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tv   Doc Film  Deutsche Welle  August 31, 2019 9:15pm-10:01pm CEST

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it watching the news coming up next a documentary hooked on pain killers the opioid crisis in the usa who sent it you can was get the latest news on our web site that is d w dot com more news out of the top of the hour on having a home freight thanks for joining. walked into the but is the gate here for d.w.i. . we have plenty to talk about as. coverage of. 3 more. asshole we have. let's have a look at some of the other legal so you don't want to miss this. weekend d.w. .
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the protest against a prescription painkiller that triggered a wave of addiction in the usa oxycontin. it's a synthetic opiate with an effect similar to heroin which has been prescribed to millions of americans. that. the protestors were calling out greed for profit in the past 5 years alone almost 200000 people have died from overdoses related to prescription opioids. patients can become addicted to painkillers like oxycontin in just one month when swallowed the pills active ingredient is released gradually but when chewed crushed inhaled injected or abused they can cause respiratory arrest. sed. on again i.
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managed to. have gang. oxycontin was the drug that helped the sackler brothers arthur mordor mar and raymond expand their company produce pharma and to a pharmaceutical empire. the cyclers are often thought of as art patrons like here in new york's metropolitan museum they made generous donations to promote culture worldwide from montreal to copenhagen paris berlin and london. their company purdue pharma made over $35000000000.00 in sales with the painkiller oxycontin alone by the end of the 1990 s. the drug had become a household name due to aggressive marketing and false claims regarding the risk of addiction. 20 years on 1900000 americans are opioid addicks and more deaths are caused by overdose than by road accidents
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the epidemic is also due to authorities shortcomings. west virginia has the state with the highest of drug overdose rate in the us this is the epicenter of the opioid crisis and. it was a good chips at any drug really cold whatsoever so for. the good but uncommon. on average throughout the course of a year in one of 8 cases for cases there are several addresses in town that we've been to over and over the hospital remember me personally it was a look around the same guy same house 11 cops. cars with gas in a grocery store faster. the strongest people go on the draw for lying are
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a strong warning and root on the order of their food tonight to pick up one to. pass out. without a public bathrooms for both playgrounds we've had an intersections of traffic. still in traffic lanes people just all of the song was going on for a pass out on the wilbur car and i hit my kids in child seats in the back of the car. been very poorly kept homes middle class homes were mansion it's straight up everywhere i didn't care if you're a businessman a schoolteacher a lawyer. they said hey there's doctors but pharmacies out there we're going to shut those down but nothing was done for them to get more to use the people who are addicted or still addicted so the drug dealers they moved in here we are.
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from the outset rural west virginia was a major target for the oxy cotton campaign. the many minors there not only suffered frequent accidents but also chronic joint pain making them find targets for marketing the painkiller too. in a region impoverished by the mining crisis there was also a lack of medical care this made west virginia particularly attractive for the painkiller industry pills were welcomed in this area where few therapeutic alternatives are available. at the same time the euphoric effect of oxy cotton helped numb the rampant depression among the many unemployed the prescription drug became known as hillbilly heroin. and numerous people have become unemployed through addiction like former nurse jennifer walker she is one of the victims of
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the producer marketing campaign her addiction led her to a life of crime and she ended up in jail she was released 6 months ago and is currently undergoing withdrawal therapy. i knew my i was involved in everything in school i was every t. ball game i was my next really you know it's like i had 2 labs i started once with archer and they started prescribing me i think yes i did a piece where i stored it sail and i'm not trying to justify that for any reason whatsoever but you know here there's not a lot of jobs there are scarce there for you and for in between so you have to do what you have to do in order to provide for your. the very 1st time i once was oxer that's out of my life sorry and they were at least out for pretty much no take nothing no questions asked
