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[cheering and applause]
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Hello, I'm Jimmy Carr and this is The Fix.
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The show where we solve
the world's problems
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whilst you do nothing.
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[laughter]
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Today, we're tackling the opioid crisis,
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which, somewhat ironically,
desperately needs a fix.
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[laughter]
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Opioids take many forms,
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from the legal Oxycodone,
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which is responsible
for thousands of deaths every year,
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to the not-so-legal heroin,
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which is responsible
for something much worse.
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Jazz.
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[laughter]
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Opioids replicate the natural chemicals
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the human brain creates
when we experience orgasms.
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I've never tried them myself,
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or, for that matter, opioids.
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[laughter]
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Pharmaceutical companies
are clearly to blame.
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They've pushed more drugs
on unsuspecting people than Bill Cosby.
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[audience gasps]
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[laughter]
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So what's to be done?
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Well, we could just pop a pill
and not worry about it
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or we could fix the problem
in half an hour.
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Let's do that. Welcome to The Fix.
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[cheering, applause]
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[theme song playing]
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Okay, here's how the show works.
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I've challenged two teams of comedians
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to come up with a fix
for the opioid crisis.
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Our studio audience will be voting
at the end of the show.
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Whoever comes up
with the most addictive solution wins.
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So here to fix the opioid crisis
are Katherine Ryan and Amanda Seales...
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[cheering and applause]
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...and DL Hughley and Sara Schaefer.
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[cheering and applause]
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Later on, we'll be hearing
the team's fixes,
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but, before that,
let's take a closer look at the problem.
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The opioid crisis. What are your views?
What do you think?
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It's funny, because when black people were
addicted to crack, it was a crime. Now...
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- White people, it's a crisis. I just...
- [laughter]
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It does seem weird that this seems to be
more of a problem for those communities.
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[DL] Right, it seems like America...
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I remember Donald Trump,
he built a temporary memorial
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to the victims of the opiate crisis
outside the White House.
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For black people,
they built prisons, so...
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Yeah.
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[applause]
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I'm anti-opioid crisis,
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and I know that's like...
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- [Carr] Well, that's controversial.
- [Sara] Yeah.
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I don't like it. I want it to stop.
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[laughter]
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Are we getting this down?
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- [Sara] Yeah.
- [laughter]
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[Carr] Katherine, what do you think?
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Huge fan.
Absolutely wild for opiates, Jimmy.
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- [laughter]
- I...
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That explains
the glazed expression at least.
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- [laughter]
- I...
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I'm not taking them now,
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but I have big plans to become addicted
to opiates in my retirement,
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where the life-destroying consequences
won't matter
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and I'll just have a bunch of fun.
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I'm on the right team.
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[laughter]
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I mean, this is the right time
to get addicted to opiates.
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Especially in this country.
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Because if it's going to make you
glaze over and think everything is good...
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[laughter]
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That might be the route.
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[applause]
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Now, I've got an astounding fact for you.
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Americans make up
5% of the world's population,
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but they consume 80%
of the global supply of opioids.
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Has anyone here ever taken opioids?
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We ain't getting drug tested for this
on the show?
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You will not be tested on this,
but I require an honest answer.
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DL, have you ever taken opioids?
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Yes.
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But not on purpose.
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Yes, it was on purpose,
but fuck it, I'm...
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[laughter]
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What for? Because it's normally
sporting accidents or...
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I accidentally wanted to get high.
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[laughter]
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[applause]
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- Sara, have you ever taken opioids?
- Yes.
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It was prescribed to me
when I broke my ass.
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- [Carr] Sorry, you broke your...
- I broke my...
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I once had an Indian meal
that nearly did that to me. What...
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[laughter]
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[Carr] How did you broke your ass?
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I slipped on some ice
and just broke my tailbone
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and I convinced myself
that I was overreacting.
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So I hobbled back to my apartment,
up three flights of stairs,
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took my pants off
and my roommate was like,
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"There's a bump in your ass crack."
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[laughter]
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Like this. Like an apple.
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Sorry, did your roommate not say,
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"Put your trousers back on."
That would be...
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I was like, "I think I hurt myself,"
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and just started pulling them down.
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And she was like, "We're going to the ER."
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And they gave me medication
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that I took twice and then gave it away,
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because it scared me
how good it made me feel.
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I was like, "I will be addicted to this
in the next 24 hours if I take one more."
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How did it make you feel?
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It was like floating and a memory foam
mattress was just holding me up.
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[laughter]
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Like I was just riding it through...
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It was just nothing... Nothing hurt.
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That does sound good, doesn't it?
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It was so good.
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I've got nothing but sympathy
for people that are addicted to opioids,
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because it does sound good.
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When I did it, I got so high,
I felt like a white dude.
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I was like, "Why would I ever stop
this shit? This is so great."
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[laughter]
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Amanda, have you ever tried opiates?
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I had my wisdom teeth out
and they gave me Codeine,
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but then my mom was like, "Don't take it.
You're going to be a drug addict!"
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and I was like, "Okay, relax."
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It sounds like she wanted it.
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[laughter]
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I also had my wisdom teeth out,
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and, by wisdom teeth out,
I mean a boob job, Jimmy.
