Latest / The Jon and Marc Podcast / Inside the $70B Opioid Litigation and the New Battle Against Pharmacy Benefit Managers
Transcript
- 0:00We're not talking aspirin, you know, We're not talking
- 0:02antibiotics. We're talking opium.
- 0:04The most addictive molecule. Replicated it in massive
- 0:08quantities of high potency. Put it in a pill.
- 0:11And then sold it to the most trusted people in America
- 0:14wearing white coats. At pharmacies.
- 0:17As non addictive. As non addictive.
- 0:28Thursday morning in Puerto Rico and our first guest today on the
- 0:31John and Mark podcast is former presidential candidate.
- 0:35Paul Farrell, also Co lead of the opioid litigation, also
- 0:41involved in the Google antitrust litigation to help protect some
- 0:44of the publishers, the small guys.
- 0:46If you are in the mass tort world, you know, Paul, we're
- 0:49going to get deep into some of his involvement in these
- 0:52specific cases. And I want to know what actually
- 0:54happened with your presidential run.
- 0:56We will get into that too, but thank you so much for joining us
- 0:59on the podcast. Thank.
- 1:00You for having. Me, Paul, we're in Puerto Rico.
- 1:02I'm covered in linen. We have a beautiful view.
- 1:05And everyone I've talked to, I said I've we needed to speak
- 1:08with you. OK.
- 1:09They didn't say why, but they kept saying you need to talk to
- 1:12Paul. Yeah.
- 1:13So let's get into it. The opioid litigation.
- 1:16I didn't realize you're the man behind the scenes on that
- 1:19humongous like, litigation that's still ongoing.
- 1:21Like, how much have you guys recovered so far?
- 1:23Where is it in the process? We'd love to just learn more
- 1:26about that because it is recently was just in the new
- 1:29cycle again. The short answer is, is we've
- 1:31recovered about $70 billion and most of the money we have.
- 1:35Structured in settlement to cities, counties and states with
- 1:40guardrails to use only for the abatement of opioid use, abuse,
- 1:45morbidity and mortality. So in short, what we're trying
- 1:48to do is avoid the tobacco settlement scenario where the
- 1:52money gets picked up by the state legislatures and
- 1:55disappears into the the the public digest and the budgets.
- 1:59And so we have. We've created in each of the 50
- 2:02states. Some type of structure so we
- 2:04know the money gets spent to help addiction.
- 2:06We started the case at the top of the food chain, the
- 2:10manufacturers, Purdue Pharma, then the generics and then the
- 2:13distributors. And then we moved on to the
- 2:16chain pharmacies. And now we're on the fourth and
- 2:19last iteration, I think, of the pharmacy benefit managers.
- 2:22This is a a topic that like I, I personally care a lot about my
- 2:27my father was addicted to opioids for a while and he got a
- 2:31really bad accident when I was probably 12-13 years old.
- 2:35I think you know the story Like he used to work in a prison and
- 2:39the elevator malfunctioned. Big old prison elevator door
- 2:44sensor broke and knocked him to the ground and knocked out all
- 2:50of his teeth, hurt his back like couldn't work again after that.
- 2:53And you know, the way that he dealt with it was with
- 2:57oxycodone, hydrocodone, it doesn't just affect the
- 3:02individual, it affects the family.
- 3:04It's a major, major problem. I don't think people actually
- 3:08know what you just said that the recoveries for, for this case is
- 3:14going into fixing the problem as opposed to just compensation for
- 3:18the damages that that have occurred.
- 3:20And, and I personally, I did not know that.
- 3:23And I, I thank you for that and for continuing to pursue that
- 3:26because that is something that is especially.
- 3:27The point we made with this this the city and state legislators
- 3:30get the money, then it's it's gone, disappears.
- 3:33Yeah. And no one gets helped.
- 3:35So in West Virginia with the tobacco settlement, I think we
- 3:39used the money to retire public debt to especially our workers
- 3:43compensation public funds and for, you know, infrastructure in
- 3:47the state. Very little that was actually
- 3:49used for tobacco cessation. We had that consciously in mind
- 3:53when we started this litigation, and it was the reason that we
- 3:57structured it the way that we did.
- 3:59So my hometown in Huntington, WV is Ground Zero.
- 4:03It's one of the earliest places that you can see the blossom of
- 4:06the opioid epidemic. There's a great book.
- 4:10There's a lot of great books, but the book that I cherish the
- 4:12most is called Dreamland by Sam Quinones, and he talks about the
- 4:17intersection between the prescription pill flood and the
- 4:23intersection with heroin, black tar heroin from Mexico.
- 4:26In Chapter 2, it's called Huntington, WV, where he's
- 4:29sitting on the riverbank sort of wondering how it is that we got
- 4:33to this position we're in. It's one of the the early
- 4:36foundations for how I began to think about it back in 2016.
- 4:42We had newspaper headlines in West Virginia, which is going to
- 4:45tie into my Google. Case later the Charleston
- 4:49Gazette, the headlines of the Charleston Gazette said. 700
- 4:53million pills, 1700 deaths. Some local journalist got a hold
- 4:59of some data accidentally from the DEA that revealed the volume
- 5:03of pills that were distributed into the state of West Virginia.
- 5:07That's insane. Now, to give you some
- 5:08perspective, we have 1.3 million people in the state of West
- 5:13Virginia. 700,000 pills 700 million 700 million pills.
- 5:18And a six year window. And 17,000 in West Virginia.
- 5:22Yes, so that so my, my, my father's a judge and every
- 5:28Sunday morning he has a breakfast for his the boys and
- 5:31their families. You know, he puts on an apron
- 5:33and he cooks eggs and bacon after church and say, I remember
- 5:36we was. Sitting at the kitchen table.
- 5:39And my mom has that newspaper and she plops it down in front
- 5:42of me and she says. What are you going to do about?
- 5:46It I said, Mama, that's not what I do.
- 5:48I'm a. Personal injury lawyer and she
- 5:50says. Well, you should do something
- 5:51about it. So I took that challenge and
- 5:55started thinking about it, and there was just something in the
- 5:59back of my mind that triggered that.
