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成瘾药物令消费者痛苦不堪,家族药企却无动于衷

成瘾药物令消费者痛苦不堪,家族药企却无动于衷

Carmela Chirinos 2022-03-20
瑞安·汉普顿曾经因为使用奥施康定而上瘾,为此他与萨克勒家族对质。

就萨克勒家族在阿片类药物危机中扮演的角色,一位前奥施康定(OxyContin)的成瘾者最近有机会与拥有普渡制药公司(Purdue Pharmaceutical)的萨克勒家族对质。

上周,瑞安·汉普顿在为受害者举行的和解听证会上说:“你们很清楚你们做了什么。我希望不论是清醒时分,还是入睡时分,每位受害者的面孔都萦绕在你们的脑海中。”

在Zoom视频听证会上,24名阿片类药物成瘾受害者向大卫·萨克勒、理查德·萨克勒和特蕾莎·萨克勒讲述了他们令人心碎的故事,他们因为奥施康定成瘾而失去了很多东西。

瑞安·汉普顿对面前这些有钱人的反应颇为震惊,这些人十分冷漠,没有丝毫的同理心。

他在最近接受《财富》杂志采访时说:“感觉就像我们在和雕像说话一样,他们没有点头或是流泪。”

瑞安·汉普顿分享了他成瘾和康复的故事,并表示他希望萨克勒家族能够为他们在影响数百万美国人的阿片类药物危机中所扮演的角色负责。

被成瘾偷走的美好生活

近二十年前,汉普顿生活在拉斯维加斯,曾经担任政治组织者,前途一片光明。

父亲去世后,他的未来很快发生了变化,他搬回佛罗里达州治疗膝盖和脚踝。他的主治医生将他转介到一家疼痛诊所,并给他开了奥施康定。

“一次又一次就诊,我被告知如果我对药物有依赖性,就无需担心,这是正常情况,这一现象被称为假性成瘾,并不是真正的成瘾,只是成瘾的表象。”汉普顿说。

医生继续增加他的药物剂量,短短几年内,他完全依赖药片才可以正常生活。最终,为了获得最初从药片中感受到的快感,他开始吸食海洛因。

在滥用阿片类药物十多年后,汉普顿在洛杉矶无家可归,并开始吸食海洛因。

汉普顿说:“我曾经多次服药过量,那时我正在寻找一个避难所,我妈妈劝我寻求帮助。”

汉普顿在公共卫生系统中奔走,最终找到药物辅助治疗,挽救了他的生命。

“试图获取我所需要的资源来戒瘾是一场噩梦,我很高兴我得到了帮助,但如果我没有戒瘾的话,我最终就会走向死亡。”汉普顿告诉《财富》杂志。

自2015年以来,汉普顿一直在成瘾康复中,并在成功戒瘾后找到了Uber司机的工作。

如今,汉普顿成为了一名作家兼活动家,致力于为阿片类药物成瘾者伸张正义。

“很多我深爱和关心的人死于服药过量,他们被剥夺了健康生活的权利,被赶出病房,死在离我住的地方仅有几个街区的街角,这些令人悲痛的事件引导我走上了这样一条道路:作为康复社区,我们能够付出怎样的努力来防止过量服药致死。”汉普顿告诉《财富》杂志。

萨克勒家族扮演的角色

亿万富翁萨克勒家族旗下拥有并领导普渡制药公司,该公司于1996年推出了奥施康定。它被推销为一种非成瘾性的缓释处方止痛药,并很快被开给全美数百万人。

多年来,过量服药致死都与这种处方药有关。随着时间的推移,因为越来越难拿到处方药,病人转而服用更烈性的药物。

根据美国疾病控制和预防中心(Centers for Disease Control and Prevention)的数据,自 1999 年危机开始以来,已经有超过23万名美国人死于过量服用处方阿片类药物。此外,美国约有50万人死于过量服用阿片类药物。虽然萨克勒家族从未面临刑事指控,但他们已经支付2.35亿美元来解决针对他们的民事诉讼。

2019年,普渡制药公司进入破产程序。

虽然从历史上看,萨克勒家族对这场危机表示遗憾,但他们从未道歉。

普渡制药公司分别在2007年和2020年因为其在阿片类药物营销中所发挥的作用而对联邦重罪指控认罪。罪证文件揭露了某些萨克勒家族成员如何鼓励扩大处方阿片类药物的销售。他们都没有受到指控,也没有迹象表明他们将来会被起诉。

