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Wednesday, January 02, 2008
Jacob Sullum :: Townhall.com Columnist
The Buck Keeps Moving
by Jacob Sullum
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Critics of OxyContin manufacturer Purdue Pharma blame it for promoting abuse of the painkiller by encouraging family doctors to prescribe it. "As a result of the expanded access," said a recent New York Times story, summarizing the rap against the company, "OxyContin wound up in the high schools and street corners of rural America, where curious teenagers crushed the pill, defeating the time-release formula, and ended up addicts or, in some cases, dead."

Miraculous as OxyContin may seem to people suffering from severe chronic pain, it does not have the ability to crush itself and leap up the noses of innocent bystanders. No one "ends up" an addict without repeatedly choosing to seek out and consume a drug for the pleasure or emotional relief it provides. Drug treatment data indicate that regular OxyContin users are typically experienced illicit drug consumers who have undergone treatment before, not "curious teenagers."

Purdue Pharma, which pleaded guilty in May to "misbranding," may have misled doctors by telling them OxyContin was less subject to abuse than other opioids. But depicting OxyContin addicts as innocent victims of corporate greed is equally misleading, ignoring the decisions by which they determined their own fates.

There was no shortage of such responsibility-deflecting narratives in 2007. A few more highlights:

Kentucky Fried Lawsuit. Arthur Hoyte, a retired physician from Rockville, Md., sued KFC after discovering what he portrayed as the fast-food chain's deadly secret: It fried its chicken in partially hydrogenated vegetable oil. (It has since switched to a trans-fat-free oil.) "If I had known that KFC uses an unnatural frying oil and that the food was so high in trans fat, I would have reconsidered my choices," Hoyte said.

But the evidence Hoyte cited to back up his class action, which was supported by the Center for Science in the Public Interest, consisted largely of information KFC itself disseminated through its Web site and point-of-sale posters. In May, a federal judge dismissed the suit.

Deadly Drinking. Last spring, after a fraternity initiation rite, Gary DeVercelly Jr., an 18-year-old freshman at Rider University in Lawrenceville, N.J., was pronounced dead at a Trenton hospital. He had a blood alcohol concentration of 0.43 percent. In August, local prosecutors responded by charging three students and two university officials with "aggravated hazing," which carries a penalty of up to 18 months in prison.

Unless the administrators were at DeVercelly's side shouting "Drink, drink," charging them seems like a stretch, even if you accept the premise that anyone should be held criminally liable for an adult's decision to consume three-quarters of a bottle of vodka in less than half an hour. Although the charges against the Rider officials were later dropped, last week, DeVercelly's parents sued the university.

San Francisco Tiger. So far the story about the fatal Christmas Day attack at the San Francisco Zoo has focused primarily on the question of what the zoo should have done to prevent the tiger from escaping, the main criticism being that the wall around the enclosure was not tall enough. But the experts seem to agree that a Siberian tiger does not leap a 33-foot moat and scale a 12-foot-5-inch wall without provocation. "There had to have been a tremendous stimulus that made the tiger react the way she did," one told the San Francisco Chronicle.

The teenager who was killed, Carlos Sousa Jr., reportedly saved his friends, 19-year-old Amritpal Dhaliwal and his 23-year-old brother, Kulbir, by luring the tiger away from them. The brothers were hostile to the police, at first refusing even to give their names, and they have yet to provide a public account of what happened.

Police found a shoeprint on top of the railing outside the enclosure, and the Chronicle reported that "pinecones and sticks that were found in the moat might have been thrown at the animal." Whatever role the Dhaliwal brothers played in the attack, you can be sure it will be further obscured by their inevitable lawsuit.

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About The Author
Jacob Sullum is a senior editor at Reason magazine and a contributing columnist on Townhall.com.
 
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©Creators Syndicate
On OxyContin...
--
...the fact that Purdue Pharma pleaded guilty to a non-crime ("misbranding"?) is a perfect example of how the FDA functions not as a protector of public safety - its ostensible purpose - but rather as yet another gang of thugs in the federal government's insane and entirely unconstitutional "War on (Some) Drugs."'

Let it be understood that I approach this question from the position of a GP, one of Mangled Care's low-budget "gatekeeper" physicians, the guys who get paid the least to do the most.

As such, I've handled a helluva lot of chronic pain over the years, particularly hospice patients dying of metastatic cancer.

Slow-release opioid agonists - particularly easily-swallowed oral formulations like OxyContin and the morphine-based products (MS Contin, Avinza, Oramorph SR, Kadian, Roxanol, etc.) have proven extremely valuable tools in providing baseline analgesic measures of reliable effectiveness with minimal adverse secondary metabolic adverse effects.

The FDA "drug warriors" want us basing our cancer pain management methods on non-steroidal anti-inflammatory drugs (NSAIDs), which not only impair renal function and interfere - often unpredictably - with other drugs but are also shorter in duration of action and hellaciously less effective.

And has anyone reading this heard of the cardiovascular safety problems we've been having with COX-2 selective NSAIDs since Vioxx blew up in the FDA's face in 2004?

Punishing the pharma companies for producing consistently effective opioids like OxyContin and then marketing them to prescribers - who are licensed to know what they're doing with such drugs - is nothing more than a terror tactic to advance a socialist end.

For socialism is fundamentally at war with individual rights, individual responsibility, and human nature itself.

It is the enemy of lawful governance.

--

Opiate based drugs
This fight continues to only hurt the people who have to live in Chronic Pain day after day. As a dtr to a 20 yr Cancer survivor I have first hand knowledge of this witch hunt. These drugs are being bought over the internet from foreign countries like crazy and we want to hang our US M.D.'s from the highest tree! I can tell you that Doctors take prescribing these controlled substance very seriously. If they even have a hint that you are abusing them they will cut you off. I know that there are some Doctors that just dont care but they are far and few between. We need to allow Doctors to do what they do best Treat Sick People. The Gov't should pursue those who buy off the internet and leave our Good Doctors and their Sick Patients alone!!
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