Standing in their way, as Mountcastle and Ramseyer mention repeatedly in the show, are the feds-who might have some stake in the opioid crisis trudging on-the apathy of their superiors who, without sufficient evidence that Purdue lied in their marketing materials, couldn’t make a move, and Purdue’s tactics to circumvent the law (with the blessing of the FDA) at every turn. Rick Mountcastle (a quietly intense Peter Saarsgard) and Randy Ramseyer (John Hoogenakker) were some of the first to investigate not just Purdue but the Food and Drug Administration-which signed off on Ox圜ontin’s safety-and became protagonists, lighthouses in a dark abyss of addiction that locales like Eastern Kentucky may never find itself out of. Before long, according to law enforcement officials, opioid-related crime, death, and abuse rates skyrocketed, leading politicians to back numerous crackdowns on addicts. Samuel Finnix (played by Michael Keaton), the drugs would make their way to coal miners, street dealers, paupers, and old-timers in Appalachia. The narrative was rather simple: After Purdue sicced its salesmen on physicians, like Dr. This story, which is retold in the new Hulu show Dopesick (based on Beth Macy’s 2018 book), chronicles the introduction of Ox圜ontin to Eastern Kentucky-spearheaded by supervillain Richard Sackler (Michael Stuhlbarg) of Purdue Pharma-in 1996, and the 2007 lawsuit for illegal mislabeling that would bring their misdeeds to light. When it comes to the opioid crisis, which ravaged communities like Eastern Kentucky from the mid-’90s to the 2000s, the Big Bad was always Big Pharma-namely Purdue Pharma, who flooded the market with pills and convinced local physicians to prescribe Ox圜ontin in increasingly high doses.
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