Tag: opioid epidemic

  • Johnson & Johnson Ordered To Pay $572 Million For Role In Oklahoma Opioid Crisis

    Johnson & Johnson Ordered To Pay $572 Million For Role In Oklahoma Opioid Crisis

    According to the ruling, the pharmaceutical company “engaged in false and misleading marketing of both their drugs and opioids generally.”

    In a decision that may have far-reaching implications for pharmaceutical companies across the United States, an Oklahoma judge has ruled that Johnson & Johnson must pay more than $572 million for its alleged role in helping create the state’s opioid crisis. Cleveland County District Judge Thad Balkman wrote in his ruling that the company and its pharmaceutical subsidiary, Janssen, “engaged in false and misleading marketing of both their drugs and opioids generally,” which he deemed a “public nuisance.”

    Johnson & Johnson denied the allegation and plan to appeal Balkman’s verdict, which observers on both sides of the argument have been closely monitoring to determine its impact on a federal trial involving nearly 2,000 cases against opioid manufacturers slated for the fall of 2019.

    Deceptive Marketing Practices

    As both NBC News and CNN noted, final filings submitted earlier this month and statements in court by Oklahoma Attorney General Mike Hunter and other attorneys for the state argued that Johnson & Johnson had aggressively pursued medical professionals to prescribe opioid medication while minimizing the potential risk of addiction and/or overdose death through deceptive marketing practices.

    Testimony from some of the relatives and friends of the more than 6,000 Oklahomans who died from opioid overdoses underscored Hunter’s assessment that the company had ignored scientific research in pursuit of a “magic pill” that would produce major profits.

    The result, as Hunter said, was the “worst man-made public nuisance this state and our county has ever seen: the opioid crisis.”

    Attorneys for Johnson & Johnson argued that the state failed to prove any elements of its case, from Janssen’s specific role in contributing to the opioid crisis to the impact of their marketing promotions. They added that the public nuisance accusation was nothing more than “potshots taken from promotional statements” and a misinterpretation of a law initially employed in property cases.

    But Judge Balkman sided with the state, noting that the allegedly misleading marketing was “more than enough to serve as the act or omission necessary to establish the first element of Oklahoma’s public nuisance law.”

    Major Public Health Crisis

    The state initially asked for an abatement plan of approximately $17 billion, which would be applied to addiction treatment and prevention programs over a period of 30 years. The plan, calculated by Christopher Ruhm, a professor of public policy and economics at the University of Virginia, included the costs of addiction treatment, physician education plans, care for babies born with neonatal abstinence syndrome, prescription tracking programs, grief support and more over the next three decades.

    “It is a lot of money. It’s also a major public health crisis,” Ruhm said.

    Balkman’s verdict called for an abatement program of $572,102,028 – about one year’s worth of payments under the state’s proposals. In his ruling, he wrote that “The state did not present sufficient evidence of the amount of time and costs necessary, beyond year one, to abate the opioid crisis.”

    Johnson & Johnson Plan to Appeal

    Johnson & Johnson’s executive vice president and general counsel, Michael Ullmann, said in a statement that his company was innocent of any wrongdoing and planned to appeal.

    He also wrote “The unprecedented award for the State’s ‘abatement plan’ has sweeping ramifications for many industries and bears no relation to the Company’s medicines or conduct.”

    But as CNN noted, the case could also have considerable impact on the numerous lawsuits filed against drugmakers by states, cities and communities across the country. Carl Tobias, a professor of law at the University of Richmond in Virginia, said in early August that attorneys have been “watching and learning from the case Oklahoma has assembled, while defendants have been watching for vulnerabilities.”

    View the original article at thefix.com

  • West Virginia, Ohio Top National Drug Overdose Death Rates

    West Virginia, Ohio Top National Drug Overdose Death Rates

    Midwest states were among those with the lowest overdose death rates in the country.

    Statistics from the CDC show that drug overdose death rates in the United States rose nearly 10% between 2016 and 2017, with the highest death rates occurring in the Midwest, Mid-Atlantic and Southern regions of the country.

