Updated 8/9/18 and cut for length. Please see part 2 to view previous info, now in that segment.
“…A Terrible Disease.”
Addiction is, indeed, a terrible thing, and I am glad to see it being recognized, less stigmatized, and more genuine help offered to those struggling. But agenda-driven propaganda will not help those with addiction, in fact it has already been shown to cause harm to both addicts and chronic pain patients, who have found themselves blind-sided in recent years with a new stigma attached to their medical needs, particularly, the medications they need to stave off disability, poverty, loneliness, depression, anxiety, high blood pressure, loss of quality of life, and even early death (by natural-the body can only take so much untreated pain-and suicidal means). Those medications are overwhelmingly opioids.
A 2018 documentary called, “Do No Harm: An Opioid Epidemic,” featuring Dr. Andrew Kolodny (to whom I recently wrote an open letter) and “working closely with Dr. Kolodny and PROP“, is a classic propaganda film that’s been influencing a lot of viewers and, therefore, a lot of lives. I viewed this film a few nights ago, and 90 minutes and 9 pages of handwritten notes later, I began writing this *series of posts.
The film begins by insulting doctors, painting a portrayal of Purdue Pharma as an “evil” corporation (and, by extension, their products, aka opioids), castigating chronic pain patients (presumably for having the audacity to be in pain that only responds to opioids), and throwing out odd claims without sources of any kind. For example, one of the closing statements says:
“While watching this documentary, 6 Americans have probably died from an overdose.” -Narrator (my emphasis added)
We’re off to a great start already!
Throughout the film, people struggling with addiction are consistently portrayed as “brave survivors” and innocent victims who just didn’t know what they were getting into. A few blame Purdue Pharma (in particular) in the interviews, while others have a hard time admitting they did wrong or chose poorly. According to Alcoholics Anonymous, one of the classic first steps to addiction recovery is, “Admit you have a problem,” not “blame someone else.” Other steps include:
- Make a searching and fearless moral inventory of ourselves.
- Admit to God, to ourselves and to another human being the exact nature of our wrongs.
- Make a list of persons we had harmed, and become willing to make amends to them all.
- Make direct amends to such people wherever possible, except when to do so would injure them or others.
- Continue to take personal inventory and when we were wrong promptly admitted it.
Even Do No Harm admits the high recidivism rate of all those interviewed as poster-recovered-addicts (all clients from the Beit T’Shuvah Recovery Center). Out of approximately 11 people (the film jumps back and forth quite a bit), 2 went back to heroin within 2 years or less, and 5 are never even followed up with. One interviewee who was also an employee at the Recovery Center, said, “You see people coming and going all the time. It’s sad.” The film never reveals the type of treatment or therapy given at the center, but an internet search for the site and phone call to the center, proved that medication-assisted treatment (typically Suboxone/Subutex, a popular form of bupenorphine) “may be used, if deemed appropriate by the resident psychiatrist there.” Furthermore, the site claims they do use a 12-step recovery model, based on AA, though the statements of the interviewees and the purpose of the documentary itself, don’t seem to line up with those recovery values.
“We have to keep people alive so that they can recover,” states Casey’s mom, tearfully. Dr. Kolodny and the filmmakers of “Do No Harm” seem to think “recovery” means ongoing bupenorphine treatment for everyone, and sickeningly hints at the end of the film that all those dead children featured would probably be alive today, if bupenorphine had been a part of their treatment. For many people, medication-assisted therapy (MAT) is a part of their treatment, with highly mixed results. Furthermore, while heroin has a relative strength of 5x potency of oral morphine, bupenorphine has a relative strength of 40x, while hydrocodone (Vicodin) has a potency strength of -100x and oxycodone (the generic, short-acting version of Purdue Pharma’s oxycontin) has about 1x! see chart below.
In a separate phone conversation I had with Dr. Kolodny, as well as nearly every news article featuring him, Kolodny reiterates his strong support for MAT, or ongoing management of addiction symptoms and behavior using drugs. Dr. Kolodny’s drug of choice for such treatment has long been bupenorphine, an opioid sometimes combined with Nalaxone (popularly known as Narcan). Why would he promote this opioid, while staunchly condemning all the rest, I asked? “Because of the Naloxone element,” he told me, people are less likely to die or even overdose to begin with.
He’s been singing bupenorphine’s praises for decades, even formerly heading up a large chain of addiction centers called Phoenix House that touted heavy use of MAT. But investigative articles have been coming forth more and more, showing how Suboxone has been increasingly “diverted” for abuse, and may be complicit in a rise of overdose deaths. When I asked Dr. Kolodny about this on the phone, he dismissed these articles as “bad journalism.”