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so was i went back and well they're much help and there's good news was they were coerced and the more you know month or 2 later on help would be worse and making me more. and it was like and all my prescriptions were down the talkers weren't even there nurses was handing them out. everything's already printed before you get there and then i had to search on my 2nd one and he continued to write me pain pills so that was an excuse i mean every month for years. little small town pharmacy for the basic i paid cash for my minutes therefore there was nothing to run for ever how they do it in a pharmacy you never in your insurance see what you've got or they know your finances day and night and a lot of it's not quick. and he knew what i was doing i'm in. about 5 point fields is what i'm 3 different counts i was brimming over i'm around 8 else hours
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in my class. but since the doctors cut way back right para one as for them being in me and it felt like $13.00 to make a batch of me. i have lost a lot of my friends and a birthday packet me this year and give you the number 5060 and you never get used to it. he was a really close friend. to have bringing you more so. if they had got for me they would read it from somewhere else if i had packed it gave it to me it would be out wrong but it's still reckless in life so. i want to blame it on. our own journal realizing you know what this person selling
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their shit what how are they getting these bills. water they've been used pills to make them so if they. were her and ourselves were going to prison for it our lives are being taken our freedoms we are taking and then right learning. oxycontin was sold over the counter of larry's drive in pharmacy in madison like fast food 10000000 times in 11 years in a town with under 3000 inhabitants. in the past few years u.s. law enforcement has closed hundreds of the so-called pill mills pharmacists who fail to report suspicious prescriptions to authorities have lost their licenses doctors have had to pay heavy fines and been given jail sentences for over prescribing opioids. one major
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party responsible for convincing doctors to prescribe opiates not only to cancer and palliative patients or following major surgery was purdue the company sent this pseudoscientific video message to more than 150000 practices. there's no question the best strongest pain medicines are the opioids but these are the same drugs that have a reputation for causing addiction and other terrible things. in fact the rate of addiction amongst pain patients who are treated by doctors is much less than one percent. they don't wear out they go on working they do not have serious medical side effects and so these drugs which i repeat their strongest buy in my location should be used much more than the. marketing lies like that have made americans today feel outraged purdue and the sackler family. who have lost. there was already
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a federal investigation of the pill manufacturer some 15 years ago. back in 2007 the company its executive board and its owner the sackler family faced charges of misleading doctors and patients about the drugs. but their lawyers among member dr leon e. the former mayor of new york had good contacts to the department of justice. in a move to keep the name produced pharma the oxycontin manufacturer and the sac lawyers out of the picture produce frederick and 3 board members guilty to misbranding the drug. they were given a total of $634500000.00 in fines but no prison sentence. it was a clever move by producer. around
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this time carol canara began working as a sales representative for perdue. they basically were willing. that around the company per day of. their building the government through medicare . through the department of. to the last thing and i don't think the producers necessarily stop their deceptive marketing tactics they were directing them did everything with. serious if they were following what they need to do but underneath all that. it was still business as usual and then you come up with an. addiction. which is. not based on any kind of scientific information. pseudo addiction was a term produced pharma introduced after doctors had begun flagging more and more patients with addiction to produce said it was caused by too little oxycontin their
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advice to doctors was to increase the dosage. and i think now in retrospect looking at that whole idea your incentive to create added over time we're going to become tolerant. to that to sing strength and they're going to need a higher dose and strain so from the company's perspective you're creating a nice market for yourself. prescription happy doctors were given an all expenses paid trips and invited to speakers receiving fees of up to $2000.00 per session produce innovative marketing strategy relied on the doctor's credibility. i've had situations where i've had doctors in my territory say to me because they know what the deal is as far as getting. compensated for so for speaking if you need any speakers i'd be interested so the way we were trained to handle that was to say to the doctor. that you know the speakers that they are the people that they were