    Though all points in the U.S. saw significant increases during this time period, three states experienced the highest overdose death rates—West Virginia, Ohio, and Kentucky—as well as the District of Columbia. Opioids were involved in more than half of the overdose fatalities.

    As shown by the CDC data, drug overdose deaths in the United States rose 9.6% between 2016 and 2017; the death toll from drug overdoses reached 70,237. Opioids were involved in 67.8% of those deaths, and of that number, the CDC stated that synthetic opioids other than methadone were the primary cause of death.

    Big Increases

    Twenty-three states saw what the CDC described as “significant” increases in drug overdose deaths during this time period, including Alabama, California, Illinois, Maine, New York and Wisconsin. Though certain states had substantially high increases from 2016 to 2017—death rates in Maine rose 19.9% during this period—the number of deaths per year in these states were actually lower on a year-to-year basis than other states.

    For example, Ohio’s death rate percentage between 2016 and 2017 was 18.4%, but the actual number of deaths in that state during those years, when adjusted for age and size of population, was significantly higher in the Buckeye State (4,329 per 100,000 in 2016 and 5,111 in 2017) than in Maine (353 per 100,000 in 2016 and 424 in 2017).

    When age and number of residents was factored into the individual states’ rates, Ohio ranked second in highest death rates, with 46.3 deaths per 100,000 residents in 2017; it was preceded by West Virginia (57.8 per 100,000) and followed by the District of Columbia (44 per 100,000)—which actually saw a decrease, percentage wise, between 2016 and 2017—and Kentucky (37.2 per 100,000). 

    The Lowest Death Rates

    The states with the lowest death rates in 2017 were North Dakota, Nebraska and South Dakota, each of which either dropped or experienced death rates below 6% between 2016 and 2017.

    Response to the epidemic by state-run agencies has made improvements in death rates for 2018 and beyond.

    The New York Times noted that areas in Ohio, including the city of Dayton, have utilized federal and state grants to help reduce opioid prescriptions, expand access to the opioid overdose reversal drug, naloxone, and increase addiction treatment to residents and prison inmates. As a result, emergency room visits dropped by more than 60% between January 2017 and June of 2018.

    View the original article at thefix.com

  • Two Drugmakers Settle Ahead Of Federal Cases

    Two Drugmakers Settle Ahead Of Federal Cases

    Endo and Allergan will still face ongoing litigation with dozens of other municipalities.

    Two drug makers have settled with two Ohio counties ahead of an upcoming federal opioid trial in Cleveland.

    Endo International and Allergan will pay a combined $15 million in damages to Cuyahoga and Summit counties in Ohio. Both companies avoided admitting any wrongdoing. 

    The settlement comes ahead of a landmark trial slated to start Oct. 21—which will hear arguments by local governments, Native American tribes and more from around the country alleging that the drug companies fueled the opioid crisis.

    Right now, other major drug manufacturers and distributors including Purdue Pharma, Teva, Johnson & Johnson, McKesson, and AmerisourceBergen will still proceed to trial in the fall, according to STAT News

    Although Endo settled, the company faces ongoing litigation with other municipalities, including more than 2,300 cases filed by counties and cities. 

    The Deal

    Endo’s deal with the Ohio counties indicates that the company could settle its suits globally for about $1.8 billion, according to FiercePharma. That’s lower than the $4 billion in settlements that was initially predicted for the company. One analyst said that the lower-than-expected settlement amount indicates that drug manufacturers may be “out of the woods.”

    After the settlement was announced, Endo and other pharmaceutical stocks were trading higher, indicating that investors were pleased with the settlement amount. Although Allergan did not comment on the settlement, Matthew Maletta, Endo’s executive vice president and chief legal officer said that the agreement was a “favorable outcome.”

    One analyst, John Leppard, said that the settlement amount from Endo was likely calculated based on what the company thought it would cost to go to trial. 

