DATELINE:
PILL OVER KILL.
Reporter: Aaron Lewis
Staten Island is
adrift - at the centre of America's prescription pain killer epidemic. Here the
death rate due to opioid overdose is three times the American average. More
people here die of a drug overdose than in a car accident. Young and old - rich
and poor - all now considered at risk of becoming just another name on a death
certificate.
MAN: This is two months, two months of drug deaths that we
handle. Two months. They range in age from 60 to 16 - doctors and nurses,
accountants, students, construction people, firemen.
Everyone in this room
has been playing out their own rule in a cautionary tale about a manmade
epidemic. A story about how harmless-looking little blue pill can tear even a
small and tight-knit community like Staten Island apart.
DANNY HALEY, IN RECOVERY: It was just everywhere, you
know, all these kids sniffing pills, and eating pills and shooting pills. It
was just, kind of surreal, like. I couldn't believe like how many kids are up
in the game over here.
REPORTER: How did it
physically feel?
KAYLA VITALE, IN RECOVERY: Physically it felt great. It
gave me so much energy. If there was a pain in my body it went away. I suffer
with scoliosis. I get back pains and at first I kept using Percocet as an
excuse.
REPORTER: Do you remember
the first time you took pills?
MARCO DIDONNA, IN RECOVERY: Yeah.
REPORTER: Tell me
about that?
MARCO DIDONNA: 2002.
There was a fight, you know, a friend of mine got his teeth knocked out. I got
hit in the head with a bat. I went to the emergency room, and Vicodin was right
there. I went to my doctor. He gave me Percocet and then from there it was just
off to the races. I put her through hell. I feel horrible but I can’t beat
myself up over it either.
Like Marco and Kayla,
many on Staten Island started taking opioid painkillers for legitimate means.
KAYLA VITALE: Just
because someone does it doesn't make them a bad person.
Then there are many others
here who have been hooked since adolescence, having thought the first time,
anyway, the pills were a bit of harmless fun.
DANNY HALEY: I just
wanted to try every drug, really. I remember at a kid thinking like, smoking
pot and this is great. I want to try other drugs. I just want to try them all out.
REPORTER: How early
did that start?
DANNY HALEY: I was,
I had smoked crack and PCP at, like, 14 years old.
REPORTER: What was
that like?
DANNY HALEY: It was
fun. It was amazing. I loved it.
Danny arrived in High
School just as the painkiller epidemic was breaking out. In the last ten years
he's become the rapper known, ironically, as Anonymous. Danny and his best
friend Gerard are known around Staten as the White Trash Clan, their cartoonish
video for their track “My World is Blue’ the colour of Oxycotin
pills, turned them into minor celebrities in Staten Island.
SONG: # Blue skies ahead # Are you with me? # Crushed a
pill # Rainbow, sunshine # The kill is lifted # Painkiller, Staten Island...
DANNY HALEY: I knew people were just going to doctors,
multiple doctors and getting crazy amounts of pills, you know, they pushed it
out so much that it got so many people addicted to opiate drugs, that they
started an epidemic.
Staten Island was
America's first modern suburbia. It still has less than 500,000 residents, mostly
Italian Catholic families that go back generations and everyone here knows each
other. Monsignor Jeff Conway is a recovered alcoholic himself, who preaches
about substance abuse.
MONSIGNOR JEFF CONWAY, SAINT PETER’S CHURCH: I heard a voice that said, this is the stuff
that's killing you, you don't need it any more.
He is often the first
person anyone admits their addiction to. Father Conway says that the fact that
everyone knows each other has not helped keep things under control. Just the
opposite, he says.
MONSIGNOR JEFF CONWAY:
I think it makes it easier for people to get their drugs, for one thing
because they know everybody and to know who is using and who is not using.
REPORTER: It's very
fast to get drugs here?
MONSIGNOR JEFF CONWAY:
Very easy.
It's not just
addiction that people are confessing to. It's also the things they're doing to
feed that addiction.
REPORTER: What kind of
crazy stuff did you do to feed the habit?
MARCO DIDONNA: Pawn my dead twin sister's jewellery.
That's the only thing my parents have left of my sister. That's my twin sister.
She was born with disabilities. The people at home are the ones that get hurt
the quickest and most. They're the easiest targets. My son is not going to
steal from me because he loves me. The addict's mind is, "My mum's the
easiest target".
DANNY HALEY: Right
now I could be dead broke and I won't go to my mum's house and break in a
window and steal things. When I was in active addiction it felt like I had to
do that.
