现在 我们需要 The time has come
重新定义疼痛的本质 to redefine the nature of pain.
太久以来 美国医疗界 For too long, the American medical community
都在忽视慢性疼痛 has been ignoring chronic pain.
这制造了殃及众生的折磨 And this has created an epidemic of suffering.
我们忍受疼痛的时候 When we live with pain,
不能做真正的自己 we are not living our true selves.
不能做最好的自己 We are not living our best selves.
甚至算不上真正在生活 We're not even living at all,
因为痛苦会夺去 because the pain overtakes
我们思考 感受 our ability to think, feel.
甚至爱的能力 Even to love.
你们都知道 As you all know,
等我们美施康定的专利到期时 when our patent for MS Contin expires,
公司会遭受沉重打击 it will deliver a significant blow to the company,
因为它占据了我们25%的销售额 because it comprises 25% of our sales.
但是我有个解决方案 However, I have a solution.
我提议 用康定系统的缓释机制 I propose we take the extended time release of the Contin system
制造一种新阿片类药物 and create a new opioid
专门针对中度疼痛 specifically designed to treat moderate pain
长期使用 for long term use.
医生不会为长期疼痛开阿片类药物的 I don't see doctors prescribing an opioid for long term pain.
市场不能靠抢 要靠创造 You don't chase a market. You create it.
理查德 Please, Richard...
再说说吧 tell me more.
谢谢 亚瑟叔叔 Thank you, Uncle Arthur.
彼得森医生 请告诉大陪审团 Dr. Peterson, please tell the grand jury,
你最早听说奥施康定是什么时候 when did you first hear about OxyContin?
大概是1996年夏季 Um, it was around the summer of 1996.
普渡制药的一位药代表 A sales rep from Purdue Pharma
跟我说他们生产了新药 told me that they had a new drug
可以很有效地止痛 that was very effective in combating pain.
"疼痛"在当时成了流行词 "Pain" Was becoming a big buzzword at the time.
全国都掀起了重新思考 There was a nationwide movement
如何对付疼痛的热潮 to rethink the treatment of pain.
是普渡制药掀起了这场宣传吗 Did Purdue Pharma spearhead this campaign?
我认为是的 I believe they did.
我不知道是不是就是他们 I don't know if it was them in particular,
但他们的药代表会反复提这事 but their sales reps brought it up repeatedly.
药代表说 这药很不一样 The sales rep said the drug was different
因为它基本上不成瘾 because it was basically nonaddictive.
你听说过不成瘾的阿片类药物吗 Had you ever heard of a nonaddictive opioid?
没有 先生 No, sir, I had not.
他是否跟你说过有多大比例的病人 And did he tell you what percentage
确实上瘾了 of patients became addicted?
那就是推销说辞的关键部分 That was the key to the whole sales pitch.
他说不到1%的人会上瘾 He said less than 1% became addicted.
不到1%的人会对奥施康定上瘾 Less than 1% would become addicted to OxyContin.
他说是不到1% He said less than 1%.
他称之为奇迹药物 He called it a miracle drug.
芬尼克斯医生 你的病人中对奥施康定上瘾的 Dr. Finnix, did more than 1% of your patients
是否超过了1% become addicted to OxyContin?
芬尼克斯医生 Dr. Finnix.
我都不敢相信已经死了那么多人 I can't believe how many of them are dead now.
成瘾剂量
第一季 第一集
直接前往矿场办公室接受危险训练 进入矿场前看清楚 危险训练
还好吗 贝琪 Doing good, Bets?
挺好 爸爸 Fine, Dad.
我套上了鸡毛钓饵 I put this rooster tail on,
不过我喜欢管它叫我的幸运鸡毛 or, as I call it, my lucky rooster tail.
我在池子里钓了至少一小时了 I've been working this pool for at least an hour.
可是练咬钩的都没有 我就想 Not even a nibble, and I'm starting to think,
"或许我的幸运鸡毛没那么幸运了" "Well, my lucky rooster tail probably isn't so lucky."
杰克 这是你摔倒弄的 是吧 Jack, this is from when you fell, right?
嗯 Yeah.
突然间 And all of a sudden,
那玩意沉了下去 this thing falls down to the bottom,
我感到一股往下拽的劲儿 and I feel this tug.
我就拉啊 拉啊 And I'm pulling, and I'm pulling,
使劲拉 and I'm pulling on this thing.
把胳膊抬一下 Lift your... lift your arms up for a minute.
我给你开点泰诺 I'm just gonna give you Tylenol.
一天服用两三次 Take two three times a day.
愈合得很好 It's healing nicely.
我这下要怎么抠鼻子 So how am I gonna pick my nose now?
用那只手 Use that hand.
这条鱼这么大 Now, this fish was this big.
杜恩净鬼扯 Duane's a bullshitter.
还没来并不是什么不寻常的事 It's not unusual that it hasn't happened yet.
你才14岁 别担心 You're 14. Don't worry about it.
有些女孩11岁就来了 For some girls, it can happen when they're 11.
也有些17岁才来 Others, 17.
好丢人啊 It's just embarrassing.
没什么好觉得丢人的 There's nothing to be embarrassed about.
我是说得轻巧 Easy for me to say.
我以为那可怜的姑娘要哭到天荒地老了 I never thought that poor girl was gonna stop crying.
你有没有跟她说 那会让她接下来40年里 Did you tell her it's gonna mess up a few days a month
每个月都难受几天 for the next 40 years?
我想着还是让她自己去发现吧 Heh, I figured I'd let her discover that herself.
你周五晚上有安排吗 You got plans Friday night?
我们要在克拉拉姑妈家办百家席 We're having a potluck at my Aunt Clara's.
肯定是你吃过的最好的灵魂食物 Be the best soul food you ever ate.
多谢你了 Oh, that's sweet. Thanks.
但我有安排了 亲爱的 I got plans, though, honey.
你才没有呢 No, you don't.
相信我 我没忘 I'm telling you, I didn't forget.
我相信你 我就来看看 I belie... I just want to check.
我...你每晚都往我家跑 Ugh, I... you come to my house every night,
我可是一向按时吃药 and I take my pills all the time.
我不知道你干吗要来烦我 I don't know why you bother me.
我不知道你干吗要每晚都来 I don't know why you come every night.
看吧 你不是漏了几个 Ah, yeah, see? Looks like you forgot some.
-是吗 -对 你落了几颗 - I did? - Yeah, you left a few.
-是吗 -嗯 - Really? Oh. - Yeah.
-我去拿水 -这个 - Let me get you some water. - Well,
没事 没关系 It's all right. That's all right.
我真以为我早上吃了 I thought sure I took them this morning.
我每天都吃的 I mean, I take them every day.
每个人都偶尔会忘 Hey, everybody forgets sometimes.
来 吃吧 Yeah. There you go.
好了 你明天就不用麻烦了 All right, well, you don't have to bother me tomorrow.
我肯定记得 I'll remember.
好 好 我不来打扰你 Okay, okay. I won't bother you.
我就想确保你现在吃了 I just want to make sure you're gonna take them now.
好吧 好吧 Okay, okay. All right.
我不打扰你了 I'm not gonna bother you anymore.
-好 -好了 亲爱的 - Okay. - All right, honey.
-回见 -再见 - See you. - Bye.
戴斯金 你后背怎么样了 Heya, Deskin. How's your back?
还那样 Same.
试试针灸吧 效果很好 You gotta try acupuncture. Really works.
那是什么蕾丝巫术吗 That some sort of lesbo voodoo?
是啊 等你做完第一次 Yeah. After your first session,
就终于能尝到屄味儿了 you'll finally get to eat some pussy.
格蕾丝 请你不要在我女儿面前 Grace, please refrain from that kind of language
用那样的语言 around my daughter.
抱歉 杰瑞 我下次说"阴道" Sorry, Jer. Next time, I'll say "Vagina."
主啊 Dear Lord, please, uh,
我们感谢你 we give thanks for this good food
赐予我们的食物 that You've provided us.