    The agreement “appears designed only to spare Endo the expense of the bellwether trial, rather than satisfying their overall potential costs in a comprehensive resolution of government-related opioid claims with the approximately 2,000 cities and counties party to the multi-district litigation,” he wrote. “The cash portion of this settlement appears intended to reflect Endo’s estimated costs of having to participate in the bellwether trial itself, rather than their overall liability or culpability.”

    In addition to the $10 million cash settlement, Endo agreed to provide the counties with up to $1 million of the drugs Vasostrict and Adrenalin free of charge. Vasostrict is a hormone used to treat diabetes, blood pressure and other conditions. Adrenalin is used in EpiPens. 

    The settlement could be an indication of the amounts that other pharmaceutical companies may settle for ahead of thousands of other upcoming lawsuits. 

    View the original article at thefix.com

  • How Cannabis Dispensaries Impacted Opioid Death Rates

    How Cannabis Dispensaries Impacted Opioid Death Rates

    Access to marijuana dispensaries played a role in reducing opioid deaths by 21%, according to a new study.

    With the opioid crisis in America still a major concern, many have been in search of a solution. While cannabis becoming legal across the country is certainly not a cure-all, according to a report in Leafly, cannabis dispensaries have reportedly reduced opioid deaths by 21%.

    Economists at the University of Massachusetts and Colorado State University conducted a study on cannabis’ effect on the opioid crisis. As their report states, “Our principal finding is that recreational marijuana access significantly decreases opioid mortality, with the most pronounced effects for synthetic opioids. [This] stems primarily from access via dispensaries rather than legality per se.”

    Leafly cited another report in 2014 from JAMA, which claimed that in states with medical marijuana laws, there were 25% fewer opioid deaths than in states without medical marijuana laws.

    Studying the data, the current research showed that 47,600 people died from opioids in the U.S. in 2017. If dispensaries did indeed reduce the death rate, that means that close to 10,000 people were saved from opioid overdoses.

    “Our results have direct relevance for policy, as they indicate that recent expansions to marijuana access have significant co-benefits in the form of reduced opioid mortality,” researchers wrote. “States with legal access to marijuana were far less affected by the opioid mortality boom of the past decade than those without. Thus, our work provides important food for thought for state and federal authorities that continue to mull medical and/or recreational legalization of marijuana.”

    Lead author Nathan Chan thinks that people may be “dealing with pain through marijuana use, and therefore they’re less likely to take on addictive opioids.”

    In a previous report in Leafly, Philippe Lucas, a cannabis researcher in Canada, said, “Whether it’s medical use or recreational use, cannabis appears to be having an impact on the rates of opioid abuse. If physicians start recommending the use of medical cannabis prior to introducing patients to opioids, those patients that find cannabis to be a successful treatment for their chronic pain might never have to walk down the very tricky path of opioid use that all too often leads to abuse or overuse or overdose.”

    Not only is the opioid crisis a major concern in the U.S., but Lucas added that in Canada, “Opioid overdose is the most common cause of accidental death… Right now in Canada and in U.S. states with medical marijuana, physicians are encouraged to prescribe opioids first and if those don’t work, cannabis is considered as a third or fourth-line treatment option. We need to flip that around and make cannabis the second-line treatment option and move opioids to third or fourth option if cannabinoids are not successful.”

    View the original article at thefix.com

  • Connecticut EMTs Team Up With Poison Control To Track Overdoses

    Connecticut EMTs Team Up With Poison Control To Track Overdoses

    In May, the system helped detectives identify risk factors in a spate of 11 overdoses in two days.

    In Connecticut, emergency medical personnel are teaming up with poison control to track every overdose in the state in hopes of combatting overdose deaths. 

    The idea started with Peter Canning, who has been a paramedic since 1995. When he first started working in emergency response, he witnessed the occasional overdose. 

    “I responded to opioid overdoses, but I didn’t think anymore of them than I did the shootings or car accidents. It was part of the job,” he told WSHU

    Where It Began

    However, five years ago he started responding to more overdoses than any other kind of emergency. He started collecting information that he hoped would help him understand the trend. 

