It never was about the weak, doomed, confidently messaged fabrications of fentanyl or pandemic stressors or the Sacklers as explanations. Those are invalidated cover stories without evidence, needed to hide the central roles of those most desperately spinning them – American Medicine, Media, and families of victims.

by Clark Miller

Published August 7, 2022

Dealing a major blow to desperate efforts in America’s seemingly intractable, characterological opioid crisis – a blow not to  those trapped in it, needing help, and at risk of death, but to those needing protection from exposure of their roles in it – a U.S. federal judge this month stated the obvious, holding that pharmaceutical distributors were not, in fact, responsible for the runaway provision of opioid pills to Americans who would go on to become dependent, enter the world of high-risk illicit opioid use, and often die – or allow their pills to be diverted to those who would. 

Of course they were not responsible, because that’s not possible. They had no means to supply a single opioid pill to an American, that provision possible only for licensed medical professionals (LMPs) allowed to write the prescriptions and trusted to act as gatekeepers to protect the health and safety of their patients. 

From a previous post – 

image of John Oliver on TV

The Sacklers did not, could not, open a chain of retail outlets Americans could walk into and buy the opioids off the shelf. No. Not a single opioid pill provided to living or dead Americans came to them from the Sackler family, from Purdue Pharmaceuticals, from any employee of a pharmaceutical or opioid manufacturing company. The only originating suppliers were licensed medical professionals meeting with patients in exam rooms, providing medical services to them, then writing prescriptions that supplied them with the opioids. Without their signatures, no opioids were dispensed.

Instead, what the evil Sackler family did was pay pharmaceutical reps – pill salesmen – to visit doctors (medical prescribers) in their offices during and between visits with patients and hold guns to the prescribers heads to force them to prescribe the opioids. And the reps forged their signatures on prescriptions, and they threatened harm or death to the families of licensed medical professionals if they refused to prescribe the opioids.

Ha! Funny. Of course they didn’t.

They didn’t need to. Instead, the pill salesmen – with exactly the level of qualification to understand and evaluate medical need and the research bearing on safety of the opioids as you would guess, that is, none – explained to the doctors that, against all longstanding evidence, these opioids are effective and safe for all forms of pain. And? Those helpful pill salesmen, conveying clinical understanding of opioid safety and use to America’s medical professionals, took them out to nice dinners, and lined their pockets with speaking junkets, where the newly educated doctors would explain to their colleagues the safety and need for the opioids, based on what they had learned, from salesmen.

Those physicians relied, with the health and safety of their patients at stake as with any medication and certainly for controlled substances, on the information provided them by those pill salesmen. Salesmen, not healthcare professionals or researchers.

In the new development, 

an anomalous reality check – 

CHARLESTON, W.Va. — A federal judge on Monday ruled in favor of three major U.S. drug distributors in a landmark lawsuit that accused them of causing a health crisis by distributing 81 million pills over eight years in one West Virginia county ravaged by opioid addiction.

. . .

Cabell County attorney Paul Farrell had argued the distributors should be held responsible for sending a “tsunami” of prescription pain pills into the community and that the defendants’ conduct was unreasonable, reckless and disregarded the public’s health and safety in an area ravaged by opioid addiction.The companies blamed an increase in prescriptions written by doctors along with poor communication and pill quotas set by federal agents.

. . .

Faber noted that the plaintiffs offered no evidence that the defendants distributed controlled substances to any entity that didn’t hold a proper registration from the Drug Enforcement Agency or the state Board of Pharmacy. The defendants also had suspicious monitoring systems in place as required by the Controlled Substances Act, he said.

“Plaintiffs failed to show that the volume of prescription opioids distributed in Cabell/Huntington was because of unreasonable conduct on the part of defendants,” Faber wrote.

In a statement, Cardinal Health said the judge’s ruling “recognizes what we demonstrated in court, which is that we do not manufacture, market, or prescribe prescription medications but instead only provide a secure channel to deliver medications of all kinds from manufacturers to our thousands of hospital and pharmacy customers that dispense them to their patients based on doctor-ordered prescriptions.

The defendants are of course right. They met the demand created by medical prescribers and their patients, patients trained to believe the lies that opioid medications could effectively and safely relieve their pain. Trained for decades to believe the lies that medical professionals could provide them treatments for the non-medical conditions of depression and chronic pain

Lies conveyed to them by American media, their culture, and their doctors

The United States Supreme Court,

in a related and appropriately timed decision, let medical prescribers off the hook for running “pill mills” or otherwise helping to generate the opioid crisis by overprescribing or otherwise  misprescribing the addictive Schedule II controlled substances

A Supreme Court decision protective of American Medicine’s incompetent and criminally negligent generation of the opioid crisis significantly bolsters protections afforded by America’s medical-media collusion, empowering continuing overprescribing and misprespcribing of opioids driving the lethal epidemic. 

emergency response to an overdose

Overprescription and misprescribing of opioids

has continued over the years and decades of an increasingly lethal epidemic, described here,





and here

And while continuing to misprescribe, decades into an increasingly lethal opioid crisis, America’s medical professionals only began protecting patient rights and health after forced to at risk of legal violation for failure to meet longstanding, established ethical requirements for any medical intervention – failure to  provide informed consent.

American Media have been so effectively compliant, so helpful, that is, so cowardly in performing their roles as to conveniently exclude from examination as prescribed opioids  the increasingly doctor-prescribed addictive, diverted, misused opioids fueling – as consumable, commodity, and currency – increasingly lethal street economies of illicit opioids. That helpful. 

