In the Massachusetts episode of Parts Unknown, Bourdain talks to a general physician who explains how patients who were administered OxyContin for routine procedures & injuries quickly developed a habit for the drug and when they couldn't find it post-treatment moved to illegal variants like Heroin and now Fentanyl.[1][2]
Bourdain travels to Franklin County to explore the heroin epidemic that’s spreading throughout this and other New England towns.[1]
Dr. Ruth Potee of Greenfield, Massachusetts talks about how they were taught in their residency that their ER / Hospital performance was tied to their pain scores and the generous administration of pain medication to patients.[1][2]
Purdue Pharmaceuticals promotion from 1996 can also be seen.
> ER / Hospital performance was tied to their pain scores and the generous administration of pain medication to patients...
Trace back how these performance metrics were chosen, look in history if there was any advocacy or studies funded by Sackler-controlled/-influenced parties to tilt the selection of performance measurements towards subjective pain "scoring". It would be interesting to find out if Arthur's insight of nebulous broad applications was generalized to pushing for these kinds of metrics.
After reading how Epipen configured a de facto monopoly, I've wondered where else this kind of corporate behavior shows up within our economic landscape. None of it breaks any laws, but I have to wonder if anyone involved regrets the consequences engendered.
That more about managed care and managing ER outcomes like help desk tickets. The old fee for service models are going away as costs increase.
Medicare and Medicaid HMOs pay for “results”, not visits. So you need to either get admitted or get the hell out and don’t come back to the ERir they lose revenue.
Bourdain travels to Franklin County to explore the heroin epidemic that’s spreading throughout this and other New England towns.[1]
Dr. Ruth Potee of Greenfield, Massachusetts talks about how they were taught in their residency that their ER / Hospital performance was tied to their pain scores and the generous administration of pain medication to patients.[1][2]
Purdue Pharmaceuticals promotion from 1996 can also be seen.
[1] Video - Parts Unknown - Massachusetts
https://archive.org/details/AnthonyBourdainPartsUnknownMassa...
22:16 Purdue Pharmaceuticals Promotion from 1996
25:10 Dr. Ruth Potee of Greenfield, Massachusetts
[2] Transcript - Parts Unknown - Massachusetts -- CNN
http://transcripts.cnn.com/TRANSCRIPTS/1502/20/abpu.01.html
Edit: Another link to the same Parts Unknown - Massachusetts video
http://www.dailymotion.com/video/x58d4ci