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The Ethics of Opioids
Erin McQuillan
Opioids
“Opioids are natural or synthetic chemicals that bind to receptors in your brain
or body.”
Used to treat: Severe pain-often after surgery and chronic or acute pain
Common Opioids: heroin and prescription drugs such as oxycodone and
hydrocodone
Incredibly addictive
Since 1999, the number of prescriptions for opioid pills has quadrupled. The
number of annual overdose deaths has quadrupled, too, to 19,000 per year.
John Kapoor
Net worth: $1.82 billion
CEO of Insys- powerful pain-killing fentanyl spray called Subsys that is
approved only for use by cancer patients
Investigated by U.S. attorneys in the Central District of California and the
District of Massachusetts
“I look at doctors and we think, professionally, they’re all ethical and all that,” Kapoor says. “I learnt that in certain
areas, like in pain management or in opioids—this is public information, I’m not making it up—that there are
doctors that overprescribe and things like that.” On speaker programmes: “We have very strict company
policies,” Kapoor says. “If something happened in the field, sometimes the company may not know about it.”
https://www.youtube.com/watch?v=5pdPrQFjo2o (13:39-14:52)
Ethical Questions
Since there are so many deaths, why are the number of prescriptions going
up?
How far can you go to stop giving a prescription that is helping so many
people but also hurting so many people?
How would you guys go about solving this problem?
John Kapoor made his billions by letting his drug companies push legal and
ethical limits, why has he been allowed to do this for so long?
Citations
http://www.forbesindia.com/article/cross-border/opioid-drugs-made-john-
kapoor-a-billionaire-but-has-he-breached-ethical-limits/44641/1
http://www.hhs.gov/opioids/
https://teens.drugabuse.gov/sites/default/files/peerx/pdf/PEERx_Toolkit_Fac
tSheets_Opioids.pdf
http://www.forbes.com/sites/michelatindera/2016/11/04/billionaire-john-
kapoors-net-worth-falls-470-million-as-shares-of-opioid-maker-insys-hit-new-
low/#38f990241597

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Ethics of Opioids