Dr. Kolodny’s apparent obsession with opioids is hard to understand. While certainly a major issue that needs addressed (and has been), heroin is not the only drug people overdose on (and drugs are not the only things people can be destructively addicted to), and in fact, cocaine has been consistently number 2 and 3 for overdose deaths in 2010-2014 (Table B), according to the CDC. Other drugs include fentanyl (the illicit kind, not the prescription kind), methamphetamine (which is on the rise), hydrocodone (Vicodin/norco), and benzodiazepines (anti-anxiety medications).
The film throws shocking stats around — stats that have also appeared in other media — such as:
“The Centers for Disease Control and Prevention estimates that more than 500,000 people in the United States have died from overdoes of opioids since the year 2000.”
Thankfully, this is not accurate, neither is the study sourced in the film. Rather, this CDC media release from 2015 which states, “nearly a half-million Americans” have died from prescription opioid overdoses and heroin OD, is not shown via stats, just statements, by Tom Frieden, the then-CDC head until 2016. https://www.cdc.gov/media/releases/2015/p1218-drug-overdose.html. However, the CDC has NOT estimated anywhere near this number. The recorded number of deaths in 2016 was roughly 42,200, 5 times higher than in 1999, or roughly 8400. Even assuming that the death toll was 40,000 (it wasn’t) each year from 2000-2015, you still only get 200,000, not 500K. https://www.cdc.gov/drugoverdose/data/statedeaths.html
Even when presented with current studies and facts, Dr. Kolodny refuses to update his methods, teachings, or beliefs according to data and science. Although he invited me to share updated studies with him via email, he never responded to my email or a Tweeted reminder from myself. He goes so far as to directly blast anyone or any study that disagrees with his teachings, throwing them under the proverbial bus for not being as unbalanced in approach as he is.
Attacking Doctors and Other Medical Professionals (Along with the FDA, Purdue Pharma, and Whomever Else is Convenient)
The opening statement of the film reveals all:
“The drug companies are the cartel, the doctors are the pushers, and the pharmacists are the suppliers: that’s how the DEA is seeing it.” –Mark Borovitz, Rabbi/CEO, Beit T’Shuvah Recovery [Addiction] Center
That hard-line idea is pushed repeatedly throughout the film. In just the first 2 minutes, the notion of corrupt doctors, evil pharmaceutical companies, and irresponsible pharmacies, is reiterated 3 different times!
The narrator says early in the film that Purdue Pharma’s goal in marketing oxycontin was, “corrupting doctors and nurses to sell the Kool-Aid,” and later on at the 21 min. mark, giant text reads, “The Epidemic Spreads: From the Doctor’s Office to the Street.”
Much later in the film, Anna Lembke, MD Chief of Addiction Medicine at Standford claims, “Opioids are a proxy for doctor-patient relationships.” She then goes on to describe the euphoric high that addicts experience (it should be emphasized that the majority of pain patients do not experience this euphoric high), ending with, “…you feel cradled [by the doctor]…You thank them, the doctor feels gratified, the doctor writes another script.”
A chronic pain patient featured in the film, who had probably been over-medicated for a number of years and had since been tapered down from her previous fentanyl patches and oxycondone to a new, unrevealed dose, is described at the end of film by the narrator, “Linda lost years of quality of life by innocently trusting her doctors to do no harm.”
The film then switches tactics to blast the FDA for it’s “ludicrous” (and alleged conspiracy-theory) decision to add pain as the 5th vital sign in the 90s (actually a 2001 Joint Commission decision), because it was allegedly paid big money by Purdue Pharma. While no evidence has yet been found for this claim, the film blames “dark money”. Kolodny’s still pretty sore, I guess, that the FDA didn’t acquiesce to his demands in 2013 to strictly limit the use of opioids in chronic pain (see image below). Allegations are lobbed about an “unholy alliance” between the FDA and Purdue to get oxycontin approved, although this is exactly what the FDA does: approve pharmaceuticals if they meet government standards.
Bad Science Leads to Bad Policies
Giant text on the screen reads, “Over 259 million opioids prescribed per year,” while narration adds, “at the height of the epidemic”. But which year is being referred to? Which study is being referenced? There are an estimated 326 million people currently in America, and we document EVERY prescription written, which means 1 prescription every month for chronic pain patients, or roughly 21.5 million per month. That’s only about 6.6% of the total population. Don’t the filmmakers know that the rate of opioid prescribing WAS ALREADY GOING DOWN by 2012, presumably because of far stricter state laws? Yet another bit of giant text reads, “From 1999-2017, over 500,000 opioid-related deaths.” Except that turns out not to be true at all. More like roughly 123,560, less than a quarter of the “estimated” number of deaths, according to the CDC (Table B).
Please read part 2 here.