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Fresh Air

How The Opioid Industry Operated Like A Cartel

Fresh Air

NPR

Tv & Film, Arts, Society & Culture, Books

4.434.4K Ratings

🗓️ 2 August 2022

⏱️ 45 minutes

🧾️ Download transcript

Summary

It's estimated that more than 107,000 people in the United States died due to opioid overdoses in 2021. Washington Post journalist Scott Higham says it's "the equivalent of a 737 Boeing crashing and burning and killing everybody on board every single day." In the new book, American Cartel, Higham and co-author Sari Horwitz make the case that the pharmaceutical industry operated like a drug cartel, with manufacturers at the top; wholesalers in the middle; and pharmacies at the level of "street dealers."

Transcript

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0:00.0

This is Fresh Air, I'm Terry Gross. The new book, American Cartel, is about the opioid

0:06.1

industry, the manufacturers, distributors, and pharmacies behind the opioid epidemic.

0:12.2

It's also about their lobbyists and lawyers, many of whom had close ties to members of

0:17.4

Congress and high ranking officials inside the Justice Department. Some DEA agents left

0:23.5

the agency to take high-salaried positions with law firms representing drug companies. The

0:29.4

book is also about an unprecedented lawsuit launched in 2018 by a coalition of lawyers and

0:35.6

investigators on behalf of thousands of counties, cities, and Native American tribes across

0:40.9

America. The suit led to the release of a pill-tracking database and millions of internal corporate

0:47.8

emails and memos which the new book draws on. The book's epilogue refers to a settlement

0:53.8

by a company that was the largest opioid distributor, Malon Crop. The company did not admit to any

1:00.1

wrongdoing, but it did agree to make its internal emails public. Those documents, a huge

1:06.8

trove, were made public just a couple of months ago in May. But the Washington Post was

1:12.4

given access to them before that, so they were able to publish a lengthy article analyzing

1:18.0

those documents. My guest, Scott Hyam, co-authored that article, and he co-wrote the new book,

1:24.3

American Cartel, along with Washington Post reporter, Sarri Horowitz. They've been investigating

1:29.8

the opioid industry for five years and co-authored the Washington Post series, The Opioid Files.

1:36.1

Hyam also partnered with 60 Minutes on an opioid industry investigation that received a

1:40.9

Peabody, Emmy, and DuPont Award. Scott Hyam, welcome to Fresh Air. Congratulations

1:47.1

on the new book. In what sense was the opioid industry a cartel?

1:53.1

Terri, thanks for having me first off. Sarri and I, like you said, have been investigating

1:57.9

this industry for five years, and we've interviewed dozens and dozens of DEA agents, investigators,

2:05.9

and attorneys who have worked in this field for many, many years. A lot of them used to

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