请保护我美丽的妻子 Please, uh, protect my beautiful wife,
我的好女儿 precious daughter,
当然了 还有我们的好邻居 and, of course, our beloved neighbor
布莱文斯太太免遭伤害 Mrs. Blevins from harm.
请让矿场开下去 And, uh, please keep the mine open
这样我们就还能继续享受这样美味的食物 so we can continue to enjoy this good food.
以耶稣之名 我们祈祷 阿门 In Jesus' name, we pray. Amen.
-阿门 -阿门 - Amen. - Amen.
你这周末能把被子缝好吗 You gonna finish your quilt this weekend?
嗯 我就只剩几个格了 Yeah, I only have a few more squares left.
这床真的很好看 This one's really nice.
谢谢 我挺喜欢的 Thanks. I like it.
听说你今天因为那个蕾丝还动怒了 And I heard you got a little wound up by that lesbian girl today.
据我所知 在联邦国家的公共场所说脏话 It's still illegal to swear in public in the commonwealth,
是违法的 last I heard.
我在纺织厂就有个蕾丝工友 I work with a lesbian at the textile mill.
布莱文斯太太 纺织厂 Mrs. Blevins, the textile mill
十年前就倒闭了 closed down ten years ago.
是哦 Oh. That's right.
等等 Wait a minute.
帕崔夏·贝林杰是蕾丝吗 Patricia Bellinger was a lesbian?
亲爱的 那事人人都知道 Dear, everyone knew that.
我10岁时就知道她是了 I knew she was when I was ten.
她是个女汉子 She's a tough broad.
我得去跟她喝威士忌叙叙旧 I need to have a catch up whiskey with her.
帕崔夏已经死... Well, Patricia passed the...
是啊 她是个女汉子 To... yeah, she's tough, all right.
是啊 Sure is.
她听上去很像格蕾丝 She sounds a lot like Grace.
她比矿场里的男人还能干 She's tougher than any guy at the mine.
你也是 So are you.
你是那里最小的 但可能却是最强壮的 You're the smallest one there and probably the strongest.
祝福她们 Well, bless their hearts.
我今晚要为她们俩祈祷 I'm gonna pray for both of them tonight.
贝琪 Bets.
还是别跟那个格蕾丝走太近 I wouldn't get too friendly with that Grace girl.
管理层不怎么喜欢她 Management doesn't care much for her.
好啊 我会离她远远的 Yeah, okay. I'll definitely steer clear of her.
接下来有请 克里斯·麦迪森先生 Coming up next, uh, Mr. Chris Madison,
他要竞选本区议员 who's running for Congress in this district.
上来吧 克里斯 Uh, come on up here, Chris.
我希望有幸在国会代表本区 I would be honored to represent this district in Congress.
我知道就业没有如我们所愿地恢复 Now, I know the jobs haven't come back like we'd hoped,
但我会尽全力 but I will do everything I can
确保矿井不关门 让就业得到恢复 to make sure the mines stay open and jobs come back.
你不是那个矿工吗 Aren't you that miner girl?
对 Yeah.
听说你挺厉害 I heard you're tough.
是吗 Are you tough?
-可能吧 -是吗 - Maybe. - Maybe?
-看情况了 -看什么情况 - Depends. - Depends? On what?
-我不知道 -你不知道吗 - I don't know. - You don't know?
瞧瞧 Well.
我们都知道你是想 Now, we all know you're trying
在矿里偷个丈夫回去 to steal a husband in that mine.
别忘了 Don't ever forget,
我们都盯着你呢 we got our eyes on you.
是 女士 我不会忘记的 Yes, ma'am. I... won't forget.
我有好消息告诉你 I got some good news for you.
我妈妈说她要为你祈祷 My mama said she was gonna pray for you.
祝福她 Well, bless her heart.
好了 线铺好了 埃迪 All right. Cable's good, Eddie.
好 贝琪 All right, Bets.
稳住 Hold on!
好吧 我们都... All right, let's all...
我的背 我的背 My back! My back!
没事的 Be okay.
-我的背 -起来 - Ah, it's my back! - Get up!
贝琪 Betsy?
-把她拉起来 -贝琪 - Try to get her up. - Betsy?
你飞回去之前 Well, before you fly back,
一定要去看《大师课》 you have to see Master Class.
太棒了 It's fabulous.
我不知道 迈克奈利的上部剧我就很不喜欢 I don't know. I hated McNally's last play.
-是吗 还拿了托尼奖呢 -是啊 - Really? It won the Tony. - Yes.
男同赤身裸体在舞台上来来回回三小时 Gay men running around naked onstage for three hours.
怎么能不得奖呢 How could it not?
你好 摩迪莫叔叔 Hello, Uncle Mortimer.
我不知道您也飞来了 I didn't know you were flying in.
我必须来 是吧 Well, I had to, didn't I?
理查 可以跟你说句话吗 Richie, can I talk to you for a second?
你继母比你还小一岁 你觉得奇怪吗 Do you find it odd your stepmother is a year younger than you?
她不像上两个那么糟糕 She's not as bad as the last two.
我想跟你说 So I wanted to tell you that, um,
我今晚必须说话 I'm gonna have to speak up tonight,
我不想让你措手不及 and I didn't want to blindside you.
好吧 Okay.
里面见了 I'll see you in there.
请告诉雷蒙德·赛克勒博士 Please tell Dr. Raymond Sackler
A股的股东对他儿子 that the holders of "A shares" are greatly concerned
在新产品开发过程中 with the significant overspending by his son
严重的超支非常担忧 in the development of this new product.
赛克勒博士 人们很担心 Dr. Sackler, there's great concern
你儿子理查德已花费四千万美元 that your son, Richard, has spent more than $40 million
开发这种新... in the development of this new...
超出我们所有产品开发经费10倍还不止 Ten times more than what we've spent on anything.
有史以来的所有产品 Ever.
如摩迪莫的儿子 摩迪莫博士所说 As stated by Mortimer's son, Mortimer D.A.,
A股股东很担忧... there is great concern among "A shareholders...
你让整个公司都陷入了危机 You have literally placed this entire company in jeopardy.
请告诉摩迪莫·赛克勒博士 Please tell Dr. Mortimer Sackler
B股 据我所知 that "B shares," who, last I checked,
跟A股拥有同样的投票权 have the same voting power as "A shares,"
深感荣幸 are honored he flew in
他结束了在瑞士的自我流放 专程飞回来 from his self imposed exile in Switzerland
我们希望他不爱国的避税行为 and we hope his unpatriotic tax dodging
一如既往地成功 continues to be successful.
的确很成功 It has!
我能理解他对 Now, I understand his confusion
开发过程的不解 about the development process,
因为他这辈子就没创造过什么 since he has never built a single thing in his life,
但告诉他 一旦药品上市 but advise him that once the drug is launched,
他那些 it will make his children,
用着由B股支付的支票的孩子 who cash checks generated by "B shares,"
将会比现在有钱得多 significantly wealthier than they are now.
雷蒙德叔叔 我反感你暗示 Uncle Raymond, I resent the implication
我们都是门外汉 that we're all dilettantes.
抱歉 凯茜 My apologies, Kathe.
我们都知道你是公司宝贵的一分子 We all know you're an invaluable part of the company.
谢谢 Thank you.
但A股是有权利担心 But "A shares" are rightfully concerned
万一奥施康定卖不出去怎么办 that if OxyContin doesn't sell
或万一药监局不批怎么办 or if it runs afoul of the FDA
或万一保险公司 不管因为什么 不覆盖怎么办 or if insurance companies stop covering it for whatever reason,
那真的可以让公司倒闭 it could literally sink this entire company.
理查德 我尊重你的辛苦付出 Richard, I respect how hard you work.
真的 但这个家族 I really do, but this family
40年来经营了一家成功的公司 has had a successful company for 40 years,
而它现在面临威胁 and now it's at risk.
你严重超支 You vastly overspent,
我们感到生气 焦虑也是合理的 and it's not unreasonable that we would be upset and anxious.
会成功的 It'll work.
我保证 I promise you.
谢谢 Thank you.
告诉我侄子 Tell my nephew...
最好成功 it fucking better.
赛克勒区
塞缪尔 你今天又在巡视了 Samuel, I see you're making the rounds today.