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selecting for speakers were people who generally had more experience with our product. that was a polite legal way of saying you need to prescribe more the implication is if you prescribe more then i think maybe i can hook you up so these are some of the bone statements or what they call a sales incentives i'm looking at a quarter $125000.00 that's just in one quarter in one territory over $7000.00 prescriptions and just in my territory the greatest growth i had was in the 60 milligrams which would make sense because the whole thing of titrating the patient and training them because of pseudo addiction that type of thing would make would make sense that you know that people with patients would end up in that in those higher dosing. that produce aggressive marketing campaign went unnoticed by the press even the drug enforcement administration the da hardly took note. time
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and again former d.a. investigator jim geldof was thwarted by top officials in his investigation into purdue purdue new for your early on the drug was being abused by crushing it and then either injecting your story in the auction then actually the sale of their drug became its own economy so if you had an eating all right and bill was worth a $100.00 to $120.00 on the street. it was a fundamental we hadn't seen before the diversion was so massive don't know where you're really going to attack it has with the distributors and manufacturers that's why finally d.e.a.'s initiated to distribute our initiative but whatever we did it was never good enough and we chris couldn't achieve counts and move on the case they were always want somebody else interviewed volume was and often even though with the volume was off the charts they want us to be specific as to what order was suspicious this was the one i really i couldn't believe i said to the chief counsel
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tourney they ship you know 5000000 pills to this particular pharmacy and you want me to tell you which one is the suspicious one i mean they're all suspicious and. they did not want to take these cases and we saw more and more d.e.f. tourney's moving into the area defending the drug companies we also saw a lot of d.n.a. infest the gators moving in to work for drug industries attorneys that worked also not just with the a but the partner of just those that knew of a system or they knew the standards that were using so these are people that they've worked where they knew any kind of weak points there might be in a lot of the regulations. the american public will never know what really the pharmaceutical industry did to people didn't have to buy their oil and you know i'm just i'm sorry that case went the way it did and. there is currently an entire generation in the us growing up apart from their parents because their parents are
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addicts custody hearings like this one happen daily and west virginia as well as in most us states. this hearing concerns the fate of 3 children of an addict on withdrawal they have been living with foster families since his wife died of an overdose. off. actually some. more of. the scary part of that. bothered. despite hearing they don't. they simply of. course. part. of.
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the normal my kids are experiencing is for kids not to be raised by their parents shocking that's not shocking and it's very very difficult the 5 relatives for the children to be placed with it's now fairly common for the grandparents the best fosters for drugs themselves i had a case here where the grandfather was selling drugs to his grandson so fairly common to see 3 generations on with substance abuse addiction in a family and the conditions of these children are raised i've had family members affected bot i've lost classmates people i went to hospital with last away from it so there's not anyone in our community can say they've not lost because of it i decide it's the new normal but it is it used to be that you know if you had a 20 or 30 year old pass away you know the entire community would mourn now we expect people to die at that age because we have the overdoses and you don't see
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long lines of support for they were as fake timbs there's a stigma associated with that as just another druggie who died. och it myself switching out of the war early on a steel look back of things i missed we let a problem become an epidemic and we should feel. it was a problem hard to put it back in the bottle. to go after a doctor or a pharmacist it takes being able to show that they were going in so many medically unnecessary way takes a lot of resources that your local law enforcement source a prosecutor generally doesn't have. requires the federal government to prosecute and even gain there's it's difficult.
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the problem is gotten so big that i request our law enforcement everyone's support system around our prosecutor's office and you can't beat a problem as long as the demand say. this is hemline another town marked by the opioid crisis. every thursday there are hearings at the local drug court. it's a reserve that we're sure. you never know would be when you mean it could be over. in.