- 6:02What? This wasn't really a personal
- 6:04injury case. It was like if the Exxon Valdez
- 6:08crashed into the shores of Alaska and dumped oil
- 6:11everywhere. The private land owners would
- 6:14have a remedy. But in also in general, the
- 6:18public would have a remedy for the damage to the
- 6:21infrastructure, the water, the beach line, the ocean, right?
- 6:24There's a public nuisance consequence.
- 6:26A common law public nuisance consequence.
- 6:29To to behavior, especially at a corporate level.
- 6:33And so I got out the West Virginia code and I started
- 6:36thinking about who has standing to bring a public nuisance case
- 6:41on behalf of the public, not a private.
- 6:44Cause of action for a public nuisance.
- 6:46But if the public has a cause of action, who has standing?
- 6:50And I started flipping through it.
- 6:52And I came across this one code section that said that our
- 6:56county commissioners. Have standing to eliminate
- 7:00hazards to public health and safety and debate or cause to be
- 7:06abated public nuisances. So I went to the next county
- 7:09Commission meeting and said to the three commissioners.
- 7:12I got this code section says here you have a.
- 7:15Do you have a standing to do something about this?
- 7:18Let me do something for you. I'll pay for it.
- 7:21If we lose, I'll eat all the costs.
- 7:24If we in, you know you owe me a. Fee and they said sure.
- 7:28You you treated it like a a true plaintiff's lawyer.
- 7:31I filed the first public nuisance case on behalf of my
- 7:34hometown, Cabo County, West Virginia.
- 7:37And then? I started as word started to
- 7:40spread. I went down into southern coal
- 7:42fields. I went across the Ohio River to
- 7:45southern Ohio. I went over into Eastern
- 7:47Kentucky and I wound up with about. 40 counties that were in
- 7:50the heart of this devastation of pills in in basically at the
- 7:55apex under the devastation. All of a sudden, like any true
- 7:59epidemic, the hotspot started popping up in other places
- 8:02around the country, right. New Mexico was a hotspot.
- 8:06If you look at the CDC death maps now you can see.
- 8:09Over time the flare of the opioid epidemic and slowly this
- 8:14thing started, you know, getting more and more attention and MDL
- 8:18was formed. I got appointed Co lead of the
- 8:21MDL. And the little hillbilly lawyer
- 8:24from West Virginia. Got to be in.
- 8:26Charge of the biggest, most complex case in the history of
- 8:29our MDL world. Where does it currently sit now?
- 8:34So we're in Cleveland. Ohio still and there's about
- 8:383000 cases. 3000 counties and cities across the country have
- 8:42all joined in. And we've settled with the three
- 8:46of the four. There's a chain of distribution
- 8:48that you can follow. The manufacturers, the
- 8:51distributors, the pharmacies, those cases are 95% done since
- 8:55Stradler's and the newest iteration is we're exploring the
- 9:01role of pharmacy benefit managers, the health insurance
- 9:04companies that evolve vertically and integrated and control the
- 9:07formularies in America and have contracts, rebate contracts with
- 9:12the manufacturers. I've, I've learned a little bit
- 9:14about those recently. Yeah, those are quite a scheme.
- 9:18It's a. It's a corporate structure that
- 9:21seems to have grown so substantially and so
- 9:26significantly. The amount of power and control
- 9:29they have over healthcare decisions is astonishing.
- 9:32So the premise of the case in a, in a 32nd summary is that the
- 9:41manufacturers, the distributors, the pharmacies are all aware of
- 9:45what's going on and that the pills aren't necessarily going
- 9:47to the the end user to use them or they are.
- 9:51And they're, they're clearly being done at a, or being
- 9:57prescribed at a rate that they should not be prescribed.
- 9:59Both, both, right? But those are the 2 avenues.
- 10:03We call it. The legal term for it is.
- 10:05Diversion is that the pills are going in such quantity to so
- 10:11many people that it's clear, facially evident, that the pills
- 10:16cannot have a legitimate medical purpose.
- 10:18So when you look and you see a million pills a year going
- 10:22through one pharmacy in a town of 1700 people, clearly and
- 10:29objectively there is no legitimate medical.
- 10:31Purpose for that right, there are controls in the system
- 10:35required by federal law to identify those anomalies and to
- 10:40prevent them. So whether it's from at the
- 10:42manufacturer level or the distributor level or the CVSS of
- 10:46the world, they have data points that indicate not just where the
- 10:50pills are leaking, but where they're just gouts just flowing
- 10:54out unrestricted like I can Pez dispenser and so.
- 10:59It's for those people that we have held accountable for
- 11:02controlling controlled substances because remember,
- 11:05we're not talking aspirin, you know, we're not talking
- 11:08antibiotics. We're talking opium.
- 11:11And. We're not just talking opium,
- 11:14we're talking the most. Addictive molecule created by
- 11:18God, man, and in this case the American pharmaceutical.
- 11:23Industry isolated that molecule, replicated it.
- 11:29In massive quantities of high potency put it in a pill and
- 11:34then sold it to the most trusted people in America.
- 11:37Wearing red coat. Wearing white coats.
- 11:39At pharmacies. As non addictive.
- 11:41As non addictive. Have you have you ever taken a
- 11:45pill? I have.
- 11:46Absolutely. Have you ever taken a pill?
- 11:48Yeah, like for surgery. How does it make you feel?
- 11:51I get pretty sleepy. How did it make you feel sleepy?
- 11:55Where are you going with this? I'm just.
- 11:58I'm just no. No, like this is, this is like
- 12:02the reality of it is it's, it's real people who take these
- 12:05things for, for real reasons. And, and it turns into something
- 12:10else. Like I've, I've, I have like an
- 12:12emergency prescription of, I think it's hydrocodone.
- 12:16So I have spinal stenosis in my back, OK, right.
- 12:18And when the nerve in my back touches the herniated disc, I
- 12:23can't move. I think I've, you've seen me
- 12:25like this before where I'm stuck for like 3 days.
- 12:28The only thing that can get me to to move, to get up, to go to
- 12:33the bathroom, to get dressed is to, to take, I take half a pill
- 12:38and it's like the magical elixir, right?
