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The United States of Addiction | Samira Zantout | TEDxUMKC


[Applause]

[Applause] welcome to the United States of

welcome to the United States of

welcome to the United States of addiction where we make up less than 5%

addiction where we make up less than 5%

addiction where we make up less than 5% of the world’s population and yet

of the world’s population and yet

of the world’s population and yet consume over 75% of the world’s

consume over 75% of the world’s

consume over 75% of the world’s medication we are drugged and over

medication we are drugged and over

medication we are drugged and over medicated our culture is drawn to

medicated our culture is drawn to

medicated our culture is drawn to addictive behavior and drugs have become

addictive behavior and drugs have become

addictive behavior and drugs have become our favorite pastime

our favorite pastime

our favorite pastime now this isn’t about illegal drugs this

now this isn’t about illegal drugs this

now this isn’t about illegal drugs this is about the drugs we get from our

is about the drugs we get from our

is about the drugs we get from our doctors drugs we get from our pharmacies

doctors drugs we get from our pharmacies

doctors drugs we get from our pharmacies drugs we trust our safe to consume if

drugs we trust our safe to consume if

drugs we trust our safe to consume if they’re on the market legal medicinal

they’re on the market legal medicinal

they’re on the market legal medicinal drugs prescription drug abuse is an

drugs prescription drug abuse is an

drugs prescription drug abuse is an epidemic that has been greatly

epidemic that has been greatly

epidemic that has been greatly overshadowed by society stigma of drugs

overshadowed by society stigma of drugs

overshadowed by society stigma of drugs as well as concealed by our

as well as concealed by our

as well as concealed by our pharmaceutical industry we’ve started a

pharmaceutical industry we’ve started a

pharmaceutical industry we’ve started a war on drugs in a multitude of other

war on drugs in a multitude of other

war on drugs in a multitude of other countries and yet somehow forgot to

countries and yet somehow forgot to

countries and yet somehow forgot to touch on the war on people coming from

touch on the war on people coming from

touch on the war on people coming from our own industry and attacking our own

our own industry and attacking our own

our own industry and attacking our own people here in the United States of

people here in the United States of

people here in the United States of addiction we’ve all been lied to and we

addiction we’ve all been lied to and we

addiction we’ve all been lied to and we are all at risk

are all at risk

are all at risk my name is Samira as you may have heard

my name is Samira as you may have heard

my name is Samira as you may have heard some people yellow as I walked out I am

some people yellow as I walked out I am

some people yellow as I walked out I am going into pharmacy school in the fall

going into pharmacy school in the fall

going into pharmacy school in the fall I work in clinical and retail pharmacy

I work in clinical and retail pharmacy

I work in clinical and retail pharmacy and I’ve been a lifelong consumer of

and I’ve been a lifelong consumer of

and I’ve been a lifelong consumer of medication as we’ve all been we’ve all

medication as we’ve all been we’ve all

medication as we’ve all been we’ve all taken the Tylenol or Advil or cough

taken the Tylenol or Advil or cough

taken the Tylenol or Advil or cough syrup they’re stronger or prescription

syrup they’re stronger or prescription

syrup they’re stronger or prescription pills and that’s fine medication is

pills and that’s fine medication is

pills and that’s fine medication is supposed to improve our quality of life

supposed to improve our quality of life

supposed to improve our quality of life we should use it yet too often we’re

we should use it yet too often we’re

we should use it yet too often we’re misinformed about the drugs we think we

misinformed about the drugs we think we

misinformed about the drugs we think we know the drugs we call safe too often

know the drugs we call safe too often

know the drugs we call safe too often our health isn’t as valuable as the most

our health isn’t as valuable as the most

our health isn’t as valuable as the most profitable medication that can be

profitable medication that can be

profitable medication that can be prescribed off of us now don’t get me

prescribed off of us now don’t get me

prescribed off of us now don’t get me wrong the goal here today is not to

wrong the goal here today is not to

wrong the goal here today is not to smear the name of any healthcare

smear the name of any healthcare

smear the name of any healthcare industry we’ve achieved historic feats

industry we’ve achieved historic feats

industry we’ve achieved historic feats in this name of medicine and science

in this name of medicine and science

in this name of medicine and science they’ve saved millions across the world

they’ve saved millions across the world

they’ve saved millions across the world but the greatest healthcare feat we have

but the greatest healthcare feat we have

but the greatest healthcare feat we have yet to achieve as a society of informed

yet to achieve as a society of informed

yet to achieve as a society of informed people I love this profession I wouldn’t

people I love this profession I wouldn’t

people I love this profession I wouldn’t be up here if I didn’t I’d probably be

be up here if I didn’t I’d probably be