他们今天拿来这么多美味的甜点 They're trying to make the good pastor fat
是想把牧师喂肥了 with all this delicious desserts out here today.
你的糖吃的有点多了 And a little too much sugar there for you.
医生 Hey, Doc.
泰诺你别吃那么多 I want you to cut back on that Tylenol PM.
每周吃几天就行 Just a few days a week.
贝琪 Hey, Bets.
听说你那天被伤得挺重 Heard you took a pretty good lick the other day.
你的背 怎么不来见我 Your back. Why didn't you come see me?
我一直叫她去 I keep telling her to.
你怎么不让他看看你的背 Why don't you show him your back?
不 没事 我没事的 No, no. It's... it's nothing. I'm fine.
医生 给她点维柯丁吧 Hey, Doc. Give her some Vicodin.
要不也给我点 Maybe a couple for me too.
闭嘴 Shut the hell up!
你认为是什么导致那么短的时间里 What do you think caused so many deaths
有那么多人死亡 over such a short period of time?
你也是 小姑娘 悠着点 好吗 You too, young lady. You take it easy, all right?
我知道 医生 I know, Doc.
芬尼克斯医生 Dr. Finnix.
奥施康定 OxyContin.
我们说清楚 你认为你们镇的多起死亡 So just to be clear, you're blaming numerous deaths
都是一种药物造成的 in your town on just one medication.
是的 先生 Yes, sir.
我是这么认为 I am.
是你给他们开了这种药吗 And are you the individual that prescribed this medication?
是的 Yes, sir.
是我 I did.
布朗利先生 你来早了 Mr. Brownlee, you're early.
我总是早到 I'm always early.
见到你很高兴 Great to meet ya.
-兰迪·拉姆塞尔 -约翰·布朗利 - Randy Ramseyer. - John Brownlee.
里克·曼卡索 Rick Mountcastle.
恭喜你获得新任命 先生 Well, hey, uh, congrats on your new appointment, sir.
我们其实完全可以开车去罗诺克的 You know, we would have been happy to drive up to Roanoke.
没事 Ah, that's okay.
我想来看看分处 I wanted to see the branch office.
这里... Yeah, well, it's, uh...
真是不错 是吧 it sure is impressive, isn't it?
我们还自己搅黄油呢 You know, we even churn our own butter.
你怎么会来到阿宾顿 So how'd you end up in Abingdon?
我在街那边的州法院 Well, I got a, uh... A clerkship with a judge
给法官做书记 at the state courthouse just down the block,
然后听说这里有空职 and this job came open.
他还想劝阻我 He... he, uh... he tried to talk me out of it.
跟我说 我要穷一辈子了 Told me I'd be broke my whole life,
但我想 "管他呢" but I thought, "What the hell?"
老实说 这是我最好的决定 And, you know, honestly, it's the best decision I ever made,
因为我喜欢干各种不同的案子 'cause I love working all the different kinds of cases
学习新东西 and learning new things.
这样生活才有趣 It's, uh... it's what makes life interesting.
你呢 里克 你怎么会来到这里 What about you, Rick? How'd you end up here?
我就是来为正义服务的 先生 I just came here to serve justice, sir.
我们有多起银行诈骗案 We got multiple bank fraud cases,
非法枪械 敲诈 联邦医保回扣 illegal arms, racketeering, federal health care kickback.
好 听上去都不错 Okay, yeah, that all sounds good.
听着 Look, here's...
我开车两小时想跟你们当面说的话是 what I drove two hours to say to you face to face:
我不怕冒险 I'm not afraid of risk,
我不怕搅起风波 只要我们是正义的一方 not afraid to rattle the cages, I'm not afraid to lose
我不怕输 if we're on the side of the righteous.
我希望你们别不敢往大了想 And I want you not to be afraid to think big.
做好工作 把事办妥 Took this job to get things done.
等我离开 走出去 And when I leave here, I'm gonna hit the road,
我要跟我见到的每个治安官说 I'm gonna tell every sheriff that I meet
如果他们社区里 that if they've got someone in their community
有暴力 凶残的人 that is violent, that's a predator,
不管原因什么 如果州办不了那人 for whatever reason, the state won't get it done,
带来给我们 我们把那混蛋送进监狱 bring it to us, and we'll throw that son of a bitch in jail,
因为我们绝对能办成 'cause we sure as hell are gonna get it done.
-好 先生 -好 - Yes, sir. - All right.
你们有事瞒我吗 You guys holding out on me?
现在还早 Well, it's still very early,
但我们可能发现了大案件 but we've begun looking at something that could be big.
什么情况 Mm, what are we talking about?
奥施康定 OxyContin.
具体说是普渡制药 Specifically Purdue Pharma.
制作这种药的公司 That's the company that makes it.
他们一直在营销药物 向医生强推 They've been marketing the drug and pushing it on doctors
说它不上瘾 as something that's nonaddictive,
但它显然就上瘾 when it clearly is.
还有其他检察官查过这事吗 Has any other U. S. Attorney pursued?
没有 先生 No, sir.
民事诉讼呢 Civil litigation?
多少来着 65件案子吗 What is it, 65 cases?
普渡赢了多少 And how many has Purdue won?
-65起 -嗯 - 65. - Yeah.
追查一家上市公司 Well, going after a publicly traded company
可不是易事 is a pretty steep hill to climb.
他们不是上市公司 是私企 They're not publicly traded; it's privately owned
是赛克勒家族所有 by a single family, the Sackler family.
赛克勒家族 Sacklers.
他们是大慈善家 是吧 They're big philanthropists, right?
是的 他们为博物馆 学校 Oh, yeah. Yeah, they give lots of money
捐了很多钱 to museums and schools.
-就富人那套 -很有钱 - Rich person stuff. - Very rich.
那你们发现了什么 So what do you guys got
整个国家的其他检察官都没发现的情况 that no other U. S. Attorney in the country is onto?
大概四个月前 Well, about four months ago,
我在翻看我们手头的案子 I was reviewing our caseload
我注意到了一个不寻常的规律 when I noticed an unusual pattern.
过去三年里 几乎所有案件 Almost every case over the last three years,
都跟奥施康定有关 uh, was related to OxyContin.
几乎每件都是 Nearly every one.
非法贩药 盗窃 持械抢劫 玩忽职守 Illegal drug sales, theft, armed robbery, job abandonment.
它改变了 I mean, it has transformed
整个地区 the entire district.
监狱突然塞满了 Jails are suddenly full.
暴力犯罪肆虐 Violent crime is running rampant.
过去200年里 Uh, you know, for the last 200 years,
这里的人夜不闭户 folks around here didn't even lock their doors.
都不考虑这事 Didn't even think about it.
而现在 从三年前开始 Now, starting three years ago...
大家开始锁门了 Everyone locks their doors.
它是这整个地区犯罪的第一诱因 It's the single highest source of crime in the entire region.
听着 如果你们 Well, look, if you guys want
要在零售店里追查价值上亿的公司 to go after a billion dollar company from a strip mall,
你们需要充足的证据 you're gonna need more evidence
充足到这栋楼都装不下 than you can fit in this entire building.
没有其他检察官想碰这事 No other U. S. Attorney wants to touch this thing.
那么要成事 就得有了不得的筹码 That means it's gonna take something significant to make it work.
你们得证明公司的老板 You have to prove the heads of this company
明知道药物的威胁性 know that they're lying about the dangers of the drug
却还是照卖不误 and that they're selling it anyway.
我们认为情况就是这样 Well, we believe that very well may be the case.
我开始服用这种新药后 Since I've been on this new medication,
我再没误过一天工 I haven't missed one day of work.
它解放了我 This frees me up.
还安抚了我的焦虑 And it helps with my anxiety.
你可以服了药就该干啥干啥 You can just take the medicine and go.
我可以跟丈夫去散步 I can take walks with my husband.
我可以去游泳 And I can go swimming.
都因为这种止痛药 All because of the pain medicine.
里克 里克 Rick? Rick!
你能不能上来 Would you get up here?
嗯 Yeah.
