[emmab]

> The letter also reveals that in Kermit, West Virginia, a town of just 406 people, the company delivered 6.3 million hydrocodone and oxycodone pills between 2005 and 2011. For just the year of 2008, the numbers work out to Miami-Luken providing 5,624 opioid painkiller pills for every man, woman, and child in the town, the committee notes.

> “If these figures are accurate, HD Smith supplied this pharmacy with nearly five times the amount a rural pharmacy would be expected to receive,”

So it's normal to supply 1124 pills per capita&year to rural pharmacies? Something seems strange about these two pieces of information...

[jandrese]

In rural areas almost nobody lives in the town limits, so the actual population is considerably higher than the quoted figure. It is still a staggering amount of narcotics.

I used to think that the old argument that drug companies killed marijuana legalization efforts behind the scenes was tinfoil hat stuff, but now I'm not so sure. This is basically a giant funnel of government money (many people in these tiny communities have been on government assistance ever since the mines shut down) directly into the revenue streams of these drug companies. Sure it also tears the communities apart and destroys countless lives, but it's great for the bottom line.

[WillReplyfFood]

They are always free to choose another drug and walk away from this company. The market is free like that, the invisible hand distributing only where demand exists.

[stryk]

Let me tell you this from direct personal experience: Opiate addicts are not "free" to do much of anything -- very very least of all are they free to, on a whim, switch and/or stop the drug. Yes that sounds over-exaggerated, but it is not. There is a huge wave of opiate addiction that is sweeping back and forth across the USA,, and nobody seems to be doing anything about. The White House acknowledges the problem, but offers nothing more than platitudes for political points [and doesn't even do that convincingly] and KellyAnn McPlasticSurgeryLiarFace who couldn't find her own ass in the dark with both hands.

And yea, the pharmaceutical companies are to blame -- of course it's not all their fault, but a huge, HUGE % of it is. It started with over-prescribing of pain pills. Particularly OxyContin. The pharmaceutical companies and their reps, intentionally and knowingly, told the doctors "don't prescribe a higher doseage, prescribe more pills of the lower dose" -- along with giving them financial incentives including straight cash kickbacks. They knew how addictive these drugs were, and they didn't care, if any of them say different they are flat out lying.

Then the government steps in, the DEA either pressures the doctors who are over-prescribing until they give up and quit, or they shut them down directly. Now there's a vacuum with a ton of cold hard cash floating around in it - the addicts still have to have their opiates but the suppliers (which were their doctors) are gone... what an opportune time for the heroin dealer to step in and fill the void?!?! And that is exactly what happened, and is happening right now everywhere in the country.

And it's not like the DEA doesn't know this is what happens, they would have to be bumbling idiots not to, but they have to show results in order to justify their budgets and keep their jobs.

[sametmax]

I don't think you can expect drug addicts (yes, even on legal drugs, at this level of consumption you are an addict) to take decisions like this.

[pjc50]

Where drugs are prescription-only, the hand doing the distribution is extremely visible and has a signature.

See my other comment, but it appears that there are a small number of doctors "robosigning" prescriptions, almost certainly in the knowledge that the drugs will be resold into the black market.

[nkrisc]

Drug addicts are not rational actors.

[sdrothrock]

> So it's normal to supply 1124 pills per capita&year to rural pharmacies? Something seems strange about these two pieces of information...

That's three a day, so I could imagine that there would be older people or disabled people that would have more and would also offset children and people who don't take any.

[doikor]

Remember that most (all?) meds have an expiration date so there can also be some product lost due to that.