be up here if I didn’t I’d probably be in bed watching Netflix right about now

in bed watching Netflix right about now

in bed watching Netflix right about now but I love it because it pushes me to be

but I love it because it pushes me to be

but I love it because it pushes me to be better than I am and I watch it enrich

better than I am and I watch it enrich

better than I am and I watch it enrich lives every day but from $300 diabetic

lives every day but from $300 diabetic

lives every day but from $300 diabetic supplies to dangerously addictive pills

supplies to dangerously addictive pills

supplies to dangerously addictive pills I also watch this industry take

I also watch this industry take

I also watch this industry take advantage of us every day if we want to

advantage of us every day if we want to

advantage of us every day if we want to take back control of our system we have

take back control of our system we have

take back control of our system we have to understand what gave our power away

to understand what gave our power away

to understand what gave our power away now our industry encourages our culture

now our industry encourages our culture

now our industry encourages our culture of drugged

of drugged

of drugged pendants all you have to do is turn on

pendants all you have to do is turn on

pendants all you have to do is turn on the TV to see it and we all love those

the TV to see it and we all love those

the TV to see it and we all love those commercials do you feel exhausted and

commercials do you feel exhausted and

commercials do you feel exhausted and worn down all the time

worn down all the time

worn down all the time do you find trouble motivating yourself

do you find trouble motivating yourself

do you find trouble motivating yourself to even the simplest of tasks if you

to even the simplest of tasks if you

to even the simplest of tasks if you have trouble sleeping and even more

have trouble sleeping and even more

have trouble sleeping and even more trouble waking you get cold when it’s

trouble waking you get cold when it’s

trouble waking you get cold when it’s chilly hungry if you don’t eat if I were

chilly hungry if you don’t eat if I were

chilly hungry if you don’t eat if I were to ask everyone in here the same set of

to ask everyone in here the same set of

to ask everyone in here the same set of questions everyone would answer yes at

questions everyone would answer yes at

questions everyone would answer yes at least once I call these the symptoms of

least once I call these the symptoms of

least once I call these the symptoms of life and these commercials are deceptive

life and these commercials are deceptive

life and these commercials are deceptive because they can paint something that’s

because they can paint something that’s

because they can paint something that’s normal and natural as part of an illness

normal and natural as part of an illness

normal and natural as part of an illness that you need this magic pill to fix

that you need this magic pill to fix

that you need this magic pill to fix their mantra there’s always something to

their mantra there’s always something to

their mantra there’s always something to fix about yourself and pills oil pills

fix about yourself and pills oil pills

fix about yourself and pills oil pills exist to fix you now I used to take

exist to fix you now I used to take

exist to fix you now I used to take about two painkillers a day I was never

about two painkillers a day I was never

about two painkillers a day I was never in any physical pain but I’d feel

in any physical pain but I’d feel

in any physical pain but I’d feel stressed and pressured by silly things

stressed and pressured by silly things

stressed and pressured by silly things and I choose the pill because it was a

and I choose the pill because it was a

and I choose the pill because it was a quick fix

quick fix

quick fix as my tolerance grew two became three

as my tolerance grew two became three

as my tolerance grew two became three than four than six pills a day this is

than four than six pills a day this is

than four than six pills a day this is like my caffeine but it was always a

like my caffeine but it was always a

like my caffeine but it was always a temporary fixed and never dealt with the

temporary fixed and never dealt with the

temporary fixed and never dealt with the root of the problem and it was never

root of the problem and it was never

root of the problem and it was never quite enough when you take a step back

quite enough when you take a step back

quite enough when you take a step back from the thousands of manipulated

from the thousands of manipulated

from the thousands of manipulated commercials we’re bombarded with you see

commercials we’re bombarded with you see

commercials we’re bombarded with you see a different side of these drugs

a different side of these drugs

a different side of these drugs prescription drugs harm more people in

prescription drugs harm more people in

prescription drugs harm more people in the United States then illicit drugs do

the United States then illicit drugs do

the United States then illicit drugs do according to DEA this is the number of

according to DEA this is the number of

according to DEA this is the number of people that die each year from cocaine

people that die each year from cocaine

people that die each year from cocaine heroin and marijuana abuse combined by

heroin and marijuana abuse combined by

heroin and marijuana abuse combined by contrast prescription drugs killed

contrast prescription drugs killed

contrast prescription drugs killed almost consistently twice the number of

