Tag Archives: opioid crisis

Community, Events for Students, March 2019

#SackSackler : Demands & Petition

3 Comments

This January, the Massachusetts Attorney General released a memorandum to the public as part of her lawsuit against Purdue Pharmaceuticals and their owners, the Sackler family. This lawsuit alleges gross misconduct on the part of the Sackler family in their unethical marketing and selling of OxyContin, valuing corporate profit over the safety and lives of patients. The United States is in the midst of a deadly opioid epidemic, caused by pharmaceutical companies like Purdue selling potent, addictive opioids and lobbying physicians to overprescribe these drugs to their patients.

Tufts has well known financial connections with the Sackler family, who have donated vast sums of money to the university and supported the founding of the Masters of Science in Pain Research, Education, and Policy. This relationship is painfully evident in the name of the Sackler School for Graduate Biomedical Sciences. Worse, the Sacklers and Purdue used their connections to Tufts to push pro-opioid propaganda into the medical community. At one point, Purdue employees allegedly inserted pro-opioid information into the pain management curriculum, bragging afterwards about “penetrating this account.” The full extent of how Tufts is funded or influenced by the Sackler family is unknown to the public. Not only is this relationship unethical, it also poses a potential serious conflict of interest in the university and threatens the integrity of Tufts’ biomedical research and education.

In response to the lawsuit memorandum and increased media scrutiny, Executive Director of Tufts Public Relations Patrick Collins released this statement:

“The information raised in the Attorney General’s lawsuit against Purdue Pharmaceuticals and other defendants is deeply troubling. We will be undertaking a review of Tufts’ connection with Purdue to ensure that we were provided accurate information, that we followed our conflict of interest guidelines and that we adhered to our principles of academic and research integrity. Based on this review, we will determine if any changes need to be made moving forward.”

This official response offers no details, accountability, or mechanisms of transparency and is inadequate. Instead of working to solely minimize public relations damage, Tufts has a responsibility to hold itself and the Sacklers accountable.  While the focus of this petition is on the Sackler family, we are conscious of the fact that Tufts receives donations from other powerful families and organizations, such as the Koch brothers. Tufts’ relationship with the Sacklers underscores the need for democratic accountability more broadly.

We need your help in making change happen. We are collaborating with students in the Tufts Medical School to demand changes. However, Tufts University is more than just the medical school, or the undergraduate campus. We want a representative coalition, with support from community members (students, faculty, workers, etc) across all the programs. By signing this petition, you are affirming your support for the following demands from Tufts leadership:

  1. A fair and transparent investigation into all connections between Tufts University and the Sackler family. The results of the investigation must be made public, and an open forum must be held where students and community members can raise their concerns.
  2. A plan for instituting community oversight of all future donations to Tufts programs that includes a review committee comprised of students, faculty, and community members, and an annual public report of all donors.
  3. Appropriate steps to defend Tufts’ academic integrity, including the removal of Purdue-sponsored curriculum material and the acknowledgement of any research produced with a conflict of interest, especially those produced through the Masters of Science in Pain Research, Education, and Policy program.
  4. Financial support for opioid treatment programs through the School of Medicine and the University at large.
  5. A name change for the Sackler School of Biomedical Sciences, the Sackler Building, and any Sackler Family affiliated edifices or institutions at Tufts University.
  6. A revocation of the honorary degree provided to Raymond Sackler and any awards or recognition provided to the Sackler Family including plaques, signage, and dedications.

Petition Link –
http://bit.ly/SackSacklerPetition

This petition will be used to demonstrate to the University administration a demand for action from the Tufts community. With a growing number of concerned voices from students and faculty from all parts of the Tufts community we believe we can begin to address this problematic legacy and make changes for the betterment of Tufts as an institution and our community at large.

articles, Community, January 2019

Op-Ed: Rename the Sackler School

1 Comment

Guest Post by Nathan Foster, a recent graduate of Tufts University

The United States is in the midst of a deadly opioid epidemic, with 72,000 people estimated to have died from drug overdoses in 2017 alone. The crisis was caused by the systemic overprescription of opioid pain relievers, fueled by a massive drug industry campaign to downplay the risks and straight-up lie about the dangers of their drugs. Troublingly, it has come to light that Tufts programs were used to promote the opioid industry’s lies.

Purdue Pharma, wholly owned by the Sackler family, is one of the companies most responsible for the opioid epidemic. Purdue makes OxyContin, and for decades they systematically lied about its effects in order to sell more pills at higher doses. As tens of thousands of Americans died, the Sacklers made billions, some of which found its way to the Sackler School of Biomedical Sciences here at Tufts. Although the school was originally founded with donations from three Sackler brothers in 1980, before OxyContin was invented, the Sacklers have continued to give large sums of money to Tufts, including to establish the Masters in Pain Research, Education, and Policy program through the Medical and Public Health Schools in 1999, and the Raymond and Beverly Sackler Convergence Laboratory in 2013.