主 谢谢你赐予我们食物 Thank You, Lord, for this meal,
让我们一起享用 阿门 and allowing us to enjoy it together. Amen.
-阿门 -阿门 - Amen. - Amen.
你在忙那家医药公司的事吗 You working on that pharma thing?
对 腿上铺好餐巾 Yeah. Napkin in your lap.
但不太好办 But it's tricky.
他们能以多我们百万的财力抗衡 Uh, we'll be outspent by millions.
我在研究它... And, uh, I'm looking at it, you know,
我觉得 and there's just...
我觉得有情况 There is something there.
但是 我不知道该怎么抓到关键 It's just, uh, I can't quite find a way to get at it.
我都不知道该起诉他们什么 I don't even know what to charge them with.
我在下面翻成堆的资料 Digging through a mountain down there,
我找不到... and I just can't find...
找不到思路 can't find a way at it.
帅气的新上司怎么看 Well, what does the new, handsome boss think?
他很有野心 所以他喜欢 He's ambitious, so he likes it,
如果我们能找到办法打开局面的话 if we can find something to get it going.
检察官不都很有野心吗 Aren't all U. S. Attorneys ambitious?
她肯定是真觉得他很帅 She must really think he's handsome.
或许吧 这正是个好机会 Maybe this is the perfect opportunity
让你办件大案 for you to take on something big that...
这可能会吓走一个没那么有野心的人 might scare off someone who isn't as ambitious.
缉毒署去年对普渡制药进行过调查 The DEA was actively investigating Purdue last year.
调查怎么样了 What's the status of the investigation?
大概六个月前 缉毒署基本上不了了之了 About six months ago, the DEA basically ended it.
不罚款 不起诉 No fines, no charges.
就我所知 根本没采取什么行动 From what I can tell, very few actions taken at all.
她就是管控的 And she's Diversion?
对 这是布丽姬特·迈尔 Yeah. This is Bridget Meyer.
她是管控部副主任 She's the deputy director of the Diversion Division.
试试快速说三次 Try and say that three times fast.
你觉得她会告诉我们发生了什么吗 You think she's gonna tell us what happened?
不会 No.
为了安排这次见面 You know, I had to call her four times
我给她打了四通电话呢 just to get this meeting.
缉毒署再次向阿片类药物发起战役
她...挺有个性的 She, uh... she's got an edge.
缉毒署
好了 两位 我时间不多 All right, guys, I don't have a lot of time,
你们什么事 so what do you want?
我们知道你调查过普渡 Well, we know about your investigation into Purdue,
我们想知道你查到了什么 and we were hoping to find out what you uncovered,
以及调查为何突然中止 why it abruptly ended.
你查到他们违法推广药物的证据了吗 Did you find evidence that they were illegally promoting the drug?
你不回答问题是有原因的吗 Is there a reason you're not answering the question?
跟司法部打交道就是浪费时间 Anything with the DOJ is a waste of time.
就这样了吗 我说了 我很忙 So is that it? 'Cause like I said, I'm really busy.
好吧 我知道 Right. I know. I know.
弗吉尼亚乡下来的两个乡巴佬 How can a couple hicks from rural Virginia
怎么可能跟普渡制药这样的大公司抗衡 take on a massive company like Purdue Pharma?
里克是退役军人 You know, Rick here is former army,
他去过很多地方 so he's been all over the place,
见过很多国家 seen lots of different countries.
去过法国吧 Been to France?
-还有阿根廷 -阿根廷 - Argentina. - Argentina.
-韩国 -是吧 - South Korea. - See?
我甚至穿上了我没系带的好鞋 And I even wore my fancy no-lace shoes.
真的希望你能 It'd sure be nice if you could just have
好好跟我们谈谈 a reasonable conversation with us.
"奥施康定药片的延迟吸收效应 "Delayed absorption, as provided by OxyContin tablets,
据信能减小上瘾的可能性" is believed to reduce the abuse liability of a drug."
根本说不通 Barely makes sense.
那个狗屁标签是万恶之源 That fucking label caused everything.
怎么说 How so?
那是药监局第一次将一种 It was the first time the FDA labeled
二类麻醉剂标为不易上瘾 a Class II narcotic as less addictive.
这是怎么做到的呢 Now, how does that even happen?
这问题问得太好了 That's a great fucking question.
你调查过标签的审核过程吗 Well, did you investigate the approval process for the label?
看来是查过 See, that seems like a yes to me.
是啊 看来绝对是查过 Yeah, it definitely seems like a yes.
我无法起诉 I couldn't charge anything.
这是案子的一个挑战 It's a challenge in this case.
普渡有很多推诿理由 Purdue has so many levels of deniability:
病人滥用 医生渎职 patient abuse, doctor malpractice.
公司老板把药物当作不上瘾药推广时 Did the heads of the company know it was false
就知道这是谎言吗 when they marketed the drug as being nonaddictive?
谢谢你们来一趟 Thanks for coming in, guys.
我还得给我的离婚律师打电话 Um, I've got a call with my divorce lawyer,
我跟她谈话之前总得先冷静下来 and I always need to calm down before I talk to her.
我理解 I understand.
谢谢你抽时间 Thank you for your time.
几个月前 我们抓到一个医生 You know, a few months ago, we caught a doctor
在自己的车上向11岁女孩卖药 selling pills out of his car to an 11-year-old girl.
我们逮捕他时 And when we arrested him,
他感谢了我们 he thanked us.
他跟我们说 他阻止不了自己 He told us he couldn't have stopped on his own.
就在那时 我们就知道煤炭区 And at that moment, we knew that what we got going on
正在发生 in coal country
旧金山刚爆发艾滋病危机时的情况 is similar to San Francisco at the start of the AIDS crisis,
我们的社区是一场 that our community is ground zero
正在蔓延的全国灾难的原点 for a growing national catastrophe.
我们要尽己所能找到责任人 We're gonna do everything we can to hold someone accountable.
或许还能阻止此事 It might just end this thing.
如果你改主意了 So if you change your mind,
我们很想跟你聊聊 we'd love to talk to you.
我又重拾生活了 I found my life again,
现在我的生活值得过了 and it's worth living now.
我很感激 I'm so grateful.
我开始服用这种止痛药后 Since I have been on this pain medication,
我再没旷过一天工 I have not missed one day of work.
对于这种止痛药 I... can't say enough good things
我怎么赞美都不为过 about this pain medication
它让我能完成工作 that, uh, allows me to get work done,
我本以为 and that's... that's something I didn't think
我再也做不到了呢 I would ever be able to do again.
它让我的生活变好了 It's just changed my life for the better.
我开始服用这种新止痛药后 Since I've been taking this new pain medication,
我再没误过一天工 I've not missed a day of work.
还消除了我的焦虑 And it takes the anxiety away.
你可以服了药就该干啥干啥 You can just take the medicine and go.
因为这种止痛药 Because of this pain medication,
我又能享受生活了 I enjoy my life again,
因为之前我错失了好多东西 'cause there was so much that was just missing from it.
我重拾生活了 I got my life back.
看上去就是一般的宣传片 Seems like a typical promotional video,
病人为它站台 with patient testimonials
赞美药的疗效 extolling the virtues of the drug.
但有一件很不寻常的事 There's just one very unusual thing here
就是他们几乎从未直接提到奥施康定 is that they almost never mention OxyContin by name.
他们说的是"止痛药" They say "pain medicine"
"药物治疗" "缓释药物" or "drug therapy" Or, uh, "time release pill."
但这些人都想尽办法 But you got all these people twisting themselves into knots
在一则奥施康定的宣传片里不提到"奥施康定" not to say "OxyContin" in a video promoting OxyContin.
我觉得没道理 Just doesn't make much sense to me.
你是觉得他们没真服用吗 Do you think they weren't really on it?
我不知道 我想去查查 I don't know. I'd like to found out.
如果他们没服 那么普渡制药 Well, if they weren't, then Purdue
就是有意向1.5万名医生 deliberately sent a promotional video
发去了一部 to 15,000 doctors stating these patients
病人谎称自己服药的宣传视频 were on a drug that they weren't actually taking.
是啊 That's right.
