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因为药物吸食过量死亡的人数
Drug overdose deaths across the U.S.
较1990年增长了三倍
have more than tripled since 1990.
每天都有四十人
40 people die every day
因处方止痛药过量而死亡
from prescription painkiller overdoses.
这条红线是直线上升的
The trajectory has simply been upward.
这是一场没有硝烟的战争
It's America's silent epidemic.
横贯全国的大瘟疫
A plague in our country.
下午好-吃了么
Good afternoon.- How are you?
今天我们请到现场的是Joe Rannazzisi
We have with us today Joe Rannazzisi.
缉毒局退休老特工
He is retired from the DEA.
整个鸦♥片♥危机的起点就是处方
The opioid crisis started with prescriptions.
厨房♥和医护照顾
Prescriptions and patient care--
这种所谓的我们没有在治疗疼痛的说法
this idea that we weren't adequately treating pain.
像奥施康定这种药打入市场
Drugs like OxyContin come on to the market
那些所谓的专家和公知们就大肆吹捧
and thought provokers and medical experts
搞得阿片类药物跟上帝的老宝贝儿一样
began to preach the gospel of the opioid.
然后我们开始用所谓的痛苦量化表
We started using the pain scale.
“疼痛是生命的第五个特征"
"Pain is the fifth vital sign."
他们还搞了个新词儿叫伪上瘾
They developed new medical terms like "pseudoaddiction."
疯球了哇
Craziness.
你身体有耐药性了,你得加量啊
Your body builds a tolerance, you need more drug.
只要你一加量,你就得用劲儿更大的药
As you need more drug, you need stronger drug.
劲儿的大它贵啊
As you get stronger drug, it's more expensive.
所以大家都去买♥♥二三十的海♥洛♥因♥
And instead of buying $150 worth of pills a day,
而不是一百五的处方药
you're buying $20 or $30 of heroin bags a day.
留给科罗拉多州的时间不多了
The problem encroaching on Colorado.
密西西比州紧随其后
Taking a toll on the Magnolia State.
法家窑有越来越多的人
More and more lives in Farmburg County--
穆家村儿-西杨树屯儿
Woodland Hills- West Palm Beach--
阳光公社-丹佛
Springfield area- Denver--
咱们国家现在正面临着
Right now we have this wide-ranging
芬太尼及其合成毒品的侵袭
amount of fentanyl and fentanyl byproducts,
最重要的是这些东西害死了不少人
and it's killing a lot of people.
合成鸦♥片♥类
The synthetic opioid
已经成为了全美最致命的毒品
is the deadliest drug in the United States.
在一月份同一天之内就有五起吸食过量的报告
Five people OD'd on the same day in January.
仅上个周末就有三个人去世
We lost three people last weekend.
咱又不是突然有一天睡醒来一句
We didn't just wake up one day and say,
“妥了咱们搞点儿芬太尼778”
"Everybody just switch over to fentanyl."
这都是需要时间的啊朋友们,是一种过程啊
It was a progression, and it was a natural progression.
在咱库克县,平均下来一天就有三起死亡案例
Here in Cook County, it's three deaths per day.
密西西比的过量死亡人数已接近两百人
Mississippi's seen close to 200 overdose deaths.
自疫情开始到现在
Opioid deaths are up 20%
阿片类药物死亡率飙升20%
since the start of the pandemic.
而过量的死亡率更是远远小于实际
And overdose death is underreported.
这点儿事儿咱谁心里不清楚啊
We know that for sure.
所以到底死了多少人现在就是个迷
So we really don't know how many people died.
全国不知道有多少的
Hundreds of cities,counties,
省市县都参与其中
and states across the country
发动了一场针对
have launched a wide-ranging lawsuit
大型药企的总体战狙击战
targeting the pharmaceutical industry.
去阻止这种无良的行为
To stop the behaviors.
去教育这些垃圾学会承担责任
To hold these folks accountable.
受够了到此为止了
Enough is enough.
家门口就能看到有人嗑药磕死
We've got people dying on our streets.
死亡人数越来越多
We started seeing massive amounts of death.
到2012年光处方药就开出去2.5个亿
Our prescriptions by 2012 were over 250 million.
你们就不好奇为啥?
The question is, why?
合着全世界就美帝国知道
Are we the only people in the world
到底咋治疗疼痛呗?
that know how to treat pain?
可别扯犊子了
No.