BRIDGET BRENNAN, SPECIAL NARCOTICS PROSECUTOR: As a prosecutor
and a homicide prosecutor at one time I prosecuted cases where people have killed
their loved ones because they stood between them and their drug.
REPORTER: Did you ever
steal? Did you ever do anything you regret now - because most people have?
KAYLA VITALE: Yes. The reason a lot of people did a lot of
drugs their first time, I've opened doors to people and I wish I wasn't the one
who opened the doors.
Kayla and her friends
could always get pills - opioid painkillers were being so over produced and
over prescribed they were never hard to get, illegally or illicitly.
MARCO DIDONNA: When you go into the pharmacy, I was
getting, you know, from one doctor, 180 Oxycontin, with insurance, they cost
$3. There was no oversight. Zero oversight. If you go to another doctor, the
easiest way is to go to a pharmacy and pay cash. I did that seven times - seven
doctors, seven different pharmacies.
REPORTER: You don't
mean you did that search times in total? You did that seven times a week?
MARCO DIDONNA: Seven times a week. Every Monday was
doctor, pharmacy day. I did that for ten years.
JAMES HUNT, SPECIAL AGENT, DRUG ENFORCEMENT AGENCY: Unfortunately there have been some
professionals, pharmacists, doctors, who have entered into
the illegal drug trade. In small numbers, they get overtaken by greed,
doctors and pharmacies included, and they're in it for the money.
DEA Group supervisor
William Tyrell is taking me to the site of one of the worst so-called pill
mills located in Bronx.
WILLIAM TYRELL, DEA GROUP SUPERVISOR: This is the location we surveyed for over a
year.
He led a team which
busted this medical clinic, where every day between 60 and 100 sudo-patients would come to pay for illicit opioid
painkiller prescriptions.
WILLIAM TYRELL: When
I pulled up here, I was immediately like, this is what 100% pill mill, that
really the worst of the worst, looks like.
These surveillance
photos give an idea of how many people waited every day to see one crooked
doctor operating out of this store front.
WILLIAM TYRELL: This
place would have 50-60 people easily on the side walk, cars double-parked
across the street.
This single doctor,
Robert Terdiman, was convicted of writing phoney prescriptions
for more than three million pills in less than two years.
JAMES HUNT: I get the greed factor, the violence. We get
all that. I don't get a doctor who went to medical school, who took an oath to
help people and who is guaranteed to make a decent living, resorting to this.
This is just unmitigated greed.
BRIDGET BRENNAN: What
we know in narcotics prosecutions is that the bigger the supply, the bigger the
demand. So the more of those addictive pills there are out there, the more
addicts there are going to be.
But it wasn't just
crooked doctors prescribing all these pills. In many cases it was a doctor who
was just in too much of a hurry.
DOCTOR WILFREDO VELEZ, PHYSICIAN: You might be able to see
a patient in five minutes in a busy practice, in and out and I’m afraid some of
my colleagues, we didn't want to spend that time. It is important.
MARCO DIDONNA: I
had seven doctors. One said basically that Oxycontin - is this a bandaid? It's not going to solve the problem. That was the
first time when I met with him. Nine years later he's still prescribing them to
me.
I spoke with highly
respected doctors who were surprised that patients have reported experiencing
opiate withdrawal after a regular 30 day prescription.
DANNY HALEY: If you
are going to take these pills for a month, say you get a monthly prescription, your
body is going to get addicted to it and you will have physical withdrawals.
They should come off the bat and say this. This is what is going to happen.
The active ingredient in
opioid pain killers comes from here - the opium poppy fields of Tasmania, which
farm almost half of the world’s legal supply of opioid derivative. These are
the same poppies, when processed differently, produce heroin. Part of the
problems is that in America a great deal of what a doctor knows about the
medicines they're prescribing comes directly from the pharmaceutical companies
that make them. The advantages of a product are aggressively marketed while too
often the risks of the drug are merely mentioned, contributing to the alarming
over-prescription of the best marketed painkillers.
BRIDGET BRENNAN: The most obvious culprit is big Pharma.
They are the ones who pushed it out. They are the ones who sold the painkillers
as non-addictive. They're the ones who made the money on it. They're the ones who
took over training doctor so that we now get a 30-day supply of Percocet for a
toothache.
DOCTOR WILFREDO VELEZ: You often see patients who require
narcotics for their day-to-day care. It is difficult for us to discern whether
it's something that they truly need still at this point or something that they
may be misusing or abusing. We come upon that issue almost on a daily bases.