    “I started just writing down the overdoses I did, how old the people were, their gender, how they got started, and then the heroin bags,” he said. “I would write whether or not I saw heroin bags there. And I thought if I was keeping this information, which is really interesting, what if everybody was keeping this information?”

    A few years later Canning discussed his project with the director of the state’s poison control center, who thought his department could be a partner for Canning. 

    “He said, ‘You know poison control, we have operators there 24/7 and this is right up our alley!’” Canning recalled. 

    A pilot program in Hartford showed that the program had great promise, so this year Connecticut’s Department of Public Health secured federal funding to take the program statewide. 

    Tracking Outcomes

    Now, EMTs are required to report information about all suspected overdoses to poison control as part of the Statewide Opioid Reporting Directive (SWORD). The calls take about three minutes as the poison control specialist asks the EMTs 10 questions. After the overdose, the information can be used to track outcomes as someone goes to the hospital. 

    “So when they get transported to an emergency room we follow up for data regarding that to help trend it,” said Lori Salinger, a poison control specialist in the state. 

    In May, the system helped Canning and other detectives identify risk factors in a spate of 11 overdoses in two days. He was able to alert Mark Jenkins of the Greater Hartford Harm Reduction Coalition, who sent out teams with testing kits to help users detect heroin with fentanyl. 

    Jenkins said that initiatives like this can save lives. 

    “When we get information like this it’s a heads up to say watch out for this particular bag, make sure you don’t use alone,” Jenkins said. “If you do use together, don’t use at the same time.”

    View the original article at thefix.com

  • Doctors Turn Detectives To Find Out Who Stole Narcotics From Cancer Center

    Doctors Turn Detectives To Find Out Who Stole Narcotics From Cancer Center

    The doctors shared their experience with a medical journal with the hopes of helping others in similar situations.

    A rash of bloodstream infections at a cancer center spurred clinicians to turn into amateur sleuths, which in turn revealed that a former nurse had allegedly caused the outbreak by replacing intravenous painkiller medication with tap water.

    Federal charges were file against Kelsey A. Mulvey, 27, who faces 10 years in prison and a $250,000 fine for allegedly obtaining controlled substances by fraud, tampering, and a violation of the Health Insurance Portability and Accountability Act (HIPAA).

    The clinicians shared their experience in a letter to the New England Journal of Medicine in the hopes that it would help other medical professionals with similar cases.

    An article on Medpage Today detailed the circumstances of the case, which began in June of 2018 at the Roswell Park Comprehensive Cancer Center in Buffalo, New York.

    Mysterious Infections

    Six patients developed bloodstream infections from sphingomonas paucimobilis, a bacterium found in soil and drinking water that can take root in distilled water tanks, respirators and dialysis machines. Patients with chronic conditions are particularly susceptible to it, and infection can result in sepsis, peritonitis and pulmonary embolisms.

    However, the bacteria rarely causes bloodstream infections, which drew the attention of Jillianna Wasiura, RN, Brahm Segal, MD and Katherine Mullin, MD, all clinicians at the Roswell Park facility. They checked a number of possible sources, including regional microbiology labs and pharmaceutical vendors, before finding the source of the bacteria: compounded syringes with the prescription opioid painkiller hydromorphone.

    Four of seven syringes stored in a Pyxis MedStation, an automated medication-dispensing system, tested positive for sphingomonas, as well as other waterborne bacteria. Further analysis revealed that the syringes had been diluted with tap water from a single source, which contaminated the medication.

    A criminal complaint led to an investigation by federal agents, including representatives from the Food and Drug Administration, the Federal Bureau of Investigation, and the New York State Attorney General’s Office.

    In a statement issued by the U.S. Attorney’s Office for the Western District of New York, former Roswell Park nurse Kelsey Mulvey was charged with removing the medication from the Pyxis machine, which she had access to through her position at the center.

