No More Tears: The Dark Secrets of Johnson & Johnson by Gardiner Harris

Posted on by marjorieseidenfeld

Johnson & Johnson is probably the most venerated pharmaceutical company in the US. They may not even be thought of as a pharmaceutical company (which we normally associate with prescription drugs), because most know them best for their baby products, bandages, and skin care lines. Their story, as they love to tell it, is more about how they are the most honest, most trustworthy, family-run company, having recalled their tainted Tylenol decades ago, at great cost to them. Well, this revelatory, painstakingly-researched book will call into question everything we have believed about this company, reducing their golden reputation to a mythology. Time and again, this company has chosen to spend billions of dollars on litigation defending their repetitive deceptions rather than admit that a product is harmful. They have released products before being tested, not tested enough subjects, hidden data that has not been favorable, and have falsified data on tests they have submitted for review. Their executives have lied under oath about their products. Even after seeing horrific harm result from their products, they have continued to conceal evidence in order to continue to make money. No matter the human toll (including deaths in the millions). Because, of course, it is always about the money.

This book is, of course, a MUST READ. It is relevant not only to anyone in the medical or pharmaceutical field. lt is relevant because it is a perfect example of how money and power are so inextricably linked. As J & J grew, so too did its influence and lobbying power. We see how the independence and integrity of the FDA, for example, has been compromised to the detriment of all of us – because those who make decisions on what drugs and devices are approved for use are also the ones who benefit financially from them being approved. How can anyone possibly be objective when these decisions affect whether or not they may keep their job? Or perhaps their future one? In addition, the company uses FDA approval (for what it’s worth) to shield them from litigation. And those medications and/or devices that are approved by this compromised agency will be used by you, or by your family member, or by your best friend. Are you comfortable with that?

I would encourage everyone to read this book. It’s distressing, yes, but so important to be informed. This “trustworthy” company may no longer be so. And there is much to be done to fix the system that has allowed it to become this way.

Ohio by Stephen Markley

Posted on by marjorieseidenfeld

When four former classmates turn up in their Pennsylvania hometown on the same night in 2013, we learn how their high school experience in a town impacted by both the Great Recession of 2008 and by the opioid epidemic, has had a formative and mostly devastating impact on their respective lives. One copes with substances, one by escaping into the military, another by traveling the world, and the latter not really coping at all.

This is a brutally honest depiction of how the convergence of the economic disaster of 2008 and the opioid crisis has impacted a generation of young folks. Even those characters with talent or high intellect had challenges because of their low middle class status and lack of cultural capital. They lacked the the connections, the mentorship, the folks who believed in them and who might lead them to achieve their higher goals. With a few noteworthy exceptions, the adults around them were too preoccupied with their own struggles to be supportive or encouraging.

The writing here is outstanding. It is a hard narrative, replete with painful images, but it is powerful and gritty and truly the only way to tell this story. The rotating perspective is also extremely effective. As we learn more and more through each character, the story builds and adds tension, and the climax is both shocking and satisfying.

I recommend this novel, but it is not for the feint-hearted. It is a tragic story, with graphic scenes. But it is honest, vivid, and authentic.

Demon Copperhead by Barbara Kingsolver

Posted on by marjorieseidenfeld

From the very moment of his birth in the narrow, rented trailer home where his teen mom went into an early labor, Damon already felt the stacking of the cards against him. His father already six feet under only six months prior, Damon learned early to try to hide his mom’s alcohol even as he hid from her poor choices in men. He also knew when to escape to the Peggots’, their kindly neighbors and grandparents of his ally, Maggot. But he lost his battle to protect his mom when “Stoner” moved in. While his mom believed this newest partner might provide stability, Damon saw that what he actually provided was constant tension and outright physical warfare. This was the beginning of a journey for Damon that led him through the nightmare of the foster care system, which would test him to the limits of both his weaknesses and his strengths.

Barbara Kingsolver has always been one of my favorite authors and, again, she has proved this justified. As she recreates the narrative of David Copperfield through the voice of a young, poor, Appalachian boy at the brink of the opioid crisis, she does so with authenticity, respect, a love of this part of the land and its people, and, yes, even humor. It is a hard story. Damon, or “Demon” as he is nicknamed, is abandoned into the foster care system and left to his own creative devices and survival instincts at an excruciatingly young age. We follow him through his minimal ups and prolonged downs and we see that he has, in spite of his circumstances, a kind heart and an artistic soul. We come to love him and see his failings as the failings of the system that has tried to eat him alive, rather than his own personal ones. We see how these failings have been built on generations of systemic exploitation and vulnerability.

Kingsolver, through this narrative, brings to light a few important messages. One is how the large mining magnates exploited so much of Appalachia without regard to the land or the people who lived there. They created dependence on the corporations for everything. The people were owned by these corporations, but not protected by them, as their health, education, and welfare were not at all the company’s concern. And once the land was stripped of its use, it was abandoned, as were the people who lived there, leaving only poverty in its wake.

So it is not shocking that Purdue Pharma sought to prey also on this vulnerable population, sending out its sales reps like missionaries to these communities who were middle and lower-middle class without great access to adequate health care. Few on the receiving end were insured, so much of their health care was in the form of emergency room or in-hospital care only. The providers there were sold the BS that Purdue Pharma was dishing out on pain management: that they had invented the miracle panacea for pain relief through Oxycontin and that it was, miraculously, non-addictive. Well, we know how that fable goes…

What I believe I loved most about this story, and what Kingsolver does so tenderly, is highlight the beauty of both this region and the folks who live there. She describes the landscapes: the steep waterfalls, the green mountains, the valleys and rocky streams -and the fauna and flora that thrive there. How even if poverty exists there, folks are able to farm a patch of land to grow vegetables, hunt for food, or knit themselves a few sweaters for the cold weather – and that they do so for each other in their close-knit communities – because there are still close-knit communities where everyone knows everyone else, and have known their parents and grandparents as well.

This is a uniquely gorgeous novel – one that should not be passed up. This is, without a doubt, a MUST READ!

(And I think it’s also time for me to revisit the original David Copperfield as well!)