JAMES HUNT: All
that needs is one dealer's marketing is differentiated from another dealer's.
They put marks on the bags.
In 2013 New York
law-makers took action. They introduced a program called iStop,
to track prescribing across all doctors in real time.
DOCTOR WILFREDO VELEZ: Before we prescribe we have to
check a website to make sure this patient has not previously received it from another
provider a week ago, two weeks ago. More importantly, the patients now know
that.
MARCO DIDONNA: Since
the pills were hard to get, so that means the price goes up, you know - Supply
and demand. The easier thing to get was, in my eyes, heroin - cheaper and it
was more easily available. All the pill dealers became heroin dealers.
That is when the pill
epidemic became a heroin epidemic and things went from bad to worse.
GERARD KELLY aka INCITE, MUSIC PRODUCER: Here in Staten
Island it's an epidemic. You know.
REPORTER: How easy is
it to get drugs?
GERARD KELLY: Very easy.
REPORTER: How easy?
GERARD KELLY: Too easy. Pick up a phone or...
REPORTER: You told me
that it's as easy as getting a pizza?
GERARD KELLY: Absolutely.
So I should haven't
been surprised when a few minutes later a car pulled up outside and I was
called over to the window. Like almost all opioid addicts on Staten Island,
Gerard started with pills and is now hooked on heroin.
GERARD KELLY: You see, when I'm high, I'm happy. When I'm
not high, I'm suicidal, or I'm like, I don't get fucked up and then I'm like I
want to kill myself, I'm happy when I'm high, you know?
BRIDGET BRENNAN: We
saw those who were addicted to the pills shifting over to heroin, because
heroin is a lot cheaper. There is a huge supply of heroin that is coming up
into the United States from Mexico, frankly more than we've ever seen before.
JAMES HUNT: This is
actually a prosthetic leg that had 1200 grams of heroin smuggled into the
country in it.
All of these are real
smuggling containers for heroin, all from actual DEA busts, from suitcases to
lollypops, to tombstones made of pure heroin, all smuggled into a market primed
by the opioid painkiller epidemic.
BRIDGET BRENNAN: Those
who have defined heroin and are distributing heroin are piggy-backing on that
addiction.
This is the sight of a
recent DEA heroin bust. This kind of volume is something that Australian
authorities are now being told to expect. Opioid prescriptions have tripled in
Australia in the past 10 years and US federal agencies say a wave of heroin is
headed for Australia's shores. On Staten Island the move from pills to heroin
came with surging rates of overdose.
KAYLA VITALE: I died more than one time. They had to
actually put a pacemaker on my heart because my heart would not work on its
own. I ended up in a coma for three weeks. Every organ in my body failed - my
heart, my liver: my lungs, my kidneys and my gall bladder. My friends said I
woke up screaming that I couldn't see and I couldn't hear. Unfortunately I am
now blind in my left eye and deaf in my right ear and I have severe hearing
loss in my left ear.
DANNY HALEY: You
ask anybody on Staten Island if you know someone that overdose, recently they
know somebody.
A year ago Johnny Crupi died of an overdose right here in this room. His
parents, Candace and her husband, Barry Crupi, were
both home when it happened.
CANDACE CRUPI: I
was watching TV and he came in and gave me a kiss on the cheek and he went to
bed and then the next morning I woke up and he was dead.
BARRY CRUPI: He had
a bag of heroin - he had one bag? I don't know.
CANDACE CRUPI: He
had a bunch of bags stuck under him.
BARRY CRUPI: We
didn't find any needle.
CANDACE CRUPI: These
are from the funeral.
Many families try to
hide the fact of an overdose but the Crupis were
proud of their son's long struggle to get off opioids, even as he slipped from
pill addiction to heroin and finally to overdose.
BARRY CRUPI: I
don't think my son ever would have went straight to heroin, I don't think any
of these kids will go straight to heroin. They're taking these pills, they
think there's nothing to them, they're prescription pills, so they feel that
they're safe. They take them and then they have to take more and more and more
and they get too expensive and they go to the heroin. Once they are on the
heroin, it's very hard for them to get off it.
As the scale of Staten
Island's opioid problem comes into sharp relief, people are starting to come
out from behind closed doors. Tonight Alicia Reddy has organised a community
support meeting for more than 500 Staten Islanders. Danny, Kayla, Marco and
Candace are all here. Everyone here has come looking for help or willing to
help, including dozens of recovering addicts. They stepped forward to offer
real-life warnings about opioid abuse.
