America’s Deadliest Drug: Fentanyl | Patriot Act with Hasan Minhaj | Netflix

America’s Deadliest Drug: Fentanyl | Patriot Act with Hasan Minhaj | Netflix

Tonight, I want to talk about
the opioid epidemic. Okay, I get it. All right, look… Last week we did Fortnite. So our pattern is fun, depressing, fun. So, if we get through this, next week, I’m going to do the whole episode
while jumping on a trampoline, okay? Now, it is no secret
that America is in the midst of one of the most devastating
drug epidemics in its history. For the last two decades, the opioid
epidemic has been getting worse and worse. In 2017 alone,
over 47,000 people died from opioids. But at last… there might be reason for hope. A newly-released government database
reveals the scope of the opioid crisis. For the first time since 1990,
deaths from overdoses declined last year. “The CDC credits the drop
to fewer deaths from heroin and prescription painkillers.” It looks like some of our responses
to the opioid crisis might be working. Isn’t it so weird
to hear genuinely good news? It’s like… when you see your favorite celebrity
trending on Twitter, and you’re like, “Oh, my God, please don’t
tell me he just got #MeToo-ed. Oh, he just died. Thank God. I can still watch his movies.” You haven’t felt that? I know it’s dark, but look,
compared to 2017, 2018 overdose deaths were down almost 5%. Experts say, the drop comes from investments
in treatment and public awareness. Though there’s something else
that should get credit, too. “Narcan also known as naloxone, the generic name for the drug,
is an opiate blocker that can literally revive
an overdose victim.” “Jennifer Plumb,
an emergency room pediatrician, says naloxone is a miracle drug.” Understand this stuff is really good
at what it does. It has one job. You can just save a life with it. I mean, how amazing is that? Does it really bring people back
from death? It really does. Wait, so you’re telling me
I could bring back Al Pacino? And the lady’s like,
“Leslie, Al Pacino’s not dead. He’s in a movie right now. Naloxone’s incredible.” Naloxone is a godsend, though,
and it’s very big business. Last year, the naloxone spray market
was $178 million, and by 2026,
it’s expected to hit nearly a billion. The only other market that’s
growing that fast is Casey Affleck insurance. So that’s the good news. Prescription opioid deaths are down. However,
that graph isn’t telling the whole story. After soaring overdoses
from prescription pain meds, then heroin, now it’s a synthetic opioid, fentanyl,
on a rapid rise. Over half the deaths from overdoses
that we’re seeing right now in America are caused
by the synthetic opioid fentanyl. Fentanyl is often called the third wave
of the opioid crisis. The first wave was when doctors were over prescribing painkillers
like OxyContin. The second wave happened
when addicted patients then turned to heroin. And the third wave is fentanyl. And because of fentanyl, overdose deaths have exploded. Now, when I first saw this graph,
I couldn’t believe what I was looking at. It looks like the income
of everyone in Destiny’s Child. Right, like, you have Michelle… you have Kelly and then you’re like,
“Oh, shit! It’s Beyoncé!” That moment, right here, this part, right here, that is Lemonade. That is when
she stopped talking to everybody else. Fentanyl is 50 times stronger than heroin. This photo is terrifying. Now, not just because it looks like
Honest Abe’s about to get high, but because this much fentanyl
can kill an elephant, and that’s not just
some big-ass novelty penny. That’s just a regular
why-do-we-still-have-these penny. In the last five years, fentanyl and its analogs have killed
an estimated 95,000 people. That is nearly two-thirds
of all opioid deaths. And this thing, it does not discriminate. Young… old, rich, poor, famous. Prince. Tom Petty and Mac Miller all had fentanyl
in their systems when they died. So chances are
you know somebody affected by fentanyl. I personally know multiple people who have lost their lives to fentanyl. And the saddest part is
they didn’t even know they were taking it. And I know for sure,
they weren’t trying to die. But somehow fentanyl got them. So I’ve been paying attention
to how we talk about the opioid crisis, and the problem is… a lot of times we lump all the opiods
together like they’re the same. But they are not. Fentanyl is a completely different animal
than oxy or heroin and the truth is… there is no beating the opioid crisis
until we figure out how to beat fentanyl. So tonight, let’s actually focus on fentanyl
and look at where it’s coming from and why we haven’t been able to stop it. The first thing you need to know is that
the story of fentanyl has two parts. There’s the legal side of fentanyl,
which involves pharmaceutical companies and the illegal side of fentanyl,
which goes by a lot of different names. What’s on the street is
a chemistry creation also known as “Apache,” “China Girl”
or “TNT.” “‘Friend,’ ‘Jackpot,’ ‘TNT,’
and ‘Tango & Cash.’” “Dance Fever,” it’s called.
“Goodfella,” “Jackpot,” “Murder Eight.” Why does it sound like Vin Diesel came up
with all of those titles? He’s just like, “‘Murder eight,’ ‘China girl,’ ‘Cookie Dust,’
‘Tricep Fire.’” Good job, Vin. Way to stay focused. No matter what it’s called, illegal fentanyl usually isn’t sold
on its own. It’s often laced into heroin,
which can have devastating consequences. “Huntington,
