Empire Of Pain Book Club Questions / International 4 Cylinder Engine

Wednesday, 31 July 2024

Keefe begins his story with Arthur Sackler, the eldest of three boys born to a Ukrainian Jewish grocer in Brooklyn in 1913. How did you even begin to wrap your arms around it? The envelope arrived with a note that quoted The Great Gatsby, capturing the exact Eat the Rich sentiment that feels like it's bubbling underneath the surface of every page of Empire of Pain. On the one hand, I'm making these critiques, which I think are very solid critiques, of the practices and motivations of Big Pharma, and the failures of the regulatory apparatus in the FDA.

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The name OxyContin is a combination of the powerful narcotic derivation oxycodone, and contin, as in "continuous. " A battery of lawyers was on hand to prevent the curious from venturing very far. All of his money had been tied up in his tenement properties, and now they were worthless: he lost what little he had. Purdue also agreed not to contest an official fact-finding document detailing the company's marketing methods, which management designed specifically to overcome physician fears about addiction. Such revulsion seems to be more than deserved. On the other hand, I'm always curious. Keefe is telling a story about a family that went off the moral rails. And not all doctors recommend the vaccine. It also became a New York Times bestseller — and was one of EW's best books of the year. So there was a phase where I was talking to a lot of very old people. Kentucky was the first to depose Richard Sackler in person, and the contents of that deposition have been front and center on subsequent suits. "An engrossing and deeply reported book about the Sackler previous books on the epidemic, Empire of Pain is focused on the wildly rich, ambitious and cutthroat family that built its empire first on medical advertising and later on painkillers.

Book Club Questions For Empire Of Pain

Scientific methods require ongoing testing, feedback, and response. The brothers began collecting art, wives, and grand residences in exotic locales. Indeed, writes Sanders, "Bezos is the embodiment of the extreme corporate greed that shapes our times. " Again, I think it starts with Arthur because there's this idea of the unimpeachable nature of doctors. Two-thirds of the way through Patrick Radden Keefe's 2021 Empire of Pain: The Secret History of the Sackler Dynasty, I had to take a break. "They smashed up things and creatures and then retreated back into their money or their vast carelessness or whatever it was that kept them together, and let other people clean up the mess. " He promoted the practice of having drug companies cite doctor-approved studies about how well the drug worked, studies that had often been sponsored by the companies themselves. Yet, I finished the book with a question: Is the catharsis the reader feels at the end — a sense of the bad guys having been named, if not held to account by the courts — a good thing? But, I wonder, does Empire of Pain make them scapegoats? That name that is now mud.

Empire Of Pain Book Discussion Questions

Martha West served as the secretary to Purdue general counsel Howard Udell — she was encouraged by Udell to seek out an Oxy prescription after he saw her limping in the office and quickly found herself taking more than the recommended dose, crushing and snorting pills before work. And as the body count grew, family members insisted that the problem was the people getting addicted, not the drug or Purdue's marketing of it. It's hard to get any more explicit than that. Isaac was an immigrant himself, from Galicia, in what was then still the Austrian Empire; he had come to New York with his parents and siblings, arriving on a ship in 1904. Sophie's parents lived with the family, and there was a sense, not uncommon in any immigrant enclave, that all the accumulated hopes and aspirations of the older generations would now be invested in these American-born kids. But I had been for a year dialing in to bankruptcy hearings because Purdue Pharma was in bankruptcy. The Metropolitan's Museum of Art's signature antiquity, The Temple of Dendur, is housed in a massive room named Sackler. "Let the kid enjoy himself, " he would say. "Great conversation between Jonathan and Patrick. The brothers were feted the world over and no one worried too much about how they came by their money. Initially, Arthur felt that Ray, as the youngest, shouldn't have to work. PRK: Well, so it's interesting.

Empire Of Pain Book

AB: You also show the environment in which they were able to do those things. But I also don't believe that they set out to kill a lot of people. What has the feedback from doctors been? BKMT READING GUIDES. The answer turned out to be the huge existing market of people in this country who had started using prescription painkillers and eventually graduated to heroin. But there's not necessarily the medical understanding about how to taper people off these drugs or deciding how long they should take them. When they met under the great vaulted entrance arch during the lunch hour, it looked, in the words of one of Arthur's classmates, like a "Hollywood cocktail party. Arthur acquired Purdue Frederick in 1952, and then the family got truly rich. A definitive, damning, urgent tale of overweening avarice at tremendous cost to society. Isaac and Sophie spoke Yiddish at home, but they encouraged their sons to assimilate.

Empire Of Pain Discussion Questions

The decision was taken by an FDA official who turned up a year later working for Purdue Pharma with a starting package worth nearly $400, 000 a year. During this time, and as the company came under increasing scrutiny, with overdose deaths raising alarms nationwide, company president Michael Freidman, Medical Director Dr. Paul Goldenheim, and counsel Howard Udell were sent out as the public face, with Goldenheim expressing regret about how drug addicts were abusing their product, as his "medical credentials were useful to the company in projecting an image of Hippocratic virtue. " 15 God of Dreams 185. The Sacklers and their legal representatives have long challenged reports suggesting that they deliberately downplayed Oxycontin's dangers or otherwise bear some responsibility for the epidemic. You don't want to be blindly trusting, but you also don't want to be so reflexively skeptical that you're going to just turn your back on science and go it alone. But even McKinsey couldn't help Purdue avoid a tsunami. The founder of that dynasty had established numerous patterns that held for generations. He is also indefatigable.

As Keefe tells Inverse: "One of the biggest choices I made in writing the book was to devote almost a third of the book to the life of the guy who dies before OxyContin. And he bought a pharmaceutical company for his brothers, which they ran, that he had a stake in. At Christmas, he would deliver great bouquets of flowers, and as he walked along the broad avenues, he would peer through brightly lit windows into the apartments and see the twinkle of Christmas lights inside. You've said that your wife is more likely than you to independently research a drug she's been prescribed — that you're more likely to trust a doctor's orders. Patrick Radden Keefe: What was so striking to me about Arthur was that so much of what comes later happens in embryo in his story. Every time he writes a book, I read it. I was pushing hard right up to the moment the book came out and then promptly came down with Covid. Some of the teachers had PhDs.

"I read everything he writes. Both Sophie and Isaac regarded medicine as a noble profession. AILSA CHANG, HOST: NPR is celebrating Books We Love from 2021. The author will be signing and personalizing copies of their book after the speaking portion of the event. Solve this clue: and be entered to win.. He reached out to me after he read my New Yorker article.

"Arthur invented the wheel, " as one former employee at the advertising agency put it. Reformulation doesn't happen until 2010. But for the rest of the reading public, it lives out every promise inherent in the word exposé... there's a chance that fans of his may feel less closure than they hoped for after reading Empire. Having sold the grocery in order to finance his real estate investments, Isaac was now reduced to taking a low-paying job behind the counter at someone else's grocery store, just to pay the bills. His inexhaustible gusto and restless creativity were such that he always seemed to be fizzing with new innovations and ideas. Like many children of immigrants, their dreams involved getting a good education and working hard to build their fortunes.

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