But . . . but . . . It’s The Fentanyl. 

No. Seriously? Get a clue, It never was about fentanyl, the predictable new heroin, waiting to become the old heroin. 

Fentanyl is a known risk on the street, everywhere, sought out and used at increasing risk of death, chosen over American Medicine’s proven cure, Suboxone, “subs” as easily available on the street or by phone call as any other street drug. 

On the street: Proven cure for ya? No thanks man, you got some fentanyl, some real dope? I got my subs to trade for it

But . . . but . . . THE PANDEMIC,

that’s why the opioid crisis keeps getting worse. Everybody knows that, it goes without saying. 

Of course it does, established after all by a consensus of America’s top experts, popularizing writers, and major media. How could it not be true?

Here’s how – because none of it ever made sense, was fabricated without evidence out of necessity to distract from the truth, and is now invalidated

That doesn’t leave much, does it? No bogus, cooked-up  distraction, no scapegoat, no cover story.

Just the lethal truth.  

If addiction were a disease of loneliness, 

it would have vanished decades ago, eliminated by the curative power of the fellowship of the religious subcultures AA and NA, that fellowship the known antidote to loneliness and addiction available in every city and community of this great nation, in essentially unlimited supply – multiple meetings of socially and spiritually mutually supportive acolytes each day, every day, supplemented by the 24-7 on-call support of Sponsors qualified and trained to protect against The Loneliness and instead offer solace and support to the addict, fellow victims of the brain disease of addiction. It is America’s Treatment for addiction, infecting and constituting “treatment” in essentially every public and private treatment program in the U.S. So privileged and culturally metastasized that we tolerate the routine violation of vulnerable Americans’ constitutional right to freedom from coerced religious practice in order to allow judges to force participation in what has consistently been held as religious practice. So privileged as to form, in practice,  the dominant treatment model without any evidence for beneficial effect.

And has been essentially universally accessible- and free – in unlimited supply, for a half century or more, provided to millions of addicts over that time. 

While America’s lethal substance use epidemics continuously worsened. 

The problem, of course, is that in reality the religious subculture AA and its prescriptions are established as counter-therapeutic, harm-predicting, and never with evidence for benefit, those exposed to the bizarre prescriptions maintaining or returning to problem substance use at failure rates of 90 to 95 percent, almost certainly higher failure rates than for those avoiding the religious subculture and any other presumed supports or forms of treatment altogether. 

That lethal failure is partly because the consensus that addiction is a “disease of loneliness” was never more than a really stupid, self-serving lie by and for America’s cronyism treatment systems and a necessary cover story for the real perpetrators of worsening epidemics. 

If anything, problem substance use (“addiction”) is a condition set up by toxic togetherness

by the trauma-related deficits and psychological vulnerabilities, the emotional assaults and wounds of toxic relationships in adulthood, in churches, marriages and other institutions, and especially in families, where those injuries and vulnerabilities are inflicted on children. 

From a previous post – 

child sitting alone head bowed

Anomalously truth leaks out as here, below, where the author and interviewees outlined what has been established for decades, that the behavior of compulsive substance use is caused by – as established by neurobiology, developmental biology, research in psychology and human behavior, and most importantly by the consistent, direct reports of individuals experiencing the problem about what drives them to use substances – traumatic or disturbing, adverse childhood experiences (ACE) or experiences later in life that set them up as vulnerable to compulsive and self-defeating use of mood-altering substances to . . . alter mood.

Caused by retained, disturbing memories and traces of experiences with the associated distorted beliefs and inner distress that there is no pill for. Never will be a pill for. 

From the piece by reporter Bruce Deachman –


Turnbull’s programs engage in forms of “harm reduction” – including use of overdose death reversing Naloxone, safe injection sites, other measures to slow rate of deaths due to high-risk opioid use.

As the Ottawa Citizen piece writer Bruce Deachman explains –


Facing the roots of addiction as the only route to preventing it, to beginning to save lives,

would require Americans to face clear truths they’ve been unable or unwilling to face. 

– That America’s trusted experts and medical providers through gross and reckless disregard and abdication of their obligation to avoid harm provided and are providing the lies and addictive substances fueling life-threatening substance misuse in those vulnerable. 

– And that those vulnerable are so for a reason, almost always rooted in trauma, abuse, or other form of lasting emotional injury inflicted in childhood, in their families. 

That’s why the transparent lies, the cover stories, the compliant media fabrications  are so necessary, why false villains to point to are so desperately needed – to shield those responsible, at any cost. 

Without them America would have to face itself. 

Why A Critical Discourse?

Because an uncontrolled epidemic of desperate and deadly use of pain-numbing opioid drugs is just the most visible of America’s lethal crises of drug misuse, suicide, depression, of obesity and sickness, of social illness. Because the matrix of health experts and institutions constructed and identified by mass media as trusted authorities – publicly funded and entrusted to protect public health – instead collude to fabricate false assurances like those that created an opioid crisis, while promising medical cures that never come and can never come, while epidemics worsen. Because the “journalists” responsible for protecting public well-being have failed to fight for truth, traded that duty away for their careers, their abdication and cowardice rewarded daily in corporate news offices, attempts to expose that failure and their fabrications punished.

Open, critical examination, exposure, and deconstruction of their lethal matrix of fabrications is a matter of survival, is cure for mass illness and crisis, demands of us a critical discourse.

Crisis is a necessary condition for a questioning of doxa, but is not in itself a sufficient condition for the production of a critical discourse.

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