4.9 • 667 Ratings
🗓️ 23 November 2025
⏱️ 113 minutes
🧾️ Download transcript
Rick Mountcastle is a former United States Attorney and the leader of the team who prosecuted Purdue Pharma, following their deadly predatory actions with Oxycontin. We discuss his journey into law, prosecuting mobsters, the genesis of the opioid crisis, FDA corruption, the dark side of nursing homes, "Dopesick", his new documentary "No Country for Old People" and so much more.
Rick Mountcastle joined Guttman Buschner LLP as Of Counsel in April 2025, after retiring from the United States Attorney’s Office for the Western District of Virginia and the Virginia Attorney General’s Office.
An award-winning Federal criminal and civil litigator with more than 30 years of experience litigating the most complex and intricate cases, Rick was portrayed by Emmy-nominated actor Peter Sarsgaard in the 2021 award-winning Hulu miniseries “Dopesick,” which chronicles his leadership of the 2007 prosecution of notorious OxyContin maker Purdue Pharma and its three top executives. He has spoken about the case and the events surrounding the opioid crisis on CBS’s 60 Minutes (aired March 9, 2025), at Law School events, and on numerous podcasts.
Rick’s Federal experience included almost nine years as an award-winning Senior Trial Attorney in DOJ’s Tax Division where he prosecuted complex criminal tax cases across the country. He received several awards, most notably DOJ’s highest honor, the Attorney General’s John Marshall Award for the Trial of Litigation, for leading the prosecution of a Russian mafia leader in the Eastern District of New York for gasoline excise tax fraud conspiracy. In 2007, after more than twenty years and more than 50 jury trials as a criminal prosecutor, Rick moved to the U.S. Attorney’s Office’s Civil Division in Roanoke, Virginia, where he built the office’s False Claims Act and Affirmative Civil Enforcement program while supervising the Financial Litigation Unit and defending the United States in medical malpractice, personal injury, civil rights, and other civil matters. Most notably, he led the False Claims Act and criminal prosecution of Abbott Laboratories for fraudulently marketing Depakote (an anti-epileptic) for off-label treatment of agitation related to dementia in nursing home residents. Working closely with relator’s counsel, Reuben Guttman and Traci Buschner, he secured $1.5 Billion in civil and criminal penalties, at the time the largest single-drug settlement of an off-label pharmaceutical fraud case in the history of the Department of Justice.
Rick also served as the Civil Chief (2010-2016), First Assistant U.S. Attorney (2016-2017, 2018), and Principal Deputy U.S. Attorney (2018). He was appointed the United States Attorney for the Western District of Virginia January 2017 through March 2018. During his tenure he led the Federal response to the August 12, 2017 violence in Charlottesville, initiated the office’s opioid overdose prevention outreach program, directed and oversaw the reorganization of the office’s domestic terrorism and crisis response plan, initiated an anti-gang task force pairing Federal law enforcement with the Danville, Virginia, police department, and initiated a partnership with the Federal Court and the Federal Public Defender to identify and rectify potential discovery issues in a series of dozens of prior criminal prosecutions. Following his retirement from federal service, Rick served three years as an Assistant Attorney General for Virginia’s Medicaid Fraud Control Unit conducting False Claims Act investigations.
Since June 2022, he has partnered with Los Angeles filmmakers Susie Singer Carter and Don Priess to produce the upcoming docuseries “No Country for Old People-A Nursing Home Exposé,” which chronicles the plight of our elderly and disabled in nursing homes. The docuseries is in the hands of a distributing agent with the anticipation of a premiere on a premium streamer in 2025.
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| 0:00.0 | This episode is sponsored by StationWise, the first staffing software to be truly firefighter proof. |
| 0:07.1 | Now, you may be wondering why I have software as a sponsor when I focus usually on physical and mental health of the first responders, and I will tell you exactly why. |
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| 0:52.0 | supposed to be doing on the operational side and the fireground. |
| 0:55.0 | Now station wise is also able to monitor not only how many calls we've responded to in the shift, |
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| 1:05.0 | thus monitoring the sleep deprivation that degrades our health and performance. |
| 1:10.0 | It's accessible not only through the computer but also on Apple and Android devices, |
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| 1:48.2 | training, reports, etc. |
| 1:50.9 | Now, StationWise is trusted by numerous agencies in California, Texas, and Idaho. |
| 1:57.3 | And if you want to hear the full story from the founder who he himself is a son of a firefighter, |
| 2:03.3 | listen to episode 1163 with Marcus Edwards. |
| 2:08.2 | And if you want to book a demo or learn more, go to stationwise.com. |
| 2:14.6 | Welcome to the Behind the Shield podcast. As always, my name is James Gearing. And this week I have one of the most important conversations I would argue I've had on the show. |
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