- 12:41All of a sudden I can get up, I can move.
- 12:43I have this false sense of security that everything is good
- 12:45now and then it comes back in four to six hours.
- 12:49And I, I have a choice at that point, either can lay back down
- 12:53and and be horizontal until the the issue subsides, or you can
- 12:57take another pill. And not everyone has the
- 12:59self-control to be able to say, I'm just going to lay down and
- 13:02wait and do 15 minutes on 15 minutes off with ice.
- 13:05You're just going to take another pill.
- 13:07And that feeling of being able to just eliminate the pain and
- 13:11the problems. Is it is not a safe thing?
- 13:16You can live on that stuff. Yes.
- 13:19So. I'm not a doctor, but I have now
- 13:21been around enough families and enough.
- 13:23You're almost pretty much an expert.
- 13:25I've heard this story before. This is what I, I would say if
- 13:30you were my client or if I were a doctor and you are my patient,
- 13:34is that the pain is, is not being eliminated.
- 13:39It's just being dampened, like the opium is covering the marker
- 13:44of the pain. The pain is there for a reason.
- 13:46It's your body's physiological response to something going on.
- 13:50And so yes, taking an opiate does cover or mask the pain.
- 13:56But what we know now from the CDC data is that if you are
- 14:03prescribed a week of prescription opioids A7 day
- 14:07supply, 7% of the population is refilling that prescription a
- 14:14year later. So if you think about that just
- 14:17as its own statistical proof, if you start a prescription or
- 14:22prescription opioids A1 week prescription, if if you fill it,
- 14:25the doctor writes it and you take it to a pharmacy, we know
- 14:28now that 7% of that population is still refilling a year later
- 14:35if you refill that week prescription.
- 14:39Like you get a week and then you get a refill for the second
- 14:43week. We know that 17% of the
- 14:47population is still refilling a year later.
- 14:51And if you have. A 30 day prescription and you
- 14:55refill that prescription. We know more than 30.
- 14:58Percent of the population is still.
- 15:00Refilling it a year later. So are you saying like a seven
- 15:04day prescription, like refilling on 7 day increments a year
- 15:08later? I thought you were saying 7 days
- 15:12and then a year later they refill.
- 15:14They're still refilling a year late.
- 15:17This is insane but. So what we're But again, it is
- 15:21insane except for it's opium. Yeah, it's correct.
- 15:26It's it's opium that's been processed the perfect way of
- 15:30putting a pill by the smartest scientists in America.
- 15:32Right now to put it in a little more context.
- 15:35So of course I've had plenty of time to read about all of this
- 15:38and it occurred to me that there have been other occasions where
- 15:42where this has happened. And so to me, I found this
- 15:45great. Quote that says that there's no
- 15:47new evil in the world, we just reinvent ways to deliver pain,
- 15:51right. And so it made me think about
- 15:53the historical passages of all of this.
- 15:55And so I was reading about when when England was colonizing
- 16:00India the in the early 1800s. It became a cost prohibitive,
- 16:06right? England was spending a whole
- 16:08bunch of money on its colony in India.
- 16:10And you know, back in England at Parliament, they're like, we, we
- 16:13have these colony, this colony to make us money, to make us
- 16:17the, the empire under the sun, right?
- 16:19The money. Should flow back to us.
- 16:21But it's draining our coffers. What's the biggest cash crop in
- 16:25India? The poppy.
- 16:27Fields the English parliament didn't want to sully itself with
- 16:33being peddlers of opium, so they gave a charter to a company that
- 16:39would take the the poppy in in England, the opium in England
- 16:43and or in India and. Sell it somewhere else, the East
- 16:46India Trade Company. And so the East India Trade
- 16:49Company would take cannonball size, you know, balls of opium
- 16:54and put them on these huge ships and take it to.
- 16:56China think you, you might know where I'm going with this.
- 17:00So that in China at this time in the early 1800s.
- 17:05The the Chinese people thought the white man, they were
- 17:09Barbarians, big, hairy, crude, rude, smelly white men on big
- 17:15ships that were coming. And they would not let us come
- 17:18inland. They had this one little port
- 17:21with these big gates, and this is where all the camps were for
- 17:26all the shippers who would come and land and they would have
- 17:29markets outside of the gates and then the goods could be taken
- 17:33inside the gates, right? Well, we started.
- 17:35Bringing all the opium into China.
- 17:38Well, all of a sudden opium became a problem in China and
- 17:43the Chinese emperor decided. Looked.
- 17:45I don't know what they're bringing.
- 17:46To us. But this is awful, right?
- 17:48So they decided to punish the users.
- 17:51They were going to arrest their way out of the problem.
- 17:54And So what they begin doing is flogging the opiate addicts in
- 17:59the streets to teach them a lesson.
- 18:01And all of a sudden they were, they were flogging 250,000
- 18:05people. Like, I mean, it was, it was
- 18:06perfect. So then they decided, OK, we
- 18:08can't, we can't beat our way. We can't punish our way out of
- 18:13the, the users. So if you get caught dealing the
- 18:17white man's opium in China, we're going to publicly
- 18:21strangulate you like you have to get on your knees in the town
- 18:24square and we're going to strangle you well after they
- 18:27executed 25,000 drug dealers, the Chinese emperor said.
- 18:31This isn't working. So he created an embargo around
- 18:34the this little inlet and put up his warships.
- 18:38Well, unbeknownst to the Chinese emperor, the greatest sea
- 18:43wartime Navy in the world at this point was owned by the East
- 18:48India Trade Company. So the East India Trade Company,
- 18:52under charter with Parliament had war powers, blew up the
- 18:56blockade and occupied this little inlet called Hong Kong.
- 19:02And Britain didn't give it up for another 100 years.
- 19:05And it resulted in the toppling of the Chinese emperor, the
- 19:08Chinese diaspora, the Boxer Rebellion, and it's how we wound
- 19:11up with the Chinese immigrants. Into the West Coast of.
- 19:15America and they brought with them their their opium.
- 19:20And so then we began to see the first signs of opiate addiction
- 19:24and laudanum in the 19 teens in America.