WOMAN: Every 5 days in Staten Island, somebody is
overdosing from opiates.
Candace Crupi is asked to speak about her son's passing.
CANDACE CRUPI: He
had dreams just like everybody else. There’s no yay at the end of Johnny’s
story because he didn’t make it, he died last March.
BARRY CRUPI: The
pharmaceutical companies have to know that all these pills aren't going to
people with those symptoms. I mean, all of a sudden there's a rush like that
for these pills? They just keep pushing them out and pushing them out. I mean
it's their bottom line. They're making money and that's all they're concerned
with.
While many opioid
painkiller manufacturers refused to reply to the question of responsibility,
Perdue, makers of Oxycontin, did provide some answers in writing. They say they
take the abuse and misuse of opioids very seriously. Perdue are a leader in
what's called abuse deterrents, making pills harder to crush, snort or inject,
as well as creating extended release formulations to minimise the chances of
overdose.
However abuse
deterrents don't make opioid painkillers any less addictive. They don't make
opiate withdrawal any less severe. In fact, many of the next generation of
abuse deterrent pills contain even more opioid pay load, as much as 24 times
that of a single Vicodin pill.
Perdue maintains their
products are critical tools for pain management and that the responsibility remains
with the doctor and patient to manage the serious risks of use, including the
risk of addiction. Many people, including within law enforcement, have said
that does not go far enough.
BRIDGET BRENNAN: I
would like to force them to wake up and understand and acknowledge the
significance of the harm that they have caused and to fix it -to try to fix it.
Danny Hayley knows
just about everything there is to know about drugs on Staten Island, including
how to escape them.
DANNY HALEY: I'm also a magician.
He's had a substance
abuse problem since he was a child. Technically he's a polyaddict,
but Danny just calls u himself a junk box junkie.
DANNY HALEY: That was fair, right? I was smoking crack, heroin, methadone,
Xanax, Adderall, PCP, drinking liquor, all the same shot. It's never enough for
somebody like me, you know.
Amazingly, Danny
managed to get off all of that and he's been clean and sober for the last
year-and-a-half.
DANNY HALEY: That's
the end of the card trick.
He's writing a new
track about his recovery.
DANNY HALEY: It's coming along sick.
SONG: I'm clean
right now, I got my whole hood proud. I got the good sound rocking. So... I sold my soul to the devil and the price was cheap.
The track is about how
it took him overdosing twice in a single day to start his recovery.
DANNY HALEY: I was in a hospital. The doctors had to bring
me back to life. I woke up, four days later, I was in a coma for days. The
doctors told my parents I would be brain dead for the rest of my life. They
were shocked when I woke up.
PAUL HALEY: I came
to the hospital and he had tubes down his mouth and his nose and it was just by
the grace of God that he indeed did survive.
And that view of Danny
in the hospital bed was Paul's first view of his son in years. Paul had long
since told Danny that he wasn't welcome as long as he was using.
DANNY HALEY: Hey
dad, how are you?
PAUL HALEY: Good to see you.
Paul Hayley is also a
recovered addict, having generations of substance abuse is pretty common in
Staten Island. With both of them sober, they're closer than ever.
REPORTER: Are you
proud of them?
PAUL HALEY: Indeed.
Absolutely, yes. My other two daughters
have graduate degrees from major universities. However, I'm more proud of
Daniel and him being in recovery.
DANNY HALEY: My
family won't talk to me when I'm using. I'm not a nice person to be with. Now
my family is back in my life... I went from 18 months ago I'm on my bathroom
floor in a foetal position crying because I'm so miserable. I wanted to stop
but I couldn't and here I am, I got tears of joy coming out my eyes, you know.
So thanks for everybody, you know, if anybody is struggling right now, people
of the people standing here, we'd be glad to help them, anybody else in that
situation now. Thanks.
Just before Danny got
sober, he wrote a track called Bottomless Pit about just how low he had sunk.
Danny is a self-proclaimed junk box junkie who died twice in a day and still
managed to climb out of that pit. So he means it when he says call him. If you need
some help doing that, too.
Video
Journalist
AARON LEWIS
Story
Producer
AARON THOMAS
CATHERINE SCOTT
Camera
AARON
LEWIS
Associate Producers
CALLISTE
WEITENBERG
Editor
AARON
LEWIS
Title Music
VICKI
HANSEN