Monday, September 06, 2021

Big Pharma Escapes the Law

 The US legal system has effectively allowed one of the country’s richest families to buy its way out of accountability for what a White House commission called “America’s national nightmare” of mass opioid addiction. Big money has a powerful and malign influence on many aspects of American life.

A New York bankruptcy court approved a deal for the dissolution of the opioid manufacturer Purdue Pharma, which kicked off the opioid epidemic two decades ago with its illegal drive to sell a high-strength painkiller, OxyContin. Purdue’s owners, members of two branches of the now-notorious Sackler family, are estimated to have made more than $10bn from the drug – even as the opioid crisis claimed more than 600,000 lives, with the toll climbing higher by the year.

 The Sacklers in return for handing over only a small fraction of the money they made from OxyContin still remain one of the richest families in the country, while continuing to deny their responsibility for their role in creating the opioid crisis.

Purdue Pharma’s reputation is little better than that of a Mexican cartel. The company has twice pleaded guilty to felonies, in 2007 and last year, including lying about the risk of addiction from OxyContin, bribing doctors to prescribe it and defrauding the federal government. But that barely scratches the surface of the company’s corruption in pursuit of profit: it used its money and influence to warp the practice of medicine, compromise drug regulators and keep open the doors to mass prescribing of opioids even as evidence of an epidemic grew.

Several members of the Sackler family served on the company’s board and as senior executives, and some were directly involved in the drive to push OxyContin on unsuspecting Americans. And they happily creamed off the profits. Dr Richard Sackler, a former president and chairman of Purdue Pharma, was instrumental in persuading the Food and Drug Administration (FDA) to approve OxyContin on the false grounds that it was less addictive than other prescription opioids. He then promised that “a blizzard of prescriptions” for the drug would bury the competition. When Sackler was asked at the bankruptcy hearing whether he, his family or his firm bore any responsibility for the opioid epidemic, he simply replied: “No”.

 Yet the bankruptcy process has granted them sweeping immunity from further civil lawsuits over the opioid crisis without acknowledgment of wrongdoing. In fact, in exchange for a payment of $4.5bn, less than half of their earnings from Purdue, the Sacklers as individuals won’t have to declare personal bankruptcy.

Georgetown university law professor, Adam Levitin, told Congress in July, the Sacklers have worked the system so that they “will actually emerge from Purdue’s bankruptcy richer than they went into it” because the payments will be spread over nearly a decade during which the family’s assets are likely to grow by more than $4.5bn.

 The agreement deprives those victimised by the Sacklers, who oversaw and profited from Purdue Pharma’s criminal behaviour, of their right to a day in court. Other critics of the decision have wondered how a bankruptcy court can grant legal immunity to people who have not declared bankruptcy.

But that is the practice that has evolved under laws, many written under the influence of corporations, that enable businesses to in effect hand-pick the judges who will handle their bankruptcy cases. The US has 375 bankruptcy judges but, as Levitin told Congress, just three oversaw the majority of cases filed by large companies last year. Purdue Pharma chose to file with one of those three, Judge Robert Drain, to decide the conditions of its bankruptcy. Although Purdue is based in Connecticut, it filed for bankruptcy in White Plains, New York, where Drain is the only bankruptcy judge. It’s unlikely to have gone unnoticed by the Sacklers’ lawyers that Drain had an unusual record of staying lawsuits against third parties who have not filed for bankruptcy.

 of Drain’s first steps was to block efforts to sue individual members of the Sackler family, even though they were separate from the Purdue bankruptcy case. Then he permitted the Sacklers to effectively hold the plaintiffs hostage by offering a stark choice between settling for a cut of the profits of misery in return for wiping the legal slate clean or facing years of court battles. States, municipalities and families desperate for money to cope with the huge social consequences of the epidemic were left with little choice but to agree, although many expressed their distaste.

Washington state’s attorney general, Bob Ferguson, called the plan “morally and legally bankrupt”. Sackler and other members of his family have spent their time smearing the victims. They have claimed that OxyContin was a legal drug used illegally and that responsibility, therefore, falls on the “criminal addicts” who overdosed. As evidence of a crisis grew and doctors witnessing the devastation sounded warnings, the din of corporate money drowned them out. The quarter of a billion dollars a year the drug industry spends on lobbying bought the complicity of politicians, influenced regulators, weakened investigations by the justice department and stalled action by the Drug Enforcement Administration. Purdue used its political muscle to head off even more serious criminal charges and to keep its executives out of prison.

 No other country has experienced the same scale of opioid addiction and death, in part because corporations in other countries do not wield the same influence over the practice and regulation of medicine. Neither did Purdue act alone in this crisis. Drug distributors and pharmacies jumped on the bandwagon. Other opioid manufacturers, such as Johnson & Johnson, raked in the profits of narcotic painkiller addiction.  The drug industry kept the doors to mass prescribing of opioids open for years not because they were an effective way to treat pain but because they were hugely profitable. Those same firms are now increasingly agreeing to payouts to head off a torrent of lawsuits – but it’s hard to conclude that they regard it as anything more than the cost of doing business. Not least because, like the members of the Sackler family behind Purdue, none of them admits to having done anything wrong.

Opioids have killed 600,000 Americans. The Sacklers just got off basically scot-free | Chris McGreal | The Guardian

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