Legal settlements alone will not solve America’s opioid crisis

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Legal settlements alone will not solve America’s opioid crisis
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The full cost of dealing with the opioid crisis will run to hundreds of billions of dollars. Taxpayers will foot some of the bill

saw a landmark reckoning in court for a drugmaker involved in America’s opioid disaster. A judge in Oklahoma ordered Johnson & Johnson to pay $572m to fund a state plan to combat opioid addiction. Whatever the outcome of’s legal appeal, this is a milestone in a public-health calamity that cost 47,600 American lives in 2017 and could well claim a further 500,000 over the next decade .

For a start, many drug distributors and pharmacies, mesmerised by growing sales, failed to take action, as they are obliged to, when signs emerged that opioids were being diverted for illicit use. Doctors and hospitals, eyeing the bottom line, also veered towards incaution when handing out pills. The system put sales and “customer” satisfaction before patients’ well-being. Medical-professional societies were at best supine, and in a few cases complicit in encouraging overuse.

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