汉普顿告诉《财富》杂志,与萨克勒家族成员直接对话让他得到了安慰。

与萨克勒家族交谈直接减轻了他的负担,让他觉得自己可以继续生活下去。但是,他仍然觉得这个家族需要承担相应的责任。

摆脱过去,迈步向前

和解协议仍然需采取多项行动才能够生效,萨克勒家族将提供1亿美元用于支付和医疗检测因为阿片类药物戒断而出生的儿童,并为美洲土著部落提供1.5亿美元。

萨克勒家族也被要求放弃公司所有权,并引导公司朝遏制疫情的方向转型。为了换取未来阿片类药物诉讼的豁免权,预计萨克勒家族将支付约60亿美元。

曾经以慈善捐赠而闻名的萨克勒家族,也看到他们的名字从建筑物中移除,这些建筑包括纽约大都会艺术博物馆(The Metropolitan Museum of Art in New York)、史密森尼博物馆(The Smithsonian)和耶鲁大学医学院(Yale University's medical school)。

据《耶鲁每日新闻》(Yale Daily News)报道,该校发表声明称,他们在一年前就决定与萨克勒家族断绝关系,但直到上周才公开。作为和解协议的一部分,亿万富翁家族为他们卷入危机而道歉,并允许各机构将他们的名字从建筑物中移除。

汉普顿也为重新开始生活做出了自己的努力,并写了一本名为《未决之事》(Unsettled)的书,讲述了普渡制药公司的破产是如何让美国过量服药危机受害者失望的。美国司法部(Department of Justice)的债权人委员会指定他来代表普渡案中超过138000名受害者。

“我参与这个案子时认为萨克勒家族是这个故事中的终极反派,而且在参与这个案子时,我曾经打算写一本关于萨克勒家族的书,但是当我进入破产程序环节时,我了解到这个故事牵扯的远不止萨克勒家族,这个故事本身是一个过程,也了解到破产过程是多么的破裂和不公平。”他告诉《财富》杂志。

他说,大公司和大政府在受害者面前募集钱款,而且通常都会获得更多的钱。他说,这归因于“社会对康复中的人、陷入困境中的家庭和吸毒者仍然存在偏见和歧视”。

现在,康复社区想对萨克勒家族提出刑事指控。

汉普顿告诉《财富》杂志,从第一天起,“没有一位联邦助理检察官或司法部部长对萨克勒家族提出起诉或让萨克勒家族接受大陪审团提出的起诉。”汉普顿说:“美国司法部需要做好他们份内的工作,不要在受害者和解问题上玩弄政治,还需要追究萨克勒家族的刑事责任。”

为提供更多资源和康复机会,联邦政府和州政府需要加快计划,并加大资金投入。

“作为美国纳税人,我为这些服务缴税,但我却没有享受到这些服务。”汉普顿说。

“每个人都可以发挥作用,帮助结束这场过量服药危机,并防止另一家普渡制药公司出现。无论他们是受影响的个人、家庭成员,还是现在正在苦苦挣扎的人,他们都能够发挥作用,让公共政策制定者负责。”汉普顿说。

涉及的其他公司

虽然普渡制药公司参与并促进了阿片类药物的销售是不争的事实,但其实还有许多其他大型美国公司也因为参与其中而被诟病。

美源伯根公司(Amerisource Bergen)、卡地纳健康集团(Cardinal Health)、强生公司(Johnson & Johnson)和麦克森公司(McKesson)已经同意达成一项总价值约260亿美元的交易。这些钱大部分将用于应对此次危机。

2020年,公开文件显示麦肯锡公司(McKinsey)与普渡制药公司和萨克勒家族成员合作密切。此后,麦肯锡公司在其网站上发表公开声明,对其为促进奥施康定和其他阿片类药物的销售所做的努力表示遗憾。(财富中文网)

译者:ZHY

就萨克勒家族在阿片类药物危机中扮演的角色,一位前奥施康定(OxyContin)的成瘾者最近有机会与拥有普渡制药公司(Purdue Pharmaceutical)的萨克勒家族对质。

上周,瑞安·汉普顿在为受害者举行的和解听证会上说:“你们很清楚你们做了什么。我希望不论是清醒时分,还是入睡时分,每位受害者的面孔都萦绕在你们的脑海中。”

在Zoom视频听证会上,24名阿片类药物成瘾受害者向大卫·萨克勒、理查德·萨克勒和特蕾莎·萨克勒讲述了他们令人心碎的故事,他们因为奥施康定成瘾而失去了很多东西。

瑞安·汉普顿对面前这些有钱人的反应颇为震惊,这些人十分冷漠,没有丝毫的同理心。

他在最近接受《财富》杂志采访时说:“感觉就像我们在和雕像说话一样,他们没有点头或是流泪。”