As the role of the Sacklers in the opioid crisis has become increasingly clear through news reports and the activism of artist Nan Goldin, there has been some discussion about the appropriateness of the school’s name. Tufts’ biomedical scientists dedicate their careers to saving lives, after all, not destroying them for profit. But the conversation has remained relatively abstract, more about the symbolism of good deeds sponsored by bad people than about the concrete effects of the Sacklers’ money.

That has to change now. The Sackler name is no longer an abstract morality problem, if it ever was, but a full-blown crisis of academic integrity. According to a lawsuit from the Massachusetts Attorney General’s office, Purdue Pharma used the Sacklers’ donations to systematically corrupt Tufts’ curriculum and research in favor of opioids.

The Attorney General’s allegations are mind-boggling. Purdue employees placed unlabeled curriculum materials in Sackler School courses, and talked afterwards about “penetrating this account.” A seminar on opioids in Massachusetts was regularly taught by Purdue staff, and Tufts helped the company develop pro-opioid materials for patients. The head of the Masters in Pain Research program spoke in favor of Purdue at FDA meetings in 2012 and 2013. Purdue sent staff to Tufts “regularly,” as recently as 2017. The CEO of the company wrote to President Monaco in 2017 “to promote Purdue’s contentions about opioids and offer to meet,” though the lawsuit does not say President Monaco took him up on the offer. And all this happened after Purdue Pharma was fined $600 million in 2007 for misleading regulators, doctors, and patients about OxyContin’s potential for addiction and abuse. 

“The Sacklers got a lot for their money” at Tufts, the lawsuit asserts. “The MSPREP [Masters in Pain Research] Program was such a success for Purdue’s business that the company considered it a model for influencing teaching hospitals and medical schools.”

To be clear, Tufts is not the only institution alleged to have been improperly influenced by Sackler money. Following millions in donations, Massachusetts General Hospital even named its pain program after Purdue Pharma—then changed the name as the scale of the opioid crisis became apparent.

Last week, Attorney General Maura Healey stated that Purdue Pharma and the Sackler family are “one and the same.” It is not possible to separate the Sackler name from the crimes of the company that made them billions.

It is disturbing that the makers of OxyContin had such deep influence over research and education at Tufts. In addition, Purdue and the Sacklers’ close connection to a leading biomedical research institute allowed them to maintain credibility in the medical community for years after it was clear their product was killing people. It is too late to save the hundreds of thousands of Americans whose lives have been lost to the opioid epidemic. But Tufts can act now to undo some of the damage it has caused.

First, Tufts needs to immediately change the name of the Sackler School. Faced with lawsuits and protests, the Sackler family and Purdue Pharma can still draw credibility from having their name attached to one of the country’s top biomedical schools. The recent resurgence of the tobacco industry shows that the makers of deadly drugs will seize on any remaining scraps of credibility to push their product. We cannot let that happen.

Second, Tufts must establish a commission of medical professionals, students, and members of the addiction advocacy community to thoroughly review all improper connections to Purdue and the Sacklers, past and present, including but not limited to those alleged in the Attorney General’s lawsuit. The results of the review should be made public. Given the extent to which Tufts’ academic integrity is alleged to have been compromised, a fully transparent review process including students and addiction advocates is the only way to genuinely move forward. As an added benefit, the students involved will get an excellent education in the sociopolitical determinants of health.

Third, Tufts must file an amicus brief in support of the Massachusetts Attorney General’s lawsuit against Purdue Pharma and members of the Sackler family.

Finally, Tufts must implement clear guidelines to prevent any donor from compromising its academic integrity in the future.

Editors’ Note: The views of the author do not necessarily represent the views of the Sackler Insight editorial board or that of the Sackler community. Below is an official response from Patrick Collins, Executive Director of Public Relations at Tufts. 

Tufts University has always been and remains deeply committed to the highest ethical and scientific standards in research and education. The information raised in the Attorney General’s lawsuit against Purdue Pharmaceuticals and other defendants is deeply troubling. We will be undertaking a review of Tufts’ connection with Purdue to ensure that we were provided accurate information, that we followed our conflict of interest guidelines and that we adhered to our principles of academic and research integrity. Based on this review, we will determine if any changes need to be made moving forward.

April 2018, articles, Community

What Does the Sackler Name Mean to You?

4 Comments

Guest Post by Andrea Koenigsberg (Micro)

My favorite t-shirt is heather-grey and reads “SACKLER” across the front. It’s not just my favorite because it’s objectively the softest, but because it’s one of the token articles of clothing in the bookstore that is exclusively for Sackler students. All other clothing and paraphernalia generically represents Tufts University or is emblazoned with the names of the medical, dental or nutrition schools. None of those correctly describes my identity within the Tufts community. Don’t worry, I’m not going to have a school identity crisis over a t-shirt. The Sackler School of Graduate Biomedical Sciences is how we can identify ourselves within Tufts University and distinguish ourselves from the medical or dental schools, since neither of those would be accurate. While I have been proudly wearing my Sackler t-shirt for years now, I have more recently become conflicted about this pride.

For many Sackler students the Sackler name may not resonate beyond the name of their graduate school. Some may have noticed other buildings, schools or museum wings with the same name. However, very few people know anything about the Sackler family beyond the fact that they are wealthy. But, how many people have wondered where all of that wealth comes from?

