Corruption is Everywhere - Certainly in Big Pharma
Case exposed kick-backs in the millions, lap dances as incentives
The Associated Press
Insys Therapeutics founder John Kapoor leaves federal court in Boston in January. Kapoor was found guilty
Thursday in a scheme to bribe doctors to boost sales of a highly addictive fentanyl spray meant for cancer
patients with severe pain. (Steven Senne/Associated Press)
A pharmaceutical company founder accused of paying doctors millions of dollars in bribes to prescribe a highly addictive fentanyl spray was convicted Thursday in a case that exposed such marketing tactics as using a stripper-turned-sales-rep to give a physician a lap dance.
John Kapoor, the 76-year-old former chairman of Insys Therapeutics, was found guilty of racketeering conspiracy after 15 days of jury deliberations. Four former employees of the Arizona-based company, including the former exotic dancer, were also convicted.
Some of the most sensational evidence in the months-long federal trial included a video of employees dancing and rapping around an executive dressed as a giant bottle of the powerful spray Subsys, and testimony about how the company made a habit of hiring attractive women as sales representatives.
Federal prosecutors portrayed the case as part of the government's effort to go after those it views as responsible for fuelling the nation's deadly opioid crisis.
"This is a landmark prosecution that vindicated the public's interest in staunching the flow of opioids into our homes and streets," Massachusetts U.S. Attorney Andrew Lelling said in a statement.
The convictions could embolden federal authorities to bring more cases against top executives of opioid manufactures, said Andrew Kolodny, co-director of opioid policy research at Brandeis University's Heller School for Social Policy and Management.
One of Kapoor's lawyers, Brian T. Kelly. Kapoor's defence team say they will continue to fight to clear their client's name.
(Ross D. Franklin/Associated Press)
"Paying a fine or even civil litigation is inadequate if we want to deter corporations from killing people in their pursuit of profit," Kolodny said.
Opioid overdoses claimed nearly 400,000 lives in the U.S. between 1999 and 2017, according to the Centers for Disease Control and Prevention. An estimated 2 million people are addicted to the drugs, which include both prescription painkillers such as OxyContin and illegal drugs such as heroin.
The Public Health Agency of Canada says there were more than 10,300 deaths in Canada from apparent opioid-related overdose between January 2016 and September 2018.
Packets of fentanyl mostly in powder form and methamphetamine. (U.S. Customs and Border Protection/Reuters)
Kapoor and the others were accused of scheming to bribe doctors across the U.S. to boost sales of Subsys and misleading insurers to get payment approved for the drug, which is meant for cancer patients in severe pain and can cost as much as $19,000 US a month, according to prosecutors. The bribes were paid in the form of fees for sham speaking engagements that were billed as educational opportunities for other doctors.
The charges carry up to 20 years in prison.
"We will continue the fight to clear Dr. Kapoor's name," defence attorney Beth Wilkinson said in a statement. She said the long deliberations prove it was "far from an open-and-shut case."
A former sales representative testified that regional sales manager Sunrise Lee once gave a lap dance at a Chicago nightclub to a doctor whom Insys was pushing to write more prescriptions. Lee's lawyer said she will challenge the verdict.
Jurors also watched the rap video, which was shown at a national meeting in 2015 to motivate sales reps to push doctors to prescribe higher doses of the drug. At the end of the video, the person dressed up as the bottle takes off his costume and is revealed to be then-vice president of sales, Alec Burlakoff.
Burlakoff pleaded guilty and testified against Kapoor. Burlakoff told the jury that he met Lee at the strip club where she worked and recruited her to join the company despite her lack of pharmaceutical industry experience because he believed she would be willing to help carry out the plan to pay off doctors.
A former CEO of the company, Michael Babich, also pleaded guilty and testified against his colleagues. He said Insys recruited sales reps who were "easy on the eyes" because doctors didn't want an "unattractive person to walk in their door."
Fake oxycodone pills seized by the Manitoba RCMP in February containing fentanyl. (Manitoba RCMP/Twitter)
Kapoor's attorney sought to shift the blame onto Burlakoff, who she said was cutting side deals with doctors. Wilkinson argued that Burlakoff and Babich were lying about Kapoor in an attempt to save themselves.
Kapoor's lawyers also argued that prosecutors were unfairly blaming Insys for fuelling the drug crisis, noting that the drug makes up a tiny fraction of the prescription opioid market.
Several doctors have been convicted in other cases of participating in a kickback scheme. A number of states have sued the Insys, which also agreed last year to pay $150 million US to settle a federal investigation into inappropriate sales.
Insys said in an emailed statement that the "the actions of a select few former employees" are not indicative of the company's work today.
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