瑞安·汉普顿分享了他成瘾和康复的故事,并表示他希望萨克勒家族能够为他们在影响数百万美国人的阿片类药物危机中所扮演的角色负责。

被成瘾偷走的美好生活

近二十年前,汉普顿生活在拉斯维加斯,曾经担任政治组织者,前途一片光明。

父亲去世后,他的未来很快发生了变化,他搬回佛罗里达州治疗膝盖和脚踝。他的主治医生将他转介到一家疼痛诊所,并给他开了奥施康定。

“一次又一次就诊,我被告知如果我对药物有依赖性,就无需担心,这是正常情况,这一现象被称为假性成瘾,并不是真正的成瘾,只是成瘾的表象。”汉普顿说。

医生继续增加他的药物剂量,短短几年内,他完全依赖药片才可以正常生活。最终,为了获得最初从药片中感受到的快感,他开始吸食海洛因。

在滥用阿片类药物十多年后,汉普顿在洛杉矶无家可归,并开始吸食海洛因。

汉普顿说:“我曾经多次服药过量,那时我正在寻找一个避难所,我妈妈劝我寻求帮助。”

汉普顿在公共卫生系统中奔走,最终找到药物辅助治疗,挽救了他的生命。

“试图获取我所需要的资源来戒瘾是一场噩梦,我很高兴我得到了帮助,但如果我没有戒瘾的话,我最终就会走向死亡。”汉普顿告诉《财富》杂志。

自2015年以来,汉普顿一直在成瘾康复中,并在成功戒瘾后找到了Uber司机的工作。

如今,汉普顿成为了一名作家兼活动家,致力于为阿片类药物成瘾者伸张正义。

“很多我深爱和关心的人死于服药过量,他们被剥夺了健康生活的权利,被赶出病房,死在离我住的地方仅有几个街区的街角,这些令人悲痛的事件引导我走上了这样一条道路:作为康复社区,我们能够付出怎样的努力来防止过量服药致死。”汉普顿告诉《财富》杂志。

萨克勒家族扮演的角色

亿万富翁萨克勒家族旗下拥有并领导普渡制药公司,该公司于1996年推出了奥施康定。它被推销为一种非成瘾性的缓释处方止痛药,并很快被开给全美数百万人。

多年来,过量服药致死都与这种处方药有关。随着时间的推移,因为越来越难拿到处方药,病人转而服用更烈性的药物。

根据美国疾病控制和预防中心(Centers for Disease Control and Prevention)的数据,自 1999 年危机开始以来,已经有超过23万名美国人死于过量服用处方阿片类药物。此外,美国约有50万人死于过量服用阿片类药物。虽然萨克勒家族从未面临刑事指控,但他们已经支付2.35亿美元来解决针对他们的民事诉讼。

2019年,普渡制药公司进入破产程序。

虽然从历史上看,萨克勒家族对这场危机表示遗憾,但他们从未道歉。

普渡制药公司分别在2007年和2020年因为其在阿片类药物营销中所发挥的作用而对联邦重罪指控认罪。罪证文件揭露了某些萨克勒家族成员如何鼓励扩大处方阿片类药物的销售。他们都没有受到指控,也没有迹象表明他们将来会被起诉。

汉普顿告诉《财富》杂志,与萨克勒家族成员直接对话让他得到了安慰。

与萨克勒家族交谈直接减轻了他的负担,让他觉得自己可以继续生活下去。但是,他仍然觉得这个家族需要承担相应的责任。

摆脱过去,迈步向前

和解协议仍然需采取多项行动才能够生效,萨克勒家族将提供1亿美元用于支付和医疗检测因为阿片类药物戒断而出生的儿童,并为美洲土著部落提供1.5亿美元。

萨克勒家族也被要求放弃公司所有权,并引导公司朝遏制疫情的方向转型。为了换取未来阿片类药物诉讼的豁免权,预计萨克勒家族将支付约60亿美元。

曾经以慈善捐赠而闻名的萨克勒家族,也看到他们的名字从建筑物中移除,这些建筑包括纽约大都会艺术博物馆(The Metropolitan Museum of Art in New York)、史密森尼博物馆(The Smithsonian)和耶鲁大学医学院(Yale University's medical school)。

