Opinion

Editorial: Drug makers have obligation to address opioid epidemic

Friday, April 20, 2018 -- Drug manufacturers should recognize their accountability and accept responsibility to fix the deadly opioid mess they, in a very large way, created. They should work with communities and states to come up with settlements that provide the funding, programs and treatments to stop this deadly epidemic.

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Sessions outlines fight against opioid crisis
CBC Editorial: Friday, April 20, 2018; Editorial # 8292
The following is the opinion of Capitol Broadcasting Company
The facts. In 2016, for the first time, the number of opioid-related deaths in North Carolina (1,518) exceeded the number of people who died in motor vehicle crashes on the state’s roads (1,439).

It is a sorry trend that doesn’t yet appear to be changing. That is not acceptable. The companies that make opioids need to be a part of the solution and pay to fix the mess they helped create.

U.S. Attorney General Jeff Sessions was in Raleigh earlier this week in an appearance that both highlighted the problem and sought to display the effort President Donald Trump’s administration is taking to address the opioid abuse crisis.

He coordinated it with local U.S. Attorney Bobby Higdon’s announcement of the conviction of a doctor from Pembroke for unlawful distribution of oxycodone. The enforcement action came after the federal Drug Enforcement Administration noticed that four of the top 10 oxycodone prescribing pharmacies in the state were in the Lumberton area.
Sessions unveiled proposed new rules to set quotas on the production of addictive medications.
The new rules would require drug companies to coordinate with the DEA. “If the DEA believes that a company’s opioids are being diverted for misuse, then they will reduce the amount of opioids that company can make,” Sessions said.
Rules and regulations are fine. North Carolina, in a rare show of bipartisanship, is already out front with the “Stop Act” that is a multi-pronged effort that includes rules on how doctors can prescribe painkillers and information that must be reported to the state by pharmacists.

All that is well-and-good. But what’s really needed is a massive effort at providing those fighting this crisis – addicts, their families and communities – with the necessary resources to get it under control.

First we must repeat a too-familiar refrain. The General Assembly’s steadfast refusal to expand Medicaid to those most in need – at almost no-cost to the state – means that treatment remains unavailable to thousands of North Carolinians. The legislature needs to lift the ban immediately and make Medicaid available to nearly half-a-million citizens it now denies.

Attorney General Josh Stein’s approach of filing a lawsuit against Insys Therapeutics, a manufacturer of Subsys, a spray form of the synthetic opioid fentanyl, is a way to force those who have profited from this crisis to help fix it.

“Insys and its sales representatives (were) pushing its incredibly potent opioid on North Carolina patients just to make more money. This is unconscionable, it’s unacceptable. … Today, I am acting to hold them accountable,” Stein said late last year when he filed the lawsuit.
Several communities around the state have filed similar lawsuits as part of the “National Prescription Opiate Multi-District Litigation.”

This is hardly new or cutting edge. The massive settlement with tobacco companies several years ago has helped pay for smoking cessation programs as well as establish a foundation that’s provided millions of dollars to help tobacco-dependent communities shift and revive their economies. Similar settlements have provided money for energy efficiency and land conservation initiatives.

Drug manufacturers should, on their own, recognize their accountability and accept responsibility to fix the deadly mess they in a very large way created. They should work with communities and states like North Carolina to come up with settlements that provide the funding, programs and treatments to stop this deadly epidemic.

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