A grand, devastating portrait of three generations of the Sackler family, famed for their philanthropy, whose fortune was built by Valium and whose reputation was destroyed by OxyContin, by the prize-winning, bestselling author of Say Nothing
The Sackler name adorns the walls of many storied institutions—Harvard, the Metropolitan Museum of Art, Oxford, the Louvre. They are one of the richest families in the world, known for their lavish donations to the arts and the sciences. The source of the family fortune was vague, however, until it emerged that the Sacklers were responsible for making and marketing a blockbuster painkiller that was the catalyst for the opioid crisis.
Empire of Pain begins with the story of three doctor brothers, Raymond, Mortimer and the incalculably energetic Arthur, who weathered the poverty of the Great Depression and appalling anti-Semitism. Working at a barbaric mental institution, Arthur saw a better way and conducted groundbreaking research into drug treatments. He also had a genius for marketing, especially for pharmaceuticals, and bought a small ad firm.
Arthur devised the marketing for Valium, and built the first great Sackler fortune. He purchased a drug manufacturer, Purdue Frederick, which would be run by Raymond and Mortimer. The brothers began collecting art, and wives, and grand residences in exotic locales. Their children and grandchildren grew up in luxury.
Forty years later, Raymond’s son Richard ran the family-owned Purdue. The template Arthur Sackler created to sell Valium—co-opting doctors, influencing the FDA, downplaying the drug’s addictiveness—was employed to launch a far more potent product: OxyContin. The drug went on to generate some thirty-five billion dollars in revenue, and to launch a public health crisis in which hundreds of thousands would die.
This is the saga of three generations of a single family and the mark they would leave on the world, a tale that moves from the bustling streets of early twentieth-century Brooklyn to the seaside palaces of Greenwich, Connecticut, and Cap d’Antibes to the corridors of power in Washington, D.C. Empire of Pain chronicles the multiple investigations of the Sacklers and their company, and the scorched-earth legal tactics that the family has used to evade accountability. The history of the Sackler dynasty is rife with drama—baroque personal lives; bitter disputes over estates; fistfights in boardrooms; glittering art collections; Machiavellian courtroom maneuvers; and the calculated use of money to burnish reputations and crush the less powerful.
Empire of Pain is a masterpiece of narrative reporting and writing, exhaustively documented and ferociously compelling. It is a portrait of the excesses of America’s second Gilded Age, a study of impunity among the super elite and a relentless investigation of the naked greed and indifference to human suffering that built one of the world’s great fortunes.
##我以為Book 1的stereotypical老白男發傢史已經很讓人血壓飆升瞭,沒想到Book 2&3裡二代三代們的pathological-denial and accountability-avoiding真是歎為觀止的rage-inducing。我相信第一代進入製藥業的齣發點是好的,第二代發明oxycontin的齣發點是好的。但因為上市前的研究不足,以及aggressive advertising (no thanks to Arthur Sackler and his methods)導緻現在opioid crisis這傢人的作為 (or lack thereof)肯定是有直接關係的。書裡揭露齣有問題的不僅是這傢人,不僅是製藥業,不僅是資本,還有不作為的FDA、司法機構和法律漏洞
評分##寫瞭我非常喜歡的say nothing 的調查型作傢Patrick Keefe去年的新書。非常詳實的講述瞭oxycontin的發傢史。相當精彩。沒想到我們這麼常用的止痛藥,在美國乃至全世界造成瞭這麼嚴重的鴉片類藥物濫用。有一個有趣的小知識居然是因為sterotype嚴重,醫生不願意給Africa-american開鴉片類藥物的處方,結果黑人居然是最少濫用的人群。所以從一個側麵也說明,如果從處方嚴格管理控製,也是有效的吧。希望會有更多的RCT的結論。有聲書由作者自己講述,講得還是非常精彩的。用詞簡單,情節豐富,非常推薦。時長18時7時。
評分##Take it with a pinch of salt. No, two pinches of salt.
評分##我以為Book 1的stereotypical老白男發傢史已經很讓人血壓飆升瞭,沒想到Book 2&3裡二代三代們的pathological-denial and accountability-avoiding真是歎為觀止的rage-inducing。我相信第一代進入製藥業的齣發點是好的,第二代發明oxycontin的齣發點是好的。但因為上市前的研究不足,以及aggressive advertising (no thanks to Arthur Sackler and his methods)導緻現在opioid crisis這傢人的作為 (or lack thereof)肯定是有直接關係的。書裡揭露齣有問題的不僅是這傢人,不僅是製藥業,不僅是資本,還有不作為的FDA、司法機構和法律漏洞
評分##我以為Book 1的stereotypical老白男發傢史已經很讓人血壓飆升瞭,沒想到Book 2&3裡二代三代們的pathological-denial and accountability-avoiding真是歎為觀止的rage-inducing。我相信第一代進入製藥業的齣發點是好的,第二代發明oxycontin的齣發點是好的。但因為上市前的研究不足,以及aggressive advertising (no thanks to Arthur Sackler and his methods)導緻現在opioid crisis這傢人的作為 (or lack thereof)肯定是有直接關係的。書裡揭露齣有問題的不僅是這傢人,不僅是製藥業,不僅是資本,還有不作為的FDA、司法機構和法律漏洞
評分即便躋身歐美上流社會,坐擁數百億美元的財富,身負世界慈善名流傢族的名銜,魔鬼就是魔鬼。他們瘋狂地攫取暴利、追逐名譽,無情地侵害上百萬人的健康,膠割已遭滲漏的社會財富。罔顧社會責任的資本運力,勾連成網,侵蝕美國政府、司法、商業、監管、谘詢、科研、學術、社群、公共言論,釀成一場全美範圍的毒禍:在過去的20多年裏,緻使美國50萬餘人死亡;整整一代人在藥物成癮和繼發毒品依賴的深淵掙紮求生;損失2萬億美元,仍無法撲滅鴉片濫用似瘟疫般蔓延。始作俑者正是顯赫的Sackler傢族。盛名耀目的光環,隱匿、區隔的存在狀態,延續三代的行為事實,Keefe緊扣以衝突構成的主綫,憑藉掘墳一般的調研功力,將分裂的真相曝光於公眾視野。也許Sackler傢的人以為,並期待,他們的罪行會像因風而起的柳絮如煙。那隻是一種斷見。
評分##最精彩是book 1關於Arthur如何白手起傢的故事。Book 2和3就是same old story, "A parable about the awesome capability of private industry to subvert public institutions." 有錢真的可以為所欲為。感覺在閱讀enjoyment上還是同一作者的前作say nothing更勝一籌。
評分##非常全麵詳細,時間綫到2020年,比Dreamland多5年。雖然Sacklers目前看來逃脫瞭司法懲罰,但是“To gather evidence and tell the story——the true story, the whole story, the story that had so long been suppressed——had a value of its own.”如果想要更直觀的瞭解這個故事,還是要看《Dopesick》。
評分##"If there was one thing, apart from donating money, that the Sacklers knew how to do, it was sell opioids." 看這書讓我感覺真心感覺FDA是個250,前一款opioid pain killer的專利期剛過,Sackler就發布一款新的止痛藥並聲稱比之前那款更加不會導緻上癮,FDA居然也能審批通過。而且一個傢族在作惡數個generation之後遭遇集體控訴還可以全身而退,完全沒有對個人的任何處決,甚至還能照樣帶走幾十個billion,資本對世界的控製真是可怕
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