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this court strategy is not to punish addicts who have committed minor offenses but to reform them through rehabilitation. once a week charged addicks must appear before the judge if they pass the drug test they remain free. amber bias has been an opioid addict since she was 15 she and her school friends even through so-called oxy power. he's right. we'll go to college next fall well in the spring let me bring you back because at the paper you know when you read. relationships and recovery are very very bad so i will out but. be careful all right back. boyfriend jared was also an opioid addict for years he 1st went on the medication after back surgery following a car accident his addiction cost him everything including custody of his children
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just like amber. it's a life thing. that's her no one is going to be clean like this it's not. transparent myself sick and then my. mom stepped up and was the mom that i didn't mean she went to the courts and got the guardianship i was supposed to get a son guardianship to her but i was too high to get a court date and i wasn't even worry about them. because. my daughter daily grew up knowing that i had to have it that next there was no get memphis make him breakfast or get them from playing or even me unhappy when wait so when she would even come and asked me mom if you took your medicine yet and if i hadn't she's like you know i want to hurry up and take it because then
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i can be a mom after that. i was sure you know i had been sick are they left or no bad old days telling her that i was sorry i mean i'd had enough you know i was sick of being sick all day. but all those bad memories are kind of like a positive motivator for me because i mean i'll be damned i'll not do them that way again. because i'm better than an. hour i had 16 months claim i thought i was in control and you're never in control of your addiction i thought i could go to work and be around some i that got ha and and you can't but that's a trigger and i end up backslide on. my daughter she's seen things she shouldn't saying that owed 4 times in
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a car and then i would be in my wife's mother's house but after every time that i didn't all i was thinking was going to get nods to me it didn't matter whether i lived ok there's probably been 20 people and just this past year that i've lost to o.d.'s even get on facebook like every day in you'll see the rest in peace some a's name that you know resolve. any and we both understand addiction because we've been there so we can both work our recovery together. like it would be hard to get with someone that's not an addict because they don't understand the situation and what you've been through are wide snot so easy you just stop you know you can just stop it so that you got to work on the rest of your life it's constant work but it's worth it. because the only alternative is to get
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that seizing and that says that the enemy. we were in cleveland for hearing so i go pull up to the federal courthouse and out in front 2 or 3 dozen women with side protesters saying make them pay hollering we won't forget we won't forget they were mothers that had lost a child. they said please. please remember us when you go up stairs. for relatives one of the 3 leading attorneys preparing the largest ever class action lawsuit against the pharmaceutical industry more than a 1000 towns and communities are suing the largest drug distributors the aim is to achieve long term compensation for damages these would be an estimated
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$500000000000.00 a year for all of the u.s. fines became a cost of doing business produce paid $600000000.00 and they continue doing business it was a slap on the wrist it was business as usual so if they're engaging in this conquered because it's profitable i'm going to make it less profitable and because part of the cost of doing business is going to be repairing and fixing the damage public entity has the right to bring a public nuisance and tell these companies fix it there won't be any movement in this case until the stock price starts to reflect the risk of these lawsuits and the reason is is because when those that have made the money begin to fear that they'll lose their money that's when they'll make that decision. money drives it
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all the cockroach always finds a way and so you keep enough laws and enough. figure out another way that's the thing about. breaking the real. dream making it is that we can affect policy change and we're doing it by impacting the margins by which these companies operate and that will have a much longer and dramatic impact than any rule or regulation. in the past rules were not only circumvented. april 26 team at the height of the crisis the pharmaceutical industry succeeded in pushing through a major change in legislation unnoticed by the press and the public. this change stripped the d.e.a.'s of its power to freeze suspicious shipments of opioids.