据《耶鲁每日新闻》(Yale Daily News)报道,该校发表声明称,他们在一年前就决定与萨克勒家族断绝关系,但直到上周才公开。作为和解协议的一部分,亿万富翁家族为他们卷入危机而道歉,并允许各机构将他们的名字从建筑物中移除。

汉普顿也为重新开始生活做出了自己的努力,并写了一本名为《未决之事》(Unsettled)的书,讲述了普渡制药公司的破产是如何让美国过量服药危机受害者失望的。美国司法部(Department of Justice)的债权人委员会指定他来代表普渡案中超过138000名受害者。

“我参与这个案子时认为萨克勒家族是这个故事中的终极反派,而且在参与这个案子时,我曾经打算写一本关于萨克勒家族的书,但是当我进入破产程序环节时,我了解到这个故事牵扯的远不止萨克勒家族,这个故事本身是一个过程,也了解到破产过程是多么的破裂和不公平。”他告诉《财富》杂志。

他说,大公司和大政府在受害者面前募集钱款,而且通常都会获得更多的钱。他说,这归因于“社会对康复中的人、陷入困境中的家庭和吸毒者仍然存在偏见和歧视”。

现在,康复社区想对萨克勒家族提出刑事指控。

汉普顿告诉《财富》杂志,从第一天起,“没有一位联邦助理检察官或司法部部长对萨克勒家族提出起诉或让萨克勒家族接受大陪审团提出的起诉。”汉普顿说:“美国司法部需要做好他们份内的工作,不要在受害者和解问题上玩弄政治,还需要追究萨克勒家族的刑事责任。”

为提供更多资源和康复机会,联邦政府和州政府需要加快计划,并加大资金投入。

“作为美国纳税人,我为这些服务缴税,但我却没有享受到这些服务。”汉普顿说。

“每个人都可以发挥作用,帮助结束这场过量服药危机,并防止另一家普渡制药公司出现。无论他们是受影响的个人、家庭成员,还是现在正在苦苦挣扎的人,他们都能够发挥作用,让公共政策制定者负责。”汉普顿说。

涉及的其他公司

虽然普渡制药公司参与并促进了阿片类药物的销售是不争的事实,但其实还有许多其他大型美国公司也因为参与其中而被诟病。

美源伯根公司(Amerisource Bergen)、卡地纳健康集团(Cardinal Health)、强生公司(Johnson & Johnson)和麦克森公司(McKesson)已经同意达成一项总价值约260亿美元的交易。这些钱大部分将用于应对此次危机。

2020年,公开文件显示麦肯锡公司(McKinsey)与普渡制药公司和萨克勒家族成员合作密切。此后,麦肯锡公司在其网站上发表公开声明,对其为促进奥施康定和其他阿片类药物的销售所做的努力表示遗憾。(财富中文网)

译者:ZHY

A former OxyContin addict recently had the chance to confront Purdue Pharma’s Sackler family for their role in the opioid crisis.

"You know what you did. I hope that every single victim's face haunts your every single waking moment and your sleeping ones too,” Ryan Hampton said in a settlement hearing for victims last week.

During the Zoom hearing, 24 victims of opioid addiction told David, Richard, and Theresa Sackler heartbreaking stories about what they had lost because of OxyContin.

Hampton was shocked by what he saw as the wealthy family’s lack of empathy and emotion.

“It felt like we were talking to statues,” he said in a recent interview with Fortune. “There were no nods or tears on their ends."

Hampton shared his story of addiction and recovery, and said he hopes the Sackler family will be held accountable for their role in the opioid crisis that affects millions of Americans.

Promising life stolen by addiction

Nearly two decades ago, Hampton was a promising Las Vegas political organizer with a bright future.

His future quickly changed after his father passed away, and he moved back to Florida to seek treatment for a knee and ankle injury. His primary care doctor referred him to a pain clinic, and he was prescribed OxyContin.

"Visit after visit, I was told not to worry if I had a dependence on the medication. That it was normal and it was called pseudoaddiction, which I was told was not really an addiction, just the appearance of addiction," Hampton said.

The doctors continued to up his dose of the medication, and within a few years he was completely dependent on the pills to function. Eventually, he started using heroin to mimic the high he initially felt from the pills.

After abusing opioids for more than a decade, Hampton was in Los Angeles, homeless and shooting up heroin.

“I had multiple overdoses and was looking for a roof over my head at the time, and my mom pushed me to seek help,” Hampton said.

Hampton navigated the public health system, and eventually found medication-assisted treatment that saved his life.

“It was a nightmare trying to get the resources I needed to get help, and I am glad I got help when I did otherwise; I would've ended up dead,” Hampton told Fortune.

