世纪犯罪（2021）

再然后你拿着开出来的处方
And then you take that prescription,
去走廊的那头
you go down to the other end of the hallway,
也就是药房♥
and it's a dispensary.
这一切都是属于一个老板的
And it's all owned by the same person,
所以他们手底下有大夫
so they're running the doctor's,
手里还有药房♥
and they're running the pharmacy.
说白了就是给毒贩啊
They were basically fronts for drug dealers,
给那些靠开处方换钱
for really corrupt doctors
胁迫肉体交易的无良医生啊
who were selling prescriptions for cash,
准备的门面包装罢了
trading prescriptions for sex.
简直就是白送啊
They actually basically just give 'em out.
大家会钻进车里
People would hop in their car,
一路开上75号♥公路
they'd get onto Interstate 75.
这是一条贯穿美国的公路
It's a highway that runs up the spine of America
从佛罗里达一路到阿巴拉契亚
from Florida up through Appalachia
再杀到俄亥俄
all the way through Ohio.
这是一条贯穿美国的非常繁忙
It was a very busy, very lucrative pathway
也非常赚钱的丝绸之路
for narcotics in America.
最后大家都管这条高速叫毒虫快乐路
It became known as the Oxy Highway.
我是福克斯新闻频道的Doug Smith
I'm Doug Smith with Fox 13.
我能跟你聊聊诊所的问题么
Can I talk with you about the clinic,
像诊所内到底是什么情况
what's going on inside the clinic?
我每次路过的时候
When I pass by here,
都看到那个队排的就尼玛离谱
the frickin' line is around the corner.
病人会一大早就排好队
Patients would be lined up in the morning,
等着进这些小诊所
waiting to get into these pill mills
做哪些敷衍了事的检查
so they could get a cursory examination,
有的甚至都没有检查
if any examination.
我们进去满打满算也就十分钟不到
We were in there less than ten minutes with a doctor,
出来的时候手里就拿着维柯丁的处方了
walked out with a prescription for Vicodin.
嗯哼
HE-MM
你们这儿一直都是这样的么？
Is that the way it works inside?
如果你有正当的
If you have proper, uh,
病例啥的我们就会尽我们的责任帮助你们
documentation and everything,we take care of you.
我们没有病例，也没有片子
We had no medical records.We had no X-rays.
开方子这个大夫是谁？
Yeah. Who would that doctor be?
我不太确定
I'm not quite sure.
等我回来查查吧有结果告诉你
But if you give me a call, I'll be checking into it.
所以那些运营诊所的无良医生
So a bad doctor who's running a clinic
开的方子并不是为了正当的医学用途
writes a script not for a legitimate medical purpose.
就算你不能组织大夫下药单
Okay, you can't stop that guy from writing that prescription,
取药的药剂师可以啊
but a pharmacist could,
如果药剂师拿到药单
because if a pharmacist gets that prescription
看到可疑的地方
and it shows red flags,
那这个药剂师就有义务
that pharmacist has a requirement
在拿药给别人之前
to resolve those red flags
去处理这些问题
before he dispenses the medication.
那什么算可疑呢?
Now, what are these red flags?
病人开几百公里的车来你这个小诊所
Patient traveling 200 miles to a pharmacy.
你以为你们诊所是301呢
You could be the greatest pharmacist in the galaxy。
别做梦了，能开几百公里车来开药的
No one's driving 200 miles for you to fill their prescription.
本身目的就不纯好么
There's a reason for that.
我们需要行动，而且要马上就要行动起来
We had to take action, and we had to do it very quickly.
我们开始大范围的往佛罗里达调
We just started moving massive amounts of resources
各种资源
down into Florida.
有联♥合♥行♥动♥组
They got task force officers.
把所有部门的执法力量都找来了
They got every diversion investigator in the state,
去前期踩点各种卧底行动
and they ran undercover operations all over the place.
有这么一个案子，是我们一个女卧底
There was one case. It was a female undercover.
大夫问她“你感觉咋样啊?"
Doctor said,"So how you feeling today?"
“还成”
"Oh, I'm fine."
“你来是想开点儿啥啊？是来补羟考酮的？”
"So what are you here for? You here for your Oxycodone?"
"对
"Yes.
我还想开点儿阿普唑仑
Could I have some alprazolam, too?"
大夫答应了，开始下医嘱
And he says yes, and he wrote the prescription.
然后说“你还需要开点儿美♥沙♥酮♥么？”
He goes, "Would you like some methadone also?"
我们卧底就说“好啊”
And she goes, "Sure."
这就是那次卧底的情况
That was the extent of the visit.
