I read in last Sunday’s Spokesman-Review of the steps many pharmacies were taking to stop oxycontin robberies.  Then three days later, I read about another Spokane oxycontin robbery.  For those of you haven’t followed the news, the precise problem is addicts going into  pharmacies with a weapon demanding oxycontin pills.  Sometimes, a robber merely pretends to have a weapon or simply writes a threatening note.  According to news reports, Washington State leads the nation in oxycontin robberies.  See story.  A typical oxycontin robbery job goes something as described in this police wanted photograph.  

I am sure this is not fun for the store employees.  Prior to oxycontin coming on the market, I don’t really remember ever hearing too often about pharmacy robberies.  There just is something about oxycontin pills that drives the addicts crazy in a way that morphine or percocet does not do.  The Walgreens in Spokane made national news last week when they announced the problem of oxycontin robberies was so bad in Washington that they were placing special time-delay safes in all stores.  The safes take several minutes to open – the idea being that a robber is not going to stick around for ten minutes or so.  I wonder about this idea.  What pharmacy clerk really wants to break the news to a drug-crazed armed robber that they have to wait ten minutes?  If I were a clerk I would rather just have a bottle handy  right there by the counter I could toss in a hurry.   Drug-crazed robbers are dangerous, and Seattle robbery Detective Mike Magan explained: “I’ve always said the person who commits pharmacy robberies for oxycontin is the most dangerous person you’ll come up against…”.  (See story).   To combat oxycontin robberies, the Seattle police department provided a tracking device to a pharmacy to put in with the oxycontin  should a robbery occur.   (See story.)  The man they caught was suspected of committing 16 robberies of pharmacies.

In response to such robberies, the elected prosecutor from King County, Dan Satterberg, is pushing the state legislature to increase the penalties for these oxycontin robberies.   The Washington Retailers Association is also supporting this.  I won’t argue against such ideas, but I would encourage or legislatures to remember how we got into this mess in the first place.

How about the pharmacautical company Purdue-Pharma that invented and mass-marketed oxycontin?  The company agreed that it committed a felony when it marketed oxycontin and hid how unsafe it was.  The company faced 600 million in fines after it plead guilty, but how come the executives never went to jail?  (See news reports).  According to a story in the New York Times, “…Purdue Pharma contended that OxyContin, because of its time-release formulation, posed a lower threat of abuse and addiction to patients than do traditional, shorter-acting painkillers like Percocet or Vicodin.”   Lower threat then Vicodin?  This false claim by Purdue Pharma was the center of their aggressive marketing campaign.  Just a few years after the drug’s introduction in 1996, annual sales reached $1 billion.  According to the above mentioned article, “Purdue Pharma heavily promoted OxyContin to doctors like general practitioners, who had often had little training in the treatment of serious pain or in recognizing signs of drug abuse in patients.”  The story continues: “…both experienced drug abusers and novices, including teenagers, soon discovered that chewing an OxyContin tablet or crushing one and then snorting the powder or injecting it with a needle produced a high as powerful as heroin. By 2000, parts of the United States, particularly rural areas, began to see skyrocketing rates of addiction and crime related to use of the drug.”  Although drug companies often can’t predict the consequences of their products, Purdue Pharma had to admit that they deliberately concealed the harmful effects of its drug.

Although the company had to pay $600 million in fines, the profits from the sale of oxycontin was about four times that much.   Purdue Pharma had a lot of money to hire lawyers, and when they were being investigated they hired Rudy Guilliani to try to use his influence to get the DEA to back off.  Guilliani accepted several million dollars for this service.  See story.  Guilliani went to see the local Virginia prosecutor that was going after Purdue Pharma, and the local prosecutor ultimately agreed that the three executives would not have to do jail time.  See story.  So while I am not real happy that drug addled nitwits are robbing our state’s pharmacies, I am trouble by the unfairness that the executives who created this mess got off without any jail time.  The judge who handled the sentencing of the executives felt the same way.  He explained that the the lack of jail time for the executives was the “most difficult” part of accepting the plea deal.  Protestors outside the court house were angry that the executives were getting off so lightly.  Many protesters had lost loved ones to accidental overdoses of the drug.

This poster was held by a woman protesting the light sentences for the executives. Her 17-year-old daughter died of an overdose of just one pill of this supposedly "safer" pill.

You can see why the family members of people hurt by oxycontin would be upset by the court system.

What responsibility does Purdue Pharma have as to all the oxycontin phamarcy robberies in this State?  Not much apparently.  According to the Spokesman-Review last week, the company that has made 2.8 billion on this drug was offering just a measly $1,000 reward for the latest robbery.

You really have to wonder about the way drug companies market these prescriptions.   The latest problem is the practice of drug companies writing articles about how great their latest drugs are and then finding a doctor to submit the article to a publication.  The article then makes no mention of the fact that the article was not really written by the particular physician.  With oxycontin, Purdue Pharma would market oxycontin by getting in good with doctors with free trips.  Purdue Pharma would pay the transportation and hotel costs for hundreds of doctors to attend weekend seminars in spots like Florida to discuss pain management.  Doctors were then recruited and paid fees to speak to other doctors at some of the 7,000 ”pain management” seminars that Purdue sponsored around the country.  The seminars  taught the importance of aggressively treating pain with the powerful drugs made by Purdue Pharma.

I find it highly annoying that all the discussion of these oxycontin robberies ignores the fact of how we got into this oxycontin disaster to begin with.  As seen in the wanted poster above, going after a drug addict in a hat and hooded sweatshirt is pretty easy.  They look guilty, and you can score political points by being “tough on crime”.    All the police detectives, prosecutors, politicians, defense lawyers, legislators, probation officers and judges of Washington State coping with this problem are really just janitors cleaning up a mess left by powerful forces of money and power and influence Back East.

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