- 19:27And so, like I said, I've said this before.
- 19:31It's like Pandora's. Box Every time we've figured out
- 19:34a new, better delivery system of opium, we've had an outbreak.
- 19:40Right when there was a new market in China, there was an
- 19:43outbreak. When there was a new market in
- 19:45America in the early 1900s, there was an outbreak.
- 19:48And what we've done here in America is we created a new
- 19:52market when the Pharmaceutical industry jumped on board with
- 19:55opium. License.
- 19:57And license to to dispense History repeats itself.
- 20:01My brain is like now you said it all my it's all clicking and.
- 20:05What's the alternative right if opiates go away right if the the
- 20:12if you just get rid of them and remove them from society, What
- 20:15is what is the alternative method of pain resolution for
- 20:21individuals for you? It's surgery, right?
- 20:26For cancer patients, for palliative care, it's morphine,
- 20:30right? It's it's, it's what what I
- 20:34think it there is an absolute place.
- 20:37Not only in our society, but in the practice of medicine for.
- 20:40Opiates, no question about it, but I think where we got where
- 20:46this thing really went off the rails is, you know, in the
- 20:49early. 2000s when they were clear signs of abuse.
- 20:54It's when it wasn't pain specialists or oncologists or
- 20:59board certified doctors that were prescribing it, when all of
- 21:02a sudden we were pushing the pain pills through family
- 21:09physicians that were just handing it out like aspirin or
- 21:12an ibuprofen or an anti-inflammatory.
- 21:15That's where it really turned the corner.
- 21:18And there were supposed to be safety valves on all of this
- 21:21distribution chain of supply and we just blew through it, right.
- 21:26But again, it's not like. There was a speed limit for 55
- 21:30and that there were there were doctors prescribing at 60 miles
- 21:34an hour or 70 miles an hour, right?
- 21:37On 1000 miles an. Hour, right?
- 21:39It's like if the safety valve on your hot water tank is supposed
- 21:42to be 120°. We were letting it get to 5.
- 21:44100° I see a lot of parallels to like and same time frame to to
- 21:50the mortgage crisis. There should have been so many
- 21:52different, so many different clear indicators to people that
- 21:57there was a problem. And the sad part about the
- 21:59opioid epidemic is that in the mid 2000s.
- 22:01The DEA did try to get to intervene.
- 22:05It's a whole nother story. There's a great 60 minute series
- 22:08on it with Joe Rinnazessi from the DEA who the the title of the
- 22:12segment is called Whistleblower where he went after the
- 22:15distributors to try to choke down the supply and they went to
- 22:19Congress and got him fired. Funny other words, I when you're
- 22:23going to the story. I've been in the mass tort world
- 22:26for a good bit now. I actually, I see the the
- 22:30verdicts come out or on the opioid stuff here or there pops
- 22:32up. But generally it's been
- 22:33extremely quiet in the news, in the news cycle.
- 22:36And I'm very surprised that like, I want to know who's
- 22:39behind the scenes making sure that none of this news is
- 22:42getting out to the public because I don't, I didn't
- 22:45realize it was 50 billion or what would you say, 7070
- 22:48billion, 70? Billion now, yeah.
- 22:51You you hear it, but it goes away.
- 22:53The news. Very quick it'll be like, oh,
- 22:54Walgreens get has to settle for whatever.
- 22:57I don't think most of the audience knows a 70 billion and
- 22:59it's like that new cycle. I know they had a bad PR section
- 23:03for a while but the Pharmaceutical industry has kept
- 23:05this under hush pretty well. The most astonishing thing to me
- 23:10is that all of most of the companies that settled with us,
- 23:14their stock prices rose after the settlement.
- 23:17Yeah. They're reducing the exposure.
- 23:19Yeah, it's, it's it's. These companies are so large
- 23:24they're impossible to fail, and they.
- 23:27They vertically integrate and consolidate the markets in a
- 23:30contraction. There's more money in the market
- 23:32than you've ever seen. So yeah, I mean, it's, it's it's
- 23:35astonishing. Was the opioid issue related to
- 23:40your presidential run? No.
- 23:43Completely around the same time. The presidential run was right
- 23:47before. I think right before all of this
- 23:50happened, yeah. What?
- 23:51How did that come about? What's the why?
- 23:55So I'm from Southern West Virginia and a very heavy coal,
- 24:02coal companies, you know, the industry.
- 24:04And if you think about it, it's not just the coal miners, right?
- 24:07Is that you have the pension funds, the healthcare funds, you
- 24:11have the service supply, you have the people that make the
- 24:13pipe, you have the people that make the steel, people that make
- 24:16the machines, the electricity, the water pumps.
- 24:19I mean, it's an entire ecosystem.
- 24:21It's an, it's a, it's the entire infrastructure of southern West
- 24:25Virginia revolves around coal. And we like to think that, you
- 24:30know, we, we were there for World War Two.
- 24:33We built the skyscrapers, we powered the company.
- 24:36We, we, you know, we were strong for our country.
- 24:40And then Barack Obama ran for president.
- 24:43And one of his platform positions was that it was OK to
- 24:48mine coal, but he was going to make it so expensive he would
- 24:51bankrupt the coal mine, the coal companies.
- 24:53That's a quote of his. He believed in the Clean Water
- 24:57Act and he he wanted to transition away from fossil fuel
- 25:01energy. And that was a big platform.
- 25:04So Hillary ran against him in the first time for the
- 25:07Democratic primary. And Hillary went and took the
- 25:11opposite position. She came to West Virginia and
- 25:14she went around campaigning that she was the granddaughter of a
- 25:17coal miner that she'll never forget, Never forget.
- 25:22So then it was Hillary's turn to run for president.
- 25:26What? What year was this 20?
- 25:2816 It was Hillary's turn to run for president, and she went on
- 25:33national television and said she was going to continue Barack's
- 25:37policy. And she literally said you can
- 25:40find it on YouTube. We're going to put a lot of coal
- 25:44companies and coal miners out of work.
- 25:46We're going to put a lot of coal miners and coal companies out of
- 25:50business, right, Tim? And we're going to make it clear
- 25:53that we don't want to forget those people.
