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NORMAN J CLEMENT RPH., DDS, NORMAN L. CLEMENT PHARM-TECH, MALACHI F. MACKANDAL PHARMD, IN THE SPIRIT OF WALTER R. CLEMENT MS., MBA., BELINDA BROWN-PARKER, IN THE SPIRIT OF JOSEPH SOLVO ESQ., IN THE SPIRIT OF REV. C.T. VIVIAN, JELANI ZIMBABWE CLEMENT, BS., MBA., IN THE SPIRIT OF WILLIE GUINYARD BS., IN THE SPIRIT OF ERLIN CLEMENT SR.,  JOSEPH WEBSTER MD., MBA,  RICHARD KAUL, MD., BEVERLY C. PRINCE MD., FACS., IN THE SPIRIT OF LEROY BAYLOR,   JAY K. JOSHI MD., MBA, ADRIENNE EDMUNDSON, WALTER F. WRENN III, MD.,  ESTER HYATT PH.D., WALTER L. SMITH BS., IN THE SPIRIT OF BRAHM FISHER ESQ., MICHELE ALEXANDER MD., CUDJOE WILDING BS, MARTIN NDJOU, BS., RPH., IN THE SPIRIT OF DEBRA LYNN SHEPHERD, BERES E. MUSCHETT, STRATEGIC ADVISORS

Briefing Document: “THE OPIOID PANDEMIC,” THE GREAT AMERICAN HOAX

Source: Excerpts from ““THE OPIOID PANDEMIC,” THE GREAT AMERICAN HOAX: WHY AND HOW THE DEA WAS ABLE TO CREATE THE 25 YEARS OF OPIOID HYSTERIA: “FASCINATE THE FOOLS THEN MUZZLE THE INTELLIGENT” – youarewithinthenorms” (Published March 1, 2024)

Date: MaRCH 25, 2025

Author: Compiled based on the provided source material.

Executive Summary:

This document summarizes the main arguments presented in the “youarewithinthenorms” article, which posits that the “opioid pandemic” is a manufactured crisis (“The Great American Hoax”) created and perpetuated by the Drug Enforcement Administration (DEA).

The article alleges that the DEA, needing a new front in the “War on Drugs,” deliberately conflated prescription opioid medications with illicit substances, used biased data and prosecutorial propaganda to “fascinate the fools” (the public, media, and legislatures), and aggressively targeted medical professionals (“muzzling the intelligent”) through overzealous prosecutions and the creation of unfounded “red flags.”

The article further claims racial bias in DEA targeting and highlights the detrimental impact of these actions on chronic pain patients and healthcare access, particularly within minority communities. The author(s) cite various reports, legal cases, and personal testimonies to support these claims.

Main Themes and Important Ideas/Facts:

1. The “Opioid Pandemic” as a DEA-Created Hoax:

• The central argument is that the opioid crisis was intentionally manufactured by the DEA to maintain its relevance and budget after facing criticism for its traditional “War on Drugs” approach.
• The article quotes Ronald T. Libby’s 2005 report, “Treating Doctors as Drug Dealers: The DEA’s War on Prescription Painkillers,” stating that in 2000 and 2001, the Department of Justice rebuked the DEA for goals inconsistent with the President’s Federal National Drug Control Strategy.
• The author(s) assert that the DEA needed a “new front” and chose to “conflate prescription control Narcotic medications with illicit substances heroin, Cocaine, and Methamphedetime.”
• Asa Hutchinson, former DEA commissioner, is highlighted for describing the nonmedical use of OxyContin as a “deadly new drug epidemic” spreading across the country.