almost consistently twice the number of

almost consistently twice the number of people each year the CDC reports that

people each year the CDC reports that

people each year the CDC reports that someone in this country dies

someone in this country dies

someone in this country dies prescription drug abuse every 19 minutes

prescription drug abuse every 19 minutes

prescription drug abuse every 19 minutes that’s a little over 500 people a week

that’s a little over 500 people a week

that’s a little over 500 people a week the size of this audience and it doesn’t

the size of this audience and it doesn’t

the size of this audience and it doesn’t exactly make sense because our legal

exactly make sense because our legal

exactly make sense because our legal drugs are supposed to be our safe drugs

drugs are supposed to be our safe drugs

drugs are supposed to be our safe drugs if you take a look at our FDA approval

if you take a look at our FDA approval

if you take a look at our FDA approval process from left to right they undergo

process from left to right they undergo

process from left to right they undergo a strenuous application process and

a strenuous application process and

a strenuous application process and multiple clinical trials before they’re

multiple clinical trials before they’re

multiple clinical trials before they’re approved by the FDA now this process can

approved by the FDA now this process can

approved by the FDA now this process can take over 10 years and over 2.6 billion

take over 10 years and over 2.6 billion

take over 10 years and over 2.6 billion dollars per drug and out of all the

dollars per drug and out of all the

dollars per drug and out of all the drugs that started only about a handful

drugs that started only about a handful

drugs that started only about a handful make it out so that’s a lot of bad drugs

make it out so that’s a lot of bad drugs

make it out so that’s a lot of bad drugs that get weeded out that’s our system

that get weeded out that’s our system

that get weeded out that’s our system working yet the FDA’s drug recall rate

working yet the FDA’s drug recall rate

working yet the FDA’s drug recall rate is at an all-time high we have more

is at an all-time high we have more

is at an all-time high we have more drugs than ever being approved to be on

drugs than ever being approved to be on

drugs than ever being approved to be on the market

the market

the market only to be deemed unsafe and removed

only to be deemed unsafe and removed

only to be deemed unsafe and removed shortly after so my question is what are

shortly after so my question is what are

shortly after so my question is what are the loopholes to our system how did they

the loopholes to our system how did they

the loopholes to our system how did they flip past the radar now keep in mind

flip past the radar now keep in mind

flip past the radar now keep in mind there’s a lot at stake for the drug

there’s a lot at stake for the drug

there’s a lot at stake for the drug companies in this process that’s a lot

companies in this process that’s a lot

companies in this process that’s a lot of invested time and money that can go

of invested time and money that can go

of invested time and money that can go to waste for these for-profit companies

to waste for these for-profit companies

to waste for these for-profit companies so even if they realize their drug isn’t

so even if they realize their drug isn’t

so even if they realize their drug isn’t as safe or effective as they wanted it

as safe or effective as they wanted it

as safe or effective as they wanted it to be they have to push it through the

to be they have to push it through the

to be they have to push it through the system somehow to turn a profit they do

system somehow to turn a profit they do

system somehow to turn a profit they do this by using what I like to call the

this by using what I like to call the

this by using what I like to call the three golden rules of pharma these are

three golden rules of pharma these are

three golden rules of pharma these are the loopholes these companies have found

the loopholes these companies have found

the loopholes these companies have found across our system that allow them to

across our system that allow them to

across our system that allow them to miss inform us and turn a profit golden

miss inform us and turn a profit golden

miss inform us and turn a profit golden rule number one regulate the regulation

rule number one regulate the regulation

rule number one regulate the regulation now the FDA controls the fate of all

now the FDA controls the fate of all

now the FDA controls the fate of all proposed drugs as a drug company you

proposed drugs as a drug company you

proposed drugs as a drug company you want a very good relationship with the

want a very good relationship with the

want a very good relationship with the FDA this means giving money to review

FDA this means giving money to review

FDA this means giving money to review board members and congressmen that

board members and congressmen that

board members and congressmen that influence drug legislation as well as

influence drug legislation as well as

influence drug legislation as well as paying above and beyond the required

paying above and beyond the required

paying above and beyond the required drug fees in order to speed up their

drug fees in order to speed up their

drug fees in order to speed up their approval process for your drug the FDA’s

approval process for your drug the FDA’s

approval process for your drug the FDA’s budget exponentially grows each year and

