The Opioid Tragedy, Part 1: ‘We’ve Addicted an Entire Generation’

How pharma greed, government subsidies, and a push to make pain the “fifth vital sign” kicked off a crisis that costs $80 billion a year and has killed hundreds of thousands of Americans

Stephen J. Dubner/ Freakonomics Radio
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Oxycodone pain pills prescribed for a patient with chronic pain lie on display
Oxycodone pain pills prescribed for a patient with chronic pain. Photo: John Moore/Getty Images

The U.S. is in the throes of a full-blown crisis of opioid overuse, abuse, damage, and death. As far back as 2006, federal health institutes flagged what they called “disturbing data about a spike in opioid addictions. But the message didn’t seem to get through. Prescriptions for opioids continued to rise, and during the Obama administration, opioid abuse was declared an epidemic. The crisis has persisted under the Trump administration.

The good news is that overdose deaths have finally stopped increasing, for the first time since 1990. Still, tens of thousands of people each year are dying from opioids — especially the street drugs heroin and synthetic fentanyl but also prescription painkillers like Oxycontin, Percocet, and Vicodin. Aside from the loss of life and the broken families, consider the economic cost of prescription-opioid abuse. The Centers for Disease Control and Prevention recently put that number at nearly $80 billion a year, once you add up the costs of health care, addiction treatment…

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