once a thriving industrial hub, had been crippled by years of job loss,
rising crime and 1,600 overdoses the previous year. The calls started coming in at 3:21
on a warm August afternoon. In just four hours,
26 people had overdosed on a batch of fentanyl-laced heroin.” This is one of the most tragic parts
about fentanyl. It kills a lot of people
who don’t even know they’re taking it. And that’s because the heroin coming up
from Mexico these days is being laced with fentanyl,
which is really dangerous. Remember a pinch of this
can kill an elephant. So the margin here is just razor-thin
for any error. So you might be wondering… why on earth would cartels risk
killing their own customers? It’s because they can afford to. It is the same business model
as Jack in the Box. Come on! Two tacos for 99 cents. That is not a deal. That is rat poop roulette, okay? No one’s talking about this. Fentanyl-laced heroin
is ridiculously profitable, okay? It is 20 times more profitable
than regular heroin. Here’s how you do it, okay? You start with some pure heroin,
that’s the “H,” okay? And then you cut it with
whatever shit you have, which is the… you guys get it, right? “S,” okay. So you got all this really diluted heroin, and if you sprinkle in
a few thousand bucks of fentanyl, you can make $1.5 million
worth of product. It’s like selling bottled water
at the airport. You ever notice how you just
magically walk into LaGuardia and you’re like, “All right,
I guess Dasani is $17 now?” That’s the fentanyl effect. Here’s what’s weird, though. Most fentanyl doesn’t originally come
from Mexico, which is kind of surprising. Doesn’t it sound like a drug lord’s dream? Like, you would think
El Chapo would have invented it. But what you don’t know is,
he was really bad at o-chem. And it turns out even Mexican cartels
need a connect. “Javier says he sources
the precursor chemicals to make fentanyl from China.” “While doing our interview,
Javier is called by one of his men. They take us to another location
where we wait.” And in the meantime, he just left
his half a kilo of heroin right here. So it’s just us and half a kilo of heroin. Okay, that news crew is
for sure about to do heroin. Like, look at the way she’s looking at it. “Like I’m just not gonna do anything? Let’s do some heroin,
let’s have some fun.” Also, isn’t that the trick you use
when you want to see your crush again? You’re like, “Hey, it’s Javier, you know,
the guy with all that gauze on his face. Did I leave a half a kilo of heroin
at your place? Do you want to just grab dinner?
Let me know.” Like everything else in America,
most fentanyl is made in China. Even though China has regulations
to stop illegal fentanyl, the government rarely enforces them. It’s like taking Costco samples. Like, in theory, there are rules. But in reality,
you can do whatever you want. You know how you go in, and they’re just like,
“Sir, please take one sample.” And you’re like,
“I need twelve for my entire family.” And they’re like,
“Sir, how big is your family?” And you’re like, “Why can’t you just be
like Trader Joe’s and not ask questions? Let me do this.” Dude, sometimes I’ll just run for it. I’m like, “Fuck it. You just have a vest.
You can’t stop me. Let me live. I’ve been a proud card carrying member
since 1988.” I know that’s not possible. Now, the point is… that is why there is
so much Chinese fentanyl around and getting it is super easy, even if you’re not a drug king-pin. “Law enforcement says
it’s just a click away on the internet.” They can order it from China. “My producers and I decided
to put that to the test.” I am interested in getting fentanyl sent to us, submit. “And then, just a few minutes later…” Whoa! The email already came through. “We ship to U.S.A.
We only accept Bitcoin as payment method. Warm regards.” Wow! “Warm regards?” Damn, I feel like those drug dealers care
about me. They’re like, “Hey, here’s enough fentanyl
to wipe out Milwaukee. Warm regards, Xiaofan.” I’m like, “Thank you, Xiaofan.” Americans are buying
illegal Chinese fentanyl on the dark web and then having it shipped to them
through the U.S. postal system. And now you know why millennials
get so excited every time they get mail. They’re like,
“Oh, my God! It’s Fentanyl Friday!” Now look, humans have been trying to get
opium into our bodies for a long time. We love this stuff, and why wouldn’t we?
Look at opium poppies. It is a beautiful flower with drugs in it
that eases pain and gets you really high. That’s why we have found
every possible way to ingest it. We drank poppy tea back in the day. We smoked opium. We injected morphine. We shot heroin, and if you haven’t watched Euphoria
on HBO, now you’re all caught up. But in the mid-20th century, something big happened. Scientists figured out how
to make opioids synthetically without needing any of those poppies. This was a game-changer. Not just for opioid users, but for the companies
who could profit from selling it. Which brings us to the legal side
of fentanyl. Before anyone ever really sold fentanyl
on the black market, there were two important uses for it,
okay? It was given to people for surgeries, and it was prescribed
to a very specific group of people. Late stage cancer patients
with pain so bad… other opioids no longer worked. Those were the only people
it was supposed to go to, but instead… A new study finds as many as half of patients prescribed
