Wednesday, December 6, 2023

‘Dopesic’ drama and Michael Keaton uses to give a human face to the opioid crisis

Sitting on your couch, remote in hand, you might choose a drama about a bullying, obscenely affluent family plagued by infighting but rejoicing in claiming their wealth and power, even though people die. Or you can look at “Succession”.

Unlike that HBO show, Hulu’s new eight-part series doesn’t laugh at the outlandish behavior of its titans of the “dopesic” industry. But the big difference is that “Dopesic,” while a scripted drama, is about a real-life family’s alleged role in creating one of the greatest public health disasters in American history: the opioid crisis.

Based largely on Beth Massey’s 2018 book, the show attempts to dramatize how the Sackler family and members of their company, Purdue Pharma, with the aid of loose regulations, pushed OxyContin to the public in the 1990s. The introduction of OxyContin is now seen as the start of the opioid epidemic, which has killed more than 500,000 people nationwide and made millions more addicted to it.

The Sacklers say they take no responsibility for the crisis and will likely never face trial because of the broad protections in the bankruptcy settlement that led to the dissolution of Purdue Pharma last month. That agreement made the timing of the new series all the more important to its producers.

“This series is the test it should have been,” said Danny Strong (“Empire”), who created and oversaw the show, which debuted Wednesday. “What drives the story deeper is that it’s about the dark side of American capitalism, where you have government and industry colluding.”

“Dopesic” stands apart from a growing list of high-profile books and documentaries about the crisis, including the most recent four-hour HBO documentary, “The Crime of the Century”, by Alex Gibney, partially leaked from the 120-page based on. Justice Department reports from 2006 that were kept confidential as the department pushed for a settlement with Purdue in 2007. (Purdue pleaded guilty to one felony charge of “misbranding” OxyContin; three company executives each pleaded guilty to a related misdemeanor.)

The new series, which counts Barry Levinson (“Diner,” “Rain Man”) among its directors, is, in a sense, where the documentary leaves off; Using the liberties of scripted television, it ventures inside the four-year investigation behind that report – as a group of federal prosecutors (played by John Hugenacker, Jake McDorman and Peter Sarsgaard) and a frustrated Drug Enforcement Administration agent. (Rosario Dawson). .

Doing a scripted series also offered “unique benefits,” Strong said, keeping viewers inside the room with Purdue executives “as they discuss their manipulative marketing campaigns.” Those scenes aren’t word-perfect entertainment, Strong acknowledged, but they build on mountains of pre-existing research by Macy, who is an executive producer and helped write the series, and additional by Strong, Macy and others. on research.

“It’s a piece of art in which the actors say the dialogue,” Strong said. “But I used those scenes as a conduit to get the facts out.”

The moral center of “Dopesic” is the story of a family businessman in the fictional Appalachian town of Finch Creek, Va., played by Michael Keaton. Samuel Phoenix. (His character, like many others, is an amalgam of several real-life people.) Phoenix is ​​persuaded by aggressive Purdue salespeople that OxyContin is a miracle drug—a powerful, long-acting painkiller. What they insist is addiction in less than 1 percent of people who take it as prescribed.

Little does Phoenix know that, like so many real doctors, it is being manipulated with false and misleading information about its addictive properties—including a uniquely misleading FDA-approved label. The label was not based on findings from clinical trials but on the theory advanced by Purdue that the drug was less addictive than shorter-acting pain relievers.

The truth becomes clear as Phoenix sees one patient after another – including a wounded young coal miner played by Kaitlyn Dever – becomes addicted. Some of them die.

Keaton, who is also an executive producer, was inspired to participate in the series in part because one of his nephews died from fentanyl and heroin use.

“You get consumed by addiction,” Keaton said in a recent phone interview. “It’s a soul sucker. It really takes great people down.”

“I am proud to hold those people accountable for the victims of this opioid crisis,” he said.