这视频是奥施康定的第一个重要推广 And this video is the first major introduction of OxyContin.
珍妮弗 Hey, Jennifer.
我觉得你丈夫需要新眼镜了 I think your husband here needs some new glasses.
他是全州最差的裁判 He's the worst referee in the entire state.
你们输了20分 玛姬 You lost by 20, Marge.
你们球队差劲不能怪我丈夫 It's not my husband's fault your team sucks balls.
宝贝 抱歉了 Oh, baby. I'm sorry about that.
如果你不想 You know, you don't have to come to these things
不非得参加这些活动 if you don't want to.
什么 看着你被所有人大吼大叫 What? Watching you get screamed at by everyone
是我这周最开心的时刻 is the highlight of my week.
宝贝 Hey, babe.
你稍等我一下 我就回来 You hang on one second? I'll be right back.
口交50美元 $50 for a blow job.
干我100美元 $100 if you want to fuck me.
你得马上去医院 You need to get to a hospital immediately.
滚 Fuck off.
你得确保你... You need to make sure you...
我对推销团队有些担忧 I have some concerns about the sales force.
我觉得太小了 I think it's too small.
如果我们要大规模发售 If we're gonna launch in a big way,
我们得把团队翻倍 we need to double it.
董事会对我们 The board is very concerned
已经花掉的开销很是担忧 about how much we've already spent.
董事会似乎不懂 And the board doesn't seem to understand
我想让这药成为爆款 I'm trying to make this a blockbuster drug,
没有更多药代表 我就做不到 which I can't do without more sales reps.
理查德博士 这么多的新药代表 Uh, Dr. Richard, with all these new sales reps,
都没有足够医生让他们去找了 we won't even have enough doctors for them to target.
信息管理系统即将推出3.0版本 IMS is about to release a 3.0 version
按日追踪处方 而不是按季度 that tracks daily prescriptions instead of quarterly.
如果我们把销售团队扩大一倍 So if we double our sales force,
我们可以利用这些数据 we can use this data
针对会开洛他布和维柯丁的医生 to target doctors prescribing Lortab and Vicodin
让他们改开奥施康定 and flip them to OxyContin.
升级要一百万美元 The upgrade is a million dollars.
你知道信息管理系统是谁创建的吗 Do you know who created the IMS database?
亚瑟·赛克勒 Arthur Sackler.
多年来一直是个秘密 It's been kept secret for years,
但这是多年前被卖掉的家族发明 but this is a family invention that was sold off years ago.
你现在却跟我说我们不去用这些 And now you're telling me we should deny all this data
因为我叔叔才会存在的数据吗 that only exists because of my fucking uncle?
买下升级 把销售团队翻倍 Purchase the upgrade, and increase the sales force.
谢谢 Thank you.
你们不能再像我的亲戚那样思考了 I need you to stop thinking like my cousins...
而是要开始思考 And start thinking about
我们要如何治愈这个世界的疼痛 how we can cure the world of its pain.
谢谢 谢谢 Thank you. Thank you.
我更喜欢他父亲 I prefer his father.
普渡制药
你们将成为 You will be part
制药史上最大的一支销售团队的一员 of the largest sales force in pharmaceutical history,
将这款新奇迹药物带去全国各地 bringing this new miracle drug all across this great nation.
普渡制药
医生希望为病人止痛 See, doctors want pain relief for their patients.
但他们不希望病人上瘾 They just don't want to get them addicted.
奥施康定
所以你们首先要说的 就是它的特别之处 So your first talking point is also what makes it so special:
只有不到1%的人会对奥施康定上瘾 less than 1% of people become addicted to OxyContin.
不到1%上瘾
太棒了 是吧 It's amazing, right?
你们的医生都会问一个问题 Now, all your doctors are gonna be asking you the same thing:
"怎么可能" "How? How is this even possible?"
答案就是美施康定的缓释系统 Well, the answer lies in the MS Contin time release system.
在12小时内平缓释放
这一系统让奥施康定的药效 This system limits the flow of oxycodone
在12小时内缓慢作用 over a 12-hour period,
这不仅让它不上瘾 which not only makes it essentially nonaddictive;
也能阻止人滥用 it also discourages abusers,
因为你无法靠它获得瞬时满足 because they cannot get a quick high off of it.
如果它不上瘾 那不是意味着 Um, if it's nonaddictive, doesn't that mean
它几乎可以用来治疗一切吗 it can be used to treat, like, almost anything?
说得太对了 That's exactly right.
背痛 牙痛 Backaches. Toothaches.
头疼 关节痛 Uh, headaches. Joint discomfort.
关节炎 宿醉 Arthritis. Hangovers.
可能性是无限的 The possibilities are endless.
我们最初的销售 Now, our initial rollout
将主要在弗吉尼亚州西南开展 will be focused on southwestern Virginia,
还有东肯塔基州 eastern Kentucky,
和缅因州乡下 and rural Maine.
知道为什么吗 有人知道吗 And do you know why? Anyone?
那都是矿业 农业和伐木业中心 Um, they're mining, farming, logging centers, uh,
那里的人们常因重体力劳动而受伤 places where folks get injured doing labor intensive jobs.
奥施康定
没错 Correct.
他们都处于痛苦之中 These people are in pain.
他们的生活很艰难 They have hard lives.
而我们掌握了解决办法 And we have the cure.
所以我们要让你们出去 So we are sending you all into the wild
奥施康定
劝这些乡下医生 to flip these country doctors
放弃扑热息痛和维柯丁 改用奥施康定 from Percocet and Vicodin to OxyContin.
我卖维柯丁时 When I was selling Vicodin,
医生们对阿片类药物都很警惕 doctors could get skittish about opioids.
这正是你们得克服的偏见 This bias is exactly what you'll have to overcome.
但第一步是进门 But step one is just getting in the door.
把你们的医生捧上天 All right, make your doctors feel special.
打扮起来 请他们吃大餐 Get dolled up. Take them to expensive dinners.
给他们的车加油 Offer to fill up their car with gas
以争取10分钟推销的机会 just to get ten minutes to pitch.
用美甲贿赂接待员 Bribe the receptionist with a mani pedi
让她放你进办公室 so she'll let you in the office.
你们一定要跟医生混熟 All right, you have to get to know your doctors,
所以我们会把他们每个人的心理档案 which is why we will give you full psychological profiles
发给你们 on each of them.
如果他们有孩子 送他们迪士尼乐园的门票 If they've got kids, get them tickets to Disney World.
如果他们在离婚 帮他们找个伴 If they're going through a divorce, uh, get them laid.
想尽办法赢得他们的友谊和信任 Whatever it takes to win their friendship and their trust.
我喜欢你的普拉达鞋 I love the Pradas, by the way.
那是古驰的外套吧 And, uh, is that a Gucci suit?
很时髦 It's very, uh, stylish...
同时还很融入工作环境 while being, you know, work environment-appropriate.
你是同性恋吗 Are you gay?
什么 不是 What? Uh, no.
你确定吗 因为你听上去好像基佬 Are you sure? 'Cause you sound like a fag.
那要看你喜欢什么了 I guess that depends what you're into.
我在哈佛时约会过一个跟你一样的人 I dated a guy at Harvard just like you.
他用幽默来弥补小老二 He used humor to compensate for his small penis.
你在30秒内就又说我太监 Wow, you, uh, called me dickless and dropped the fact
又透露了自己是哈佛毕业生 you went to Harvard in under 30 seconds.
这对你来说破纪录了吗 Is that, like, a record for you?
拜托 我通常能更快做到 Please. I usually drop it faster.
安珀·柯林斯 Amber Collins.
比利·卡特勒 认识你很高兴 Hey. Billy Cutler. Nice to meet you.
想哪天一起去吃饭吗 安珀 would you like to go out and get dinner sometime, Amber?
或者去喝鸡尾酒 Or, like, a cocktail?
我知道一个鸡尾酒调得很好的酒吧 I know a bar that does great cocktails.
回见 比利 See you around, Billy.
嗯 Yeah.
塞缪尔·芬尼克斯医生 芬奇溪诊所
芬尼克斯医生 Dr. Finnix.