- 25:56Those people labored in those mines for generations.
- 26:01She said that out loud and I remembered what she had said in
- 26:06West Virginia and she it pissed me off.
- 26:08In fact, I think what she actually said was we're going to
- 26:10put a lot of coal companies and coal miners out of business.
- 26:14Write Ted to somebody in the audience.
- 26:17I spent a tremendous amount of time finding trying to find Ted.
- 26:20I can't remember. That's his name.
- 26:21Or not, but that's the quote. She wasn't in West Virginia when
- 26:24she said this on her campaign trail.
- 26:26But she did have to come back to West Virginia and do a round
- 26:30table at one of our local community halls to try to repair
- 26:33the damage. But by that time it was too
- 26:35late. Well, it pissed me off when this
- 26:36happened, so I started doing some research into it and there
- 26:43were two things that I found interesting.
- 26:45One was that what Barack Obama did was genius.
- 26:50So he couldn't get his bill through Congress.
- 26:54And so he used the EPA, He used administrative action to the EPA
- 27:00to adopt policies and procedures that no other president had been
- 27:03able to do. So I went back and started
- 27:05looking. It's like in 1970, the clean
- 27:07water, the no, we, we developed this EPA emissions regulations
- 27:12and then we studied it through to George Bush.
- 27:16The George Bush EPA administration found there was
- 27:20not enough sufficient evidence to show mercury and coal
- 27:23emissions. And then Clinton reversed it.
- 27:26And then George Bush Junior reversed it.
- 27:29And then Obama came in and put it through.
- 27:31And through administrative Fiat, he was able to shut down our
- 27:36industry. And I warned people about giving
- 27:41too much power to the person sitting behind the Oval the the
- 27:46the desk in the Oval Office. Because what happens if one day
- 27:50the man sitting or woman sitting back there doesn't share your
- 27:52ideology? It's a little.
- 27:55Foreshadowing. But in general, what I did was I
- 27:58went to to my Senator Joe Manchin and Joe had just taken
- 28:03Bob Byrd's seat, the long time West Virginia senator and I had
- 28:08was reading Bob Byrd's book to Senator.
- 28:12Bob Byrd was the senator from West Virginia forever.
- 28:16And one of the stories that I read about was the 1976 he ran
- 28:20for president as the sitting US Senator in West Virginia.
- 28:26And he won 31 of the 33 delegates.
- 28:30And that was the year Jimmy Carter was nominated as
- 28:32president. And Jimmy Carter had to go
- 28:35through like 10/11/13 votes to get the consensus.
- 28:40And then everybody pledged their delegates to Jimmy Carter except
- 28:43Bob Byrd, the young senator from West Virginia.
- 28:46So Jimmy Carter went to him and said, hey, everybody's we're
- 28:50going to be unanimous here. It's what we do is, you know,
- 28:53after all the votes, you pledge your delegates to me.
- 28:56And Bob Byrd said, no, I'm not giving them to you.
- 28:59And Jimmy Carter said, what do you want?
- 29:00And he goes, I want to be Senate Appropriations chair.
- 29:04That's how Bob Byrd got to be Senate Appropriations chair.
- 29:08So when this cycle came around, I called my senator Joe Manchin,
- 29:13and I said, I just you're in Bob Byrd's seat.
- 29:15I just read this chapter. Let me tell you what he did.
- 29:18You're in an off cycle. You don't have to get up your
- 29:21Senate seat, right? You don't run for Senate for
- 29:23another four years. You can run for president right
- 29:26now in West Virginia alone. You can go around the state
- 29:30saying that you won't forget that you'll always remember.
- 29:34And by the way, you're having trouble getting your pension
- 29:37fund bill, the UMWA pension funds bill through Congress,
- 29:41right? So you can hold on to that.
- 29:43And then when you're when you win 31 of 33 delegates, you can
- 29:47tell Hillary that you'll pledge your delegates, but she has to
- 29:51put your pension bill on her 100 day plan.
- 29:53It's a no brainer. You can raise a war chest.
- 29:56You'll be the, the you know you'll, you'll be taking the
- 29:59place of Bob Byrd's seat. You're beloved in our state.
- 30:03It's a no brainer, Joe, you know, and he said I can't do it.
- 30:08I can't do it, Paul, He said. I've already pledged my support
- 30:11to Hillary. The Clintons are heavy-handed on
- 30:15the Democratic Party and they'll be consequences if I do that,
- 30:18and I'm afraid to do it. So I got pissed off.
- 30:21At least he was honest with you. He was.
- 30:23Perfectly honest. So So I got pissed off now.
- 30:27Walked across the street to the state capitol and I wrote a
- 30:29$2500 check to put my name on the ballot so that it would say
- 30:33Bernie Sanders, Vermont, Hillary Clinton, New York, Paul Farrell,
- 30:39Junior West Virginia. I got 9% of the vote.
- 30:43I was about 200 votes shy of getting 3 delegates to the
- 30:46National Convention. I didn't spend a dollar.
- 30:49I didn't raise a dollar. I just knew that when people
- 30:51looked at the ballot and they saw, you know, the choice of
- 30:55West Virginia versus New York and Hillary and Bernie, that
- 30:59that it was a protest vote. I guess if you would, and I tell
- 31:03you this, if Bernie had dropped out of the race, I don't want
- 31:07West Virginia. I would have won West Virginia.
- 31:10What story? So you're telling me you're
- 31:12going to run again? No, no, I was, I was making a
- 31:16point, I think, to the state Democratic Party to pay
- 31:21attention to what's happening in our home.
- 31:24And they didn't. And that's why my state is as
- 31:28red today as any state in the country.
- 31:33Speaking of the EPA thing, I'm pretty sure a bunch of all that
- 31:35got rolled back because the Supreme Court said that the EPA
- 31:38cannot make up laws because they're not a governing body.
- 31:41A. Little bit too late for my home.
- 31:42Yes. Want to shift gears?
- 31:46Talk about your involvement with another litigation, the Google
- 31:51antitrust cases. You're you're quite the
- 31:53Renaissance man. Or either that or Or, you know,
- 31:58tilting at windmills, chasing Dragons.
