1. FDA
    1. Oxy 1995
      1. Short-term tx
    2. Thompson
      1. manufacturer PMRS
      2. has become anti-opiate
      3. new drug
        1. bring down industry
          1. corrupt
          2. depraved
    3. Kolodny
      1. over-prescribing
    4. David Kessler
      1. prev. FDA
    5. Expanded labeling
      1. Chronic pain
      2. Change - Daily, extended time
      3. "around the clock ... extended period of time"
    6. LT pain
      1. No evidence it helps
      2. secret mtgs
        1. Purdue
      3. Jobs <->
    7. Dsuvia
      1. Just approved
      2. 1000x stronger
    8. Pharma promotion
  2. DEA
    1. Ramazzisi
      1. Whistleblower
      2. Diversion control
      3. congress
      4. lobbyists
      5. Distributors
        1. ignore illicit use
        2. Cardinal
        3. McKesson
        4. Amerisorce
        5. accountability
    2. Manufacturers
      1. effective
        1. for pain
      2. safe
      3. addiction RARE
    3. Pill Mills
      1. "Modern crack looks like a joke"
    4. Distributors
      1. Distribution Alliance
      2. chokepoint
      3. Required* to report
      4. It's the MD's
      5. Cincinnati
        1. Yokers Geldoff
      6. Wanted a "good faith effort"
        1. Got 0
      7. Fines - $341 mil. (less than 1day profit)
    5. Cardinal
      1. Complained to lawmakers
      2. Pressured DEA
        1. Divided the office
          1. Lawers switched sides
      3. DEA pulled back, stopped investigating
      4. Mingo County
        1. Ostacles
        2. Fools errands
      5. ridiculous requirements
        1. PROVE malfeasance
    6. Marino bill
      1. diversion
      2. 2016 - 16,000 deaths in FL
      3. Holder warned
        1. Protect criminals
      4. Ramazzisi fired
      5. Linden Barber wrote
        1. Ex-DEA
        2. designed to protect manufacturers
  3. McKesson Case
    1. Schiller, D.
      1. Denver
    2. 5th largest company in the world
    3. fine - $13.3m
      1. failure to report
    4. selling to criminals
    5. 1/3 of all meds
      1. DEA requires reporting
      2. reported 0
    6. Message
      1. Afraid of the lawyers
    7. backdoor settlements
      1. $150m fine
      2. DEA refuses to go to court
    8. Andrea McKesson, NH Cong.
      1. 41 states suing
      2. no incentives to change
      3. like tobacco
    9. CEO - 18+ yrs
      1. performance bonus
        1. for ethics
  4. Schultz
    1. Jail
      1. 57 yeras
      2. scapegoat
    2. Clinics notorious in FL
      1. mob scenes
      2. shocking #s
    3. maintains he was helping
      1. didn't know
      2. 1 pt. died
      3. 2900 in 2009 in FL? or county?
    4. Believes he is right
    5. Cites Portnoy
      1. Opiates are wonder drugs
      2. Addiction risk low
      3. Salesman for manufacturers
        1. not even a doctor?
      4. American Pain Society
  5. Consequences
    1. MANY MDs
    2. 0 MFs
      1. beginning to target