fentanyl painkillers should never have received them. “The Journal of the
American Medical Association found thousands of people were prescribed
fentanyl for far less serious conditions.” “Doctors prescribe
these powerful drugs for groin pain, oral pain, and more.” Can you imagine going to the doctor like,
“Yo, my crotch hurts.” And then he’s like, “Okay, here’s the strongest drug known
to mankind.” You’re like, “It’s just an itch, but… fuck it, I guess.” By the way, real quick.
Who’s in their graphics department? What the fuck is this? They’re like, “We don’t have a visual.
Someone open up Microsoft Word and type in ‘groin pain’ and ‘oral pain.’ Make sure you grab it!” Like, what the fuck, man? Now, here’s the question. Besides these shitty graphics,
how did so many people get prescribed a supercharged medication
they should have never had? Well, it has to do
with the drug’s origin story. Fentanyl was first synthesized in 1960
by a scientist named Paul Janssen, and at the time, it was
the most powerful opioid ever created, but in 1981,
Janssen’s patent on fentanyl expired, and the drug
became a generic free-for-all, and the other pharma companies
went gangbusters. They started making fentanyl patches,
sprays, and lollipops, which made for some very strange
instructional videos. “Place the Actiq unit into your mouth between your cheek and gum and actively suck on the medicine. Plan to finish the Actiq unit completely
in fifteen minutes. If you finish Actiq too quickly, you will swallow more of the medicine
and get less relief.” Why is that lollipop so small? They’re in pain, man.
At least put some bubblegum on the inside. Now, unlike with oxy,
the FDA knew how dangerous fentanyl was. So they tried to regulate it. In 2011, the FDA created something called
The TIRF-REMS program, a strict set of rules to make sure
doctors prescribed fentanyl only to that small group
of cancer patients. There was just one problem. Instead of the FDA running TIRF-REMS, they did something really stupid. They out-sourced it
to the pharmaceutical companies, and then pharmaceutical companies
hired a company called McKesson, one of the world’s largest
drug distributors to run it. In other words… The purpose of the TIRF-REMS program is
to make sure that these drugs stay only with those that it’s indicated for. McKesson had no interest
in shutting people down from getting this drug
because they supply the drug. That is the textbook definition
of a conflict of interest. Imagine if Eminem was like, “Too many kids
are calling their mom a ‘bitch.’ You know who can handle it? Slim Shady.”
You’re like… “Em, that’s you.” On top of that, the exam the doctors had
to pass was ridiculously easy. “Doctors who want to prescribe drugs
in this program need to complete an eleven-question quiz, but it’s an open book test
with the answers easily found in this nine-page handout.” It’s an open book test? And it’s multiple choice. How is it that easy
to get something this dangerous? Just for comparison, and this is true, you need to take an eight-hour course
to sell churros in Times Square. You know those guys who sell peanuts? They failed churro school. So the government’s attempt
to regulate prescription fentanyl was a massive failure, but we can’t forget a huge part of the blame also falls
on fentanyl makers themselves. They’ve been aggressively pumping fentanyl
for years, and it’s a tactic that they took directly
from Purdue’s OxyContin playbook. Purdue convinced everyone
that oxy wasn’t that addictive, which is insane. It’s like if Juul told people, “Hey, it’s just water vapor
in a thumb drive, kids.” Meanwhile, every fourteen-year-old
that you know has nicotine shakes like it’s fucking 1920. Look, there’s a lot of corporate blame
to go around for prescriptions fentanyl abuse, but I want to focus
on a few key companies. The first you might have heard about. Either because they’ve been in the news
or because they make SpongeBob Band-Aids. Johnson & Johnson
will be the defendant today when an opioid-related lawsuit goes
to trial. Oklahoma’s attorney general
is suing Johnson & Johnson. The AG says the company
deceptively marketed the drugs by overstating the benefits of opioids
and downplaying the risks of addiction. I know that’s jarring. It’s like hearing
Pantene makes atom bombs. You’d be like, “Wait. The secret ingredient is uranium?” J&J made a fentanyl patch
called Duragesic, and Oklahoma prosecutors say that
the company marketed it as a much safer drug than it actually was, contributing to the 6,100 opioid deaths
in that state alone. But J&J is just the start. When it comes to over the top marketing
for fentanyl, no one went harder
than a company called Cephalon. They sell fentanyl in a number of forms,
including that skimpy lollipop that I was talking about earlier… and pills. They are really obsessed with pills. This is an actual Cephalon sales meeting
from 2006. “Introducing Fentora, the first and only buccal tablet
that utilizes effervescence to improve the rate and extent
of fentanyl absorption. A change is here. Fentora, relief at effervescent speed.” It is a beautiful day. If you’re gonna force something
on people they didn’t ask for, it makes sense to use U2. Also, why are they introducing that
giant pill like it’s Criss Angel? They’re like,
“Fentora, it’s a mind freak!” And then Criss Angel pops out. Oh, by the way… remember those lollipops? Thanks to Cephalon’s aggressive
sales force, doctors prescribed them