1. Manipulation of Data and Propaganda:

• The article alleges the DEA used “slick marketing and prosecutorial propaganda with phrases like pill mill, drug dealers in white coats, and hillbilly heroin” to create a false narrative.
• It cites @lawhern1 stating, “Prescriptions have never dominated overdose mortality. NEVER! Not even during the pill mill era of 2000 to 2012.”
• The DEA’s methodology for counting “OxyContin-related deaths” is heavily criticized based on Libby’s 2005 report. Key flaws highlighted include:
• The inability to chemically distinguish OxyContin from other oxycodone drugs. “Since there is no chemical test to distinguish OxyContin from the other oxycodone drugs, it is difficult to see how the DEA could definitively assert that a death attributable to oxycodone is due to OxyContin and not other short-acting oxycodone drugs.”
• Counting deaths as “OxyContin-related” if oxycodone was present without aspirin or Tylenol.
• Labeling deaths as “OxyContin-verified” based on the mere presence of the drug in the body, or even its mention at a crime scene.
• Ignoring the presence of multiple drugs in overdose victims. The article notes that approximately 70% of oxycodone-related deaths involved “multiple drug poisoning.”
• The Journal of Analytical Toxicology (March 2003) is cited, stating that only a small percentage of oxycodone-related deaths showed evidence of oxycodone alone.

1. Overzealous Prosecution of Medical Professionals:

• The article contends that the DEA shifted its focus to prosecuting physicians, pharmacists, and dentists, viewing them as “registered, licensed, cooperative targets.”
• The case of United States vs. Bothra et al. is presented as an example of overzealous prosecution, where four interventionalist anesthesiologists were found “NOT GUILTY” after facing severe charges. The defense argued that “The prosecutors didn’t even understand the elements of the charges they bludgeoned us with.”
• The article highlights the case of Dr. Rajendra Bothra, who was held in jail for 3.5 years despite being found innocent.
• The DEA’s reliance on “red flags” to target doctors is criticized, as these “red flags” based on circumstantial evidence by investigators without medical training may be “perfectly consistent with legitimate medical practice.”

• The lack of specific guidelines or procedures for determining “legitimate medical purpose” for prescriptions is noted, creating ambiguity for medical professionals. “But prosecutors concede that there are no specific guidelines or procedures to evaluate either of those standards.”

1. “Fascinate the Fools” and “Muzzle the Intelligent”:

• The article uses Bertrand Russell’s quote (“First, they fascinate the fools. Then, they muzzle the intelligent.”) to frame the DEA’s alleged strategy.
• “Fascinating the fools” is described as using media and propaganda to create public fear and support for the DEA’s actions.
• “Muzzling the intelligent” refers to the targeting and prosecution of medical professionals who understand pain management and challenge the DEA’s narrative.
• The media, particularly Black media, is criticized for failing to critically examine overdose statistics and for perpetuating fears without skepticism. “Sadly, and unfortunately most of Black Media have chosen too, to, ‘…perpetuate, fears by reiterating overdose statistics based on questionable science and quoting public officials without a bit of skepticism.’”

1. Racial Bias in DEA Targeting:

• The article suggests a racial element to the DEA’s focus, noting that the “conventional drug war targeted Blacks,” while the new mission targeted “otherwise legal medication” and involved investigations in rural areas.
• It mentions “Regulatory Racism” as a contributing factor.
• The experience of Black doctors, dentists, and pharmacists facing scrutiny and shakedowns at airports is highlighted. “BLACK DOCTORS, DENTISTS, PHARMACISTS, BLACK MEN BEING SHAKEN DOWN FOR MONEY AT AIRPORTS BY DEA DRUG AGENTS IN PLANE VIEW.”
• Professor Jennifer Oliva’s assertion that the DEA’s Prescription Drug Monitoring Program (PDMP) predictive platforms deserve scrutiny due to potential bias and lack of validation is included. “Providers may rely on unvalidated PDMP risk scores to make prescribing decisions because they view those scores as clinically useful. That claim should be viewed with skepticism because there is no evidence that PDMP scores accurately ascertain patient drug misuse risk.”
• Nia Heard-Garris is quoted on disparities in healthcare for racial and ethnic minority groups, including pain management. “No matter where you look, there are disparities in care for pretty much every racial and ethnic group that’s not white…whether it’s longer wait times to be seen, getting diagnostic imaging, or getting basic pain management.”