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[laughter]
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And they prescribed me opiates
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and I loved them.
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I took them for a few days
and it gave me a really terrible rash
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and I just couldn't live like that.
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Maybe you just didn't get
the right opiates for you.
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[laughter]
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- I could try again.
- [Amanda] Yeah.
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I mean, I delivered my daughter
with no drugs at all.
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[women whooping]
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I don't know why there's so much pride
associated with a natural childbirth.
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If you did anything else that painful
without drugs,
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people would be like,
"You're a moron, take the drugs."
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I would have loved some drugs on that day.
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[laughter]
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So opioids are primarily used for pain.
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What's the most pain you've ever been in?
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I was a gymnast.
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So I've split the beam, like...
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[vocalizes]
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Oh, right in the...
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Just right in the humdinger.
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Like right in the magic middle.
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You call yours "the humdinger"?
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The magic middle, Shangri-La, whatever.
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[laughter]
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DL, what's the most pain
you've ever been in?
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I have to say when I met
my daughter's loser boyfriend, but...
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Actually, the most physical pain
I was ever in was I broke my clavicle.
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- Ooh.
- We were playing tackle football
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and I fell down
and I felt my clavicle hit me in the face
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- It hit you in the face?
- It was like, "Wow, what was that?"
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[Carr] That's...
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You're your own worst enemy there,
aren't you?
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And did they give you opioids for that?
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We didn't have insurance,
so they just said, "Get out."
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[laughter]
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One time, I...
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Recently actually, I sprained my foot
on a sidewalk in Canada.
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I was like, "I'm going to go down,
I'm going to faint. This is so painful."
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So I sat down on the sidewalk in the rain
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and I had a donut with me
and I was like...
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[laughter]
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"This will help me
get back to my hotel room.
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I'm just... I'm just low blood sugar."
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There must be security footage
of me somewhere
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- just, like, sitting on the sidewalk...
- [laughter]
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...like, in the rain eating a donut.
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I must have looked insane.
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That feels like the most American thing
I've ever heard.
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[laughter]
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"I think I've broken my foot.
I'll have a donut."
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[laughter]
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Sara, I would say
stay out of cold weather.
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[Sara] Yeah.
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It sounds like you have a worse
relationship with ICE than a Mexican.
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[laughter]
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The most pain I ever had
was a thing with my bladder.
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They had to do an exploratory search
of my bladder.
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Search. They were looking for stuff.
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So they put a camera in.
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And they... You know...
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And you think,
"Oh, they're putting it in through that!"
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Okay, and you think it's going to be
a camera the width of a human hair.
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- It's like a Biro.
- [laughter]
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You hurt in places
you didn't know you had.
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And the worst thing about this
is you think that's painful.
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That is as nothing compared to the moment
when they've done it and they go,
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"Cough." Voom.
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00:08:06,252 --> 00:08:08,221
[audience gasps]
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My thighs are clenched right now.
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I have that effect on women.
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[laughter]
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[applause]
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It's a separate issue.
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[Carr] Okay, moving on.
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A lot of Americans take opioids
to get high,
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but sometimes
you don't actually want to get high,
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it just sort of happens.
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Take a look at this news report.
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Burning behind me is 8.5 tons of heroin,
opium, hashish and other narcotics.
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[chuckles hysterically]
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[audience laughs]
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Come on then, let's go.
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[laughing]
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[laughter]
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Burning behind me... [chuckles]
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Quick, quick. We just need one more.
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[laughter]
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[Carr] Come on.
223
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- That's...
- [applause]
224
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That guy wasn't chasing the dragon.
He caught it.
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[laughter]
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Eight and a half tons of heroin and hash
burning behind him.
227
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That's like Snoop's cremation.
228
00:09:15,454 --> 00:09:16,722
[laughter]
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Actually, the one time that I've, like,
caught contact,
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like, in that situation, was I took my mom
backstage to meet Snoop.
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[laughter]
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She was like, "I want to meet Snoop Dogg."
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So I took her backstage
and we crossed the threshold
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and it was like, "Yeah."
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[laughter]
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Immediate.
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How was your mom? Chilled?
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Just like... I wish she was like that
for my whole teenage years.
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[laughter]
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Okay. Opioids have been around
for a long time.
241
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Take a look at this ad
for Dr. Thomas's Eclectric Oil.
242
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It contains opium, alcohol and chloroform.
243
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[all] Oh!
244
00:09:56,529 --> 00:09:58,998
Yeah. You say that,
but here's what it does.
245
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It claims to cure earache in two minutes,
246
00:10:01,467 --> 00:10:04,570
backache in two hours,
and deafness in two days.
247
00:10:04,637 --> 00:10:05,471
[Amanda] Yes.
248
00:10:05,538 --> 00:10:07,573
Did you hear that? Well, you will.
249
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[laughter]
250
00:10:10,343 --> 00:10:12,445
Take a look at this ad from 1845.
251
00:10:12,511 --> 00:10:16,349
Mrs. Winslow's Soothing Syrup.
It's for children teething.
252
00:10:16,415 --> 00:10:18,651
And it contains alcohol and morphine.