to a lot of people who didn’t have cancer. In 2006, only 1% of the lollipop
prescriptions were written by oncologists. 1%. Imagine if finding out only 1%
of drivers licenses were given out by the DMV. Actually, that would explain a lot. Okay. Cephalon knew this was wrong. That’s why when they settled
a nearly $450 million federal lawsuit, they plead guilty to pushing fentanyl
on people who didn’t need it. But other fentanyl makers just went
with good old-fashioned corruption, like Insys. Five top drug company executives
have been found guilty in a bribery case
involving the opioid fentanyl. The multi-billionaire founder
of Insys Therapeutics and four other top execs
convicted of racketeering. Prosecutors say their scheme involved
bribes, kickbacks, even lap dances for physicians
who prescribed large amounts of the company’s fentanyl spray
to patients who did not need it. They were getting lap dances? I don’t want to die because some
horny doctor wants to make it rain. This entire bribery scandal happened
under their former CEO John Kapoor, who looks like Al Franken in brown face. Now, before he was a convicted felon, John Kapoor made himself a shitload
of money. “A pharmaceutical entrepreneur. Dr. John Kapoor. That’s him in the middle. Forbes lists him as one
of the wealthiest people in America.” How does he look like he’s twelve years old
and 80 years old at the same time? Dude, this is messed up. He made all of those people filthy rich,
and nobody would even give him a boost. You know what pisses me off? Even though he’s gonna be in prison,
you know his parents are still gonna be like, “You know John’s a pharmacist, right?” This Punjabi Oompa Loompa
became a billionaire by pushing addictive drugs
through bribery and corruption. And some Insys employees were told
to go even further. I would say, “Hi, this is Patty.
I’m calling from Dr. Smith’s office. I’m calling to request prior authorization
for a medication called Subsys.” They thought you were from
the doctor’s office. Yes, because that’s what I told them because
that’s what I was trained to tell them. “To get a surefire approval,
Patty said she’d sometimes just claim the patient had cancer.” You see a cancer patient,
you were like, “Yes!” That was exciting. This is a slam dunk.
I can do this without any guilt. Imagine how messed up your job has to be if your response to hearing that
someone has cancer is, “Oh, this is a slam dunk.” There was no line Insys wouldn’t cross
to sell more fentanyl. “Sarah Fuller didn’t have cancer. She was plagued with chronic neck
and back pain from two car accidents. But her doctor Vivienne Matalon actually brought an Insys sales rep
to an appointment. Fourteen months after
she started taking Subsys, Sarah was found dead on her bedroom floor.” What killed your daughter? Well, technically fentanyl. But a drug company who couldn’t care less
about a human life. That’s heartbreaking… and infuriating and there are a lot
of stories like Sarah’s, which is why earlier this year,
Insys settled a federal investigation of their bribery scheme for $225 million, which made Insys the first opioid company
to go bankrupt. Insys basically OD’d on its own
shittiness, which sounds like justice, until you hear what’s happening right now. These motherfuckers
can’t sell fentanyl anymore, but they can sell the antidote
for fentanyl, naloxone. So, let me hit that home for a second. Insys went bankrupt because of opioids, and now they’re trying
to revive themselves with naloxone. They’re just gonna spray it
right up their profit hole, and they are the last people
who should be doing this. But our pals at Cephalon
are somehow even worse. Cephalon is now owned
by Teva Pharmaceuticals, and four months ago, Teva got FDA approval
for its naloxone spray. So do you understand
what’s happening here? They’re unleashing a plague
and also selling the antidote. That’s actually the plot
of Mission: Impossible 2, and I know that because last night
I spent nine hours watching it on TNT. These companies help fuel
the fentanyl crisis on both ends, legal and illegal. When they marketed legal fentanyl
to patients who didn’t need it, a lot of people ended up getting hooked, and that intensified the appetite
for illegal fentanyl, which is leveling so many communities
across the country. Now, at this point,
we have seen this pattern. A powerful new opioid is created, the companies in charge
push it recklessly, people get addicted to it, and once it’s out there, it’s out there. The genie is out of the bottle. We saw it with oxy, we saw it with fentanyl, and, guys, this is fucking crazy to say, but we’re about to see it again. The FDA has approved a powerful
and controversial new painkiller. Dsuvia is an opioid taken in pill form,
ten times stronger than fentanyl and up to a thousand times stronger
than morphine. Projected annual sales of this drug–
$1.1 billion. Wow, so people stand to make
a lot of money off this. Dsuvia is ten times stronger
than fentanyl. What could possibly go wrong? Look, we know the problems
this is gonna bring. How do we make sure this drug only gets
to the right people? How do we make sure
people don’t get addicted to it? And how do we make sure
it doesn’t start killing people like the people I knew who never even intended to take it
in the first place? Unless you can answer those questions, guess what, pharmaceutical companies? This crisis is on you. Warm regards.