- 32:03For the the law firms, the partners who are watching this.
- 32:06Who have a vision for enacting change, right?
- 32:13I I think your story is empowering and insightful for
- 32:18them to understand that if you truly believe in something and
- 32:22you want to make change in something, that is the power
- 32:25that a single individual has. You have your bar license.
- 32:28All you got to do is go and figure out like, how is this
- 32:31actually happening behind the scenes?
- 32:33And how can we use the system to enact change, which is listen to
- 32:38the plaintiffs lawyers. They, they win a lot of money
- 32:40for their clients. They help them in times of need.
- 32:43But even a level beneath that, actually being able to fix a
- 32:47broken system is rewarding and outlasts you, right?
- 32:54You know, change in society. I think it's fantastic.
- 32:57You know, it's, it's, I think that in, in and of itself is a
- 33:00great take away for, for lawyers who are watching, who truly
- 33:03believe in something that doesn't have an MDL wrapped
- 33:06around it or doesn't have a templated process.
- 33:08And you just see like this is a thing, it's opioids or it's the
- 33:12newspapers, right? Or it's the coal miners to pull
- 33:15on that thread and figure out how to get behind it.
- 33:19And and it could become a $70 billion change the world moment.
- 33:23Well, you, you never chase the money, right is what I've always
- 33:26said is that is that what you chase is doing the right thing
- 33:30and that doing the right thing doesn't always make you money,
- 33:34but doing the right thing is always the guiding principle.
- 33:36And so, you know, some people find their passion in politics,
- 33:40some people find it in medicine, some find it in law.
- 33:43And so if you if you keep a principled approach of I'm a
- 33:46flawed man. But, well, we all are.
- 33:49I'm going to do my best to try to make a difference.
- 33:53And so it, it is coming small things and it's coming very
- 33:57large things. You know, I've rebuilt Little
- 33:58League fields. I've, I've coached Youth League
- 34:02soccer teams, you know, but I wasn't the guy that stocked the
- 34:06YMCA soccer team with all the little Johnny studs.
- 34:10I'm the one that took the team that didn't, the kids didn't get
- 34:15picked. And then I put my kids on that
- 34:17team. And so I think it may be, I do
- 34:21probably have a little anti authority in me a little.
- 34:24I don't like bullies. But I think that's kind of what
- 34:28the driving force of being what a a trial lawyer is, is standing
- 34:31up for the little guy. And what happens when the little
- 34:34guy's your entire hometown? Then now you have a fight.
- 34:37Let's talk about the newspapers, right?
- 34:40So you identified an issue with the newspaper publishers being
- 34:49edged out by Google. Can you can you talk about what
- 34:54you identified and how you you aggregated this group of
- 34:59newspaper publishers and turned it into something larger and
- 35:02more meaningful? So I think we need to start with
- 35:09a casual observation about newspapers in general in, in the
- 35:14early 1900s. Everybody has seen the, the
- 35:17television depictions or the new of the, of the kid with the, the
- 35:21newspaper bag standing on the corner.
- 35:24You know, extra, extra. Read all about it.
- 35:27You know $0.05 for the Daily Times, right?
- 35:30Newspapers never made their money on the actual sale of the
- 35:33newspaper nickels and quarters or whatever it is it cost in
- 35:37different times. They made their money on
- 35:40advertising and the classifieds. That's their business model.
- 35:45So when the Internet tide came, it took away Craigslist and all
- 35:49these other bulletin boards, took away the the classified
- 35:53ads. And that was a big problem for
- 35:55the newspapers. But they still had their
- 35:56advertising. But nonetheless, the business
- 35:59model still remained as it was, Right.
- 36:02So now let me shift gears and tell you the story.
- 36:04Link the story back to the Charleston Gazette and the $700
- 36:07million. That newspaper article was
- 36:10written by a journalist by the name of Eric Eyre Eyre.
- 36:15He wrote a three-part article about the opioid epidemic in
- 36:182016, and he won the Pulitzer Prize for Journalism, the first
- 36:22out of West Virginia. The.
- 36:24Charleston Gazette, right? That's local newspaper.
- 36:30It's a local newspaper. Won the Pulitzer Prize and
- 36:33started the opioid litigation by this one individual journalist
- 36:39being curious enough to ask tough questions and publish
- 36:43something that got him in trouble a little bit because it
- 36:46was sensitive information. So Charleston, WV back in the
- 36:51day had two newspapers, a left-leaning and a right leaning
- 36:54newspaper. And most people growing up
- 36:57remember that two newspapers in your town, whether you're in
- 36:59Iowa, Nebraska, West Virginia, there was a left and a right
- 37:03leaning newspaper. Well, when the classified ads
- 37:07became digital and when the digital advertising started
- 37:12become prominent, newspapers began to struggle and the
- 37:16Charleston Gazette and the Charleston Daily Mail tried to
- 37:20merge, not sharing ideology, but tried to merge their operating
- 37:26print press so that they could survive.
- 37:30And the Department of Justice came in and broke apart that
- 37:36merger agreement under antitrust, separated them back
- 37:41out, and they both failed, right?
- 37:46So I started thinking, what happens if you can figure out
- 37:51how to, instead of using antitrust to destroy the 1st
- 37:56Amendment and free speech in newspapers, use it to enable it.
- 38:00Because what what I was learning from the owner of the newspaper
- 38:04that won the Pulitzer Prize was that he's not going to be able
- 38:07to survive much longer in the current environment.
- 38:09And we started digging into it and researching and trying to
- 38:12understand it better. So in general, without getting
- 38:16into all the boring details, is Google began with the search
- 38:21engine and built the search engine into the single largest
- 38:25generator of advertising in the world.
- 38:29And then they got tired of people clicking on their links
- 38:32and going to other people's websites and spending money
- 38:35somewhere else. So then they started buying
- 38:38websites to bring inside their walled garden, like YouTube and
- 38:43Maps and images and building the infrastructure so that people
- 38:49that not only they came to the search engine, but when they
- 38:52clicked on a link, they still stayed within the Google family
- 38:55and generated more revenue, right?
