CNN reported this week that Mallinckrodt, a large opioid manufacturer, has reached a settlement agreement in principle worth $1.6 billion with attorneys general for 47 states and US territories. Mallinckrodt announced that the proposed deal will resolve all opioid-related claims against the company and its subsidiaries if it moves forward. Plaintiffs (states) would receive payments over an eight-year period to cover the costs of opioid-addiction treatments and other needs.
Compensation: recompense given for loss injury, or harm suffered. Are the settlements that are being levied against Purdue Pharma, Johnson & Johnson, TEVA, Mallinckrodt, McKesson Corp., Cardinal Health Inc., AmerisourceBergen Corp. really compensation for the millions of lives ruined by opioid addiction? Or for all the lives lost in the past 20 years?
When I was growing up, this metaphor was commonly espoused: “Don’t air your dirty laundry in public.” That is, you shouldn’t reveal things from your private life that people usually don’t want others to know and they don’t want to hear anyway. Things like inappropriate confessions and unpleasant family secrets. Everyone will be embarrassed and people will feel ashamed.
Now we are more likely to hear someone respond with “TMI – Too much information” when someone goes beyond the bounds of information that no one wants to hear – either too creepy or medical or personal. Totally understandable.
But is it airing dirty laundry for us to speak openly about conditions or situations that are of a communal nature? Topics such as physical or sexual abuse, or complicity and criminal behavior by politicians or leaders, or suicide, or addiction? Of course, there are some details about issues that plague us as a community that do not need to be part of the public discussion in certain situations. But that is different than bringing an issue into the light of day so that it can be discussed in order to work towards a solution.
The other day I was thinking about our son and his struggles with drugs and alcohol and all that we know and understand now compared to what we knew and understood in the early 2000’s right up until his death in 2014. I saw myself, as if I were standing out in an open field, turning, looking back over my shoulder. That’s what I do when something unexpected or disturbing happens. I look back and try to figure out what I missed, what I could have done differently.
My next thought was: Why couldn’t my husband and I see the handwriting on the wall? Why didn’t we realize how dire the situation was at every new juncture with our son as the years went by? But, I realized that it wasn’t that we couldn’t see the handwriting on the wall. It was that we didn’t understand what it meant.
John and I live in Melbourne, Australia with our daughter and her family several months of the year. Since our son’s death by overdose from heroin 5 years ago, we have become interested in and involved with some of the Alcohol and Other Drug (AOD) programs there. We also receive news reports on current trends etc.
What is interesting to me is the contrast between the Australian approach to AOD use and the American approach. Australians accept that there will be drug and alcohol abuse in their society and therefore speak openly and candidly about it. A recent newsletter (Dec. 13, 2019) from VAADA (Victorian Alcohol and Drug Association) is a perfect example of their approach. It was an alert about “ increasing numbers of reports about very strong heroin in Melbourne, which has resulted in an increase in accidental overdoses.”
The alert asks providers in the AOD sector to alert their clients (heroin users) to this problem and to be careful and look out for their fellow users. They also urge providers to share specific harm reduction information to help reduce the risk of overdose, such as: get naloxone and keep it handy; try not to mix drugs (there is a lot of methamphetamine use mixed with heroin/opioid use); be smart about your tolerance, knowing it can change if you haven’t used for even a few days; and try not to use alone or in an unfamiliar place where you wouldn’t get help if you do overdose (which was the case for our son).
When I was in Melbourne, Australia recently with our family, I was starkly reminded of the ubiquitous presence of opium in the past as well as the present. Not that I can ever really forget it’s demon-like presence. But when I am asked what I do and I respond that I am a new author, the next question is what my book is about. After I give a short description, I am always surprised at how many people have stories of their own involving this ancient plant – a plant that truly offers humankind a double-edged sword. It can so wondrously relieve pain when our bodies have been injured or undergone surgery. Yet it has a mysterious way of latching on to a large percentage of we mortals who, having once legitimately used this soothing balm, then find the memory of that bliss like an oasis in the desert that we chase after at all cost.