253
00:10:18,718 --> 00:10:19,986
[laughter]
254
00:10:20,052 --> 00:10:22,922
Its slogan was,
"Hush, little baby... forever."
255
00:10:23,222 --> 00:10:25,091
[laughter]
256
00:10:26,459 --> 00:10:28,099
Katherine, would you give a baby alcohol?
257
00:10:28,561 --> 00:10:31,263
I wouldn't give a baby top-shelf alcohol.
258
00:10:31,564 --> 00:10:32,565
[laughter]
259
00:10:32,632 --> 00:10:35,001
Their little palates
are not developed yet.
260
00:10:35,067 --> 00:10:37,136
They could just have any house Chardonnay.
261
00:10:37,203 --> 00:10:38,571
[laughter]
262
00:10:38,638 --> 00:10:41,540
My mother used to rub whiskey
on our gums when we were teething.
263
00:10:41,607 --> 00:10:44,710
Like, "Can you feel your teeth?"
"I can't even feel my face!"
264
00:10:44,777 --> 00:10:45,678
[laughter]
265
00:10:45,745 --> 00:10:48,514
My mother used to make us take
a shot of Wild Turkey so we would sleep
266
00:10:48,581 --> 00:10:51,150
so she could go and play cards
with her friends instead.
267
00:10:51,217 --> 00:10:52,885
- [laughter]
- And you know what?
268
00:10:52,952 --> 00:10:56,722
I think we only think we had great parents
because we lived.
269
00:10:56,789 --> 00:10:57,923
[laughter]
270
00:10:58,024 --> 00:10:59,959
Like, "I don't need a babysitter... Ah."
271
00:11:01,093 --> 00:11:02,361
It's crazy.
272
00:11:02,428 --> 00:11:06,632
Here on The Fix, we have our very own
data expert. Please welcome Mona Chalabi!
273
00:11:06,699 --> 00:11:08,701
[cheering and applause]
274
00:11:11,337 --> 00:11:14,507
Mona, I want some data.
I've had a little bit. I want more.
275
00:11:15,074 --> 00:11:17,643
Well, Jimmy,
I wanted to take a closer look at pain.
276
00:11:17,710 --> 00:11:20,880
After all, that's the reason
opioids are prescribed in the first place.
277
00:11:20,946 --> 00:11:22,648
International research has found
278
00:11:22,715 --> 00:11:25,951
that about 20% of people
say they often feel aches and pains.
279
00:11:26,018 --> 00:11:29,588
But it turns out that those numbers
vary a lot from country to country.
280
00:11:29,655 --> 00:11:33,192
In the Czech Republic, only 9% of people
say they often feel pain...
281
00:11:33,259 --> 00:11:35,294
the lowest number anywhere in the world.
282
00:11:35,361 --> 00:11:37,930
In Japan, it's twice that, at 18%.
283
00:11:37,997 --> 00:11:41,000
And the most pained country in the world
is the USA
284
00:11:41,067 --> 00:11:44,770
where a whopping 34% of people
say they feel pain often.
285
00:11:44,837 --> 00:11:48,874
There are different theories about why the
numbers vary so much between countries.
286
00:11:48,941 --> 00:11:51,177
It's not just about access to medication.
287
00:11:51,243 --> 00:11:52,778
There are possible lifestyle reasons.
288
00:11:52,845 --> 00:11:56,082
Americans are more likely to be obese,
which can often result in aches and pains.
289
00:11:56,148 --> 00:11:58,217
But there could also be cultural reasons.
290
00:11:58,284 --> 00:12:00,986
Is it just more acceptable
to say the words, "I'm in pain,"
291
00:12:01,053 --> 00:12:02,655
in some cultures and languages?
292
00:12:02,722 --> 00:12:06,292
If so, that could explain why countries
that are culturally similar to the US,
293
00:12:06,358 --> 00:12:08,160
like the UK and Australia,
294
00:12:08,227 --> 00:12:10,463
are also very likely to say
they're in pain.
295
00:12:10,730 --> 00:12:12,598
Interestingly, these three countries
296
00:12:12,665 --> 00:12:15,735
also have some of the highest rates
of opioid addiction in the world.
297
00:12:15,801 --> 00:12:16,936
[Carr] That's extraordinary.
298
00:12:17,002 --> 00:12:20,072
Are there any communities within America
that don't take as many opioids?
299
00:12:20,139 --> 00:12:21,407
[Mona] It's hard to say,
300
00:12:21,474 --> 00:12:23,418
but there are communities
that are higher at risk.
301
00:12:23,442 --> 00:12:26,088
We know that it's white communities,
we know it's rural communities,
302
00:12:26,112 --> 00:12:27,580
and lower socioeconomic groups.
303
00:12:27,646 --> 00:12:30,983
So lower socioeconomic, white and rural.
Katherine Ryan?
304
00:12:31,050 --> 00:12:32,050
Yes.
305
00:12:32,752 --> 00:12:34,987
[laughter]
306
00:12:35,488 --> 00:12:36,489
[Carr] No, because...
307
00:12:36,555 --> 00:12:38,758
Because Mona's saying
this is a white trash problem,
308
00:12:38,824 --> 00:12:39,692
so I'm..