听说你喜欢鸡胸肉 I, uh, understand you're a breast man.
我知道你很忙 I know how busy you are.
或许我们可以一边吃着肯德基 I just thought we could take a few moments
一边聊一会儿 over a bucket of Kentucky's finest.
让我给你讲讲一种 I can tell you about a drug
会永远改变这片山区的药物 that's gonna change this mountain forever.
我最好的钓鱼经历 是在科罗拉多河 Best fishing I ever did... Colorado River.
我爸会带我去钓鳟鱼 My dad would take me trout fishing,
我们直接就在河边烤鱼 and then we'd just grill them up right there by the river.
天啊 Oh, man.
抹上黄油煎 Cook them up with some butter,
再加点蒜 真是完美 add a little garlic... Oh, boy, that's perfection.
是啊 Yes, sir.
-你是科罗拉多的 -不是 - You from Colorado? - No.
我是来自奥马哈外的一个 No, I'm from a, uh, small farming community
小农业社区 outside of Omaha.
你呢 You?
宾州西南的一个小镇 From a town in southwest Pennsylvania.
我完全没想到自己会来到这么小的一个镇子 I never thought I'd end up in a town this small.
是怎么回事 How'd that happen?
上医学院时认识了个姑娘 Met a girl in med school.
她想为阿帕拉契亚的人民 She wanted to provide free health care
提供免费医疗 for people in Appalachia.
她很明确地表示 不管我来不来 She made it pretty clear she was gonna do it
她都要这么干 with or without me.
追姑娘真是无与伦比的经历 Well, there's nothing like chasing a girl.
是啊 Nope.
我再过几分钟 Well, I've got another patient
就要见个病人了 coming in here in a few minutes, so...
当然 我不再占用你的时间了 Of course. I won't take up much of your time.
你可能已经知道我们的药美施康定了 You're probably already familiar with our drug MS Contin.
是用于治疗严重疼痛 很多癌症病人都用它 Used to treat severe pain, many patients with cancer.
美施康定是个好药 MS Contin is a very good drug.
所以普渡制药将同样的系统 So what Purdue did is, they took the same system,
康定系统 uh, the Contin system,
制造了适合长期和中度疼痛的阿片类药物 and they produced a opioid for chronic and moderate pain.
我从未给中度疼痛的病人开过麻醉剂 I would never prescribe a narcotic for moderate pain.
这里有很长久的药物滥用史 There's a pretty long history down here of pill abuse.
只有不到1%的会对奥施康定上瘾 Less than 1% of people get addicted to OxyContin.
那不可能 That's not possible.
但这是真的 But it is.
药监局还专门创造了一个特别标签 The FDA actually created a special label
声明它比其他阿片类药物更不易上瘾 to say that it's less addictive than other opioids.
就在那里 Right there.
你们最有力的讲话要点 Your most effective talking point
就是药监局的标签 is the FDA label.
以下是你们的新魔力语句 These are your new magic words:
"奥施康定药片的 "Delayed absorption,
延迟吸收效应" as provided by OxyContin tablets..."
奥施康定药片的 Delayed absorption,
延迟吸收效应 as provided by OxyContin tablets...
"据信能减小..." "Is believed to reduce..."
上瘾的可能性 The abuse liability of a drug.
我从未见过二类麻醉剂 I've never seen a label like this
有这样的标签 on a Class II narcotic.
这是头一个 It's the first of its kind.
本国的阿片类药物使用要被重新定义了 Opioid use is being totally redefined in this country.
未治疗的疼痛是不必要的伤害 Untreated pain is a... Is an unnecessary evil
因为现在有了奥施康定这样的不上瘾阿片类药物 when you have a nonaddictive opioid like OxyContin
可以用来解决日常痛苦 that can be used to cure everyday suffering.
我们是不该发样品的 And we're not supposed to hand out samples,
但这就算是我们的秘密了 but, um, it'll be our secret.
我还会再给丽雅留点优惠券 And I'll leave some coupons with Leah
你回头可以再兑几瓶 so you can, uh, redeem for a few more bottles.
相信我 这些矿工吃上奥施康定后 Trust me, these miners' lives are gonna change overnight
生活将一夜改变 when they get a taste of OxyContin.
你不会让你的病人忍受 You're not gonna let your patients suffer
不必要的痛苦吧 when they don't have to, right?
怎么了 What?
-我不能 -什么 - I can't. - What?
怎么了 What's wrong?
我做错什么了吗 Did I do something wrong?
我想跟你在一起 I want us to be together.
我想跟你去别的地方住 I want us to go live somewhere else.
我们还能去哪 Well, w-where would we go?
我...只能待在山里 I... gotta stay in the mountains.
我知道 I know.
我找到了个地方 I found a place.
阿肯色州尤里卡斯普林斯 Eureka Springs, Arkansas.
是一个对同性恋友好的山镇 It's a mountain town that's gay friendly.
我们可以去那里住 We can go live there.
他们有矿吗 Well, do they have mines?
什么 What?
没有 我是想让你离开矿山 No, I'm trying to get you out of the mines.
我不... Well, I don't...
我不想离开矿山 I don't want to get out of the mines.
你说什么呢 What are you talking about?
我们家四代人就在这里 Well...four generations of my family
在山里建设了美国 built America right here in this mountain,
没人相信一个姑娘也能做到 and no one thought a girl could do it.
甚至我爸都不相信 他也不希望我下井 Not even my dad. He didn't want me down there either.
大家都以为山要挖空了 You know, everyone thought the mountains were done, and...
但我证明了他们是错的 I proved 'em all wrong.
如果你老在地下干 我们就不能在一起 But we can't be together if you stay underground.
你要选煤不选我吗 You'd choose coal over me?
-当然不是 格蕾丝 -那就跟我走 - Of course not. No, Grace. - Then come away with me.
煤炭只是份工作 不是生活 Coal is a job. It's not a life.
看看你 Look at you.
你现在明明很疼 You're in pain right now,
却还假装不疼 and you're pretending you're not
就为了还能回去工作 so you can keep going down there.
这不叫生活 That's no way to live.
如果我出柜 我爸会跟我断绝关系的 My dad will never speak to me again if I came out.
为何要忍受痛苦 专家在敦促医生采取积极手段遏制疼痛
你好 Hello.
比利 我是理查德·赛克勒 Hi, Billy. This is Richard Sackler.
你好 先生 很荣幸 Um, hello, sir. Uh, it's an honor.
初步反应如何 How... how were the initial responses?
我觉得很好 Um, they're very good, uh, I think.
有些医生还需要点时间 And, uh, you know, it's taking some of the doctors a moment
才能接受 to accept the fact
只有不到1%的人会上瘾的事实 that less than 1% of people get addicted to it, but...
继续努力 Ah. Well, keep pushing.
他们一定要明白这一点 It's... it's crucial they understand this.
是 先生 我不会让您失望的 Yes, sir. I won't let you down.
很好 继续吧 Good. Good. Keep at it.
谢谢 Thank you.
我知道 这很难 I know. It's hard.
让他们相信它基本上不上瘾很难 It's hard convincing them that it's essentially nonaddictive,
但继续努力 but just keep pushing.
嗯 好 Yeah. Good.
晚安 Good night.
亲爱的 你不该给药代表打电话 Honey, you shouldn't call sales reps.
这会让人觉得你急不可待 It makes you look desperate.
我一直讨厌那幅画 I've always despised that piece.
你怎么不跟我说 我就拿下来了 Why didn't you tell me? I would have taken it down.
不 No.
我喜欢醒来看着它 I like waking up to it.
亚瑟叔叔死前几年里 Years before Uncle Arthur died,
他沉迷于买中国绘画 he became addicted to buying Chinese art.
完全痴迷于此 It totally consumed him.
他好像为这画花了三百万美元 I think he paid $3 million for that.
看啊 And look at it.
多难看 It's so ugly.
如果我可以保持专注 If I can stay laser focused,
我可以把它做成世界上最大的药 I think I can make this the biggest drug in the world.
我们要对保罗·门德森 We're here for the final dissolution
和布丽姬特·迈尔的 of the marriage between Paul Mendelson
无过离婚做最后裁决 and Bridget Meyer on no fault grounds.