Within a week, I heard three stories. One seems like something out of another era. A 60-yr old man, after hearing about our son and Opiate Nation, began to tell me about his years growing up in Singapore. He explained that both his mother and his father were addicted to opium and would regularly go to the opium dens to smoke. He remembers the intoxicating smell when he would go to find them to use the opportunity of their being in a blissful state to get money from them. He never wanted to use that drug or any other.
The Global Drug Survey (GDS) runs the largest drug – which includes alcohol – survey in the world. The GDS is now it is ninth year and is translated into 16 languages and partners with over 30 countries. Their international team is committed to helping make drug use safer regardless of the legal status of the drug and promoting honest conversations about drug use across the world.
How we wish we had been able to have more open conversations with our son while he was struggling during a relapse or actively using. Had he not feared some punitive measure we could impose on him in an attempt to force him to be squeaky clean, he would have felt less shame and the feeling of being a failure. He could have felt that we were partners with him in his battle against the overwhelming enemy that was within. Continue reading “GLOBAL DRUG SURVEY 2020”
Andrew Sullivan’s 2018 article for the NY Magazine entitled “The Poison We Pick”, wrote: “…For millennia, the Opium Poppy has salved pain, suspended grief, and seduced humans with its intimations of the divine. It was a medicine before there was such a thing as medicine. Every attempt to banish it, destroy it, or prohibit it has failed…This nation pioneered modern life. Now epic numbers of Americans are killing themselves with opioids to escape it…According to the best estimates, opioids will kill up to half a million Americans in the next decade.
“Most of the ways we come to terms with this wave of mass death…miss a deeper American story. It is a story of pain and the search for an end to it. It is a story of how the most ancient painkiller known to humanity has emerged to numb the agonies of the world’s most highly evolved liberal democracy. Continue reading “America’s Love Affair with Opioids”
I am devoting this blog to a review by Shelf Awareness of an essential book in the battle against early exposure to opioids which has destroyed so many young lives – our son’s included – in the past 20 years. Please give a copy of this book to every teenager and young adult you know and love.
Journalist Sam Quinones’s lauded 2015 Dreamland was, according to our review, “a comprehensive and empathetic investigation into the Mexican pipeline feeding the United States heartland’s growing appetite for opiates.” This adaptation, pared down for a young adult audience, is a sharp, engrossing work of narrative nonfiction.
Dreamland snares the young reader immediately with the story of Matt Schoonover from Columbus, Ohio, who began using prescription opiate painkillers in high school, became addicted and moved to black tar heroin when the “street OxyContin” became too pricy. A day after returning from three weeks in rehab, at the age of 21, Matt fatally overdosed. Continue reading “Dreamland (Young Adult Adaptation): The True Tale of America’s Opiate Epidemic by Sam Quinones (2019)”
In 2007, Afghanistan – which supplies approximately 80% of the world’s illicit opium – had an estimated world market value of $4 billion for their crops. Then, in 2015, there were reports of mysterious new high-yield opium poppy seeds resulting in bumper crops of opium. What would the value of these crops be and where were these super-seeds coming from?
In 2016, the United Nations Office on Drugs and Crime (UNODC) reported that there was a 43% surge in Afghan opium production in that coincided with a genetically modified organism (GMO) seed that was developed in China and farmed ‘legally’ for the pharmaceutical industry. The GMO seeds allow poppies to be grown year round instead of the normal 1-2 crops per year while using less water. The bulbs of the poppies grow bigger and the bulbs can be scored to extract resin twice, almost doubling yield. It is clear that China lost control of their new seed to the Afghan illicit opium industry, which has had beneficial consequences not only for the worldwide heroin market, but for the Taliban. Continue reading “GMO Poppy Seeds & Opium – Thanks to China and the Taliban”