309
00:12:39,759 --> 00:12:41,260
[laughter]
310
00:12:42,528 --> 00:12:45,531
I would call my dad and ask
if I knew where he was.
311
00:12:45,598 --> 00:12:46,832
[laughter]
312
00:12:48,300 --> 00:12:50,636
[applause]
313
00:12:52,037 --> 00:12:55,341
It's funny, because in America
they believe, like women of color,
314
00:12:55,407 --> 00:12:58,086
statistically they're biased
to believe that they can take more pain,
315
00:12:58,110 --> 00:12:59,750
so they're prescribed less pain medicine.
316
00:12:59,779 --> 00:13:01,419
They believe they're bigger and stronger.
317
00:13:01,447 --> 00:13:03,382
Even though black women
get breast cancer less,
318
00:13:03,449 --> 00:13:06,819
they have a higher mortality rate,
because they're not aggressive with them.
319
00:13:06,886 --> 00:13:09,121
They're like, "Oh, they can fight it off."
You know...
320
00:13:09,188 --> 00:13:12,057
The really frightening thing is that,
in surveys of medical students,
321
00:13:12,124 --> 00:13:13,859
even medical students in this country
322
00:13:13,926 --> 00:13:16,362
say they think that black people
have thicker skin
323
00:13:16,428 --> 00:13:18,297
and can tolerate more pain
than white people.
324
00:13:18,364 --> 00:13:19,465
That's petrifying.
325
00:13:19,532 --> 00:13:20,772
Sorry, were these doctors in...
326
00:13:21,400 --> 00:13:23,736
- What the fuck is going on? How...
- [laughter]
327
00:13:24,236 --> 00:13:26,515
Sorry, I wouldn't mind
if they did a survey on the streets
328
00:13:26,539 --> 00:13:29,975
and people turned out to be racists,
but medical students saying that?
329
00:13:30,042 --> 00:13:31,777
That's mental.
330
00:13:31,844 --> 00:13:33,112
- It's petrifying.
- Wow.
331
00:13:33,179 --> 00:13:34,619
Mona, what else have you got for us?
332
00:13:35,047 --> 00:13:37,950
We talk about opioids
in terms of a national crisis,
333
00:13:38,017 --> 00:13:39,685
but, like so many statistics,
334
00:13:39,752 --> 00:13:42,521
national averages can hide
some really interesting local trends.
335
00:13:42,588 --> 00:13:44,657
To understand how the crisis got started,
336
00:13:44,723 --> 00:13:46,759
let's go back to the '80s and '90s.
337
00:13:46,826 --> 00:13:48,160
In the Appalachian region,
338
00:13:48,227 --> 00:13:51,297
opioids were heavily marketed to injured
coal miners and blue-collar workers
339
00:13:51,363 --> 00:13:52,998
by pharmaceutical companies.
340
00:13:53,065 --> 00:13:54,867
But it wasn't just big pharma's fault.
341
00:13:55,367 --> 00:13:58,871
The mining companies didn't want their
injured workers to take paid time off,
342
00:13:58,938 --> 00:14:01,106
so they had doctors
prescribe the drugs on the job.
343
00:14:01,640 --> 00:14:04,376
Next up, let's look at Utah,
which has a huge problem.
344
00:14:04,443 --> 00:14:06,345
Not surprising,
given that in one year alone,
345
00:14:06,412 --> 00:14:09,181
a third of all adults in the state
were prescribed opioids.
346
00:14:09,582 --> 00:14:12,651
Strangely, one reason for this
might be religion.
347
00:14:12,718 --> 00:14:16,322
Over half the population in Utah
are members of the Mormon Church.
348
00:14:16,388 --> 00:14:18,190
It's a faith that forbids
the use of drugs,
349
00:14:18,257 --> 00:14:20,426
including alcohol, tobacco
and even coffee.
350
00:14:20,492 --> 00:14:23,729
But Mormons are allowed to take drugs
prescribed by a doctor,
351
00:14:23,796 --> 00:14:24,797
like opioids.
352
00:14:25,164 --> 00:14:28,033
- [Amanda] Uh.
- [Mona] One last case study: Colorado.
353
00:14:28,100 --> 00:14:29,580
Like lots of other states in America,
354
00:14:29,635 --> 00:14:32,204
opioid deaths have risen in Colorado
since 2000.
355
00:14:32,271 --> 00:14:35,574
But, in 2014,
they suddenly started to fall. Why?
356
00:14:35,641 --> 00:14:38,177
Well, that's the same year
that cannabis was legalized.
357
00:14:38,644 --> 00:14:41,480
Researchers believe people have been
turning to weed as a substitute.
358
00:14:41,947 --> 00:14:43,467
Jimmy, are you a fan of the Mary Jane?
359
00:14:44,083 --> 00:14:45,184
[laughter]
360
00:14:45,251 --> 00:14:47,653
What, this guy? Oh, yeah, you know me.
361
00:14:48,087 --> 00:14:49,688
[laughter]
362
00:14:50,122 --> 00:14:52,057
I think that makes
an awful lot more sense.
363
00:14:52,124 --> 00:14:55,227
So legalized marijuana is having
a huge effect on the opioid crisis.
364
00:14:55,294 --> 00:14:56,161
Yeah.