- 38:59And so you got to think about it.
- 39:00It's like if you're Pampers and you want to reach out to people
- 39:06that want to buy diapers, you can put a billboard up on a busy
- 39:10highway and maybe catch the attention of one out of every 50
- 39:14drivers. Or you can give less money to
- 39:17Google. Who will say?
- 39:18I will put your logo on every page that the newborn Mama goes
- 39:27to. Because they have enough data to
- 39:30know who those people. Are we know all the data about
- 39:32these people within their walled garden?
- 39:34It became a powerful advertising tool.
- 39:38But that's not what the newspaper's problem was.
- 39:41The newspaper's problem was Google wasn't just, they weren't
- 39:45just OK with that. They were still looking at
- 39:47everybody else's website that was generating clicks because
- 39:52they have news. They had news aggregators.
- 39:54So they were always looking at other people's websites and say
- 39:57how do we capture more money there?
- 39:59So what they came up with is they came up with a template
- 40:03like a picture frame that goes around your website and they
- 40:07sold that to companies and said. That on your website, we will
- 40:14generate the advertising that goes around.
- 40:16You no longer have to go out and sell your advertising to other
- 40:19people. We'll generate it for you,
- 40:23right? Say we'll give you a portion of.
- 40:27And, and so, so if you think about this platform now is that
- 40:31if you want Google to generate it for you, you have to pay
- 40:35Google a portion of the the revenue you're generating.
- 40:39This is double click right OK. And if you're the advertiser and
- 40:43you want to go on that platform, you have to hire Google and pay
- 40:49them a portion of the fee to do it.
- 40:51So it's like having the stock market when Google gets paid by
- 40:54the buyer of the stock and the seller of the stock.
- 40:57And by the way, Google's running the Stock Exchange.
- 41:01Right, they control the price. They control the price and they
- 41:04get a cut left, they get a cut right.
- 41:07They could have cut in the middle.
- 41:08And they literally get to control it.
- 41:10And then you have like the Jedi Blue where they go to Facebook
- 41:14and they say, Facebook says, hey, we're going to start a
- 41:16competing stock market like a NASDAQ.
- 41:19And Google says, I got an idea, don't compete with us.
- 41:21Instead, we'll give you preferential treatment on the
- 41:23bidding process. So anyway, what ends up
- 41:27happening now is the newspapers. So the newspapers have already
- 41:32lost their classifieds and now they are late to the game on
- 41:37digital advertising because they're still stuck on selling
- 41:41ads on their printed newspapers, right?
- 41:45And so they're late to the transition game and they're
- 41:48trying to stay alive. So now they're going to Google,
- 41:51Now they're going to and they're trying to figure out how it is
- 41:54we can generate revenue, but at this point in time, there's no
- 41:58way that they have tenfold increase their viewership.
- 42:02They've gone from 25,000 printed copies to 250,000 hits a day,
- 42:08but they're making 10% of the revenue.
- 42:11The model doesn't survive. This digital advertising model
- 42:14doesn't survive. Then Google does something in
- 42:16addition to that is the newspapers.
- 42:19In order to survive for the first time in their in the
- 42:22history of newspapers, they have to go to a subscriber based
- 42:25model, the paywall, right? Well, Google says to them if
- 42:32you. Put up a paywall.
- 42:34We're not going to list you on our news hits on our search on
- 42:38our Google Machine. Because it's gated and they
- 42:40can't crawl it. So you have to give us, you have
- 42:44to give every independent user 10 free hits a month.
- 42:49That's why when you go to Google and you click on the link,
- 42:52sometimes you can read the content and sometimes you can't.
- 42:57So as a result, all of these smaller newspapers, in order to
- 43:00show up on Google, they have to give 10 free clicks a month or
- 43:04whatever the time period is. And so when you click on the
- 43:08Charleston Gazette, now you go to the Charleston Gazette, you
- 43:11hit the pay wall and then what do you do?
- 43:13You go back to Google, they get another round of revenue, and
- 43:16then you click on the next newspaper on the same topic and
- 43:19then you get the free look. Which has ads posted by Google.
- 43:23Which has ads posted by Google. So if you go to the UNC School
- 43:28of Journalism, North Carolina School of Journalism, they have
- 43:32a map called the News Desert. And you can see on the news
- 43:37desert the continued diminishment of journalism in
- 43:42America. We're eventually we're going to
- 43:44wind up with, you know, the New York Times and the Wall Street
- 43:48Journal, right? It's like we're going to end up
- 43:50with Fox and CNN, right? We are moving toward the a a.
- 43:55We're going to lose more and more of our newspapers.
- 43:57We're going to lose local journalism and we're going to
- 43:59become a nation leading to the left or leading to the right on
- 44:03national politics. How has that litigation evolved?
- 44:08Because now you're talking about 2016, when this started.
- 44:11We're in 2026, right? The digital landscape is very
- 44:14different now than it was a decade ago, but the litigation
- 44:17is still ongoing. It's expanded beyond the initial
- 44:19200 publishers. It is massive.
- 44:22And so the federal government has stepped in, the state
- 44:25attorney generals have stepped in.
- 44:27There's going to be some monumental break.
- 44:30They're going to do something with Google in my humble they.
- 44:32Already started like. They've already started the
- 44:34dismantling. There's going to be some
- 44:36fundamental separation of the walled garden from the double
- 44:40click, right? And then there'll be a spin off
- 44:44or something. But in the meantime, the largest
- 44:47of the newspaper publishers that have aggregated, they're going
- 44:50to be able to recover fractions of pennies on a click multiplied
- 44:56by billions of clicks that are going to recover.
- 44:59But the fractions of the pennies of the click recovery that
- 45:01happens at antitrust is not going to be enough to save local
- 45:04journalism. There's going to have to be a
- 45:06new evolution of journalism that survives the collapse of our
- 45:11local newspapers across America. Are you working with Zeke Derose
- 45:16and the Lanier firm on on these cases as well?
