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Approaching the opioid crisis from a public health perspective includes massively increasing access to care and treatment for patients experiencing substance use disorder. (Shutterstock)

The roots of the North American opioid crisis, and 3 key strategies for stopping it

There were more than 100,000 opioid-related deaths in North America in 2022. How the crisis grew to such proportions, and three potential paths to ending it.
OxyContin, an opioid drug heavily marketed by Purdue Pharma, is associated with billions of dollars of health-care costs in Canada related to the opioid crisis. (AP Photo/Toby Talbot)

$150M is not enough: Canada’s proposed Purdue Pharma settlement for opioid damages is paltry and won’t prevent future crises

The Purdue Pharma settlement is paltry compared to costs of the opioid crisis. Without major changes to pharma industry regulation, there is little reason to think a similar crisis won’t occur again.
Dr. Laura Kehoe gives a presentation about why emergency room physicians should prescribe buprenorphine for people recovering from opioid overdoses. Jonathan Wiggs/The Boston Globe via Getty Images

Drugs that treat opioid use disorder are a good use for multibillion-dollar settlement funds

After battling drug manufacturers and distributors in court for years, local and state governments are about to receive a windfall that could expand access to treatments that can save lives.
A man walks in a back alley in Vancouver’s downtown eastside, February 2019. More people fatally overdosed in British Columbia last year compared with 2017 despite efforts to combat the province’s public health emergency. THE CANADIAN PRESS/Jonathan Hayward

The opioid crisis is not about pain

A policy response focused on reducing prescription opioids will not resolve North America’s opioid crisis. And it is hurting many adults who live with otherwise unbearable chronic pain.
Classified advertisement for Leslie Keeley’s Gold Cure. ProQuest Historical Newspapers: Chicago Tribune, July 21, 1884

Purdue Pharma taps a Gilded Age history of pharmaceutical fraud

Considered in historical context, Purdue’s plan to peddle opioid addiction medicines to vulnerable people is not so surprising. Gilded-Age pharmaceutical companies used similar strategies.

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