  1. if you check out the opioid chart on wikipedia, you see many analogues that are thousands of times stronger than fentanyl and even the new Sufentanil (DSUVIA) approved by the FDA for breakthrough cancer pain. they can just keep making them stronger and stronger bc if the human body builds tolerance, it will need something stronger to achieve the same result. There will always be a market for a stronger opioid bc of the way the body works. However the way big pharma companies abuse that issue just to make profit is the main problem. Their drug of choice is profit. The war on drugs is also not helping. The only way to save lives and move forward is full legalisation and proper measured doses like with marijuana and alcohol, tobacco etc.which is what is working for Portugal at the moment. It helped them drop deaths/increased addiction/crime in one fell swoop.

    opioid strength chart. There are many more powerful ones than DSUVIA

  2. Why does the media think the opioid crisis is so sexy, when completely legal tobacco and alcohol kills about six times as many people every year, yet we’re here almost next to nothing about that?

  3. there are so many perspectives to this it’s so sad. you got folks who die, folks who get addicted, folks who sell it cut in drugs but don’t kno it’s cut, folks who cut the drugs and don’t care, family who suffer from the loss, and friends who did the same drug with them and didn’t die. this is why i stopped doing drugs recreationally. not even because of fentanyl, but molly and pills and overall downers are trash and i’ve lost a few friends. it’s really hard to watch ppl ur age and younger die when they are overall seemingly physically healthy. i’m 22 years old. one of my first friends died when he was 20. it’s fucked up. he had a girlfriend. he had so many friends. it’s so sad.

