世纪犯罪（2021）

都有专门调查医保的人员
has someone who's supposed to specialize in health care.
波士顿一般是这块儿的佼佼者
Boston has always taken a lead role in that.
他们处理过很多大案子
They've taken on some very high-profile
比如像辉瑞公♥司♥还有
criminal investigators involving Pfizer （划重点了啊）
葛兰素史克和其他一些企业的刑事案件
and GSK and several others.
而正是因为我们的检察官
And because our office has a reputation
在这些案子上取得的成功
for being successful with these types of cases,
我们会收到很多波士顿这边儿上来的吹哨人举报
we get a lot of whistleblower lawsuits filed in Boston.
所以2013年的时候
And so, in 2013,
我收到了一封举报信
I got a whistleblower complaint sent to me.
里边记录的都是Insys Therapeutics.这个公♥司♥
It laid out some of the things that were happening
实际发生的事儿
at Insys Therapeutics.
屈大♥麻♥酚口服液是2012年进入市场的
Subsys was launched in March of 2012,
划定的是非常严格销♥售♥领域
and it goes into this very tight market.
然后在接下来的三个月，从2012年的三月到六月
And for the next three months, from March to early June 2012,
Kapoor急眼了
Kapoor is devastated,
他直言这是他见过的
and he calls it the worst effing launch
制药商历史上最拉垮的新品上市
in the history of the pharmaceutical industry, right?
然后他就开始疯狂开除员工
So he starts firing people.
炒掉销♥售♥副总
Fires the VP of sales,
想要扭转这个局面挣大钱
and he's trying to find a way to be profitable.
Kapoor 想到了一个利用漏洞的计划
Kapoor hatched a plan to exploit a loophole.
虽然缉毒局将产品的使用范围限定在了痛苦的癌症患者
While the FDA limited the drug to patients with cancer pain,
但是医生却有权利在实际情况下
doctors were allowed to use their own judgment
根据主观判断是否要使用该药物
about whether to expand the market,
所以Kapoor将希望寄托了他的药代身上
so Kapoor leaned on his sales reps
让他们去逼迫医生开更多的屈大♥麻♥酚口服液
to court doctors to write more scripts for Subsys
并提高药量
and to increase the doses.
通过电♥话♥和邮件记录
Through emails and phone recordings,
检察官发现了一场通过
prosecutors discovered a sales campaign
扩大疼痛的实际情况从而达到提高
to lead doctors into raising the demand for fentanyl
对芬太尼的使用量的营销活动
by expanding the very definition of pain.
我指派了两位刑事检察官
I assign two criminal prosecutors,
他们大概在13年的年底开始了调查
and they began working on the case in late 2013--
其中一位是波士顿分局的传奇人物Fred Wyshak
Fred Wyshak, who is sort of a legend in Boston.
他搞掉了Whitey Bulge，搞掉了大黑帮
He prosecuted Whitey Bulger. He's prosecuted the Mob. （Whitey Bulge是黑帮头头）
不管是啥案子，你都得有二五仔
In all these types of cases, you need insiders.
如果手里没有
It's very difficult
合适的二五仔的话
to penetrate a criminal organization
你是很难真正的
to the top of that organization
打入这个组织的内部
without insiders.
你们一定很早就
You must've identified him early on
盯上他了吧-那肯定啊
in your investigation.- Absolutely.
Alec Burlakoff是我们首要的调查对象
Alec Burlakoff was a primary target of the investigation.
在你看来是什么造就了合格的推销员？
And so what in your mind makes a good salesman?
就一个词儿----激♥情♥
One word--passion.
不是欺骗，不是花言巧语
It's not deceit. It's not lies.
也不是没有良知
It's not not having a conscience.
就是要有激♥情♥
It's passion.
当我刚被雇佣的时候
When I was hired,
有一场全体中层都参加的
there was a meeting that took place
内部会议
where all the managers were there,
说实话当时所有的人都因为销♥售♥问题
and, basically, everybody was yelled and ridiculed
又吼又叫跟得了失心疯一样
and screamed at for the lack of sales.
没办法啊，当时就跟没销♥售♥一样
They were abysmal, basically. They're nonexistent.
这些药的销量
It's all on the rep
全都压在了药代的身上
to ensure that this drug starts getting prescribed.
而屋里这些人都不行
And none of it's doable...
除非你打破常规
Unless you break the rules.
但是实话给你讲---这个活儿就是为我准备的
But to tell the truth-- this job was made for me.
我从小生活在
I mean, I was raised in a family
一个你不能哭
where you don't cry...
你不能输，你不能翘班
you don't lose,you don't take off work,
你不能缺课，你不会生病
you don't miss school, you are not sick, you know,
你会完成你的任务的家庭
and you get the job done.