两人已结婚三年 The couple has been married for three years
无子嗣 and has no children.
你们可以签文件了 You may proceed to sign the papers.
你还好吗 Are you okay?
-嗯 我挺好 -是吗 - Yeah, I'm fine. - Yeah?
你还好吗 You all right?
我... I...
-你看上去挺好的 -你也是 - You look nice. - So do you.
好吧 All right.
你多保重 好吗 You be good to yourself, okay?
我们大概6点就能完事 We should be done here around, like, 6:00.
那大概8点吧 So let's say maybe 8:00.
但如果我不得不最后临时取消也别生气 But don't be mad if I have to cancel last-minute.
-工作嘛 -我不会生气的 - It's a job thing. - I won't be.
但没关系 我8点去接你 But it doesn't matter, 'cause I will pick you up at 8:00.
太好了 到时见 Great. See you then.
你跟他约会多久了 How long you been seeing this guy?
我们约会过两次了 We've gone out twice.
-上床了吗 -没有 - You sleep with him yet? - No.
他都没试过亲我 He hasn't even tried to kiss me.
他进展好慢 He is going slow.
他肯定是真喜欢你 He must really like you.
是吧 Right?
是啊 Absolutely.
或是他想跟我拜把子 Or he's advertising to be my brother.
也可能 Or that.
FTB管道公司
缉毒署 别动 DEA! Don't move!
-站住 -缉毒署 别动 - Hey, stop right there! - DEA! Freeze!
缉毒署 趴下 DEA! On the ground!
-别动 -去右边 - Do not move! - Go to the right!
那里 Right there!
告诉我供货商是谁 Tell me now who the supplier is,
你或许还有机会 and you may just get a break.
好了 说吧 Okay, talk.
这是什么药 What are these pills?
你不知道吗 You don't know?
滑头 Wise guy.
这是什么 What the fuck is this?
你知道一种处方药 So you got anything on a prescription drug
奥施康定吗 called OxyContin?
有相关犯罪激增的情况吗 Have there been any spikes in crime related to it?
我等着 Yeah, I'll hold.
寄养... Foster care...
寄养儿童数翻了三倍吗 the foster care occupancy has tripled?
儿童遗弃上升 Increase in child abandonment.
这种趋势开始多久了 How long have you seen this trend?
本地监狱爆满 Local jails overflowing.
卖淫增多 Increase in prostitution.
你们知道一种叫奥施康定的 Yes, um, do you got anything on a prescription drug
处方药吗 called OxyContin?
你的割草机被盗了 Uh, your lawn mower was stolen?
不 这个我帮不了你 No, I... can't help you with that.
他们闯入了药方 So they just broke into the pharmacy
只抢了奥施康定吗 and only took OxyContin?
不抢别的吗 Nothing else?
我是缉毒署的布丽姬特·迈尔 This is Bridget Meyer with the DEA.
我知道很晚了 但我想确认一些 Um, I know it's late, but I wanted to confirm
关于你们药房的情报 some intel I got about your pharmacy.
我知道这是管控部的事 I know this is Diversion's domain.
是的 That's correct.
但在一次中等级可卡因抓捕行动中 But in a raid on a mid-level cocaine bust,
我们发现了一袋奥施康定药片 we uncovered a bag filled with OxyContin tablets
用于贩卖 我就查了查 for distribution, so I did a little digging.
这药才上市三年 This drug has only been on the market for three years,
它最早开始发售的地区 肯塔基州 and there's already been a spike in overdoses
缅因州 俄亥俄州 宾州 and crime rates in rural parts of Kentucky, Maine,
弗吉尼亚州的乡下地区 Ohio, Pennsylvania, and Virginia,
就已出现服药过量和犯罪增多的情况 all areas where this drug was first launched.
杰梅恩 管控部怎么看 Jermaine, where's Diversion on this?
阿片类药物的使用在过去几年里 Opioid use has been totally redefined
已被重新定义 in the last few years.
在医学界被完全接受了 They're completed accepted in the medical community.
目前的看法是 不开阿片类药物 The prevailing sentiment is that not prescribing opioids
是不人道的 is considered inhumane.
所以管控部不担心违法销售阿片类药物的事吗 So Diversion isn't concerned with illegal opioid sales?
恕我直言 长官 管控部 With all due respect, sir, the diversion division
是这里资金和人手 is the most underfunded and understaffed unit
-最短缺的部门 -什么 - in this building. - Excuse me?
我只是实话实说 I'm just stating a fact.
而且我们士气低迷 We're also the most demoralized
因为您明确表示缉毒署的首要任务 since you make it pretty clear the DEA's priorities
并不是违法使用处方药 are not illegal use of prescription drugs.
每年有多少管控部的探员 And how many Diversion agents get killed
会因公殉职 on the job every year?
零 Zero.
而布丽姬特这样的行动特工 I got Operation agents like Bridget here
在火线上牺牲 dying on the front lines.
而且她还是穿着高跟和礼服完成了工作 And she's doing it in high heels and a quinceanera dress.
所以抱歉我没时间鼓励你们 So excuse me if I don't have time to give you a pep talk
去阻止小偷小摸 about stopping Joey Sticky Fingers
偷老爸的维柯丁 from stealing Daddy's Vicodin.
长官 我知道阻止小偷小摸不是头等要事 Sir, I understand stopping Joey Sticky Fingers isn't a priority,
但这可能会发展成很独特的情况 but there might be a unique situation brewing here.
或许我们可以先找到药监局 I thought we could start with the FDA
收紧这种药的销售 and try to tighten up sales of this drug...
药监局为奥施康定批了特别标签 The FDA granted OxyContin a unique label
说它不像其他阿片类药物那么容易上瘾 saying it was less addictive than other opioids,
所以他们不会对此感兴趣 也不会帮忙 so they're not gonna be interested or helpful.
控制阿片类药物的使用 Curbing opioid use goes against
有违全国在这个问题上的看法 the entire national narrative on the subject.
食品和药物管理局
我听说你认识了新人 So I heard there's a new guy.
他不介意你持枪 Is he down with you carrying a gun
冲进大楼吗 and storming into buildings?
嗯 他还挺喜欢的 Uh, yeah. He kind of digs it.
好啊 那真是难得 Hmm, well, that's a needle in a haystack.
但那种日子结束了吧 But I guess those days are done,
你不是调去了管控部 since you transferred to Diversion.
我不是调职 I didn't transfer.
我只是对奥施康定感兴趣 I'm just interested in OxyContin.
我得知它被特批了一种标签 I understand it was given a label
说它不像其他阿片类药物那么易上瘾 saying it was less addictive than other opioids.
这不寻常吗 Is that unusual?
是头一遭 It was a first.
这头一遭怎么来的 How'd that come about?
你是问标签的措辞还是对它的批准 The wording of the label or the approval of it?
批准 符合标准吗 The approval. Was it standard?
是有人反对柯蒂斯 Curtis got some pushback.
柯蒂斯 Curtis?
柯蒂斯·莱特 他是这里的医疗审核官 Curtis Wright, he's the medical review officer.
是他批了这个标签 He approved the label.
反对声音是什么 What was the pushback?
没有必要给它贴个标签 That there wasn't a need to give it a label
将它与其他二类麻醉剂区分开 differentiating it from other Class II narcotics.
-那为什么还是批了 -我不知道细节 - And why was it given? - I don't know the details.
我只知道有人反对 I just know that there was pushback.
关于审批流程 Is there something I should know
我有什么该知道的吗 about the approval process?
对于标签措辞 Was there any kind of internal debate
有过内部讨论吗 over the wording of the label?
我会称之为意见不一 I would call it a disagreement.
有人不认为 Some people didn't think
普渡已证明了这种说法的真实性 that Purdue had proven their claims were true.
他们有研究表明 Hmm, did they have any studies
这种药上瘾性小吗 that showed it was less addictive?
那样的研究根本没做 Those studies weren't conducted.
为什么 And why not?