  4. Watched till 7:23 still watching but Fentanyl is also in fake Xanax and pills that kids are taking not knowing they are laced that’s how Mac and peep passed (RIP?) kids have a crazy epidemic with pills now and a lot of pills are fake and laced with fentanyl it’s not just heroine users there’s also a big pill problem still especially with the youth. Need to bring awareness to all this much love to anyone struggling with addiction I wish u the best for sobriety be strong people ❤️
    Edit: also much love and my respects to anyone who has lost someone to opioids or addiction in general❤️

  5. So as a way to "combat illegal fentanyl-related deaths", the US government (in all its wisdom) has cut pain patients off from the opioids that keep us from suffering crippling agony. We're being driven to buying pain relief on the street or the darknet and risking our lives with every pill or fix.

    This is the same mindset that rewards Big Pharma for creating addictive drugs and THEN marketing treatments for the addictions!

  6. Costco outsources their sample people, and they actually have no rule against taking multiple samples (it's not even frowned upon!)

    Don't feel bad about taking advantage, just be nice to the employee letting you eat the cocktail weenies

  7. A corporate executive in China was found guilty of approving a baby formula that ended up in the deaths of hundreds of babies. Sentence? Death!
    Corporate executives in America knowingly pushing a drug that kills tens of thousands of people a year? Bankruptcy protection and more profits from selling the antidote. No individual gets a fine or jail time.

    Maybe if corporate executives are held to as much personal responsibility for decisions they make as they hold their employees to there would be more respect for human life.

  8. There are huge glaring omissions here. Granted not all are that well known.

    Opioids are needed for chronic pain as well, as there is a subsection of chronic pain patients that only respond well to Opioids and struggle heavily without them. (That and the better alternatives like cbd oil and kratom are kind of hard to get in the USA.)
    Granted there isn't any proper scientific study on that yet, but there is ample anecdotal evidence and enough patients are asking for such a study to boot.
    And there even assholes like Kolodny (Who somehow managed to influence the DEA, CDC and the J&J trial.) insist that absence of evidence implies there's no benefit there.

    Big Pharma was actually correct in stating that chronic pain is an often undertreated condition, as far too many doctors outright disbelief or refuse to act on chronic pain for god knows what reason. No, it's the same as regular pain, stop making guesses FFS. Though Opioids alone could never fully fix that as plenty are too resistant to Opioids.
    Anyway, the point is that an overprescription of opioids oddly also tends to help out chronic pain patients. But that's a point most don't ever bring up.

    IIrc there wasn't any reliable study on the benefits of Opioids for relatively mundane types of pain. (Read: non-chronic, non-terminal, and not otherwise high pain) So there might not be a necessity for Opioids for that level of pain. Or there might have been a benefit.
    We don't really know yet, which is why it would ideally be better to find an answer for that before we potentially hand out dangerous medicine to people who might not even need them.

    Doctors are supposed to carefully manage painkillers regardless, and there are literally pain specialists they can defer to if they so want to. Regardless Opioids, Cannabinoids and even NSAID's all have severe risks attributed to them that can all result in death and a myriad of other undesirable side effects so they should never be blindly prescribed.
    Long term use also needs to carefully find the best safety/pain reduction combo, while taking resistances into account.
    Point is; Doctors play a huge part in pain management and far too many have neglected their responsibilities entirely. So it doesn't surprise me that they're keen to blame big pharma.

    And a lot of the blame still goes to the DEA and the war on drugs. This "Opioid Crisis" wouldn't even be possible without them creating a vacuum for opioids to begin with. And that's far from the least of their issues either. (Like how there might be other issues at hand due to poor documentation, some deaths are likely from poly-medicine misuse.)
    And for comparison, here in the Netherlands we're literally still overprescribing opioids but we don't have an Opioid Crisis in the slightest.
    Also FIY, the war on opioid prescriptions will only hurt chronic pain patients more. Those who need it are now more often forced to chose to having no functional pain management, suicide, or using the illegal fentanyl just to try and stay functional.

  9. Government should force all the companies (who previously mis-sold fentanyl) to produce Naloxone for free if they want to keep their license! Fix the mess they created themselves!

  10. 3:43 i dont think thats right. Im pretty sure hes talking about carfentanyl, an analogue thats around 100 times stronger than fentanyl.