现在你看看这个事儿你会说
And you look at that, and you go,
“我滴老天鹅这是啥诊所啊这不就是毒窝”
"My God, this is not medi--This is a crack house."
嗨
Hi.
你先把摄像机给我关咯
First of all, turn that off, man.
我不想你拍我懂了么
I don't want to be recorded, okay?
来咱俩聊聊-你是大夫么?
Let's talk about that.- Are you a doctor?
啥？-你是大夫么?
Excuse me?- Are you a doctor?
我是谁管你啥事
Don't-- don't matter who I am.
我给你说我一会儿就把她相机抢过来
In a minute, I'm gonna snatch this camera from this, dude.
我都气乐了-这位先生
You don't even know, man.- Okay, sir.
他们去哪儿你去哪儿
Follow 'em wherever they're going.
最典型的是有一家诊所
There was one store in particular
被称为万事屋CVS
that was known by drug users as the go-to CVS.
缉毒局有特工问过药剂师
A DEA investigator said to the pharmacist,
“你们这儿到底咋回事儿
"What's going on here?
“你没发现门口这么多人
"Don't you see that all these people
“全是从别的州来的？
"are coming with out-of-state licenses and out-of-state tags
“早上八点就在你们门口排大队了
"and they're lining up at your door at 8:00 in the morning?
你们都不觉得奇怪么？”
Don't you think that's suspicious?"
然后这个药剂师说“你看
And this pharmacist told the DEA, "Well, you know, look.
我们下午两点就不再开药了“
At 2:00, we cut off our sales."
然后调查员就问
And the investigator said,
“为啥两点就不卖♥♥了?"
"Why do you cut off your sales at 2:00?"
药剂师就说“我们总得给
And she said, "Well, we want to save medication
那些真的有需要的人留点儿药啊“
for our real pain patients."
开门！趴下！趴下！
Open the door! On the ground, on the ground!
进进进-给我趴下！
Go, go, go!- Get on the ground!
2011年的时候缉毒局收网了
In 2011, there was a crackdown by the DEA.
药王山行动
Operation Pill Nation
组织了超过五百名执法人员
involved more than 500 law enforcement officers,
收押70辆机动工具
resulting in seizures of 70 vehicles,
收缴1900万美元，逮捕105人
$19 million in cash, and 105 arrests.
大夫你觉得那些瘾君子上瘾
Doctor, do you feel like you were contributing
跟你有关系么？
to addicts' addictions?
你觉得这一切都值得么？
Was it worth it?
但是真正的问题并不是在街头
But the real problem wasn't on the street.
而是在那些制药公♥司♥高层的办公室里
It was in the executive suites of pharmaceutical companies,
是那些看见阿片类药物带来的利益
which had become addicted to the profits
而变得利欲熏心的人
opioids could deliver.
让我们掌声欢迎John Kapoo
Please help me welcome John Kapoor.
是一位经验丰富的制药投资者
was a veteran pharmaceutical investor
在止痛药这个领域嗅到了无穷的商机
who saw a business opportunity in pain relief.
他创建了一家名为英瑟斯的公♥司♥
He started a company called Insys
主打一款叫屈大♥麻♥酚口服液的产品
to market a drug called Subsys.
这是一种为药效比吗♥啡♥强一百倍的
It was a fast-acting spray device for fentanyl,
芬太尼所打造的喷雾器
a synthetic opioid 100 times stronger than morphine.
我知道对企业家的
I know there are all kinds of definitions
定义有很多种
for entrepreneurs.
但是我觉得有一个是咱们都认同的
The one that I think we all recognize most
那就是企业家都是敢于冒险的人
is that entrepreneurs are risk takers.
缉毒局将屈大♥麻♥酚口服液的市场
The FDA limited the use of Subsys
限制在了一个非常小的范围里
to a very narrow market--
那就是有着突发性疼痛的癌症患者
cancer patients suffering so-called breakthrough pain.
为了扩大市场
To expand the market,
Kapoor决心要找到方法绕过缉毒局的政策
Kapoor was determined to find a way around the FDA's rules.
你作为一个企业家，要敢于梦想
You, as an entrepreneur, have to have a dream.
然后你要充满激♥情♥的投入进去
And then you work with passion
来实现你的梦想
to make that dream come true.
这种为了实现梦想的激♥情♥
That passion to make a dream come true
就是引领Kapoor和英瑟斯进入犯罪世界的最大助力
is what would lead Kapoor and Insys into the world of crime.
在美国任何一个区域的
Every U.S. Attorney's Office
检察官办公室
in every district in the United States