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Dangerous Doses: How Counterfeiters Are Contaminating America's Drug Supply [Hardcover]

Katherine Eban
4.7 out of 5 stars  See all reviews (16 customer reviews)

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Book Description

May 9, 2005
In the tradition of the great investigative classics, Dangerous Doses exposes the dark side of America's pharmaceutical trade. Stolen, compromised, and counterfeit medicine increasingly makes its way into a poorly regulated distribution system-where it may reach unsuspecting patients who stake their lives on its effectiveness.

Katherine Eban's hard-hitting exploration of America's secret ring of drug counterfeiters takes us to Florida, where tireless investigators follow the trail of medicine stolen in a seemingly minor break-in as it funnels into a sprawling national network of drug polluters. Their pursuit stretches from a strip joint in South Miami to the halls of Congress as they battle entrenched political interests and uncover an increasing threat to America's health.

With the conscience of a crusading reporter, Eban has crafted a riveting narrative that shows how, when we most need protection, we may be most at risk.


Frequently Bought Together

Dangerous Doses: How Counterfeiters Are Contaminating America's Drug Supply + Dangerous Doses: A True Story of Cops, Counterfeiters, and the Contamination of America's Drug Supply + Making a Killing: The Deadly Implications of the Counterfeit Drug Trade
Price for all three: $42.68

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Editorial Reviews

Amazon.com Review

Of the many well-documented horror stories associated with the U.S. Healthcare System, none are more shocking and hard to believe than that exposed by investigative reporter Katherine Eban in Dangerous Doses: How Counterfeiters are Contaminating America’s Drug Supply. By riding shotgun with a small group of investigators in South Florida who refer to themselves as "The Five Horsemen of the Apocalypse," Eban outlines in chilling detail a vast system of criminality underpinning the wholesale trade of prescription drugs throughout the country. The Horsemen are a committed and colorful cast of characters not even the best crime novelist could create, who are hopelessly underpaid, rarely sleep, receive little respect, and face bureaucratic obstacles at every turn as they fight to keep tainted drugs out of hospitals and off pharmacy shelves. Their chief target is Michael Carlow, a flamboyant ex-con turned pharmaceutical wholesaler who has amassed millions through the sale of both stolen and fake prescription drugs. The more evidence the Horsemen uncover about Carlow’s network of shell companies, phony labeling techniques, Medicare scams, and other tricks of the trade, the more deadly the picture becomes. By the end, you don’t only want to see Carlow and his associates behind bars, but the entire pharmaceutical industry put on trial. You also want to give a copy of Dangerous Doses to everyone you know, as it is not just a great page turner but an important book that demands the widest possible audience. --Patrick Jennings

From Publishers Weekly

It's hard to imagine that, with the U.S. government's oversight of the development and production of pharmaceuticals, the pills you get from your pharmacist may be counterfeit. But according to medical reporter Eban, those pills often pass through dozens of hands, exchanged in dark parking lots and the backrooms of strip clubs for thousands of dollars in cash, possibly resold and relabeled several times. It might contain a twentieth of the dosage written on the label, or nothing but tap water. Eban, formerly with the New York Times, follows a group of five investigators to reveal how pervasive a problem drug counterfeiting is in the U. S. Operation Stone Cold, as the South Florida investigation was called, comprised a hodgepodge of pharmacists and policemen who shared a fanatical devotion to stopping adulterated drugs from reaching the public, despite uninterested supervisors, understaffed regulatory agencies and state laws that made offenses almost impossible to prosecute. The book reads like a good novel, though the cast of villains is so dizzying and the timeline so complicated that the action is sometimes hard to follow. Unfortunately there is no happy ending—the fight to protect the domestic drug supply continues. If this book receives wide attention, it could deal another blow to an already reeling pharmaceutical industry and users of prescription drugs will be wary after reading it. (May)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

Product Details

  • Hardcover: 480 pages
  • Publisher: Houghton Mifflin Harcourt; First Edition edition (May 9, 2005)
  • Language: English
  • ISBN-10: 0151010501
  • ISBN-13: 978-0151010509
  • Product Dimensions: 6.3 x 1.1 x 9.2 inches
  • Shipping Weight: 1.8 pounds (View shipping rates and policies)
  • Average Customer Review: 4.7 out of 5 stars  See all reviews (16 customer reviews)
  • Amazon Best Sellers Rank: #187,071 in Books (See Top 100 in Books)

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Customer Reviews

4.7 out of 5 stars
(16)
4.7 out of 5 stars
This is a well researched book (really well) and uses easy to understand language. Daniel Night  |  2 reviewers made a similar statement
Remember this effects us in one way or another. Miriam E. Gonzalez  |  2 reviewers made a similar statement
Most Helpful Customer Reviews
10 of 10 people found the following review helpful
4.0 out of 5 stars Required reading. September 8, 2005
Format:Hardcover
Katherine Eban, Dangerous Doses: How Counterfeiters Are Contaminating America's Drug Supply (Harcourt, 2005)

Have you ever taken a medication and felt no effect, or far less effect than you expected to have? Put it off to building up a tolerance? Yeah, me too. After reading this, however, I have to wonder.