1. Detrimental Impact on Pain Patients:

• The article argues that the DEA’s crackdown has made it difficult for legitimate pain patients to access necessary medications, leading to suffering, suicide, and a shift to potentially more dangerous illicit drugs.
• “They’re far more likely to suffer from the scarcity caused by the DEA’s crackdown than are the common drug abusers the agency claims it is targeting.”
• The distinction between physical dependence and addiction is emphasized. “But at the heart of the debate is confusion about what constitutes addiction and what is simply physical dependence.”

1. Corruption and Misconduct within the DEA:

• The article cites former DEA agent José Irizarry, who was convicted of corruption, claiming that the “drug war is a game” and alleging widespread fraud, corruption, and misuse of funds within the agency.
• “Irizarry estimates that 90 percent of his group’s work trips were ‘bogus’ (not related to any drug interdiction work) but that the US government was charged under the vague justification that travel was ‘case-related.’”
• Irizarry is quoted as saying, “You can’t win an unwinnable war. DEA knows this and the agents know this…We know we’re not making a difference.”
• Instances of DEA agents engaging in sexual encounters with prostitutes employed by drug cartels are mentioned.

Quotes Highlighting Key Arguments:

• Bertrand Russell (as cited): “First, they fascinate the fools. Then, they muzzle the intelligent.”
• @lawhern1: “Prescriptions have never dominated overdose mortality. NEVER! Not even during the pill mill era of 2000 to 2012.”
• Ronald T. Libby (2002): “The DEA’s public relations effort linking a pain medication like OxyContin to cocaine, heroin, and other prohibited substances was a marked departure from its traditional mission.”

@drelisabethpotter

I stepped out of a new patient’s consult to have this peer to peer call at the only time offered to me. You may remember an insurance company recently insisting that they’d never interrupt patient care for insurance matters. Reality Check…it happens all the time. The doctor I spoke with was a general surgeon who had never performed breast reconstruction. He declined to give me his name, citing concerns for his personal safety. He was polite, but ultimately told me that United considers nerve sparing mastectomies “experimental”. He would not provide a written rationale or references for the studies used to make this determination. But he kindly invited me to appeal. Sure. What a great idea. The patient and I have all the time in the world. Let’s do this all over again. Until we are seen and heard.

♬ original sound – Dr. Elisabeth Potter

• Libby Report (2005) on OxyContin death criteria: “Since there is no chemical test to distinguish OxyContin from the other oxycodone drugs, it is difficult to see how the DEA could definitively assert that a death attributable to oxycodone is due to OxyContin and not other short-acting oxycodone drugs.”
• Defense in United States vs. Bothra et al.: “The prosecutors didn’t even understand the elements of the charges they bludgeoned us with.”
• Libby Report (2005) on “red flags”: “The problem with red flags is that what may appear to be evidence of criminal behavior to an investigator without medical training is often perfectly consistent with legitimate medical practice, particularly in a dynamic field like pain management.”
• Greg Wood (federal investigator, 2004): “[The government aims to produce probable cause that a doctor] (a) intentionally wrote a narcotics prescription for patients without legitimate medical needs, (b) knew the patients getting the prescriptions were addicts, or (c) knew the patients getting the prescriptions were selling the drugs.”
• Professor Jennifer Oliva: “Providers may rely on unvalidated PDMP risk scores to make prescribing decisions because they view those scores as clinically useful. That claim should be viewed with skepticism because there is no evidence that PDMP scores accurately ascertain patient drug misuse risk.”
• José Irizarry (former DEA agent): “DEA is a game. The drug war is a game…It was a very fun game that we were playing.” Also: “You can’t win an unwinnable war. DEA knows this and the agents know this…We know we’re not making a difference.”

Conclusion:

The “youarewithinthenorms” article presents a highly critical perspective on the DEA’s role in the opioid crisis. It argues that the agency manufactured a “hoax” by exaggerating the dangers of prescription opioids, using flawed data and propaganda, and unfairly targeting medical professionals.

The article also raises serious concerns about racial bias in DEA practices and the detrimental consequences for patients with legitimate pain.

The claims made in this article should be considered within the context of the author’s advocacy position and potentially contrasting information from other sources on the opioid crisis.

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