Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Settlements in the opioid cases need these non-negotiable conditions

Rosanne Aulino, RN
Policy
September 7, 2019
Share
Tweet
Share

The judgment in the Oklahoma trial against Johnson & Johnson for their role in the opioid crisis is a good start to what deserves to be an ongoing pursuit of justice for the victims, their families, and the states. Any financial settlement is only a Pyrrhic victory unless the following non-negotiable conditions are met:

1. Every single penny must go toward treatment. There are not nearly enough inpatient beds to address this great need. Those that do exist are located at a great distance away from people in rural areas, preventing many from access to treatment. Funds must be allocated to provide Narcan at no cost to whoever needs it. We simply cannot afford for any settlement money to be handed over to the states in the same manner of the tobacco settlement money: In New York alone (where I live), only 2.3 percent of the revenues received over the past 20 years were spent on funding tobacco education and preventive services. Government at all levels must be held accountable to use the money to address the fallout of this crisis and not to satisfy budget shortfalls.

2. No financial settlement is acceptable without an admission of wrongdoing. With alarming frequency, corporations are permitted to settle out of court without admitting wrongdoing. No settlement, no matter how generous, should be accepted without full disclosure of the marketing tactics of this deadly profit-generating crisis. Emails, letters, and minutes of the meeting must be released.

3. Purdue Pharma and its subsidiaries must be forever prohibited from detailing any of their products to prescribers or directly to consumers. They have proven themselves to be unwilling to market their products in an ethical, responsible manner. Hopefully, this will serve as an example to other pharmaceutical companies to revise their own marketing approaches. Students of history may remember that the unconditional surrender by Japan in WWII included a permanent prohibition of a Japanese military except for purposes of self-defense. There is absolutely no reason for this not to apply here.

4. Richard Sackler must relinquish his license to practice medicine. He has failed to uphold the most fundamental principle of medicine, the promise “to do no harm.” From the very beginning, he acted knowingly and with complete and utter indifference to the truth in pursuit of profit, resulting in a devastating outcome. Full-circle justice would see him in an orange jumpsuit after forfeiture of all the proceeds of this crime.

And finally, those who prescribe any medication must seek out objective information not provided by representatives of the pharmaceutical companies. There are now so many resources available dedicated to the accuracy of prescribing information that there is no excuse not to do your own research. If this crisis has not drawn adequate attention to the necessity of obtaining unbiased, independent information, I don’t know what will.

We are in a position to demand and receive a full accounting without negotiation. We cannot permit the perpetrators of this widespread crime to dictate the terms of their punishment.

The people of this nation deserve nothing less.

Rosanne Aulino is a psychiatric nurse.

Image credit: Shutterstock.com

Prev

MKSAP: 50-year-old man with a left lower extremity ulcer

September 7, 2019 Kevin 0
…
Next

Social media: a social disease killing our kids?

September 7, 2019 Kevin 1
…

Tagged as: Pain Management

Post navigation

< Previous Post
MKSAP: 50-year-old man with a left lower extremity ulcer
Next Post >
Social media: a social disease killing our kids?

ADVERTISEMENT

Related Posts

  • How COVID is exposing poor working conditions in the U.S.

    Irene Martinez, MD
  • School vaccine exemptions must be for medical conditions only

    Shetal Shah, MD
  • The other opioid epidemic that we ignore

    Hans Duvefelt, MD
  • The opioid crisis: Doctors cannot lose hope

    Linda Girgis, MD
  • Qualifying conditions for medical marijuana

    Patricia Frye
  • Marijuana will not fix the opioid epidemic

    Kenneth Finn, MD

More in Policy

  • Bundled payments in Medicare: Will fixed pricing reshape surgery costs?

    AMA Committee on Economics and Quality in Medicine, Medical Student Section
  • Who gets to be well in America: Immigrant health is on the line

    Joshua Vasquez, MD
  • Online eye exams spark legal battle over health care access

    Joshua Windham, JD and Daryl James
  • The One Big Beautiful Bill and the fragile heart of rural health care

    Holland Haynie, MD
  • Why health care leaders fail at execution—and how to fix it

    Dave Cummings, RN
  • Healing the doctor-patient relationship by attacking administrative inefficiencies

    Allen Fredrickson
  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions
    • The physician who turned burnout into a mission for change

      Jessie Mahoney, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 7 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions
    • The physician who turned burnout into a mission for change

      Jessie Mahoney, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Settlements in the opioid cases need these non-negotiable conditions
7 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...