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76 pages 2 hours read

Patrick Radden Keefe

Empire of Pain: The Secret History of the Sackler Dynasty

Nonfiction | Biography | Adult | Published in 2021

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Symbols & Motifs

Trees, Roots, and Origins

Radden Keefe subtitles the work’s prologue “The Taproot,” a botanical reference with thematic significance throughout Empire of Pain. Taproots are the fundamental base from which a tree grows. In her deposition, borrowing a metaphor from New York Attorney General Leticia James, Kathe Sackler presents herself as OxyContin’s “taproot” (6)—and Radden Keefe argues that the drug itself served the same function in a public health crisis around opioid use disorder and overprescription.

Radden Keefe’s book continues the metaphor of the root system. The Sackler family tree at the book’s beginning underlines the importance of familial roots to the story of Purdue. By opening with an in-depth analysis of the life of Arthur Sackler, Radden Keefe suggests that OxyContin’s origin story is, in fact, a family story. When Arthur’s wife Jillian and his daughter Elizabeth attempt to divorce Arthur from OxyContin, they will also evoke the same botanical metaphor—that their side of the family tree has a healthy root, unlike that of Mortimer, Raymond, or Richard.

Radden Keefe’s work is a counterargument to this line of thinking, since he demonstrates that Arthur, too, relied on corruption, secrecy, and the avoidance of liability to make his fortune. The work’s closing image comes from Jeff, a groundskeeper on a Sackler family estate who lived with opioid addiction while cultivating the pristine trees the family demanded—hiding evidence of fallen leaves just as the Sacklers hid their company’s wrongdoing to maintain a pristine public image.

Art

Art and the power of representation shaped the Sackler family and some of their most ardent political opponents. After amassing a fortune, Arthur Sackler took up art collecting, specifically pieces from China. Arthur’s family and friends noted that this became a fervent passion, almost a “sensual’ process” (69). However, Arthur’s patronage was never selfless. On top of laundering his reputation and burnishing his family name, Arthur enjoyed wielding power in what he called the “dangle”—promising a museum a future donation in exchange for something he wanted, like a personal “enclave” in the public Metropolitan Museum of Art (100-01).

In contrast to Arthur’s use of art as a smokescreen, artist Nan Goldin was dedicated to using photography to depict real truths. For her, opposition to the Sacklers became an “organizing principle” (374)—Goldin and other protestors used art installations to expose Sackler family’s ties to Purdue, OxyContin, and the opioid crisis: One survivor created a giant sculpture of a skeleton made out of pill bottles. For Goldin and others, art was politics, a way to shine a light on corruption and those escaping accountability through wealth.

A recurring motif in the book is the absence of art in the wake of the Sacklers. Marietta Lutze recalled her divorce from Arthur Sackler in the form of the “ghost marks” of missing paintings on the walls of their home (130). Radden Keefe borrows her phrase when decades later, plaques to the Sackler family are removed from artistic institutions, leaving “the faint, grubby outline where the name used to be” (415). If Arthur’s collection represents the pinnacle of his achievement, its disappearance signals a change in the family’s political fortunes.

Organized Crime

Many of those who investigated or worked with the Sackler family saw parallels between American business culture and the world of organized crime. In the 1960s, the pharmaceutical industry’s tactics with the FDA reminded Senator Estes Kefauver of how “the mob could corrupt government […] the very public agencies that should have been policing their activities were co-opted instead” (84-85). One Purdue employee described longtime attorney Howard Udell as “Tom Hagen in the Godfather” (157)—the Corleone family consigliere. In a 2008 trial, Udell “had to take the fall to protect the family” (299), echoing exactly the emphasis on organizational loyalty that dominates accounts of the mob.

The organized crime parallels underline that any corrupt business can resemble an underworld organization, provided it relies on exploiting the law more than adhering to it. The Sacklers regularly argued that the FDA’s approval of OxyContin proved that the drug could not be as dangerous as their critics claimed, but they did not acknowledge that the drug approved quickly and with a description that emphasized its general safety compared to morphine or other opioids because of the company’s deliberate cultivation of relationships at the agency. Richard Sackler was incensed by any comparison of the family business to organized crime. But, their sales tactics were similar: Purdue targeted pain clinics, while heroin dealers targeted addiction treatment centers. Both specialized in the pursuit of profit without morality.

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