    How She Did It

    According to the statement, Mulvey not only removed the hydromorphone syringes, but also methadone, oxycodone, and lorazepam. The center became suspicious of Mulvey’s actions in June of 2018 when a large number of transactions on the Pyxis machines registered as “cancelled removed,” which meant that the machine drawer with certain medications was accessed but the transaction was subsequently cancelled.

    The statement also alleged that Mulvey removed medication from floors and wings of the center where she did not have patients, and accessed them during her regular shifts as well as on her days off and three days of scheduled vacation. Mulvey resigned from the center on July 13, 2018 to avoid termination. Though charged with the aforementioned violations, Mulvey is presumed innocent until, and unless, proven guilty.

    As Medpage noted, none of the six patients died as a result of the infections, though two subsequently passed away as a result of the cancers.

    U.S. Attorney James P. Kennedy Jr. alluded in the statement to the “destructive power of opioid addiction,” which appeared to suggest that Mulvey’s actions were motivated by drug dependency.

    “In this case, however, the harm caused by the defendant’s actions resulted in not only harm to herself but in harm to some of the most compromised and vulnerable individuals in our community—those members of our community receiving cancer treatments.”

    View the original article at thefix.com

  • Sacklers "Siphoned" Money From Purdue To Avoid Payouts, Lawsuit Alleges

    Sacklers "Siphoned" Money From Purdue To Avoid Payouts, Lawsuit Alleges

    A spokesperson for the Sackler family said that they were within their rights as shareholders to withdraw profits from Purdue Pharma.

    The state of Arizona has gone directly to the U.S. Supreme Court with a bold lawsuit alleging that members of the Sackler family took $4 billion from Purdue Pharma between 2008 and 2019 when they knew that the company would likely need the funds to settle opioid-related lawsuits. 

    “These transfers all took place at times when company officials, including the Sacklers, were keenly aware that Purdue was facing massive financial liabilities and that these transfers could prevent it from satisfying eventual judgments,” the suit argues

    “We want the Supreme Court to make sure that we hold accountable those individuals who are responsible for this epidemic,” Arizona’s Attorney General Mark Brnovich told The New York Times. “We allege that the Sacklers have siphoned billions of dollars from Purdue in recent years. They did this while knowing the company was facing massive financial liabilities.”

    The Long Shot

    The state hopes that the U.S. Supreme Court will hear the case because it involves a state as a party. However, that may be unlikely since the court rarely hears cases that have not first gone through lower courts. 

    “I do think it’s a long shot,” Brnovich said. “It’s a little different. It’s a little unorthodox. Sometimes you’ve just got to throw deep.”

    He said that the pressing need for funds to combat the opioid crisis calls for intervention at the highest level of the court system. “We don’t have time for this to take years to wind through the courts. The Supreme Court has jurisdiction, and we think they have to act.”

    Another lawyer for the state, William S. Consovoy, said that the state is looking for a quicker resolution to the case. “The urgency is a big deal here. It’s very important that we get this resolved expeditiously, and that’s one of the key reasons why the Supreme Court is the right place to do this and to do this now.”

    Sacklers’ Statement

    A spokesperson for the Sackler family said that they were within their rights as shareholders to withdraw profits from Purdue Pharma. The spokesperson added that the allegations in the lawsuit are “inconsistent with the factual record.” The Sacklers “will vigorously defend against them,” the spokesperson said.  

    The Sackler family, in addition to Purdue Pharma, have become regular targets for opioid-related lawsuits, in part for their alleged misleading marketing of the drug OxyContin

    It is not clear when the court will decide whether or not to hear Arizona’s lawsuit. 

    View the original article at thefix.com

  • Utah Senate's Top Cannabis Opponent Also A Leading Opioid Seller

    Utah Senate's Top Cannabis Opponent Also A Leading Opioid Seller

    Evan Vickers and his family operate two pharmacies that, according to the DEA database, both distribute more prescription painkillers to the region than Walmart. 

    A Drug Enforcement Administration (DEA) database that tracks national distribution of pharmaceutical opiates revealed a connection between Utah Senate Majority Leader Evan Vickers—one of the state’s leading opponents of medical cannabis programs—and a chain of pharmacies that distributes a substantial amount of prescription opioids in the Beehive State.

