pill mill Concepts

Deaths of Despair and the Future of Capitalism

by Anne Case and Angus Deaton · 17 Mar 2020 · 421pp · 110,272 words

it is a mistake to think of doctors as little better than drug dealers. Certainly, there were some doctors who took the opportunity to operate “pill mills,” selling prescriptions for cash (or for sex) without examining or even interviewing the “patient.”26 Many of those doctors are now (or have been) in

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, 286n6, 286n7, 287n21, 288n24 Phillips, Julie A., 277n11 physical examination, 75 Pickett, Kate, 276n4 Pierce, Justin R., 278n21 Pierson, Paul, 266n23, 288n38 Piketty, Thomas, 269n5 pill mills, 121 Plath, Sylvia, 99 Platt, Stephen, 109, 273n1, 273n2 pneumonia, 23 political power, 9, 10, 13, 120, 210, 213; of wealthy people, 11, 241 population

The Road to Unfreedom: Russia, Europe, America

by Timothy Snyder · 2 Apr 2018

late 1990s in southern Ohio and eastern Kentucky, Purdue Pharma marketing representatives earned bonuses of more than $100,000 a quarter. In 1998, the first “pill mills” began to emerge in Portsmouth, Ohio; these were purported medical facilities where physicians were paid to prescribe Oxycontin or other opioids. Residents of Portsmouth and

Sunbelt Blues: The Failure of American Housing

by Andrew Ross · 25 Oct 2021 · 301pp · 90,276 words

the opioid crisis. Florida is particularly implicated in the country’s opioid problems. In the first decade of the twenty-first century, its largely unregulated “pill mills” were the primary supplier of oxycodone products to the East Coast and Great Lakes states.1 “Doctor shoppers” drove down and back up Interstate 75

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’s many food distribution operations, serving several hundred families a week. CHAPTER 3: DOPESICK AND HOMESICK 1. John Temple focuses on the most infamous Florida pill mill, Amer-ican Pain, based in Palm Beach County, in American Pain: How a Young Felon and His Ring of Doctors Unleashed America’s Deadliest Drug

Our 50-State Border Crisis: How the Mexican Border Fuels the Drug Epidemic Across America

by Howard G. Buffett · 2 Apr 2018 · 350pp · 109,521 words

. Framing these legalization campaigns as if we’re just voting to approve a new golf course or a theme park seems wrong and self-defeating. Pill mills and suspicious pharmacies If you think regulating drugs ensures fewer negative impacts, pay attention to the skyrocketing opioid epidemic. Many experts have documented that patients

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legitimate pain condition and end up addicted.7 Regulators, among others, dropped the ball. In some regions of the country crooked, unethical doctors set up “pill mill” storefronts and essentially sold prescriptions for opioid pain relievers. In West Virginia, unethical prescribing of legal opioids was ignored by drug distributors, state regulators, and

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.”12 Greg Burns, the assistant chief of police of Louisville, Kentucky, told PERF in 2017: “When we started to crack down on the prescription drug pill mills, that’s when we started to notice the heroin problems shoot up, because it was relatively cheap, and the pills are so expensive now.” During

The Controlled Demolition of the American Empire

by Jeff Berwick and Charlie Robinson · 14 Apr 2020 · 491pp · 141,690 words

drugs, in association with rampant over-prescribing by medical professionals, is by design. If law enforcement wanted to stop this, they would shut down the “pill mills” that exist in most states in the southeast United States and the Rust Belt, but so far that idea has not really been taken seriously

Experience on Demand: What Virtual Reality Is, How It Works, and What It Can Do

by Jeremy Bailenson · 30 Jan 2018 · 302pp · 90,215 words

flood of opioids into the health care system and rising rates of addiction had grown so alarming that regulations were tightened to control “doctor shopping,” “pill mills,” and the widespread abuse. But these moves had a few unintended consequences. Demand for prescription painkillers in illegal markets skyrocketed, with an individual pill in

Servants of the Damned: Giant Law Firms and the Corruption of Justice

by David Enrich · 5 Oct 2022 · 373pp · 108,788 words

local pharmacists had repeatedly warned corporate brass about doctors who individually wrote tens of thousands of OxyContin prescriptions—a sign of being part of a “pill mill.” The response from headquarters was always the same: The pharmacists could refuse to fill particular prescriptions, but they were not permitted to cut off doctors

San Fransicko: Why Progressives Ruin Cities

by Michael Shellenberger · 11 Oct 2021 · 572pp · 124,222 words

accountability for their own behavior.”50 OxyContin was seen as vastly more effective than existing painkillers.51 Across the United States, unscrupulous doctors set up “pill mills” to give out prescriptions for opioids to people who didn’t need them. Companies used deceptive marketing. They convinced doctors, regulators, and patients that the

Pain Killer: An Empire of Deceit and the Origins of America’s Opioid Epidemic

by Barry Meier · 29 Oct 2020

had skyrocketed, in some areas to 90 percent. This flood of pills on the street seemed to have multiple sources. Some unscrupulous doctors were running “pill mills,” practices where prescriptions are written without a legitimate purpose in exchange for the price of an office visit. Other doctors were fooled into prescribing the