budget exponentially grows each year and

budget exponentially grows each year and pharma contributions account for over

pharma contributions account for over

pharma contributions account for over 80% of that growth each year it’s easier

80% of that growth each year it’s easier

80% of that growth each year it’s easier to control regulation against you when

to control regulation against you when

to control regulation against you when you basically own the agencies take

you basically own the agencies take

you basically own the agencies take antidepressants for example now for

antidepressants for example now for

antidepressants for example now for millions these drugs are a miracle for

millions these drugs are a miracle for

millions these drugs are a miracle for others not so much after concerns about

others not so much after concerns about

others not so much after concerns about antidepressants and boosting suicidality

antidepressants and boosting suicidality

antidepressants and boosting suicidality and violence some patients the US fda

and violence some patients the US fda

and violence some patients the US fda held a hearing in 1991 discuss the

held a hearing in 1991 discuss the

held a hearing in 1991 discuss the safety of antidepressant what troubles

safety of antidepressant what troubles

safety of antidepressant what troubles me is that the majority of the 41 FDA

me is that the majority of the 41 FDA

me is that the majority of the 41 FDA review board members in that hearing had

review board members in that hearing had

review board members in that hearing had some financial ties to the companies

some financial ties to the companies

some financial ties to the companies that created these drugs there was such

that created these drugs there was such

that created these drugs there was such a conflict of interest that they

a conflict of interest that they

a conflict of interest that they released the statement titled conflict

released the statement titled conflict

released the statement titled conflict of interest that the hearing will deal

of interest that the hearing will deal

of interest that the hearing will deal with a no specific issue dealing with a

with a no specific issue dealing with a

with a no specific issue dealing with a specific product or sponsor meaning that

specific product or sponsor meaning that

specific product or sponsor meaning that the drugs are going to be looked at in

the drugs are going to be looked at in

the drugs are going to be looked at in very general terms no one drug or

very general terms no one drug or

very general terms no one drug or company is going to be targeted and

company is going to be targeted and

company is going to be targeted and possibly regulated rule number one

possibly regulated rule number one

possibly regulated rule number one regulate the regulation rule number two

regulate the regulation rule number two

regulate the regulation rule number two publish only the positive now before

publish only the positive now before

publish only the positive now before approval the FDA is to see to large

approval the FDA is to see to large

approval the FDA is to see to large scale positive studies supporting that a

scale positive studies supporting that a

scale positive studies supporting that a drug is an effective treatment versus a

drug is an effective treatment versus a

drug is an effective treatment versus a placebo for a particular ailment

placebo for a particular ailment

placebo for a particular ailment naturally they don’t want to approve a

naturally they don’t want to approve a

naturally they don’t want to approve a drug that fails that what it’s supposed

drug that fails that what it’s supposed

drug that fails that what it’s supposed to do so too is the magic number

to do so too is the magic number

to do so too is the magic number and since drug companies fund and

and since drug companies fund and

and since drug companies fund and conduct their own clinical trials they

conduct their own clinical trials they

conduct their own clinical trials they control which studies they publish and

control which studies they publish and

control which studies they publish and which studies they bury this can be

which studies they bury this can be

which studies they bury this can be particularly dangerous say we conducted

particularly dangerous say we conducted

particularly dangerous say we conducted 100 studies and 98 of them showed our

100 studies and 98 of them showed our

100 studies and 98 of them showed our drug had seriously disturbing side

drug had seriously disturbing side

drug had seriously disturbing side effects we could legally only disclose

effects we could legally only disclose

effects we could legally only disclose the two studies we favored that is being

the two studies we favored that is being

the two studies we favored that is being reckless with our health and it’s not

reckless with our health and it’s not

reckless with our health and it’s not exactly hypothetical if you look at the

exactly hypothetical if you look at the

exactly hypothetical if you look at the drug prozac in 2005 in 2005 internal

drug prozac in 2005 in 2005 internal

drug prozac in 2005 in 2005 internal documents about side effect information

documents about side effect information

documents about side effect information and clinical trial data about the pill

and clinical trial data about the pill

and clinical trial data about the pill prozac were leaked to the media these

prozac were leaked to the media these

prozac were leaked to the media these documents were dated a year after prozac

documents were dated a year after prozac

documents were dated a year after prozac was approved to be on the market and

was approved to be on the market and

was approved to be on the market and they showed that patients on Prozac are

they showed that patients on Prozac are

they showed that patients on Prozac are 12 times more likely to commit suicide

12 times more likely to commit suicide

12 times more likely to commit suicide through patients on other major

through patients on other major

through patients on other major antidepressants and eight times more

antidepressants and eight times more

antidepressants and eight times more likely to commit intentional injuries

likely to commit intentional injuries

likely to commit intentional injuries prozac had been on the market for almost

prozac had been on the market for almost

prozac had been on the market for almost two decades at that point without any

