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American Pain: How a Young Felon and His Ring of Doctors Unleashed America's Deadliest Drug Epidemic

door John Temple

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1052257,477 (3.82)1
History. True Crime. Nonfiction. HTML:* Finalist for the Edgar® Award in Best Fact Crime
* New York Post, "The Post's Favorite Books of 2015"
* Suspense Magazine's "Best True Crime Books of 2015"
* Foreword Reviews' INDIEFAB Book of the Year in True Crime
* Publishers Weekly, Big Indie Book of Fall 2015
The king of the Florida pill mills was American Pain, a mega-clinic expressly created to serve addicts posing as patients. From a fortress-like former bank building, American Pain's doctors distributed massive quantities of oxycodone to hundreds of customers a day, mostly traffickers and addicts who came by the vanload. Inked muscle-heads ran the clinic's security. Former strippers operated the pharmacy, counting out pills and stashing cash in garbage bags. Under their lab coats, the doctors carried gunsâ??and it was all legal... sort of.
American Pain was the brainchild of Chris George, a 27-year-old convicted drug felon. The son of a South Florida home builder, Chris George grew up in ultra-rich Wellington, where Bill Gates, Springsteen, and Madonna kept houses. Thick-necked from weightlifting, he and his twin brother hung out with mobsters, invested in strip clubs, brawled with cops, and grinned for their mug shots. After the housing market stalled, a local doctor clued in the brothers to the burgeoning underground market for lightly regulated prescription painkillers. In Florida, pain clinics could dispense the meds, and no one tracked the patients. Seizing the opportunity, Chris George teamed up with the doctor, and word got out. Just two years later Chris had raked in $40 million, and 90 percent of the pills his doctors prescribed flowed north to feed the rest of the country's insatiable narcotics addiction. Meanwhile, hundreds more pain clinics in the mold of American Pain had popped up in the Sunshine State, creating a gigantic new drug industry.
American Pain chronicles the rise and fall of this game-changing pill mill, and how it helped tip the nation into its current opioid crisis, the deadliest drug epidemic in American history. The narrative swings back and forth between Florida and Kentucky, and is populated by a gaudy and diverse cast of characters. This includes the incongruous band of wealthy bad boys, thugs and esteemed physicians who built American Pain, as well as penniless Kentucky clans who transformed themselves into painkiller trafficking rings. It includes addicts whose lives were devastated by American Pain's drugs, and the federal agents and grieving mothers who labored for years to bring the clinic's crew to jus
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The first thing I will note is that I found the characters a little difficult to keep straight - they all seemed very similar to each other in attitude and behaviour so when they referred to each other, it would take me a second to figure out which was the head guy and which the 'muscle', etc.

The second thing of note is that the 'vignette' stories chosen to demonstrate just how bad this Oxy issue is were a bit scattered, or perhaps the better word is thin... the author spent 80% of the book looking at the main characters and their drug marketing process but the 20% which looked at (real) people's issues with the drug, or the company, seemed randomly inserted. Sure, they were interesting, but the flow was not really logical - we read 4 chapters about the business, then a vignette chapter about an addict dying from a drug overdose, then 2 chapters of business, then a chapter with another set of characters drug addiction, etc. There didn't seem to be a pattern, unless it was meant to be a time-scale thing, but that was not clear.

I did, however, Google this organization when I finished the book and it seems the story was based on real characters, and real addicts so perhaps the weird addition of certain addicts' details was because those one were the ones whose information was public due to lawsuits, or whatever... and the rest of the addicts' story were just a conglomeration of stories blended together.

Anyway, all that being said, I couldn't put the book down. I don't understand how they were allowed to run this business this way, and/or why they had to go so far with it that they got arrested... because until some (unclear) tipping point, what they were doing was legal (which is sad in and of itself). Though I suppose once you start making so much money each day that you have to put it into garbage cans, you might realize you probably crossed a line somewhere. ( )
  crazybatcow | Sep 12, 2016 |
The title is probably the most promising thing; the author leaves all the lessons for the reader to draw. The story of one of Florida’s many, many pain clinics, handing out pain pills to anyone who asks and thus contributing to an epidemic of addiction. As with mortgage mills, most of the principals’ attention goes into making the paperwork look good, in case the feds come knocking. ( )
  rivkat | Aug 19, 2016 |
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Red caution lights flashed, warning bells chimed. -Prologue, Broward County, Florida, November 19, 2009
It was late 2007 when Chris George told Derik Nolan that he was going into the pain management business with his twin brother Jeff. -Chapter 1
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History. True Crime. Nonfiction. HTML:* Finalist for the Edgar® Award in Best Fact Crime
* New York Post, "The Post's Favorite Books of 2015"
* Suspense Magazine's "Best True Crime Books of 2015"
* Foreword Reviews' INDIEFAB Book of the Year in True Crime
* Publishers Weekly, Big Indie Book of Fall 2015
The king of the Florida pill mills was American Pain, a mega-clinic expressly created to serve addicts posing as patients. From a fortress-like former bank building, American Pain's doctors distributed massive quantities of oxycodone to hundreds of customers a day, mostly traffickers and addicts who came by the vanload. Inked muscle-heads ran the clinic's security. Former strippers operated the pharmacy, counting out pills and stashing cash in garbage bags. Under their lab coats, the doctors carried gunsâ??and it was all legal... sort of.
American Pain was the brainchild of Chris George, a 27-year-old convicted drug felon. The son of a South Florida home builder, Chris George grew up in ultra-rich Wellington, where Bill Gates, Springsteen, and Madonna kept houses. Thick-necked from weightlifting, he and his twin brother hung out with mobsters, invested in strip clubs, brawled with cops, and grinned for their mug shots. After the housing market stalled, a local doctor clued in the brothers to the burgeoning underground market for lightly regulated prescription painkillers. In Florida, pain clinics could dispense the meds, and no one tracked the patients. Seizing the opportunity, Chris George teamed up with the doctor, and word got out. Just two years later Chris had raked in $40 million, and 90 percent of the pills his doctors prescribed flowed north to feed the rest of the country's insatiable narcotics addiction. Meanwhile, hundreds more pain clinics in the mold of American Pain had popped up in the Sunshine State, creating a gigantic new drug industry.
American Pain chronicles the rise and fall of this game-changing pill mill, and how it helped tip the nation into its current opioid crisis, the deadliest drug epidemic in American history. The narrative swings back and forth between Florida and Kentucky, and is populated by a gaudy and diverse cast of characters. This includes the incongruous band of wealthy bad boys, thugs and esteemed physicians who built American Pain, as well as penniless Kentucky clans who transformed themselves into painkiller trafficking rings. It includes addicts whose lives were devastated by American Pain's drugs, and the federal agents and grieving mothers who labored for years to bring the clinic's crew to jus

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