Health Care

Painkiller: Purdue Pharma and the opioid epidemic dramatized

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Painkiller is a Netflix dramatic series directed by Peter Berg. Created and written by Micah Fitzerman-Blue and Noah Harpster, the series is based on the 2003 non-fiction work Painkiller, by Barry Meier, and the 2017 New Yorker article, “The Family That Built an Empire of Pain” by Patrick Radden Keefe.

The six-episode series is a powerful condemnation of Purdue Pharma, its executives and its chairman and president Richard Sackler in particular. Any honest, observant viewer is likely to extend the condemnation to the profit system as a whole, which is entirely willing to sacrifice untold numbers of lives in exchange for cash flow.

Many of the tragic and appalling circumstances of the opioid crisis are well known by now. They have been treated in streaming series such as Dopesick, as well as numerous books and articles. This does not take anything away from Painkiller or minimize its significance. Such exposés are needed more than ever, particularly in light of the COVID pandemic and the bloody, US-provoked Russia-Ukraine war. The mini-series further and valuably contributes to the portrait of the American ruling elite as murderous and predatory.

Matthew Broderick in Painkiller

Meanwhile the opioid disaster continues. According to the CDC, in the US, in the 12-month period ending in January 2023, there were approximately 109,600 drug-overdose-related deaths, a rate of 300 per day.

To tell the story of Painkiller, the miniseries utilizes both depictions of the leading executives at Purdue, and composite characters representing some of the victims.

Each episode of Painkiller begins with a real-life account given by a person affected by the OxyContin crisis, including parents who have lost children to addiction.

“The death of my son, Patrick,” explains one mother, “isn’t fiction. He died at age 24 … after having ingested just a single OxyContin. And I will tell you that time does not heal all wounds. Grief is not a process. It’s a lifelong weight on our heart and on our soul.”

Another laments: “My daughter, Elizabeth, died because of opioid addiction. She was full of life and love and I miss her. I miss everything about her. Every day I wake up and I make sure I look at her because I never want to go a day without remembering the joy that she brought me.”

Yet another: “This is my son Matthew Stavron. He was addicted to OxyContin and he’s no longer here with us. I miss him. He was beautiful, I loved him. I miss his charming smile and I miss those, ‘I love you, Mama’ and those hugs;”

And this: “We lost our son Riley at 28 years old. He became addicted to OxyContin from a back injury. Uh… He tried his hardest to… get right and get straight again and get sober, and he just couldn’t do it. He was a wonderful kid, he had the biggest heart you ever saw, and our lives will never be the same.”

In the first episode, the series introduces Edie Flowers (Uzo Aduba), a fictional-composite African-American lawyer from Virginia, who serves as our guide through the complex events. We learn that she worked years earlier for the US attorney’s office in Roanoke, Virginia investigating Purdue Pharma.

In the interests of dramatic coherence, the creators of Painkiller have compressed a myriad of lawsuits against Purdue, which occurred over the course of more than a decade, into “composites” as well. The series deals primarily with the early phase of the legal battles, leading up to Purdue Pharma officials pleading guilty in 2007 to the petty crime of “misbranding” and agreeing to pay a mere $634.5 million in fines for claiming the drug was less addictive and less subject to abuse than other pain medications, an outright and life-threatening lie.

Uzo Aduba in Painkiller

Flowers participated in that Virginia case, and much embittered by its result, less than a slap on the wrist, she travels to Washington D.C. years later to be interviewed by a law firm that is now pursuing a class action suit against Sackler and Purdue. This is the essential framework for the series, enabling Flowers to describe for the lawyers’ benefit how OxyContin came to be and how the Sacklers made their fortune.

She begins by telling the trio of attorneys about the patriarch of the family, Arthur Sackler, Jr. (Clark Gregg), who died in 1987. He was a psychiatrist who realized that he could make more marketing new medicines than being a doctor.

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