two decades at that point without any

two decades at that point without any warning labels for the side effects

warning labels for the side effects

warning labels for the side effects death company knew about but chose to

death company knew about but chose to

death company knew about but chose to conceal this is a drug that was also

conceal this is a drug that was also

conceal this is a drug that was also marketed for children now today the FDA

marketed for children now today the FDA

marketed for children now today the FDA does require suicide risk warning labels

does require suicide risk warning labels

does require suicide risk warning labels on all antidepressants take the birth

on all antidepressants take the birth

on all antidepressants take the birth control yaz and yasmin were found to

control yaz and yasmin were found to

control yaz and yasmin were found to increase the risk for blood clotting two

increase the risk for blood clotting two

increase the risk for blood clotting two times regular birth control pills

times regular birth control pills

times regular birth control pills patients on the drugs iPrEx on

patients on the drugs iPrEx on

patients on the drugs iPrEx on antipsychotic medication are three and a

antipsychotic medication are three and a

antipsychotic medication are three and a half times more likely to develop

half times more likely to develop

half times more likely to develop diabetes than patients not on the drug

diabetes than patients not on the drug

diabetes than patients not on the drug so I defect information that was

so I defect information that was

so I defect information that was conveniently left out of the original

conveniently left out of the original

conveniently left out of the original publication then this is particularly

publication then this is particularly

publication then this is particularly dangerous because adverse effects to

dangerous because adverse effects to

dangerous because adverse effects to medication is the fourth leading cause

medication is the fourth leading cause

medication is the fourth leading cause of death in the United States after

of death in the United States after

of death in the United States after heart disease cancer and Stroke

heart disease cancer and Stroke

heart disease cancer and Stroke rule number two publish only the

rule number two publish only the

rule number two publish only the positive rule number three involve

positive rule number three involve

positive rule number three involve everyone with a financial interest now

everyone with a financial interest now

everyone with a financial interest now it may take a village to raise a child

it may take a village to raise a child

it may take a village to raise a child but it takes an army to push forward a

but it takes an army to push forward a

but it takes an army to push forward a drug approval is only half the battle

drug approval is only half the battle

drug approval is only half the battle the other half is selling it in such a

the other half is selling it in such a

the other half is selling it in such a crowded market of extremely similar

crowded market of extremely similar

crowded market of extremely similar drugs you have to make your drug more

drugs you have to make your drug more

drugs you have to make your drug more appealing for physicians to prescribe

appealing for physicians to prescribe

appealing for physicians to prescribe you can buy bribe doctors with free

you can buy bribe doctors with free

you can buy bribe doctors with free dinners trips dinner

dinners trips dinner

dinners trips dinner money more dinners in order to approve

money more dinners in order to approve

money more dinners in order to approve your drug over others you can pay

your drug over others you can pay

your drug over others you can pay insurance companies to establish your

insurance companies to establish your

insurance companies to establish your drug as their preferred drug for a

drug as their preferred drug for a

drug as their preferred drug for a diagnosis you can also reward

diagnosis you can also reward

diagnosis you can also reward individuals willing to push forward your

individuals willing to push forward your

individuals willing to push forward your drugs with high-ranking jobs at the very

drugs with high-ranking jobs at the very

drugs with high-ranking jobs at the very drug companies for example they’re

drug companies for example they’re

drug companies for example they’re evolving door phenomena where you have

evolving door phenomena where you have

evolving door phenomena where you have FDA officials ending up with

FDA officials ending up with

FDA officials ending up with high-ranking jobs at the very drug

high-ranking jobs at the very drug

high-ranking jobs at the very drug companies they help approve drugs for if

companies they help approve drugs for if

companies they help approve drugs for if you look at the diagnostic and

you look at the diagnostic and

you look at the diagnostic and statistical manual of mental disorders

statistical manual of mental disorders

statistical manual of mental disorders or DSM for short this is basically the

or DSM for short this is basically the

or DSM for short this is basically the diagnostic standards for every

diagnostic standards for every

diagnostic standards for every psychiatric disorder recognized in the

psychiatric disorder recognized in the

psychiatric disorder recognized in the United States basically a mental

United States basically a mental

United States basically a mental diagnosis has to be in this book before

diagnosis has to be in this book before

diagnosis has to be in this book before medication can be approved for its

medication can be approved for its

medication can be approved for its treatment and what interests me about

treatment and what interests me about

treatment and what interests me about this is when you look at the task force

this is when you look at the task force

this is when you look at the task force team that puts together this book each

team that puts together this book each

team that puts together this book each version over 70% of them have financial

version over 70% of them have financial

version over 70% of them have financial ties to the pharmaceutical industry the

ties to the pharmaceutical industry the

ties to the pharmaceutical industry the more diagnoses they create that existing

more diagnoses they create that existing

more diagnoses they create that existing drugs can be marketed for the more money