- 45:21I, I have been the, the, the we've shared a lot of
- 45:24information. They're operating at a much
- 45:26higher level, at a much bigger level, a much more important
- 45:28level. They're going to impact national
- 45:31policy. I'm just trying to save a couple
- 45:33of newspapers. How do you think that the those
- 45:36publishers and and any publisher on the web now, right?
- 45:39Like news is, I don't want to say it's commoditized right now,
- 45:42but like I can go to the beach and I could film, you know,
- 45:45something that happens like that becomes news.
- 45:47Like everybody is a media outlet.
- 45:49But when you have someone like like Google or Open AI who is
- 45:54ingesting all of this and then providing the summarized
- 46:01responses on their own platforms, at some point there's
- 46:05a break with the publishers and the creators, the news media
- 46:09outlets, where if they're not getting the clicks, they're not
- 46:12generating the revenue. They are now they just ingest
- 46:14all the news and they serve it up and that response and make it
- 46:17so that you don't get any ad revenue because they never even
- 46:20go to the site it. It it potentially turns from a
- 46:23news desert into a complete creation desert, a publisher
- 46:26desert where new content isn't being created created because
- 46:29there's no incentive to do so. I think did Elon Musk have
- 46:34something he, he had an every man kind of platform of every
- 46:38man can be their own journalist. You know, his idea was that news
- 46:42is going to be created on the ground by individuals.
- 46:45Well, that was kind of why he bought Twitter and turned it
- 46:47into X The keep it to keep it a a a public town hall that anyone
- 46:51could publish on that isn't regulated.
- 46:53That's the the idea. Well, you know, my biggest
- 46:57concern is that what we're going to lose is we're going to lose
- 47:01the local journalist who is, you know, has enough courage to
- 47:06write an article about 700 million pills that effectuates
- 47:13change. And so, you know, to me, maybe
- 47:17I'm just old enough now to be old school.
- 47:20Professional journalism is important in America for
- 47:23visibility, transparency, accountability.
- 47:26And maybe what ends up happening is we have a couple of
- 47:30influencers that have enough credibility that they can report
- 47:33on the news accurately and that people trust them.
- 47:36But there is going to be a seismic change, especially with
- 47:39AI, with the news aggregators. But as long as Google maintains
- 47:43its stranglehold on the largest monopoly ever created it in the
- 47:47world, you know the digital revenues going to still flow in
- 47:50One Direction. Do you think?
- 47:53That it's a a calculated play by Google to keep ads out of Gemini
- 48:01right now. So, you know, what we're talking
- 48:05about is we're talking geopolitical strategy, right?
- 48:09We're talking about the largest companies in the world.
- 48:12It's like the same thing when you're talking about, you know,
- 48:15Chinese, Russia and America and, you know, policy positions on on
- 48:20their power struggle. This is no different.
- 48:22These are corporations in an amoral setting.
- 48:26And I don't mean immoral, I mean amoral in the absence of
- 48:30morality. These are corporations acting in
- 48:33some type of business enterprise of gross and, and survival.
- 48:38And so, you know, Google has its own AI strategy.
- 48:44I think everybody does. I think it's just they're going
- 48:47to hold on to, they're going to hold on to what they have for as
- 48:49long as they can until the Department of Justice antitrust
- 48:53division gets involved. What do you think the landscape
- 48:55looks like 5 to 10 years from now?
- 48:59I have no idea. It's still, it's still, I mean,
- 49:03with AI in the legal world, I just, I can't fathom AI is going
- 49:07to replace thinking lawyers, just like I can't envision AI
- 49:10replacing thinking journalists or thinking doctors.
- 49:14But you know, the world, the world is quickly evolving.
- 49:18The technology. It's, it's what we've learned
- 49:22from the social media stuff, right, Is that there are
- 49:25patterns to the way the human brain thinks and it can be
- 49:29influenced by the way in which we feed it information.
- 49:33And that's scary. Elon Musk in a a recent
- 49:37interview I saw him in a paraphrase, he said he was asked
- 49:41about AI eating jobs and and replacing humans and he said
- 49:50that the last frontier of AI replacing humans is in the real
- 49:57world, right like physical interactions, right Paul John,
- 50:03can you replace me with an AI? No can I use AI to help me
- 50:08understand your background quicker to help prepare for this
- 50:11interview better Sure that could be done but there is not a robot
- 50:15that can sit here powered by AI that can actually have real
- 50:19world interactions. We're here at mass towards
- 50:22Puerto Rico, having real human interactions.
- 50:24And until there is some way that no one can really conceptualize
- 50:30right now of what the future will look like, where where AI
- 50:32actually integrates itself into like physical manifestation,
- 50:36that is the last frontier that I think we have to hold on to real
- 50:40people, real interactions, doing real things assisted by AI.
- 50:45That's OK. Here's the interesting thing,
- 50:47right? You and I can't replace the
- 50:51connection we've just had, right?
- 50:53The three of us that had a conversation, we've connected,
- 50:57we've we've spoken our minds and our hearts.
- 50:59We've had an experience that can't be replicated by machines.
- 51:03Yeah, I can't replicate the feeling I had when you said like
- 51:05700 million pills. But I'll tell you what you could
- 51:08do is you could probably ask AI to generate a fictional panel to
- 51:13show on a on a on ATV screen to other people that have the
- 51:19impact on other people, right? Is AI can figure out what
- 51:23combination of interaction works best in a podcast with enough
- 51:27emotional connection that it makes somebody feel something
- 51:31watching it on a television screen.
- 51:33But it can never replace our personal interaction here today
- 51:37and. We'll never replace this
- 51:39conversation. This is awesome.
- 51:42This is great. I love learning about your
- 51:44background and. Fascinating.
- 51:47The change that you've already enacted and continue to enact in
- 51:52this country is absolutely fucking incredible.
- 51:56Thank you for the work that you continue to do for this country
- 51:59and, and I really appreciate you joining us on the show.
- 52:02Thank you. Thanks, Paul.
- 52:04Awesome. Paul, Farrell.
- 52:05Farrell and Fuller. Hi, I'm Paul Farrell Junior of
- 52:08Farrell and Fuller. I'm on the John and Mark
- 52:11podcast. It's subscribing like.