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i'm sure it was influenced by the pharmaceutical industry bill significantly reduced the enforcement efforts as far as holding drug companies accountable to drug companies were started to feel the heat both through d.n.a. and also in public opinion and so they want to hear they couldn't justify what they did so they want to head in and got a lead and got the legislation changed i mean it's you know on mean lyndon barbour who was our number one guy going after these drug companies now he writes a piece of legislation and he knew what it was it was what that piece of legislation was intended to do it wasn't about insuring patients having access to drugs it was about getting d.n.a. off the backs of these drug companies that's exactly what was. joran azizi was in charge of the diversion program joel rains easy absolutely check through it and
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when they didn't like what they heard didn't like it the way it sounded joe was removed from his position the ward was well we were playing nice with industry i mean that was absolutely the new policy. but even before that bill was passed the d.a. had not been able to reliably stop suspicious shipments which were clearly visible in places like kermit a small town with 400 inhabitants 3000000 doses of opioids were delivered to a single pharmacy here within 10 months for years long lines of cars with people with prescriptions from neighboring states passed through the town. today what remains is a paralyzed community where many inhabitants receive food stamps. kermit is also taking part in the mass lawsuit in cleveland one of the things that we like to do is to figure out based on this questionnaire that the judges ask us is what
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are the costs that the town of kermit has incurred or suffered because of the opioid christs together with 30 other municipalities and 50 counties in west virginia kermit mayor charles sparks is litigating against the pharma industry he's represented by leticia tafe and whose firm was the 1st in west virginia to help entire communities file lawsuits. all the money on the volunteer fire company have they experienced increasing costs over $300.00 calls in one year they're expensive they've got to be double triple. people and what does that equate to for a monetary loss the reputation that was damaged by you know scum invest in the community i mean or by garment really you know you know you people there are a bunch of drug ads much of your bill is i guess what. i would call us that we're all on drugs we've always had a reputation in a state of being very very or let's not you know battle and we hope to gets to
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fight it with this lawsuit. only. volunteered our company get his information on. what the federal government to give me the data they're holding ready in their database they are to state it it's billions and billions of little zeros and ones in vinatieri computer code it's a record of where all of these pills went the da has the database and they speak through the department of justice and so both of them have said they will not
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disclose the orchestra i have in the federal court filings disagreed with them and i have said that this is information that should be made public because the the very best disinfectant is sunlight i want transparency. i want them to show america exactly what it is happened. and it has taken a long time for america to truly embrace the fact that this here and at the temple of our nation. there's a tremendous amount of shame involved to tragedy her and many. were ashamed that the law enforcement in the federal government didn't act sooner or ashamed that it's our children and our neighbors and our family members that are addicted it's
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touching a number of different. heartbreaking is the fact that we not only do we not can imagine it's almost like we're just not paying attention to the mystery of. my children have seen over the years we've been in the grocery store and there's somebody that is on the floor being revived by emergency responders and if you just look to the side my neighbors are very lined checking out. it's a t.v. that said send in my tell when you live with it long enough the anger goes away and so i want to bring some of that anger back i want my community fight back. the small town of huntington is known as ground 0 of the opioid epidemic. one 5th of the population is addicted and every 15th child born has withdrawal syndrome.
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the local hospitals cannot cope with the number of cases so more and more private daycares are being built for newborns. such as lily's place which is financed by donations. alyssa mcgowan's 4th child is being treated here for opioid withdrawal. and. 18 when i start to do it next boyfriend actually and you sit him the boys and then my dad saw a meticulous man give them me. i didn't realize that i was and take it too and i didn't have it for a couple days and i felt my body creaming. went back to you my father and more. my mother the same thing i did challenge it was something else. my husband is in recovery and 7 years on and off with drug abuse.
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that was after my 3rd child when my antics in picked up silly and on him being my for a given period. he vincent overstimulated easily and then nothing will seem. to camp for a while. his tummy has been bothering him like the worst stomach bug you can imagine so i feel bad for that because i know what it feels like. it was more like the 2nd week he started to you feel his what charles and he would tremor really hard and his body would jerk randomly and has rapid breathing and feel guilty he shouldn't have had to go through the.
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meanwhile the pharmaceutical industry is making money from repairing the damage it caused. as former director of the west virginia office of drug control policy michael bromwich ensured an antidote was made readily available a drug that can save a person's life in the event of an opioid overdose never in my life that i ever think that we would have to use the locks on the way we have in our population. that we would have to train over 1400 people to reverse overdoses that this becomes a commonplace item among people in our community. people wrote leave them live and let them die and unfortunately that's the statement a lot of people find this actually controversy all because they think that people deserve this outcome that when the overdose they should just die many of the worst consequences of this crisis is our attempts at solutions we shut down the pill mills without offering
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people an opportunity to get treatment so that they wouldn't go over into heroin. but the right things seem to be at the time we have pill mills let's get rid of the pills the problem solved but that's not the way it works. the dimensions are so vast it's an epidemic of epidemics it's hepatitis b. c. hiv actuarial infections it's about you needle absent syndrome it's about the lawlessness that this problem has created. i mean more law enforcement is important but it's not the answer we need more medication assisted treatment and more pure based abstinence treat and the social determinants of health clearly economics and job loss plays a role the 1st childhood experiences for those underlying social 5 1st interfere 1000000 factors that have never been successfully addressed. most people
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don't understand is that this is not going to be solved in years this is going to take generations if we're fortunate weekend help fix this problem in 2 or 3 generations. yet unborn children are going to be dealing with the consequences of this and we know this from epigenetics that the the stress that comes on mothers and on fathers is transmitted to their offspring. children whose parents are fighting the opioid crisis we're already at risk for becoming drug users themselves we have to find a way to break this you know generational cycle. if we don't focus on the primary prevention we're not helping the next generation that's coming from the void in the same trap that this generation is already falling that.