drugs can be marketed for the more money

drugs can be marketed for the more money the psychiatrics and drug companies

the psychiatrics and drug companies

the psychiatrics and drug companies alike can make rule number three involve

alike can make rule number three involve

alike can make rule number three involve everyone with a financial interest we

everyone with a financial interest we

everyone with a financial interest we have a system that is harming everyone

have a system that is harming everyone

have a system that is harming everyone that is on medication and everyone that

that is on medication and everyone that

that is on medication and everyone that knows someone that is on medication

knows someone that is on medication

knows someone that is on medication we’re encouraged to depend on drugs for

we’re encouraged to depend on drugs for

we’re encouraged to depend on drugs for our problems and then misinformed about

our problems and then misinformed about

our problems and then misinformed about those very drugs so where do we go from

those very drugs so where do we go from

those very drugs so where do we go from here well for starters we have to break

here well for starters we have to break

here well for starters we have to break the golden rules from a policy

the golden rules from a policy

the golden rules from a policy perspective this means regulating the

perspective this means regulating the

perspective this means regulating the companies and their contributions to the

companies and their contributions to the

companies and their contributions to the FDA publishing all clinical trial data

FDA publishing all clinical trial data

FDA publishing all clinical trial data and adverse effects as well as only

and adverse effects as well as only

and adverse effects as well as only involving individuals known for health

involving individuals known for health

involving individuals known for health and safety interests not money interest

and safety interests not money interest

and safety interests not money interest our medications should not be tied to

our medications should not be tied to

our medications should not be tied to someone’s financial agenda there should

someone’s financial agenda there should

someone’s financial agenda there should be no conflict of interest when it comes

be no conflict of interest when it comes

be no conflict of interest when it comes to public health now when if you look

to public health now when if you look

to public health now when if you look across the globe we’re the only ones

across the globe we’re the only ones

across the globe we’re the only ones facing this problem because of how we

facing this problem because of how we

facing this problem because of how we approach health now our process is

approach health now our process is

approach health now our process is considered a gold standard across many

considered a gold standard across many

considered a gold standard across many nation within our system we eat chicken

nation within our system we eat chicken

nation within our system we eat chicken we need to prove that our drug is

we need to prove that our drug is

we need to prove that our drug is tremendously harmful before it can ever

tremendously harmful before it can ever

tremendously harmful before it can ever be regulated in addition Missouri is the

be regulated in addition Missouri is the

be regulated in addition Missouri is the only state in the United States without

only state in the United States without

only state in the United States without a prescription drug monitoring program

a prescription drug monitoring program

a prescription drug monitoring program that is being reckless with our health

that is being reckless with our health

that is being reckless with our health on the other hand if you look at the

on the other hand if you look at the

on the other hand if you look at the European Union they

European Union they

European Union they all very precautionary principle if a

all very precautionary principle if a

all very precautionary principle if a drug has even the slightest potential of

drug has even the slightest potential of

drug has even the slightest potential of harm protective and preventive action is

harm protective and preventive action is

harm protective and preventive action is taken they refused to be reckless with

taken they refused to be reckless with

taken they refused to be reckless with health that is where we defer and that

health that is where we defer and that

health that is where we defer and that is the change we need to make now we can

is the change we need to make now we can

is the change we need to make now we can crack down on these companies and

crack down on these companies and

crack down on these companies and regulate the system all we want but we

regulate the system all we want but we

regulate the system all we want but we need to take a moment to look at

need to take a moment to look at

need to take a moment to look at ourselves because from a cultural

ourselves because from a cultural

ourselves because from a cultural perspective who we allow these loopholes

perspective who we allow these loopholes

perspective who we allow these loopholes we feed into the drug commercials and

we feed into the drug commercials and

we feed into the drug commercials and the drug dependence culture we don’t ask

the drug dependence culture we don’t ask

the drug dependence culture we don’t ask enough questions about our medications

enough questions about our medications

enough questions about our medications and we’re quick to exchange a pill for a

and we’re quick to exchange a pill for a

and we’re quick to exchange a pill for a problem for a pill no one is happy about