普渡接受了二类的分类 Purdue agreed to a Class II classification,
就是说他们也认为这种药可能会被滥用 which meant that they agreed that it could be abused,
所以他们辩称没必要测试 so they argued that there was no need to test
他们本就认可的事实 for what they were already agreeing to.
那么 是这样吗 So let me get this straight.
药监局批准了这种前所未有的标签 The FDA approves this unprecedented label
就因为普渡宣称它不容易被滥用 because Purdue claims it's less prone to abuse.
对 他们说 Correct. They are argued that
因为缓释系统 because of the time release system,
他们应该得到特别分类 they should be given a unique classification.
柯蒂斯·莱特就信了他们的话吗 Curtis Wright just take their word for it?
摩尔斯女士无法对莱特先生的想法做出评论 Ms. Moles cannot comment on Mr. Wright's state of mind.
你们找过柯蒂斯吗 Have you spoken to Curtis?
我们想先了解背景 We wanted to get background first.
他还是审核官吗 Is he still the review officer?
你们还不知道 You don't know.
然后 不到两年后 And then, uh, less than two years later,
在药品上市后 after the drug hits the market,
柯蒂斯·莱特从药监局辞职 Curtis Wright resigns from the FDA.
想猜猜他去哪了吗 You want to take a guess where he lands?
开玩笑吧 You're kidding me.
他去了普渡制药 He ends up at Purdue Pharma
成了医疗事务执行董事 as executive director of medical affairs.
所以药监局批准了一个 So the FDA grants an unusual label
并不符合事实的不寻常标签 that turns out not to be true,
而批准了它的人 去了那家靠这个标签 and the guy who approved it goes to work for the company
挣了上亿美元的公司 that made billions off the label?
没错 先生 That is correct, sir.
我们想调查柯蒂斯·莱特 We'd like to open an investigation into Curtis Wright.
检察官办公室
-他似乎很上心 -现在是的 - Well, he seems engaged. - For now.
等司法部知道了再看吧 See what happens when Main Justice hears about it.
你觉得那个缉毒署特工说得对吗 You think that DEA agent was right?
我们会被上面摁住吗 We're gonna get shut down by the higher ups?
那我也不会觉得意外 Wouldn't surprise me.
我们楼下见 I'll meet you downstairs.
喂 Hello.
嗯 Yeah.
贝琪 我现在要撩开你的衣服 好吗 Bets, I'm gonna lift that shirt up for you now, all right?
-好 -好 - All right. - All right.
动一动就疼 Kind of hurts to move, though.
好 我小心 All right. I'll be careful.
好吗 Okay?
叫他们出去 Tell them to leave.
-我们去为你祈祷 -走吧 妈妈 - We'll go pray for you. - Leave, Mom!
-爸爸 关上门 -好 - Dad, close the door! - Okay. Yep.
我碰这里疼吗 Is that tender when I touch it?
-嗯 -嗯 好吧 - Yeah. - Yeah. All right.
好 All right.
你得休息一下 You're gonna have to take some time off.
你不能这样下矿 You can't go down in the mines like that.
我会亲自找管理层的 I'll talk to the management myself.
不 他们不会听你的 No, they won't listen to you.
我不能失业 I can't lose my job.
我得挣够钱好离开这里 I gotta make enough money to get out of here.
你说什么呢 What are you talking about?
我没跟人说过 I never told no one this before.
贝琪 是我给你接生的 Bets, I delivered you.
你什么都可以告诉我 You can tell me anything.
我... I'm, uh...
贝琪 Bets.
我知道 I know.
我... And I...
我不能再待在这里了 I can't stay here no more.
我得做自己 I gotta be myself.
如果我能在井下挣够钱 If I can make enough money underground,
那我就能去可以做自己的地方 then I can go live somewhere where I can just be me.
我爱矿井 I love those mines.
我知道这听上去很奇怪 但是真的 I know it sounds strange, but I do.
我就是不能再这么活着了 I just can't live like this anymore.
自从失去她 You know... there's not a day goes by
我没有一天 that I don't think of Shelly
不思念谢丽 since I lost her.
我对她的爱简直超出了 People shouldn't be allowed to love somebody
人应有的程度 as much as I loved her.
如果你想离开这里 If you gotta go on and get out of here,
那你就去吧 well, then you do that.
如果你需要 我会帮你的 I'll even help you, if you need it.
-好 -好吗 - Okay. - All right?
但我不能休一个月 I can't take off a month, though.
你能给我开点什么吗 Is there anything you can give me?
打一针 让它好得快点 A shot to make it heal faster or something?
有种新药 There's a new drug
我在期刊上读到过它的报道 that I've been reading about in the journals.
他们说这是神药 这我不好说 They say it's a miracle drug. I don't know about that.
药监局和期刊都说它很安全 The FDA and journals all say it's safe.
我要给你三天的量 Now, I'm gonna give you enough for a three day supply.
你现在服一颗 早上再服一颗 You take one now, and then you take one in the morning.
-好吗 -嗯 - All right? - Okay.
好 All right.
一天只能服两颗 You only take two a day.
早上一颗 晚上一颗 One in the morning, one at night.
然后过来拍个片子 Then come on in and get an X ray.
好 All right.
你会没事的 It's gonna be all right.
好 我去跟你爸妈谈谈 All right. I'll talk to your mom and dad.
好 All right.
主啊 请保护我们的女儿 Dear Lord, please protect our daughter.
我知道她不完美 但我们好爱她 I know she's not perfect, but we love her so much.
井下的生活很艰辛 But's a hard life deep under that ground,
有时 我们会...受伤 and, uh, sometimes we... We get hurt.
很多人一辈子都要承受那种痛苦 And a lot of us have to live our entire lives with that hurt.
当然了 我们一直感激 Of course, we're always grateful
你对我们的馈赠 for what You've given us and the...
山为我们提供了生计 the mountains that provide for us.
求您 主 I beg You, dear Lord,
带走她的痛苦吧 please take her pain away.
让我的女儿不必再承受痛苦了 Please save my little girl from her pain.
这些人用自己的后背 These people carry the burden
扛起了建造国家的重担 of building this nation on their backs,
他们理应不需要再忍受疼痛 and they deserve to do it without pain.
如果这种药能帮他们 So if this drug can help,
我想试试 well, then I'm willing to try it.
我们创造了 We have created
人类文明历史上 the greatest painkiller
最伟大的止痛药 in the history of human civilization.
这药比我用过的任何药效果都好 This works better than anything I've ever used before.
这种药非常独特 There is something unique about this drug.
已经出现了服用过量 There's already a spike in overdoses
和犯罪率激增 and crime rates.
它们很快就会成为这家公司史上 They will soon be the largest profits
最盈利的产品 this company has ever seen.
那真的很棒 That is really good.
你们学校有多少孩子在嗑奥施康定 How many kids in your school are on OxyContin?
我不知道 I don't know.
你觉得你所卖的奇迹药物 You think maybe that miracle drug you're selling
是否比你说的更加容易上瘾 might be a little more addictive than you said it was?
我们都很担心你 We're all really worried about you.
问题不是药 It's not the drug that's the problem.
问题是滥用药物的瘾君子 It's the addicts who are abusing it.
没有哪种药会对每一个病人都十分好用 No drug is going to work perfectly for every patient.
那不是我们的工作 我们的工作是卖药 贱人 That's not our job. Our job is to sell, bitch.
这能有多危险 How dangerous can it be?
我们收集的所有资料都显示 Everything we've compiled shows
普渡公司不断夸大奥施康定的效果 that Purdue consistently oversold the benefits
却对其危害轻描淡写 and trivialized the risks of OxyContin.
这些执行总裁应该坐牢 Those executives belong in jail.
我想让普渡制药感受到痛苦 I want Purdue to feel some pain.
我们去刨根究底 Let's shake every tree
看看我们能否找到切实证据 and see if we can find some hard evidence.
去吧 Let's do it!
人们的生活危在旦夕 People's lives are at stake.
而一家制药公司却对其生产的药物撒谎 And a pharma company is lying about their medicine.
他们会落网的 They will go down.
别担心 我们会有办法的 Don't worry. We'll figure this out.
这是种好药 It's an excellent drug.