我在一个中不溜偏下的社区长大
I grew up in a lower-class, middle-class neighborhood
离长岛有点儿距离的
way out on Long Island--
一个叫王家庄的地方
a small town called King's Park.
我家挺那个的
There was a lot going on in my house.
不能请朋友过来玩儿
Wasn't a place to have friends over.
永远不知道下一秒会因为什么
Never knew what kind of yelling and screaming
吵架打架
and fighting was gonna take place.
我后来拿到了心理学的学士
I got a bachelor's in psychology,
社会工程的硕士
a master's in social work.
然后我决定“我要去最好的
I said, "You know, I'm gonna go work
学校工作”
for the best school that I can find."
我就找啊找，一家在博卡拉顿的
And I did a search, and a private school came up
私人学校进入了我的视线
in Boca Raton.
我教了两年的体育
I did phys ed for two years.
然后是指导老师
After that, I was a guidance counselor.
工资挺低的
It was a very small salary,
但是能每天和孩子们一起
but I was hanging out with kids all day,
做自己喜爱的事儿
doing what I love.
在这个学校唯一的问题
The problem with working at this school
就是身边儿全是有钱人
was that I put myself around very wealthy people--
有钱，应该是特别有钱
all affluent, I mean, beyond affluent.
有一天我去停车场
And I went out to the parking lot one day,
然后我走向一位
and I went to the parent
开宾利敞篷的家长
who was driving a Bentley convertible,
他就在车里抽雪茄，然后我说
and he was smoking a cigar, and I said,
“这位先生，学校是禁烟的
"Sir, you know, we have a no-smoking policy here."
麻烦您把烟灭掉
Can you kindly put that out?"
他吐了口烟圈儿
And he took a puff.
就对着我的脸，看着我说
He blew it right in my face,in my eyes and said,
“穷鬼毛病多”
"Petty rules from petty people."
就是从那一刻开始
It was literally from that moment
我知道我这辈子啥也不干就是要扒钱
that I knew I had to go make some money.
我动用了在这个学校
I leveraged some of the relationships
攒的交情---学校有很多大夫
that I had at the school-- a lot of doctors there.
其中一位告诉我说
One of the doctors basically said to me,
“我是礼来公♥司♥新产品的
"Well, I'm a big prescriber of a product
大客户
that Eli Lilly promotes," at the time,
我能帮你联♥系♥一场面试
"And I can get you an interview."
我当时就同意了，干完了那个学期
And I jumped all over it, finished the school year,
然后一猛子就扎进了制药业
and was on my way into pharmaceuticals.
在礼来公♥司♥的工作的日子里
Working for Eli Lilly,
Burlakoff接手的第一个产品是百忧解
Burlakoff's first pharmaceutical was Prozac.
因为他与大夫们超高的成交量
He was named rookie of the year
Burlakoff成为了当时的年度新人
for his big batting average with doctors,
但是没过多久他就因为随意赠送免费小样
but he was soon fired for handing out free samples
包括未成年人而被开除
to hundreds of people, including one 16-year-old.
紧接着他就转投了强生公♥司♥
He hooked up next with Johnson & Johnson
然后就是申请了塞法隆公♥司♥的
and then applied for a sales job
销♥售♥岗位
for a company named Cephalon.3
我都没听说过塞法隆你知道吧
And I never heard of Cephalon.
又不像强生和礼来
It's not like Johnson & Johnson or Eli Lilly.
所以那是我第一次明白啥是小型生物科技
So that was my first taste of small biotech.
小型生物科技意味着啥？
And what does "small biotech" mean?
意味着大的雅痞
It means a lot.
工资薪金奖励池是没上限的
The payouts, the bonus plan is "uncapped."
对于一个干销♥售♥的来说这个词是致命的啊-----没上限
It's a very attractive word to a salesperson--"uncapped."
上头没有-----你卖♥♥的越多
There's no ceiling-- - The more you sell...
你卖♥♥得越多拿的就越多
The more you sell, the more you get compensated, period.
当时我面试结束以后
By the time I walked out of the interview,
我就给我老婆打了电♥话♥“我换东家了”
I called my wife and said, "I'm going to a new company."
所销♥售♥的产品叫芬太尼粘膜制剂
The product was Actiq.
是一种用芬太尼做成的棒棒糖
It was a lollipop made of fentanyl,
其效力带来了巨大的药物过量风险
whose potency carried an enormous risk of overdose.
如果是无可挽回的癌症，这个药的使用无可厚非
For end-of-life cancer pain, Actiq made sense,
但是那个市场非常的小
but that was a very small market.