When the chain isn’t keeping up with investigators and victims of the crisis, it is wandering the board rooms and mansions of its beneficiaries, the Sackler family, whose fortune was estimated to be around $11 billion in April. At the forefront is Richard Sackler (Michael Stuhlberg), who must navigate family politics and government rules in his campaign to create a blockbuster drug and become president of the company.

(A spokesperson for the now-disbanded Purdue Pharma, Michelle Sharp, declined to comment for this article; Paul Holmes and Davidson Goldin, spokesmen for two branches of the Sackler family with ownership history at Purdue Pharma, also declined to comment. refused.)

He said Strong decided early on to make the US lawyers’ investigation the “narrative backbone” of the series. He then decided that negotiations between Purdue’s internal conspiracies and the victims in Finch Creek would “give a more accurate understanding of what happened.”

Macy said he had persuaded Strong to hire Kentucky novelist Robert Gipp (“Trampoline”) to make sure the series depicted small-town Appalachia without stereotypes. He also brought several sources into the writers’ room, including former Purdue employees and a doctor, who discussed the pressure he felt from sales reps and his drug addiction.

Both Strong and Keaton were stunned to learn how the drug alters a person’s brain chemistry, even when taken as prescribed.

“The idea that your frontal lobe has been replaced and it can take up to two years to come back, startled me,” Strong said.

With this in mind, Strong said he made “fixing and fixing a major plot point in the past few episodes” in hopes of destroying treatment for opioid use disorder. For Massey, this meant emphasizing the effectiveness of drug-assisted treatment, in which addicts use less dangerous opioids, such as methadone or Suboxone, to regain their lives.

It also meant making sure to include some details to help clarify the record, such as Richard Sackler’s well-documented instructions in a 2001 email to “hammer abusers” and portray them as criminals. .

“He blamed the wrong people and got away with it,” Massey said. “I hope people understand that many people were addicted through no fault of their own, but Purdue continues to carry the message that opioids are now safe. I hope this show will open hearts and minds to who the real culprits are.”

Ryan Hampton, a former campaign staffer for Bill Clinton and author of “Unsettled,” the new book about the opioid crisis, agreed; He said the series could help Americans see that substance abuse was not the problem.

“We didn’t do that for ourselves,” said Hampton, who was injured while hiking in 2003 and was prescribed opioids. He became addicted, abusing OxyContin and eventually heroin, then lost his job and home before going sober in 2015.

“It was about the people in the boardroom bringing death and destruction to our communities,” he said. “Recognizable faces in those roles could be transformative in shaping more positive attitudes.”

But Strong and Massey ensured that “Dopesick” looks beyond Purdue Pharma’s behavior to a federal government that often turns a blind eye to — or worse yet — potential threats while letting campaign finance dollars roll in. For.

“The Sacklers have a subtle take on the story,” Keaton said. “But Macro is looking at all the corporations that have increasingly harmed people and their communities, especially those in the lower and middle classes.”

Assistant U.S. Attorney Randy Ramser, played by Hughnacker in the series, said in an email that he didn’t want viewers to “blame a family and forget all the systemic failures that cause our problems.”

“That mindset won’t help us make changes to prevent a recurrence,” he continued.

It seems that little has changed since the period of time covered by “dopesic”. In 2016, Congress rewrote federal law in such a way that after two years, after $106 million of lobbying from the pharmaceutical industry, the DEA’s ability to keep prescription painkillers off the black market was compromised. seriously disrupted.

Meanwhile, the Sacklers, for now protected by bankruptcy settlement, are one of America’s wealthiest families. (Several states have said they will appeal the agreement.)

Ramseyer, who hasn’t seen “Dopesic,” wouldn’t say what effect he thought the series might have. But he stressed the need for change.

“As a society, it seems we haven’t learned anything from that experience,” he said of Purdue and OxyContin’s story. “No one is paying attention.”

World Nation News Desk
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