    Vickers (R-District 28) and his family operate two pharmacies that, according to the DEA database, both distribute more prescription painkillers to the area than Walmart. 

    At the same time, Vickers has been one of Utah’s most prominent opponents of medical cannabis and a driving force behind restrictive legislation that limits availability of qualified prescribing doctors and dispensaries.

    Coverage of the DEA database has led to questions about conflicts of interest on the part of Vickers, who issued a statement to a Utah television station that downplayed the amount of opioids distributed by his pharmacies while highlighting the flaws in the legalization bill that he helped to rework.

    As both Medium and High Times reported, the Washington Post initially released the information from the DEA database that highlighted the distribution record of Vickers’ pharmacies. This included the number of opioid pills distributed in the United States between 2006 and 2012—76 billion—and the six companies that distributed the bulk of the drugs, including Cardinal Health, which as Medium noted is the top distributor for Vickers’ pharmacies. 

    Cedar City Overdose Epidemic

    The searchable database also revealed that the two locations in Cedar City, Utah—the largest city in Iron County, which is one of three counties that Vickers represents—distribute 34% of the opioid pills to the county, which surpasses the amount sold through Walmart in the region. Utah news reported in 2017 that Iron City was in the midst of an epidemic of heroin overdoses.

    The revelation of the pharmacies’ distribution record was a red flag for cannabis legalization advocates, given Vickers’ longtime opposition to medical cannabis in Utah.

    As Medium noted, he was a primary figure in efforts to quell cannabis bills from 2015 to 2018, when Proposition 2, which supported the legalization of marijuana for patients with qualifying illnesses, was approved for inclusion on the ballot by voters.

    Less than a month later, Vickers sponsored a compromise bill, which High Times said was a collaboration between the Church of Jesus Christ of Latter-day Saints and lawmakers to alter Proposition 2.

    The result was new legislation, H.B. 3001, sponsored by Vickers, which as Medium noted, took a far more restrictive approach to medical cannabis by reducing dispensaries and delaying patient access until at least 2021. H.B. 3001 has since generated a lawsuit by patient advocacy groups against the state.

    Response to the news from legalization groups was damning.

    “When we saw the outrageous numbers of opiates that Vickers is dispensing, it was alarming to us,” said Christine Stenquist, founder and executive director of Together for Responsible Cannabis Education (TRUCE), which is one of the groups behind the state lawsuit. “Even more alarming is that this man is trying to prohibit cannabis from coming into the state.”

    In a statement to Utah’s KUTV, Vickers said that opioids comprise just 7% of his pharmacies’ total prescription volume, and decried charges of undermining Proposition 2 as “irresponsible.”

    He described his work on the compromise bill as a collaboration with community leaders and bill sponsors to “move forward” with medical marijuana while also addressing public safety concerns from his constituents. Vickers also noted that residents in the three counties he represents all voted against Proposition 2.

    View the original article at thefix.com

  • Daniel Baldwin's New Documentary Spotlights Loved Ones Of Overdose Victims

    Daniel Baldwin's New Documentary Spotlights Loved Ones Of Overdose Victims

    The idea for the documentary came to Baldwin after he learned about the overdose death of his friend PJ Raynor.

    An upcoming documentary will focus on an area of the drug epidemic that isn’t often talked about: the experiences of friends and family members who are left behind when someone overdoses. 

    The documentary, called My Promise To PJ is being produced by Daniel Baldwin, the brother of Alec, Stephen and William Baldwin. 

    Losing PJ

    The idea for the documentary came after Baldwin, who is in recovery, learned about the overdose of P.J. Raynor. Baldwin had helped Raynor get sober, but after more than three years in recovery, Raynor relapsed and died on June 28, 2017.

    “I felt robbed,” Baldwin told WECT News about Raynor’s death. “I felt this is not the way the script was written by me. He finally got it, he had three and a half years sober and then I got a phone call that the first time he went back out and used heroin again it was laced with fentanyl and he overdosed.”