  11. Hes no comedian …atleast not in my eyes…the guy literally takes ur.mind from zero to lot of important stuff….and fill u in with those tinsy minsy details that we miss out…. Hats. off to u man… This is level journalism with the DASH of humour

  12. While there are obvious differences between the two issues, vaccines ought to be considered alongside the same conflicts of interest presented here. Lack of empirical, double-blind studies on the long term effects of unvaccinated and vaccinated children, doctor's taking information directly from drug companies, regulation by drug companies, prescription schedules by the CDC (which owns vaccine patents). Too simplistic to paint that issue as "crazy moms" and to ask people to simply trust Big Pharma and doctors in light of these obvious issues, not to mention all the children that have proven vaccine injuries.

    Not the same issue, but deeply related. But, I guess groupthink just feels so good… Kinda like Fentanyl.

  13. The problem with the US media is that the so called serious journalists on CNN, MSNBC, Fox News and other main stream media outlets are an absolute joke. Since trumps Ukraine crisis started these outlets have spent the entire week on it. Yet climate change protests and teach ins are continuing. There is a Democratic primary process. The entire media is an absolute sick joke. This is why Hassan, Trevor Noah, John Oliver and others are stepping in. I learned more about the opioid crisis from Hassan than I ever did on CNN.

  14. Fentanyl is not only for end of life analgesia for cancer patients. As a lifetime chronic pain patient the best long term analgesia I've received was from the prescription fentanyl patch. My pain management physician had me on it for eleven years with no problems. Then my pain clinic stopped treating me because of their legal exposure due to the opioid crisis. This forced me into detox which is extremely unpleasant. The lack of analgesia is almost unbearable. A couple years later my pain clinic–rated the best in my state–went out of business.

    The irony is that I became a chronic pain patient because of inadequate post surgical analgesia as a child because doctors didn't want to prescribe opioid pain killers at the strength needed for the duration required.

    Did Prince, Tom Petty and Mac Miller have fentanyl in their systems from prescriptions or because they scored street drugs? If they were on prescription fentanyl did they use it as directed or abuse it?

    I like your show Hasan but have to give this one a thumbs down. You don't seem to grasp the gravity of inadequate pain treatment and the devastation of chronic pain it has created in people like me. Physicians are now so afraid of prescribing opioid analgesics they're creating a whole new generation of chronic pain patients by under-treating post-surgical and post-trauma pain. Millions of them. Right now.

  15. What about the doctors that prescribe it? They are just as guilty. They also make money from this and is against their Oath

  16. I survived the Opioid Epidemic ! This is my generation's problem. If you were born between 1978-1988, chances are almost 100% that you or someone you knows life was effected by prescription opioids. Less people died from Oxy than what happened when people couldn't get it anymore.

  17. Scared by the part where baby powder manufacturers are also in spreading the deadly drug.#saying no to Johnsons and Johnsons ?

  18. "This crisis is on you" doesn't even go hard enough. But seriously comedians are where I go to for my news nowadays. Thats says something.

  19. Fentanyl is an important component of general anaesthesia.. anaesthesiologists administer it a couple of micrograms/kg immediately prior to intubation and surgery . I'm shocked it's handed over on an out patient basis. It can cause profound respiratory depression (it can stop your breathing)

  20. In 2007, my mom who was diagnosed with breast cancer was given fentanyl after we specifically told them not to because she had an adverse reaction to it, and the doctors did it anyway without telling her or any of us about it – it killed her three days later. This video was hard to watch, knowing that she was a victim among the many who were senselessly murdered by a greedy drug industry. It just brings that pain and anger back to me over a decade later, that she didn't have to die that way.

  21. I read about the 'Fentanyl Crisis' (not directly, but it was a plot device) in David Baldacci's novel 'The Fallen', where the manager of a logistics-based company used his company's logistics to assist a fentanyl-running cartel run their operations.

    Props to Hasan for taking on the 'Legal Drug Cartel' and adding another name to the long-growing list of adversaries..

  22. Me as a pharmacist know now who to unleash my wrath on – Teva and Mckesson!!!
    I am gonna make ur effort worth it Hasan?

  23. the creators of fentanyl made the naloxin syringe to make more money.ust likectheycgavecus csncers so we can pay for chemo

  24. He's not really that funny to me but he is absolutely right except for one thing. This is the fourth wave not the third. I saw it first hand in the 80s. Reagan allowed drugs into the country to try an track cartels. But that began the crack cocaine era. Cocaine was being dump into low income neighborhoods that belong to people of color. When cocaine got to expensive and people litterally stopped (that's right) doing it due to cost and because the high was not worth the cost, crack was introduced.