Last fall, the New Yorker magazine published an article by Patrick Radden Keefe titled “The Family That Built an Empire of Pain”, telling the history of the Sackler family and how they got to where they are today. I highly encourage all Sackler students to read the article at some point, but the main points will be summarized throughout the rest of this article. The Sackler family has three main branches that stem from the three brothers Arthur, Raymond and Mortimer Sackler. While all three brothers were doctors, Arthur Sackler also had a propensity for advertising; Arthur is primarily responsible for how pharmaceutical companies market drugs these days. He shifted the marketing focus from the patients to the doctors, no longer relying on patients to request prescriptions from doctors. Years after Arthur Sackler died, the pharmaceutical company owned by his brothers, Purdue Pharma, developed OxyContin. Raymond and Mortimer used Arthur’s marketing strategies to make OxyContin a blockbuster drug. The company today is still privately owned by the descendants of Mortimer and Raymond Sackler.

The Arthur M. Sackler Center for Medical Education on Harrison Ave.

For those who are unaware, OxyContin and other highly addictive narcotic painkillers have led to over two hundred thousand overdoses in the United States since the late 1990’s.  Often times, people become addicted to prescription painkillers like OxyContin and eventually switch to using a more affordable drug such as heroin. More people died from opioid overdoses (42,000) in 2016 than automobile accidents (40,000) or gun violence (38,000). The percent change in number of opioid related deaths continues to rise, increased 28% from 2015-16, compared to only 16% from 2014-2015.  

While OxyContin is not responsible for all opioid overdoses, it was the first drug to capture majority of the long-acting opioid market. How did OxyContin become so “successful”? Through a combination of adept marketing to physicians and misrepresenting just how addictive the drug could be – “the marketing of OxyContin relied on an empirical circularity: the company convinced doctors of the drug’s safety with literature that had been produced by doctors who were paid, or funded, by the company”. Basically, Purdue Pharma was well aware of the addictive properties of OxyContin and did whatever they could to get it prescribed to as many people as possible. The Sacklers are now one of the richest families in the country.

The article importantly points out that while the Sacklers donate to an extensive list of charitable causes, the opioid epidemic is notably not one of them. When I learned last month that a high school classmate of mine died from an opioid overdose I can’t help but feel a little frustrated that my PhD will always be associated with the name Sackler. The Sackler family has been accused of creating the current opioid epidemic and, in similar fashion to the NRA, Purdue Pharma will argue against any suggested restrictions on prescribing painkillers – “Purdue insisted that the only problem was that recreational drug users were not taking OxyContin as direct”.  This argument just shifts the responsibility away from the company and onto the individual. This sounds awfully similar to the NRA’s stance on gun ownership. Wouldn’t we feel more uncomfortable if our school was named after the head of the NRA? Of course, so what’s the difference? The difference is that the general population is naïve to the role the Sacklers played in creating, and continue to play in perpetuating, the opioid crisis. Until this awareness spreads, the Sacklers will continue to be seen as philanthropists who generously support the arts and sciences. Does the source of the money matter if it used for good? Does it negate the harm they are causing?

Most of us have found ourselves as students at the Sackler school not just because of our love for science and learning, but also because of the desire to help people and make a positive impact on society (no matter how easy it is to forget that at 10PM when yet another experiment has failed). Is there a conflict between what we work on and the reputation of our school’s namesake? I realize just because our school is named after someone does not mean we support them or their beliefs. But at a time when schools and professional teams are changing mascots and renaming buildings because of actions that are no longer socially respected, it is worth thinking about whether something around here should change. Keefe importantly points out in his article that the buildings that are getting renamed were in honor of someone who is no longer alive, and in some instances have been dead for centuries. This actually raises two larger facts: (1) those people were alive at a different time and their actions could be excusable due to changing societal beliefs and (2) these people are dead and are no longer active donors.  It would be more noteworthy to rescind a donation from a current donor.  

At this point I will clarify that all three brothers contributed to the school’s founding in 1980, long before OxyContin ever reached the market. Additionally, according to a university spokesperson, a significant gift came specifically from Arthur Sackler in 1983 and the Sackler building (the medical school building) is named for him. As mentioned above, Arthur Sackler did not have anything to do with sale of OxyContin per se, since he died before it was produced, and his branch of the family has actually distanced themselves from the other two branches. Even though the initial funding for the school was independent from OxyContin sales, the school still receives money from other branches of the family whose wealth continues to come from OxyContin revenue, for example the gift for the Raymond and Beverly Sackler Convergence Laboratory.

I am not here to start a movement to change the name of our school or other Sackler institutions. Far from it. I just want to start a discussion I think is important for us to have as students who have benefitted from the Sackler family’s wealth. In the last year or so it has become abundantly clear how essential it is for us to educate people on the importance of science and research, and I think it is equally as important for us to help spread knowledge about a current crisis, especially one that hits close to home. Massachusetts is amongst the top 10 states with the highest rates of opioid overdoses, a rate more than twice that of the national average. If nothing else, I just want you to think about who and what you are representing the next time you wear your Sackler fleece down the street.