365
00:14:56,228 --> 00:15:00,332
I love the idea of a bunch of super high
Mormons going door to door, just like,
366
00:15:00,399 --> 00:15:03,502
"I would like to tell you
about a most amazing book. Hello."
367
00:15:04,136 --> 00:15:04,970
You know?
368
00:15:05,037 --> 00:15:06,338
[laughter]
369
00:15:07,006 --> 00:15:08,440
Amanda, what do you make of this?
370
00:15:08,507 --> 00:15:10,709
Have you used marijuana
to take the edge off some pain?
371
00:15:10,776 --> 00:15:11,977
No, I haven't.
372
00:15:12,044 --> 00:15:15,080
I was, like, afraid of weed.
373
00:15:15,147 --> 00:15:17,516
Not because I was afraid
I would be addicted to it,
374
00:15:17,583 --> 00:15:20,920
but I was around a lot of people
who just weren't doing shit.
375
00:15:20,986 --> 00:15:25,357
Like I had a boyfriend in college
who smoked like 20 blunts a day.
376
00:15:25,824 --> 00:15:27,326
And then he broke up with me
377
00:15:27,393 --> 00:15:30,029
because I was like,
"You're smoking too much weed,"
378
00:15:30,095 --> 00:15:31,830
and he was like, "Well, you know..."
379
00:15:33,232 --> 00:15:35,334
[laughter]
380
00:15:37,236 --> 00:15:39,538
"I feel like that's not fair
381
00:15:39,605 --> 00:15:42,274
because I would never ask you
382
00:15:42,341 --> 00:15:44,376
to stop writing poems."
383
00:15:44,443 --> 00:15:46,545
[laughter]
384
00:15:48,547 --> 00:15:49,587
So, for me, I'm just like,
385
00:15:49,648 --> 00:15:53,452
"If this is the type of shit
that's going down from smoking, I'm good."
386
00:15:54,119 --> 00:15:56,555
Okay, DL, marijuana.
Have you ever come across this stuff?
387
00:15:56,622 --> 00:15:57,489
No.
388
00:15:57,556 --> 00:15:59,091
[laughter]
389
00:16:00,025 --> 00:16:03,065
I've been so fucked up I've been at
a stop sign waiting for it to turn green.
390
00:16:03,095 --> 00:16:03,996
I'm like...
391
00:16:04,063 --> 00:16:06,065
[laughter]
392
00:16:09,301 --> 00:16:11,303
What's the most messed up
you've ever been?
393
00:16:11,370 --> 00:16:14,306
The last week of April this year. So I...
394
00:16:14,373 --> 00:16:15,941
[laughter]
395
00:16:17,409 --> 00:16:19,178
I'm on tour with these cats,
396
00:16:19,244 --> 00:16:21,547
me, George Lopez,
Cedric the Entertainer...
397
00:16:21,613 --> 00:16:23,716
We're in Denver
and I haven't slept in three days.
398
00:16:23,782 --> 00:16:25,822
So I asked one of those guys,
and I won't say who...
399
00:16:25,884 --> 00:16:28,754
I said, "Give me something
that's going to help me sleep," right?
400
00:16:28,821 --> 00:16:30,289
So I took it on Saturday night,
401
00:16:30,356 --> 00:16:32,436
I woke up in the hospital in Denver
on Monday morning
402
00:16:32,491 --> 00:16:35,461
with my wife
in the hospital bed next to me.
403
00:16:35,527 --> 00:16:37,367
I woke up and I went,
"What the fuck happened?"
404
00:16:37,396 --> 00:16:38,664
[laughter]
405
00:16:38,731 --> 00:16:41,233
I had a Fitbit on and it had zero on it.
406
00:16:41,300 --> 00:16:43,335
[laughter]
407
00:16:46,338 --> 00:16:48,440
So I didn't move. I didn't do...
408
00:16:49,241 --> 00:16:50,376
I didn't do nothing at all.
409
00:16:50,442 --> 00:16:52,578
Maybe that's the cure
for the opioid crisis.
410
00:16:52,644 --> 00:16:55,414
We get everyone a Fitbit
and they go, "This has got to change."
411
00:16:55,481 --> 00:16:56,915
[laughter]
412
00:16:57,449 --> 00:17:00,185
Okay. Well, thank you very much indeed,
Mona. Brilliant.
413
00:17:00,586 --> 00:17:02,521
[cheering and applause]
414
00:17:03,822 --> 00:17:06,191
Let's get to the heart of the show:
the fixes.
415
00:17:06,258 --> 00:17:08,794
It's time to solve the opioid crisis
once and for all.
416
00:17:08,861 --> 00:17:12,264
Katherine and Amanda are jonesing
for a fix, so we'll let them go first.
417
00:17:12,331 --> 00:17:13,811
Please give it up for Katherine Ryan!
418
00:17:14,333 --> 00:17:17,036
- Thank you.
- [applause]
419
00:17:17,703 --> 00:17:21,173
People trust their doctors, Jimmy,
which is how my face got like this.
420
00:17:21,673 --> 00:17:26,545
The worst day of my life was when my
gynecologist told me he was also a DJ.