  25. Sir if you make topics of India, you will have at least 30 million subscribers only on YouTube, may be more on Netflix, because India needs truth and India has largest youth and population in the world

  26. This is a general comment about the show:

    It’s great that this bright young man is bringing so many issues to light. I would never want to take away from his energy. But these are all second orders of effect and focusing on one bad player or cause will not solve the problems. We have to look deeper Into the causes of these issues— human biology, biochemistry, history, our values, belief systems and how we take responsibility for our lives. The world overall is a safer, more prosperous and egalitarian place than it has ever been in the whole of recorded human history. Of course we have do better, but do most of us realize how amazing it is that every day we get up and the heat goes on, the lights work and we make it to work safely? How about people doing something positive and like just turning off their lights in their bedroom when they aren’t using them before going all global about the harm we are doing to our environment. How about carrying a reusable shopping bag? How about getting our kids to walk to school if it’s not too far? How about just volunteering locally? That’s how you make a real difference.

    But kudos to the young for their passion!

  27. I’m 12 days clean from smoking fentanyl pills. These fuckers are strong. Stay away they will kill you or slave you , fentanyl is the devils drug. Phoenix is flooded with these pills is insane!!!

  28. hey hasan! plz talk about the media crisis happening in india, how every media house is sold to manipulate facts, so that the modi govt looks good

  29. I knew someone at my methadone clinic who had been improperly given fentanyl by her doctor. Then they abruptly stopped giving it to her. And some years later, she was sitting in group at a methadone clinic. So unfair.

  30. The Sackler Family created opioids, sold them through Purdue Pharma, donated millions to trumps campaign and is back to reclaim more victims.
    The courts ruled sacklers pay their victims millions (though they made billions)
    but they claimed Purdue as bankrupt, yet just bought 3 ski resorts in NH (the state trump called "drug infested") and other ski resorts around the country paying over $60 million.
    Now, how do you buy real estate if you just claimed bankruptcy AND do these states realise the family that kills will be collecting money off the victims families in their own states resorts?

    Trump knows the worst people, has the worst friends!

  31. The family behind popular painkiller drug OxyContin. Three doctors — brothers Arthur (d. 1987), Mortimer (d. 2010) and Raymond Sackler (pictured above with his wife, Beverly) — founded Purdue Pharma in 1952 after taking over a small, struggling New York drug manufacturer. The company sold several moderately successful products, like earwax remover and laxatives, but remained under the radar until the mid-1990s when it began selling what amounted to morphine in a pill. OxyContin, a long-lasting, narcotic pain reliever, launched in 1995 and by 2003 Purdue was selling $1.6 billion of the product annually. It became abused by addicts who would crush the pills for a quick, intense high, sparking controversy and legal action against Purdue. The company paid more than $600 million in 2007 to settle charges with federal prosecutors that it had misbranded OxyContin as safer and less addictive than it was. In December 2015 it settled a similar lawsuit with the state of Kentucky. Some had said the case might yield more than $1 billion in damages; the company agreed to pay $24 million and admitted no wrongdoing. Today, Purdue, still 100% owned by the Sackler family, generates some $3 billion in sales in the U.S. Separate Sackler-owned companies sell drugs in Europe, Canada, Asia and Latin America. An estimated 20 family members share the fortune. ~Forbes

  32. We need to rally and take down big pharma. Their people need to be jailed and convicted for crimes against humanity. Pharmacy companies who make insulin and other helpful drugs can stay, but these killers in company form must go.

  33. Nothing but respect, it's fucking crazy to see, that a stand-up comedian started a show and is doing a better job than the journalists out there. Nothing but respect.

  34. This was a very good take on the opioid situation right now. Being literally on the frontlines myself, you were very very on point with the difference between the legal and illegal fentanyl. As well as the sources from Mexico and so forth. Very very amazing, thumbs up

  35. That's why I never trust doctors… Always do your personal research.. make your doctor know that you're not stupid, you know stuff … It's no longer a noble profession….Before taking a prescribed drug, do your research.

  36. "…deaths from overdoses declined last year," which the CDC attributed to "fewer deaths from heroin and prescription pain killers."

    Outstanding research has finally revealed a clear causal relationship between fewer deaths per year and a reduction in the number of yearly deaths! Though still in their beginning stages, these findings potentially seem to suggest a strong positive correlation between number of deaths and number of deaths!

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