![]() This is the story being told in ongoing litigation against Purdue and other manufacturers and distributors of opioids. Nearly 100,000 people are thought to have died from overdose in 2020, the deadliest toll from overdose in American history. Seeing a chance to make even more money, they began to cut heroin with illicitly manufactured fentanyl and various other synthetic opioids, which are both cheaper to make and more potent. ![]() Again, overdose deaths increased.įinally, the third wave was initiated by dealers about four years later. Prescriptions became scarce, prices rose and people who were addicted began to turn to heroin, which was cheaper and now had a big enough pool of customers to attract cartels to places that they’d never served before. The second wave in this narrative begins around 2011, when states cracked down on “pain clinics” that were really pill mills, offering doses for dollars. Observational research suggested that opioid prescribing was linked with increased disability and decreased productivity. This led to hundreds of thousands of new addictions in the 1990s and 2000s. First, drug companies, led by Purdue Pharma, maker of the notorious Ox圜ontin, convinced gullible doctors to prescribe unneeded opioids. Journalists have largely presented the overdose crisis as a story of three interconnected and perhaps inevitable waves.
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