problem for a pill no one is happy about

problem for a pill no one is happy about paying absurd front prices for

paying absurd front prices for

paying absurd front prices for medication they can they don’t know all

medication they can they don’t know all

medication they can they don’t know all the risks for but not many have the

the risks for but not many have the

the risks for but not many have the incentive to protest it’s only when a

incentive to protest it’s only when a

incentive to protest it’s only when a drug is harming someone close to us or

drug is harming someone close to us or

drug is harming someone close to us or is costing us a fortune that we care

is costing us a fortune that we care

is costing us a fortune that we care about regulating it at all

about regulating it at all

about regulating it at all that is being reckless with our health

that is being reckless with our health

that is being reckless with our health now of all the major players of this

now of all the major players of this

now of all the major players of this game we the citizens stand to lose and

game we the citizens stand to lose and

game we the citizens stand to lose and gain the most how are these drug

gain the most how are these drug

gain the most how are these drug companies powerful well they create our

companies powerful well they create our

companies powerful well they create our duct supplies how are we powerful were

duct supplies how are we powerful were

duct supplies how are we powerful were their customers and like any good

their customers and like any good

their customers and like any good business this industry has to cater to

business this industry has to cater to

business this industry has to cater to its customers in order to survive and we

its customers in order to survive and we

its customers in order to survive and we have more power there than we truly

have more power there than we truly

have more power there than we truly realize if you look at the EpiPen

realize if you look at the EpiPen

realize if you look at the EpiPen controversy you may have heard about it

controversy you may have heard about it

controversy you may have heard about it spanning on a couple years back that’s

spanning on a couple years back that’s

spanning on a couple years back that’s when the price of this life-saving

when the price of this life-saving

when the price of this life-saving epinephrine injectable increased by over

epinephrine injectable increased by over

epinephrine injectable increased by over 600% because it’s company Milan no

600% because it’s company Milan no

600% because it’s company Milan no longer had competition in the market I

longer had competition in the market I

longer had competition in the market I want to walk you through a visual

want to walk you through a visual

want to walk you through a visual timeline feed event of the entire

timeline feed event of the entire

timeline feed event of the entire scandal you know the beginning the

scandal you know the beginning the

scandal you know the beginning the reaction was very slow the people that

reaction was very slow the people that

reaction was very slow the people that were effective spoke out but not nearly

were effective spoke out but not nearly

were effective spoke out but not nearly enough and more and then more price

enough and more and then more price

enough and more and then more price hikes went up more people couldn’t

hikes went up more people couldn’t

hikes went up more people couldn’t afford the medications even EMTs had to

afford the medications even EMTs had to

afford the medications even EMTs had to use syringes instead of the medication

use syringes instead of the medication

use syringes instead of the medication because it was too expensive to even use

because it was too expensive to even use

because it was too expensive to even use professionally now by July online

professionally now by July online

professionally now by July online petitions on websites like change.org

petitions on websites like change.org

petitions on websites like change.org started for Congress to investigate the

started for Congress to investigate the

started for Congress to investigate the price gouging and then the media picked

price gouging and then the media picked

price gouging and then the media picked up the story and from there it blew up

up the story and from there it blew up

up the story and from there it blew up by August 20 tweets a day increased to

by August 20 tweets a day increased to

by August 20 tweets a day increased to 500

500

500 thousand eventually reaching over ten

thousand eventually reaching over ten

thousand eventually reaching over ten thousand tweets a day from doctors and

thousand tweets a day from doctors and

thousand tweets a day from doctors and consumers alike sharing their outrage

consumers alike sharing their outrage

consumers alike sharing their outrage and calling for change in the aftermath

and calling for change in the aftermath

and calling for change in the aftermath Milan released a cheaper generic and CBS

Milan released a cheaper generic and CBS

Milan released a cheaper generic and CBS competed by creating an even cheaper

competed by creating an even cheaper

competed by creating an even cheaper generic in essence we demanded a new

generic in essence we demanded a new

generic in essence we demanded a new supply and the industry rose to meet our

supply and the industry rose to meet our

supply and the industry rose to meet our demands and the EpiPen scandal is by no

demands and the EpiPen scandal is by no

demands and the EpiPen scandal is by no means one of a kind and if you look

means one of a kind and if you look

means one of a kind and if you look across our history of Medicine protest

across our history of Medicine protest

across our history of Medicine protest you see the protests for affordable

you see the protests for affordable

you see the protests for affordable health care – cancer drugs you see the

health care – cancer drugs you see the

health care – cancer drugs you see the protest against the over drugging of

protest against the over drugging of

protest against the over drugging of veterans against the use of psychiatric

veterans against the use of psychiatric

veterans against the use of psychiatric drugs on children against affordable

drugs on children against affordable

drugs on children against affordable access to AIDS treatments there is not a

access to AIDS treatments there is not a

access to AIDS treatments there is not a shortage of battles we have taken on and

