I’m giving my opinion as a chronic pain patient, recovering addict, retired addiction counselor, and mother whose adult son just left rehab for heroin addiction. This series was very well done. It answered a question I had about why OxyContin made the news around or just before the year 2000, then wasn’t heard of again, or not much, until the more recent “opiate epidemic”. By the time it was deemed “epidemic” all opiates, not just oxy, were under fire. It’s been a crazy ride for chronic pain patients, especially those prescribed doses over 90m daily who were suddenly cut down very quickly, or dismissed from pain clinics as they were suddenly deemed addicts rather than pain patients by agencies unclear—I tried to find out who was behind it and could not.
But that is information for another documentary.
This movie was especially adept at showing the viewer the progression of the disease of addiction, and how it happens to an unbiased cross section of people. It made clear how difficult it is to stop using, and how not prescribing pain medication puts more addicts on the street buying heroin. It wasn’t dry, informative facts—it was about human beings who were made dopesick, and how hard a few people of very high integrity worked to try to stop greedy people who allowed the problem to become widespread. It showed how most people can be bought or frightened into collaboration or silence. It showed what was sacrificed by a few to do what they could.
I was fascinated to learn where the 1-10 scale of pain originated, and I remember when terms like “breakthrough pain” and “pseudo addiction”; “individualize the dose” started being used like medical jargon. They were advertising from a pharmaceutical company! Because I first heard the terms from a physician when I was an addictions counselor, I thought they were new medical terms. Now I learn that M.D.s were coached by drug reps to use these terms. One conversation I had with a Dr. during that time was almost word for word what I heard in this movie. There are a lot of details in the movie that mirror my own experiences or that of someone I know.
I’m glad it was done in 8 episodes so that we can see the way things unfolded over time. It was a bit difficult to follow the time line of events since a lot was done in flashbacks. That seems to be how scripts get a lot of information across in a manageable amount of time.
If this were fiction, or a miniseries “based on fact”, it would have had a happier, more just, ending. The bad guys would have been caught and imprisoned. Lives would be saved, and truth would prevail! Instead, this series told the unvarnished truth of what they were up against and what they were able to accomplish. Our country then experienced a more widespread opiate epidemic, that OxyContin played a huge role in starting. But also started was awareness of the dangers of OxyContin, and the greed and corruption of Purdue Pharma and other entities.
The story continues. We need investigation into why and how so many people were cut off addictive prescriptions with no supports in place for weaning, detoxing, and staying in recovery. Many midddle class, decent Americans have become outlaw addicts. I hope we see a series on that…and I hope the series is as enlightening, interesting, and truthful as this series “Dopesick” is.