The Sackler family pushed opioids onto middle America in a rather spectacular fashion. In any functioning society - including with a death penalty - they’d be contending with the harshest possible penalty. Just not in America.
There used to be an old fashioned concept called noblesse oblige. That’s no longer a thing in society, and the elites - barring performative actions and fashionable statements- are not invested in the well-being of average Americans.
This makes me think of the Drake meme. Making billions of dollars by selling cannabis (until recently): bad. Making billions of dollars by selling opioids: this is fine.