shortage of battles we have taken on and

shortage of battles we have taken on and have yet to take on and with social

have yet to take on and with social

have yet to take on and with social media it’s easier than ever to spread

media it’s easier than ever to spread

media it’s easier than ever to spread the word and educate the community

the word and educate the community

the word and educate the community around us in the words of John F Kennedy

around us in the words of John F Kennedy

around us in the words of John F Kennedy only uneducated and informed people will

only uneducated and informed people will

only uneducated and informed people will be a free people we have to understand

be a free people we have to understand

be a free people we have to understand how our culture impacts this industry

how our culture impacts this industry

how our culture impacts this industry and how we can protect ourselves and I

and how we can protect ourselves and I

and how we can protect ourselves and I suggest we do this by creating our own

suggest we do this by creating our own

suggest we do this by creating our own set of rules just like they have their

set of rules just like they have their

set of rules just like they have their rules we get to have our rules and I

rules we get to have our rules and I

rules we get to have our rules and I call them the United States of recovery

call them the United States of recovery

call them the United States of recovery rules before asking your for taking any

rules before asking your for taking any

rules before asking your for taking any medications ask yourself these set of

medications ask yourself these set of

medications ask yourself these set of questions number one do I need this drug

questions number one do I need this drug

questions number one do I need this drug is this the Pro is this drug treating a

is this the Pro is this drug treating a

is this the Pro is this drug treating a physiological problem or simply a

physiological problem or simply a

physiological problem or simply a symptom of life problem rule number two

symptom of life problem rule number two

symptom of life problem rule number two do I know the side effects of this drug

do I know the side effects of this drug

do I know the side effects of this drug research your medication

research your medication

research your medication ask your doctor is about the medic about

ask your doctor is about the medic about

ask your doctor is about the medic about the side effects of the medication look

the side effects of the medication look

the side effects of the medication look under study is published by the FDA

under study is published by the FDA

under study is published by the FDA under the European Medicines Agency the

under the European Medicines Agency the

under the European Medicines Agency the daily med there’s even an application

daily med there’s even an application

daily med there’s even an application released by the FDA called orange book

released by the FDA called orange book

released by the FDA called orange book that contains two eye defect information

that contains two eye defect information

that contains two eye defect information of almost all fda-approved drugs use

of almost all fda-approved drugs use

of almost all fda-approved drugs use your resources number three is this drug

your resources number three is this drug

your resources number three is this drug the best possible option for me what are

the best possible option for me what are

the best possible option for me what are my alternatives and with the help of a

my alternatives and with the help of a

my alternatives and with the help of a health care professional analyzed if the

health care professional analyzed if the

health care professional analyzed if the benefits outweigh the harms for you

benefits outweigh the harms for you

benefits outweigh the harms for you personally we don’t have to be reckless

personally we don’t have to be reckless

personally we don’t have to be reckless with our health now the United States of

with our health now the United States of

with our health now the United States of addiction is in their best interest I

addiction is in their best interest I

addiction is in their best interest I mean they’ll have customers

mean they’ll have customers

mean they’ll have customers life that way we shouldn’t make it that

life that way we shouldn’t make it that

life that way we shouldn’t make it that easy for them nothing there’s not a pill

easy for them nothing there’s not a pill

easy for them nothing there’s not a pill for every problem but for the pills that

for every problem but for the pills that

for every problem but for the pills that do need them we are entitled to safe

do need them we are entitled to safe

do need them we are entitled to safe medications we are entitled to drugs

medications we are entitled to drugs

medications we are entitled to drugs that will increase our risk for suicide

that will increase our risk for suicide

that will increase our risk for suicide 12 fold or leave us paralyzed we are

12 fold or leave us paralyzed we are

12 fold or leave us paralyzed we are also entitled to a drug industry that

also entitled to a drug industry that

also entitled to a drug industry that won’t look at our children as an

won’t look at our children as an

won’t look at our children as an untapped market of customers we are

untapped market of customers we are

untapped market of customers we are entitled to feel safe

entitled to feel safe

entitled to feel safe protected not falsely so even here in

protected not falsely so even here in

protected not falsely so even here in the united states of recovery we are

the united states of recovery we are

the united states of recovery we are still entitled to true safety not the

still entitled to true safety not the

still entitled to true safety not the illusion thank you

illusion thank you

illusion thank you [Applause]

”

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