421
00:17:27,446 --> 00:17:31,250
So it's important to remember that,
just like mayors and '90s sitcom actors,
422
00:17:31,316 --> 00:17:33,752
doctors can be very fallible people.
423
00:17:33,819 --> 00:17:36,088
They've contributed to the opioid crisis,
424
00:17:36,155 --> 00:17:39,525
but I'm going to fix it
with pharma drug dealers.
425
00:17:39,625 --> 00:17:42,528
Yeah, every day in America,
doctors are being seduced
426
00:17:42,594 --> 00:17:46,065
by an army of hot, sexy, charming
pharmaceutical reps.
427
00:17:46,131 --> 00:17:48,901
Big pharma makes billions
off the sale of opioids
428
00:17:48,967 --> 00:17:51,503
and they're not using El Chapo
to run their drugs.
429
00:17:51,570 --> 00:17:53,372
They're using El Tricia.
430
00:17:53,439 --> 00:17:54,273
[laughter]
431
00:17:54,339 --> 00:17:57,309
So how do we get doctors
to stop prescribing these drugs?
432
00:17:57,376 --> 00:18:00,579
Make the pharma reps
look like what they really are.
433
00:18:00,646 --> 00:18:01,780
Drug dealers.
434
00:18:01,847 --> 00:18:04,183
Swap out the big boobs for face tats,
435
00:18:04,249 --> 00:18:06,251
the skimpy dresses for wife beaters,
436
00:18:06,318 --> 00:18:08,120
and I'm not talking about a shirt.
437
00:18:09,588 --> 00:18:12,591
Doctors might think twice
before handing out pills willy-nilly
438
00:18:12,658 --> 00:18:15,260
if the drugs were being lobbied
by this guy.
439
00:18:15,327 --> 00:18:19,531
Do you think doctors want this human
trash fire coming into his or her office?
440
00:18:19,598 --> 00:18:20,799
I don't think so.
441
00:18:20,866 --> 00:18:25,037
Can you even imagine a doctor
taking a weekend trip to Boca with him?
442
00:18:25,104 --> 00:18:28,073
I can, and it ends in a lot of blood
and a dead farm animal.
443
00:18:28,140 --> 00:18:29,141
[laughter]
444
00:18:30,242 --> 00:18:31,510
So that's my fix.
445
00:18:31,577 --> 00:18:33,712
Big pharma drug dealers.
446
00:18:33,779 --> 00:18:35,948
[applause]
447
00:18:38,550 --> 00:18:40,853
So you're proposing we change
the relationship
448
00:18:40,919 --> 00:18:42,488
between big pharma and doctors?
449
00:18:42,554 --> 00:18:43,388
Yes.
450
00:18:43,455 --> 00:18:46,291
And we make pharmaceutical reps
actual drug dealers?
451
00:18:46,358 --> 00:18:49,495
They just can't be
these really seductive people,
452
00:18:49,561 --> 00:18:51,563
taking doctors on golfing holidays.
453
00:18:51,630 --> 00:18:53,832
I don't think anybody
suffers through medical school
454
00:18:53,899 --> 00:18:56,635
to conspire purposely
with the pharmaceutical CEO...
455
00:18:56,702 --> 00:18:59,071
- Ah...
- ...but they do enjoy a golf holiday.
456
00:18:59,138 --> 00:19:01,883
I love the fact that you're giving
drug dealers another chance in life.
457
00:19:01,907 --> 00:19:05,811
I love the idea of a drug dealer
driving a 7 Series BMW
458
00:19:05,878 --> 00:19:07,479
and getting a house in the suburbs.
459
00:19:07,546 --> 00:19:08,380
[laughter]
460
00:19:08,447 --> 00:19:10,816
And I think maybe, to go one step further,
461
00:19:10,883 --> 00:19:13,485
you make the pharmaceutical reps...
462
00:19:14,419 --> 00:19:16,054
be the drug dealers.
463
00:19:16,121 --> 00:19:16,955
Yeah.
464
00:19:17,022 --> 00:19:19,291
Chad in a blazer
has to go down and sell crack
465
00:19:19,358 --> 00:19:22,561
and he has to play the game
before the game plays him.
466
00:19:22,628 --> 00:19:23,729
That's how he...
467
00:19:23,795 --> 00:19:26,064
[laughter]
468
00:19:26,131 --> 00:19:27,466
That's what he's got to do.
469
00:19:28,634 --> 00:19:31,303
Okay, ladies and gentlemen,
give it up for drug dealer reps!
470
00:19:31,370 --> 00:19:33,372
[cheering and applause]
471
00:19:36,074 --> 00:19:39,678
We've had one fix from Katherine's team,
but I want another fix right away,
472
00:19:39,745 --> 00:19:41,213
so please give it up for DL Hughley!
473
00:19:41,280 --> 00:19:43,282
[cheering and applause]
474
00:19:44,082 --> 00:19:47,252
Jimmy, the US Is one of only two countries
in the entire world
475
00:19:47,319 --> 00:19:50,155
that allows prescription drugs
to be marketed on TV.
476
00:19:50,222 --> 00:19:52,758
The other one is New Zealand,
which barely counts.
477
00:19:52,824 --> 00:19:54,704
It's like half sheep and half Hobbit.