Hampton has been in recovery since 2015, and found work as an Uber driver after getting sober.

Today, he is an author and activist focused on justice for opioid addicts.

“People that I loved and cared about deeply were dying of overdoses, they were being denied access to health, they were being kicked out of hospital rooms, they were dying on the street corners just a few blocks from where I was living, and it really led me into this journey of what we can be doing as a community, as a recovery community to prevent this overdose deaths,” Hampton told Fortune.

The Sackler family’s role

Purdue Pharmaceutical, a company owned and led by the billionaire Sackler family, released OxyContin in 1996. It was marketed as a non-addictive, extended-release prescription painkiller and was soon prescribed to millions across the U.S.

Many fatal overdoses throughout the years were associated with the prescription drug. As years passed and the prescription was harder to obtain, users turned to harder drugs.

Since the crisis began in 1999, more than 230,000 Americans died from prescription opioid-related overdoses, according to the Centers for Disease Control and Prevention. Additionally, around 500,000 people died from opioid overdoses in the U.S. While the Sackler family has never faced criminal charges, they have paid $235 million to solve civil claims against them.

In 2019, Purdue Pharma entered bankruptcy proceedings.

While historically, the Sackler family has expressed regret over the crisis, they have never apologized.

In 2007, and then again in 2020, the company pleaded guilty to federal crimes for its role in marketing opioids. Incriminating documents expose how some members of the Sackler family encouraged the increase of prescription opioid sales. None of them have been charged, and there are no indications they will be in the future.

Hampton told Fortune that speaking directly to a member of the Sackler family gave him closure.

Talking to the family directly lifted a weight off his shoulders, and made him feel he could move on with his life. He still feels, however, that the family needs to be held accountable.

Moving forward

The settlement, which still requires multiple actions to take effect, will provide around $100 million for payments and medical monitoring for children born with withdrawal from opioids and $150 million for Native American tribes.

The Sackler family was also called to give up ownership of their company and steer it toward stemming the epidemic. In exchange for immunity from future opioid lawsuits, the Sackler family is expected to pay around $6 billion.

Once famous for their philanthropic donations, the Sackler's have also seen their name stripped from buildings including The Metropolitan Museum of Art in New York, The Smithsonian, and Yale University's medical school.

According to the Yale Daily News, the school released a statement saying that they had decided to sever ties with the family a year ago, but only made it public last week. As part of the settlement, the billionaire family has apologized for their involvement in the crisis and allowed institutions to remove their name from buildings.

Hampton has also done his part to move forward and wrote a book called Unsettled that talks about how the Purdue bankruptcy failed the victims of the American overdose crisis. He was appointed by the Department of Justice creditors' committee representing over 138,000 victims in the Purdue case.

"I entered the case thinking that the Sacklers were the ultimate villains in this story, and had been planning on writing a book about them when I entered the case, but when I got into the bankruptcy process, I learned that the story was much larger than just the Sacklers, the story was the process, how deeply broken and inequitable the bankruptcy process is," he told Fortune.

He says that big corporations and big governments collect their dollars before victims, and more often than not, they get more money. He says this is attributed to "the prejudice and discrimination that still exist towards people in recovery, families that have struggled, and people that use drugs."

What the recovering community wants now are criminal charges against the Sacklers.

From day one, "not one single assistant United States attorney, or attorney general has indicted or had the Sackler family sit through a grand jury," Hampton told Fortune. "The DOJ needs to do their job and stop playing politics with the victims' settlement and needs to hold the Sacklers criminally liable," Hampton said.

To increase resources and access to recovery, the federal and state governments need to step up their plans and funding.

"As an American taxpayer, I pay taxes for these services, but I don't receive them" he said.

"Every single person has a role to play in helping to end this overdose crisis and preventing another Purdue Pharma from happening again. The role that they can play whether they are an individual impacted or a family member, or someone struggling right now is to hold their public policy makers accountable," Hampton said.

Other companies involved

While Purdue's involvement in promoting opioid sales is undeniable, many other large U.S. corporations are also facing criticism.

Amerisource Bergen, Cardinal Health, Johnson & Johnson, and McKesson, have agreed to a deal worth around $26 billion combined. Most of this money is to be spent fighting the crisis.

In 2020, documents were also made public that showed McKinsey worked closely with Purdue Pharma and members of the Sackler family. Since then, McKinsey and Company made a public statement on its website expressing regret of its efforts to boost sales from OxyContin and other opioids.

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