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McKinsey Advised Purdue Pharma on How to Supercharge OxyContin Sales During Crisis

Danger Close · Danger Close | The Fourth Option Podcast: Gerald Posner · June 24, 2026
McKinsey Advised Purdue Pharma on How to Supercharge OxyContin Sales During Crisis
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Danger Close | The Fourth Option Podcast: Gerald Posner
"McKinsey does what they do. They charge a lot of money and they do this long review and then they come back with an analysis. And they come back with an analysis that tells them how they can supercharge sales. When you're talking about, at that point, by the time McKinsey was doing this, we already knew that the trail of what OxyContin had left across the US was not very good."
Posner broke the story that McKinsey & Company consulted for Purdue Pharma in 2013-2014, advising them on how to 'supercharge' OxyContin sales even as the devastating impacts of opioid addiction were already well-documented. McKinsey later had to settle lawsuits and apologize, but Posner argues this represents one of the consulting firm's darkest chapters.

About this episode

On this episode of the Fourth Option Podcast, host Jack Carr interviewed bestselling investigative author Gerald Posner about his groundbreaking book 'Pharma: Greed, Lies, and the Poisoning of America.' Posner, who has spent decades exposing pharmaceutical industry corruption alongside his wife Tricia, detailed the industry's evolution from Civil War-era morphine production through the modern opioid crisis. The conversation's most explosive revelation concerned early COVID-19 legislation: Posner disclosed that both parties initially included language preventing pharmaceutical companies from owning vaccine patents developed with government money, but that provision was stripped within 8 days, demonstrating pharma's bipartisan power in Washington. Posner also revealed previously unknown details about the Sackler family, including that the brothers who founded Purdue Pharma were card-carrying Communist Party members during the 1950s Cold War era, obtained through FOIA requests. The discussion covered how Purdue ignored a 2007 consent agreement and actually increased aggressive OxyContin marketing, how McKinsey advised them to 'supercharge' sales during the crisis, and how the Supreme Court recently overturned bankruptcy protections that would have shielded the billionaire Sacklers from litigation. Posner explained Arthur Sackler's invention of modern pharmaceutical marketing techniques in the 1950s and how those tactics enabled the opioid epidemic that kills 100,000 Americans annually. The episode also touched on Posner's landmark JFK assassination research in 'Case Closed' and his upcoming work on Swiss financiers who handled Nazi loot. Throughout, Posner maintained his characteristic glass-half-full outlook while documenting institutional failures, emphasizing that while pharmaceutical scientists do heroic work, marketing departments and lack of government oversight have repeatedly prioritized profits over public health.

Key takeaways

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