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for years now. use of opioids has not just cause problems in the united states. in germany prescribing such powerful drugs is subject to the country's strict narcotics law nevertheless the number of prescriptions rose by almost a 3rd between 262015 strong opioids are increasingly being used to treat chronic pain. doctors can choose which therapy to prescribe if a patient comes saying i have very severe back problems and opioids work no question doctors like seeing their patients satisfied. germany's narcotics law dictates that strong opioids may only be prescribed on special prescription forms issued by the federal agency and are subject to its control nevertheless the use of such drugs is increasing. the 1st opioid
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bandaids came onto the market some 15 years ago they were initially intended only for cancer patients or those who could no longer swallow. but then we didn't anticipate the bandaids would be widely used but the pharma industry probably did. bandaids are easy to use you just stick them on the opioid boom began with band-aids. when you see that about 75 percent of opioids are no longer used for tumor pain or in palliative medicine mostly the highest dosage is given with the 1st prescription we must appeal to doctors to prescribe these drugs carefully used for the right medical conditions opiates are indispensable but if i use opioids for all kinds of pain then that could lead to a situation like the one in america. perhaps not on the same scale but it could
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lead to too many people becoming dependent on opioids and also like in the us to other illegal drugs being used as well because addiction leads to you take. in other drugs. and. in theory the prescription of opioids is strictly regulated and monitored in france as well. and yet in 2017 alone 2600 people were hospitalized following an opioid overdose. experts at the university hospital in claremont fair hall university are researching improved opioids they are designed to relieve pain just as effectively but without causing the strong side effects. head of the pharmacology department says it will be at least another decade before they can be tested on humans his work focuses on the dramatic increase in opioid use. weak opioid is a bad name because it plays down the risk there are no weak and strong opioids what
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counts is the amount prescribed in the duration of use. as little as the action can occur with all opioids within weeks or months the risk is there either way. the 12000000 pain patients in france 11000000 are treated with weak opioids and there is this misconception that these drugs are harmless or at least less addictive. this is all overdoses and deaths have increased here with the same tendency as in the us although to a much lesser extent so now is the time to be concerned that. if we do not act now within 5 or 10 years it's possible we'll be in the same situation as the us. there could be such a huge number of addicted patients that we can no longer turn back the wheel the old the floor crew feel much cooler than what if we don't change things now the
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number of deaths will continue to rise. of fish. i am not very creative yet but i would love to be considered an artist one day. everyone's talking about artificial intelligence and we are too. good computers and algorithms one day surpass them in creativity. art on the edge. our talk at global media forum from bach. that mean 30 minutes on d w might be a terrible idea. s.o.s.
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europe the european idea is in crisis. if it's to have a future it will need champions young champions. before activists or countries. they are fighting for the train stations are up. do they stand a chance. can they save the european idea. of my god i'm here to stand up for european values and contribute to something important to upset. the future of europe starts september 2nd on d w.
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the but . this is the dollar news live from bali clashes in hong kong as demonstrators and police ron paul the violence pro-democracy protesters burned barricades and tall molotov cocktails police responded with a gas move to canada and make numerous arrests during the city's 30 straight weekend all the last protests also coming up a controversial citizenship based at least 82000000 people.

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