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a doctor’s specialty. But in other cases, a large number of prescriptions for painkillers could be a sign that a physician was running a “pill mill.” States such as New York, which monitored prescriptions for Schedule II narcotics like morphine and oxycodone, had typically adopted the systems in response to outbreaks

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pill, the more it cost. This system had another predictable result. Some of Purdue’s highest-paid sales reps worked areas where doctors operated illegal pill mills and OxyContin abuse was rampant. One of these “hot spots,” as Purdue called them internally, was the resort town of Myrtle Beach, South Carolina. Local

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such as prescription-tracking data sold by IMS, the company once owned by the Sacklers. If DEA diversion investigators suspected a doctor of operating a pill mill, they couldn’t push a button, as drug-company sales reps could, to learn how frequently a physician was prescribing OxyContin and other opioids. Instead

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to law enforcement,” a header on each email stated. Wood also spent lots of time in places like Lee County, investigating doctors suspected of running pill mills. During his travels, he talked to druggists who recounted how Purdue sales reps had repeatedly claimed that OxyContin was safer than competing painkillers or that

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. Lawmakers had chosen Bensalem as the site for the hearing because an area doctor, Richard Paolino, had been recently arrested on charges of running a pill mill that had spewed out thousands of prescriptions for OxyContin. Over a five-month period, Paolino—who was an osteopath, not a cancer specialist or a

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to the lawyer. When he took over, Udell insisted that Purdue couldn’t have known from the IMS data alone that Paolino was running a pill mill. Law-enforcement officials, he said, were far better suited than a drugmaker like Purdue to investigate problem doctors. His answer didn’t satisfy Greenwood. “It

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, like other law-enforcement officials, had seen the mix of cases they handled change drastically. By 2001, virtually all of them—robberies, fraud, assaults, and pill-mill cases—had a connection to Purdue’s drug. In late 2002, just before Bob Butterworth closed his investigation, an assistant state prosecutor in his office

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seekers and abusers. His Purdue bosses, Ross explained, told him he was paid to sell drugs, not to determine if a doctor was running a pill mill. Prosecutors also subpoenaed the Purdue sales officials who covered the pain clinic in Myrtle Beach, South Carolina, that the DEA shut down in mid-2001

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prescriptions written there to the area’s aging population. But company sales officials admitted in their testimony that they long suspected the clinic was a pill mill and were aware that state officials had suspended the medical license of its owner, Dr. David M. Woodward. Still, a Purdue district manager had recommended

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going out, another newspaper, The Florida Times-Union, published an article about the arrest of a doctor in Jacksonville, Florida, on charges of running a pill mill that sold OxyContin and other drugs. In it, a local law-enforcement officer described the physician as “dealing prescription drugs to people just like a

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by doctors. The drug’s biggest prescribers, it turned out, were not cancer experts but regular physicians, including several who would be charged with running pill mills. As with early heavy prescribers of OxyContin, some of those doctors also received tens of thousands of dollars in speaking fees from Insys. To spur

Empire of Pain: The Secret History of the Sackler Dynasty

by Patrick Radden Keefe · 12 Apr 2021 · 712pp · 212,334 words

, a man named Eric K. Wilson, whose territory was Myrtle Beach, South Carolina. As it turned out, Myrtle Beach was home to a number of “pill mills.” These pain clinics, which were run by physicians who were either unscrupulous or impossibly naive, had cropped up across the country to satisfy the demand

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that impact had been felt. A local osteopath named Richard Paolino had recently been arrested after it was revealed that he was running a massive pill mill out of his practice. Michael Friedman from Purdue Pharma had been asked to testify and had arrived, along with Howard Udell and a thin man

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, White’s attorney told the jury that Purdue had retaliated against her after she refused to call on two doctors who she believed were operating pill mills. One of the doctors had given up his federal certificate to prescribe narcotics because a nurse had been illegally writing prescriptions out of his office

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doctors who could put a sales rep on the Toppers list. “If a Purdue representative knew…that a doctor was inappropriately prescribing and was a pill mill, a lot of times they didn’t turn them in to Purdue because they were making tons of money off of these doctors.” According to

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the time OxyContin OP was rolled out, it had already become more difficult for some habitual users to access the drug. Authorities had shut down pill mills and prosecuted doctors, and many physicians had started to ask more questions before writing a prescription for OxyContin or other strong opioids. Now, on top

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. “We don’t have the ability to take the prescription pad out of their hand,” a Purdue attorney, Robin Abrams, said. Of course, until a pill mill was actually shut down by the medical board or the police, Purdue continued to reap the proceeds from all those fraudulent OxyContin prescriptions, and while

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company officials might want a pat on the back for steering sales reps away from such establishments, pill mills were, generally speaking, pretty reliable prescribers. “Nobody needed to call on the really shady doctors,” the former Louisiana rep Dodd Davis pointed out. “That business

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that this lobby exerted over Congress as a “stranglehold.” At the state level, Purdue had also fought measures that were designed to help shut down pill mills, arguing that such steps might limit the availability of opioids to pain patients. Richard Sackler had tracked these developments personally and worked with staff to

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.” Of course there were other factors that might have contributed to the rise in heroin abuse—the tightening of prescribing by doctors, the closure of pill mills, the increased supply described by Quinones. But supply-side arguments cannot account for the sudden rate of increase in 2010, coinciding so precisely with the