    Raynor’s parents, Patrick and Barbara Raynor, will participate in the film, and share how their lives have been changed since their son’s death. 

    “I’m a different person now,” said Patrick Raynor. “Not always a good thing when you’re changed by something like this. Never a good thing actually.” 

    Long-Term Sobriety

    Baldwin hopes that the film project will help other people with substance use disorder and their families.

    He said that it is healing for him to work on the project. “The service portion of my sobriety in my program is imperative for my staying sober,” he said. “So, another reason I’m doing this film is because unlike the one kid I’m going to take to coffee and take to a meeting and try to help him, I might reach five million people by doing this movie, and that’s part of what keeps me sober.”

    Baldwin pointed out that long-term sobriety is a challenge, especially in communities that have been heavily-impacted by the opioid epidemic. 

    “You have such a concentrated problem, when they come back from rehab, they’re thrust with the same people, places, and things that they were around and they don’t have long-term sobriety,” he said. 

    It’s a problem that Baldwin knows firsthand. He did nine stints in rehab before he successfully got sober in 2006. Since then, he has used his celebrity status to work on projects about addiction. 

    “By my taking those actions and being of service, it keeps my disease right in front of me and allows me to give away what was so freely given to me when I was in need,” he told The Fix in 2016. “It’s the cycle of life.”

    Filming of My Promise to PJ recently began, but a release date hasn’t yet been set for the film. 

    View the original article at thefix.com

  • States Fight For Control Over Opioid Master Settlement

    States Fight For Control Over Opioid Master Settlement

    A coalition of 39 state attorneys general signed a letter stating that the negotiations should be left up to the states, not local governments.

    With billions in payouts at stake, a national settlement between companies that manufacture and distribute opioid medication and municipalities across the United States that have sued for the companies’ alleged role in fueling the opioid crisis is being negotiated—but not without a fair share of hurdles to overcome.

    On Tuesday (Aug. 6), Judge Dan Polster, the federal judge overseeing the lawsuits, expressed his support for an “ambitious” proposal to reach a resolution at a hearing in Cleveland. 

    Inside The Proposal

    The proposal, suggested by the plaintiffs’ lawyers, would allow “all 34,000 towns, cities and counties… to vote on settlement offers,” the New York Times reported. Whatever they vote on—if the offer is approved—will be the final outcome. After that, plaintiffs “will be bound by the outcome and can bring no further suits.”

    The proposal would stop additional lawsuits and give each voting community a portion of the damages.

    However, as the Times reported, state attorneys general have criticized the plan, arguing that the lawsuits filed by towns, cities and counties undermine the states’ efforts to reach a settlement with the drug companies. By contrast, the municipalities have hired private lawyers to handle the lawsuits.

    A coalition of 39 state attorneys general signed a letter stating that the negotiations should be left up to the states, not local governments—i.e. it should be resolved “from the top down, not bottom up.”

    “In my view, it’s the plaintiffs’ lawyers using local governments to hijack the sovereignty of the states and create ‘city states.’ But this is not the United City-States of America,” said Dave Yost, Ohio’s attorney general.

    Local Municipalities Push Back

    There’s a reason for the local municipalities’ decision to pursue a settlement on their own, the Times explained. With the 1998 Master Tobacco Settlement reached by cigarette manufacturers and 46 states, a bulk of the $250 billion payout went to discretionary state spending rather than efforts to fix the damage inflicted by tobacco products like prevention and treatment programs.

    “Still bitter about those outcomes, communities whose coffers had been depleted by the opioid crisis decided to sign with private lawyers, circumventing the states,” the Times reported.

    In a recent op-ed, Mark A. Gottlieb, executive director of the Public Health Advocacy Institute at Northeastern University School of Law, emphasized the importance of securing a portion of the settlement that will go to future safeguards against similar public health crises. 

    “We must ensure that we do not squander the opportunity to address the opioid crisis through a coordinated public health approach in the next settlement,” he wrote.

    View the original article at thefix.com