in higher paying positions.

Taking it to Congress

While drug distributors started successfully stalling the progress of cases against them from the DEA, they also began to lobby Congress to get legislation that would destroy the DEA’s power over them.

Then one day Pennsylvania Congressman Tom Marino and Congresswoman Marsha Blackburn of Tennessee introduced a bill to the House that was promoted as a way to ensure that patients had access to the pain medication they needed. However, Jonathan Novak, who worked in the DEA’s legal office, claims that what the bill really did was strip the agency of its ability to immediately freeze suspicious shipments of prescription narcotics to keep drugs off U.S. streets.

The bill’s author… Linden Barber, a former employee of the DEA.

Congressman Tom Marino, along with Congresswoman Blackburn, later wrote the inspector general for the Justice Department, demanding that Rannazzisi be investigated for trying to quote “intimidate the United States Congress.” Even though this went nowhere, Rannazzisi was stripped of his responsibilities soon after.

Some former DEA agents believe that the Big Pharma industry not only used lobbying groups to donate money to politicians to get laws passed in their favor, but also to try and push Joe Rannazzisi out of his office.

In the end, the DEA signed off on the final version of the “Marino bill.” A senior DEA representative claiming that even though they fought to stop it, growing pressure from Congress and industry lobbyists forced them into a deal it did not want.

The bill was presented to the Senate in March of 2016.

Majority Leader Mitch McConnell introduced the legislation in the Senate.

It passed by unanimous consent with no objections and no recorded votes.

It passed the House the same way, and President Obama signed it into law.

Where Are We Now?

This whole thing reminds you of the saying- if you can’t beat em, join em.

It would seem that’s exactly what a lot of DEA agents did after fighting a losing battle against powerful Big Pharma companies.

Since it all began, the pharmaceutical industry and law firms that represent them have hired at least 46 investigators, attorneys, and supervisors from the DEA, including 32 directly from the division that regulates the drug industry.

Remember that guy Linden Barber, who authored the bill that many say stripped the DEA of the power to go after Big Pharma companies? Well 3 months ago Cardinal Health, that second-largest drug distributor we were talking about that went after Rannazzisi through his boss, hired Linden Barber as the senior vice president!

Other former DEA agents and lawyers have gone on to take up so pretty prestigious positions working for drug companies, or law firms and other organizations working in the pharmaceutical industries best interest.

Joe Rannazzisi now consults with state attorneys general who have filed suit against distributors for their role in the opioid crisis.

Oh… and let us not forget Congressman Marino, who was just nominated to become President Trump’s new drug czar.

Remarkably, there are a lot of instances of people in the DEA being influenced by pharmaceutical companies and lobbyists to stand up for drug companies instead of the tens-of-thousands of Americans dying from opioids each year. In many of these instances, the individual’s go on to get high-earning jobs defending the interests of the Big Pharma industry.

So is it a made-up conspiracy? Or are pharmaceutical companies buying their way out of trouble at every turn and pushing out people like Rannazzisi who stand up to them? Is it really that hard to believe when you connect the dots?

With an ongoing opioid epidemic doing major damage to the country, we have to acknowledge everything that has contributed to this issue. Even if we set aside the idea of placing blame, we cannot prevent it from getting worse or happening again if we don’t acknowledge what helped cause it. Every drug company, policy maker, pharmacy, crooked doctor and individual should be accountable to taking action to make things better. It starts with accepting the issue and building a foundation to recover. If you or someone you love is struggling, please call toll-free now. We want to help.

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