Who cares?
478
00:19:55,427 --> 00:19:58,297
So let me tell you
what the fix is for the opioid crisis.
479
00:19:58,363 --> 00:20:01,433
It's mandatory opioid ads on television.
480
00:20:01,667 --> 00:20:03,735
I know it sounds bad, but hear me out.
481
00:20:03,802 --> 00:20:05,971
Drug companies advertise because it works.
482
00:20:06,038 --> 00:20:09,908
Drugs with commercials sell nine times
more than drugs without commercials.
483
00:20:09,975 --> 00:20:11,243
Let me put it to you this way.
484
00:20:11,310 --> 00:20:14,112
Your dad takes dick pills
because the NFL told him to.
485
00:20:14,179 --> 00:20:15,480
[laughter]
486
00:20:15,547 --> 00:20:19,751
But opioids aren't advertised on TV
because the side effects are so terrible.
487
00:20:19,818 --> 00:20:22,020
You can't show a video of people kayaking
488
00:20:22,087 --> 00:20:24,368
and then casually mention
that their teeth might fall out.
489
00:20:24,423 --> 00:20:25,657
[laughter]
490
00:20:25,724 --> 00:20:27,993
But, for our fix, maybe we should.
491
00:20:28,060 --> 00:20:30,062
If we force the drug companies to make ads
492
00:20:30,128 --> 00:20:32,531
for opioids,
people might start to understand
493
00:20:32,598 --> 00:20:36,068
how much more dangerous a drug
like Fentanyl is compared to Valtrex...
494
00:20:36,535 --> 00:20:39,605
which I do not take, no matter
what my wife tells women after my shows.
495
00:20:39,671 --> 00:20:41,039
[laughter]
496
00:20:41,106 --> 00:20:43,875
We went ahead and made one of these ads
just to prove our point.
497
00:20:43,942 --> 00:20:45,077
Take a look.
498
00:20:45,143 --> 00:20:46,143
Hi there.
499
00:20:46,511 --> 00:20:47,713
I have chronic pain.
500
00:20:48,113 --> 00:20:51,817
So my doctor prescribed something
to take away that pain...
501
00:20:52,351 --> 00:20:54,720
and all sense of reality.
502
00:20:55,320 --> 00:20:56,622
[laughter]
503
00:20:56,688 --> 00:20:58,957
I have no idea where I am right now...
504
00:20:59,424 --> 00:21:00,726
thanks to Oxycodone.
505
00:21:00,792 --> 00:21:04,730
[woman] Oxycodone's a narcotic
that impacts the central nervous system
506
00:21:04,796 --> 00:21:08,667
and releases dopamine, causing
a false sense of emotional well-being
507
00:21:08,734 --> 00:21:12,838
and replaces pain
with a crippling addiction to Oxycodone.
508
00:21:12,904 --> 00:21:14,573
And that's the good news.
509
00:21:14,640 --> 00:21:17,509
Side effects of Oxycodoneinclude nausea,
510
00:21:17,576 --> 00:21:19,411
vomiting, constipation...
511
00:21:19,945 --> 00:21:20,945
and death.
512
00:21:22,981 --> 00:21:24,283
[wind blowing]
513
00:21:25,817 --> 00:21:27,286
Huh. Will you look at that?
514
00:21:28,220 --> 00:21:31,490
Anyhoo, more serious side effects
of Oxycodone
515
00:21:31,556 --> 00:21:34,793
include loss of job, loss of income,
loss of family,
516
00:21:34,860 --> 00:21:38,330
having something in common
with Rush Limbaugh, loss of dignity.
517
00:21:38,397 --> 00:21:39,397
Sir, hello?
518
00:21:39,831 --> 00:21:41,366
Did I mention that one already?
519
00:21:42,000 --> 00:21:44,503
I don't know.
I'm bombed out of my mind right now.
520
00:21:44,569 --> 00:21:46,371
Also thoughts of suicide,
521
00:21:46,438 --> 00:21:48,106
thoughts of starting a band
522
00:21:48,173 --> 00:21:49,173
and, finally...
523
00:21:49,675 --> 00:21:52,844
dying in a public park
in the middle of a pharmaceutical ad.
524
00:21:52,911 --> 00:21:54,012
Hey, we've got another one.
525
00:21:54,513 --> 00:21:56,615
Clean up on Aisle Me.
526
00:21:56,682 --> 00:21:57,516
[laughter]
527
00:21:57,582 --> 00:22:00,152
Ask your doctor if Oxycodone
is right for you.
528
00:22:00,218 --> 00:22:01,320
If he says yes...
529
00:22:01,853 --> 00:22:03,155
get a different doctor.
530
00:22:03,221 --> 00:22:06,858
[woman] Oxycodone,
the last drug you'll ever take.
531
00:22:06,925 --> 00:22:09,061
Hey, does anybody have any Oxycodone?
532
00:22:09,127 --> 00:22:10,462
[applause]
533
00:22:10,529 --> 00:22:11,463
I'm good.
534
00:22:11,530 --> 00:22:12,864
[laughter]
535
00:22:12,931 --> 00:22:14,499
[DL] Well, that's my fix.
