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Freakonomics Radio

402. The Opioid Tragedy, Part 1: “We’ve Addicted an Entire Generation”

Freakonomics Radio

Freakonomics Radio + Stitcher

Documentary, Society & Culture

4.632K Ratings

🗓️ 16 January 2020

⏱️ 48 minutes

🧾️ Download transcript

Summary

How pharma greed, government subsidies, and a push to make pain the “fifth vital sign” kicked off a crisis that costs $80 billion a year and has killed hundreds of thousands of Americans.

Transcript

Click on a timestamp to play from that location

0:00.0

So what do you expect we'll see here today?

0:05.0

I don't know. I called a colleague who's working right now and he said he was about to call

0:08.9

Nicole. So the person that he would be calling about is either a overdose or someone's seeking

0:14.4

treatment.

0:15.4

Dr. Gene Marie Perone runs a medical toxicology and addiction department in the University

0:21.0

of Pennsylvania's medical system. This means she is an ER doctor as well as a U-Pen professor

0:26.8

and researcher who knows a great deal about and who's seen a great deal of the opioid

0:33.1

crisis up close.

0:35.2

So we have about 1,000 or 1,200 patients who visited our three hospitals last year and

0:40.0

about 400 of them were overdoses. Probably 200 or 300 of them were seeking treatment and

0:45.6

then another 400 were seeking treatment for a complication, skin infections, fevers, abdominal

0:51.4

pain, nausea, vomiting, withdrawal symptoms.

0:54.1

Perone recently walked us through the ER at one of the U-Pen hospitals. She introduces to

0:58.8

the team working that day. Here is Dr. Kit Delgado.

1:02.2

Just right now I have a patient who came in who had stopped taking methadone because it

1:08.6

was interfering with his job and is now having opioid withdrawal symptoms. He actually came

1:14.5

in for a different complaint but...

1:16.7

I'm really...

1:17.7

...somewhat, you know, had some nausea and chest pain and got his normal emergency department

1:22.4

evaluation. It was just about to discharge them and sort of realize that this is the

1:25.5

root cause.

1:26.9

So the patient you mentioned is here now?

...

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