能有这么大的消耗量
We consume that much
完全就是因为咱们
because our policies
整个政策就是被这些瘪犊子药企把持的
are basically created by the manufacturers.
我们跟这些公♥司♥都联♥系♥过了
So we've reached out to all the companies.
都拿到了他们的回应
We have all the responses,
也都写进报道里了
which we have woven into the story.
嗯
Yeah.
有一半儿的现在因为正在被调查
Half the company's declined to comment
现在拒绝给出回应
because of the ongoing litigation,
剩下的那一半儿吧,你懂得
and then the other half, you know,
就给了个特别长的官方声明
issued fairly lengthy statements.
普渡,强生这都回应了
Purdue, Johnson & Johnson, all commented.
他们现在啥主张?
What's their, you know, main defense right now?
还是那个药监局都同意了
Yeah, FDA-approved drugs,
所以他们没有违法
that they weren't doing anything illegal.
反正是能推的都推回去了
Each point they pushed back on.
行
Okay.
现在主要的问题是啥吧
You know, one of the remaining questions is,
会不会有针对某个人或组织或企业的犯罪指控?
are there gonna be any criminal charges against anybody?
还一个就是这个事儿是司法部主导
And whether they're coordinated by the Department of Justice
还是说检察官那边儿
or if they're individual investigations
各干各的
by U.S. Attorneys Offices.
我们现在也不确定
We're not quite sure,
但是肯定是有事儿了
but there's something happening.
华♥盛♥顿♥邮♥报♥的这支调查小组
The investigative team at the "Post"
决定追寻这件“大事儿”的线索
began to follow leads to a very big story.
那就是美国的某些大药企
Some of America's largest pharmaceutical companies
不但依靠阿片类药物赚的盆满钵满
were not only profiting from the opioid crisis,
更有可能本身就是这起危机的制♥造♥者
they may have been manufacturing it.
鸦♥片♥危机的万恶之源
The origin of the opioid story
就是普渡药业在这里边儿的角色
began with the role of Purdue Pharma
以及实际的操纵者---萨克乐家族
and the family who controlled it--the Sacklers.
我们最近跟萨克乐家族顶过几回
We have had many run-ins with the Sacklers recently.
他们的主要意思就是
Their main point of contention
他们是无辜的
is that they did not ignite
鸦♥片♥危机不是他们的责任
the opioid crisis singlehandedly.
不管你信不信
Whether you believe that or don't believe that,
现在是有成山的证据证明
there is voluminous evidence that the crisis began
鸦♥片♥危机就是在奥施康定面世以后出现的
when OxyContin hit the streets.
普渡药业吹得冲锋号♥,萨克乐家族出的鬼主意
Purdue led the charge, Sackler came up with the idea,
剩下的人跟着嗷嗷冲
and everybody else followed.
其他的药企挤进的是普渡
Other drug companies moved into that market
一手搞起来的市场
that Purdue had created.
这是个值大几十亿美元的
They moved into that huge opioid
阿片类药物市场
multibillion-dollar market.
所以其他的药企开始
So other manufacturers began
研究制♥造♥奥施康定
making generic versions
新的通用型
of OxyContin--
羟考酮啊,氢考酮啊
oxycodone, hydrocodone,
因为有哪些没有医德的大夫
drug distributors started sending
这些药品经销商就开始
massive amounts of these drugs downstream
大批量的输送药物
because there were corrupt doctors all over the country.
晋西北乱成一锅粥了
It became like the Wild West.
在美国本土瞬间就出现了一个新的
This was a new drug cartel that was being established
贩毒集团
in the United States.
不同的就是这个贩毒集团不是国外来的
But instead of coming in from a foreign country,
而是那些穿的人模狗样的
there were drug dealers who were wearing suits
药代
and lab coats.
那会就开到这吧
I think that's it.
都回去干活吧-好
Go and do.- All right.
为了真正的打入这个
To penetrate the network
贩毒网络的核心
of corporate drug dealers,
报社的调查小组需要某个
the investigative unit at the "Post" needed help
最接近核心的人
from an inside source,
这个人要真正的了解这些交易的
someone with firsthand knowledge
运作模式
of the way the deals worked
以及这些交易是如何变成犯罪的
and how they turned into crimes.
根据线报
On a tip,
他们联♥系♥上了缉毒局退役特工Joe Rannazzisi
they contacted a retired DEA agent, Joe Rannazzisi.
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