536
00:22:14,566 --> 00:22:15,801
You guys are welcome.
537
00:22:16,234 --> 00:22:19,971
This is a great idea. You're going
to force pharmaceutical companies
538
00:22:20,038 --> 00:22:22,550
- to be honest about opioids.
- Tell them what you're working with.
539
00:22:22,574 --> 00:22:24,876
Then if they're honest
about the side effects,
540
00:22:24,943 --> 00:22:27,112
then people aren't going to
take the drugs presumably.
541
00:22:27,179 --> 00:22:29,381
- Right.
- I don't think people would take opioids
542
00:22:29,448 --> 00:22:32,718
from a doctor if they called them
opioids or heroin.
543
00:22:32,784 --> 00:22:35,420
When they give them these brand names,
it kind of makes it okay.
544
00:22:35,487 --> 00:22:36,421
But if you said to them,
545
00:22:36,488 --> 00:22:38,928
"Oh, you've got back pain.
What about a little bit of heroin?"
546
00:22:38,990 --> 00:22:40,492
[laughter]
547
00:22:40,559 --> 00:22:43,462
I think people would go, "Steady on,
Doctor, it just hurts a little bit."
548
00:22:43,528 --> 00:22:44,863
[laughter]
549
00:22:44,930 --> 00:22:46,474
What do you like about this idea, Sara?
550
00:22:46,498 --> 00:22:50,702
I like it because there are too many ads
for these random drugs
551
00:22:50,769 --> 00:22:54,106
for conditions that I assume
only, like, four people have.
552
00:22:54,172 --> 00:22:57,042
I'll be watching, you know,
Cheaters or something..
553
00:22:57,109 --> 00:22:58,377
[laughter]
554
00:22:58,443 --> 00:23:03,348
A commercial for a drug for Non-Hodgkin's
female feline fibromyalgia comes on...
555
00:23:03,415 --> 00:23:05,083
[laughter]
556
00:23:05,617 --> 00:23:07,352
"I have that."
557
00:23:07,419 --> 00:23:08,653
[laughter]
558
00:23:08,720 --> 00:23:09,588
It's strange.
559
00:23:09,654 --> 00:23:11,089
I think it's a really good idea,
560
00:23:11,156 --> 00:23:14,025
because doctors maybe don't give
all those side effects in the room.
561
00:23:14,092 --> 00:23:16,337
They just say, "You'll feel better,"
and leave it at that.
562
00:23:16,361 --> 00:23:19,197
But people need to know
that if you take synthetic heroin,
563
00:23:19,264 --> 00:23:21,266
- then you are going to die.
- [laughter]
564
00:23:21,700 --> 00:23:23,911
And they probably just think
the drugs are really working
565
00:23:23,935 --> 00:23:25,771
because the patients never come back.
566
00:23:26,438 --> 00:23:29,875
They're like, "Charles's back pain
is definitely out of here."
567
00:23:29,941 --> 00:23:32,310
He's sucking thumbs under a bridge
for heroin.
568
00:23:32,377 --> 00:23:33,512
[laughter]
569
00:23:35,547 --> 00:23:38,216
Okay, give it up for mandatory opioid ads.
570
00:23:39,050 --> 00:23:39,885
Great.
571
00:23:39,951 --> 00:23:42,087
[applause, whooping]
572
00:23:42,687 --> 00:23:46,658
So Katherine and Amanda are proposing
turning felons into pharmaceutical reps
573
00:23:46,725 --> 00:23:49,961
and DL and Sara are suggesting
we trust the advertising industry
574
00:23:50,028 --> 00:23:51,830
to tell us the truth about opioids.
575
00:23:51,897 --> 00:23:53,064
[laughter]
576
00:23:53,131 --> 00:23:54,833
Audience, please vote
for your favorite now
577
00:23:54,900 --> 00:23:56,868
and remember your first vote is free,
578
00:23:56,935 --> 00:23:59,304
but if you like it there's plenty more
where that came from.
579
00:23:59,371 --> 00:24:00,739
[laughter]
580
00:24:01,840 --> 00:24:03,575
Well, I can tell you the votes are in
581
00:24:03,642 --> 00:24:06,178
and, with 67% of the vote, DL has won.
582
00:24:06,244 --> 00:24:08,413
We're having honest ads about opioids!
583
00:24:08,480 --> 00:24:10,248
[cheering, applause]
584
00:24:10,315 --> 00:24:12,451
So that's that,
the opioid crisis is solved.
585
00:24:12,517 --> 00:24:14,486
- Let's just hope we don't relapse.
- [laughter]
586
00:24:14,553 --> 00:24:18,190
Thanks to Katherine Ryan,
Amanda Seales, DL Hughley,
587
00:24:18,256 --> 00:24:21,193
Sara Schaefer, our brilliant data expert
Mona Chalabi,
588
00:24:21,259 --> 00:24:23,995
everyone here in the studio,
and to all of you watching at home.
589
00:24:24,062 --> 00:24:26,231
We're going to be solving
more of the world's problems
590
00:24:26,298 --> 00:24:29,801
in five, four, three, two, one...
591
00:24:30,368 --> 00:24:33,371
[audience cheering, theme song plays]
46607
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