The four-hundred-odd pages of Dangerous Doses fly by rather quickly for a piece of nonfiction; Eban takes you inside the Horsemen of the Apocalypse, the South Florida interdepartmental task force aimed at bringing down those who would tamper with America's drug supply for personal gain. What I (and, I'm sure, many other readers) didn't expect, though, is just how much work the Horsemen had (and still have, in many cases, as of this writing) ahead of them. It would seem that counterfeit prescription medication is not a few isolated cases here and there we hear on the news, but a very, very big business that has reached its tendrils into most every state in the Union and affects untold billions of dollars' worth of merchandise. (The book's biggest shock, for me, came when one of the drugs mentioned is one I actually take.)

This is scary stuff. It's not just highly recommended because piece of nonfiction this readable are rare birds indeed, but because this is something you need to know about, especially if you or your family members take prescription drugs. Get it. Read it. ****
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4 of 4 people found the following review helpful
3.0 out of 5 stars Pharmaceutical Drug diversion August 12, 2005
Format:Hardcover
This book was riveting and exposed the underbelly of the world of pharmaceutical drugs and criminal that have thrived in it. The book details counterfeiting of life sustaining prescription drugs, Medicare and Medicaid fraud, diversion and mishandling of sensitive drugs, and how they end up in the normal distribution network to arrive on the shelves of the nations drug stores.
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8 of 10 people found the following review helpful
Format:Hardcover
This book recounts in exacting detail the adulteration of the critical drugs needed by cancer and other critically ill patients, the result of a investigation by a group of dedicated Florida policemen and the author. This fact-driven, exhaustively researched, and beautifully written account is a compelling read, and one which (as an academic physician and cancer specialist) I found impeccable. It is an essential book for anyone for whom the integrity of our medications are important--which is everyone in this country.
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3 of 3 people found the following review helpful
5.0 out of 5 stars A medical investigative thriller October 5, 2005
Format:Hardcover
If it's a medical investigative thriller - true life - which is needed, look no further than Katherine Eban's Dangerous Doses: How Counterfeiters Are Contaminating America's Drug Supply. Stolen, counterfeit and compromised medicines are making their way into a poorly regulated American distribution system, Eban maintains. Her exploration of investigations into drug counterfeiters makes for powerful first-hand reporting as she follows a team of dedicated investigators trying to stem the flow.
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2 of 2 people found the following review helpful
4.0 out of 5 stars Serious Issues, So-So "narrated" July 24, 2005
Format:Hardcover
The author, with a background in medical investigative reporting, presents an interesting "story" whose main theme is that wholesale distribution of medicines has serious problems, counterfieting drugs, stealing-and-reselling drugs, to name a few. While the story is well researched, the narrative style of the book (almost like a Robin Cook medical thriller) is a little distracting to the main theme. While the "fictional narrative" approach can certianly keep the readers engaged, its sheer pace (compliment) in this context appears to mute the main points the author wants to make. Nevertheless, the book raises some serious concerns and provides a significant starting point for anyone interested in understanding issues related to the 'medical supply chains'. A good read.
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5 of 7 people found the following review helpful
5.0 out of 5 stars Shocking and heartbreaking April 30, 2005
Format:Hardcover
This is a shocking, heartbreaking account of how one of our 'sacred cows'- the prescription drug industry- is really a corrupt breeding ground for low-end criminals and petty corruption. But at its core, and what makes the book such a great read, are the human stories- the stories of the victimized, and the stories of the five investigators who fight at all costs to expose what is happening. Well researched and highly recommended.
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6 of 9 people found the following review helpful
5.0 out of 5 stars Great Summer Reading May 14, 2005
Format:Hardcover
This book is astounding. Told as a thriller, it shows why, unbelievably, your pharmacist cannot tell you where your prescription drugs have come from - they have no idea.

One of many great reviews out there - this one in Salon.com - by Katharine Mieszkowski:
"They call themselves the Horsemen of the Apocalypse, and they hold meetings at Hooters. Their uniforms consist of black polo shirts emblazoned with a pack of horses flanking the Grim Reaper, who's wielding a scythe. One Horseman's name is Venema, which rhymes with "enema." But he prefers his code name: Ice Station Zebra. These dubious characters are the good guys in "Dangerous Doses: How Counterfeiters Are Contaminating America's Drug Supply," by Katherine Eban, an expose that wades into more rank Florida unseemliness than a Carl Hiaasen novel, and easily boasts three times the number of sleazebag villains...
Eban mostly lets this stranger-than-fiction cast of characters tell the story, which makes it engaging, even though it's essentially about government failure. The real cause of the corruption of the drug supply isn't the money to be made. It's a weak regulatory system, which doesn't require complete proof of the route a drug takes from its manufacturer to the pharmacist. That opens the door for all kinds of shenanigans among the colorful, corrupt middlemen. The drug industry lobbyists say it would be unduly expensive to keep such records, and that they aren't necessary, even as Operation Stone Cold uncovers more and more stolen, fake and mishandled medicine. And the government continues to buy that argument, even after no lesser force than Gov. Jeb Bush convenes a grand jury to look into the matter. (What it turns up is horrifying to all involved.) ..."
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Most Recent Customer Reviews
5.0 out of 5 stars A good book
I am using some of the facts in this book for my novel writing. Thank you Katherine Eban for writing this book
Published on August 25, 2007 by Sharon A. Lavy
5.0 out of 5 stars Excellent Research
This is a well researched book (really well) and uses easy to understand language. It was a bit confusing to me in the beginning since he used some flashback type story telling. Read more
Published on July 21, 2006 by Daniel Night
5.0 out of 5 stars Dangerous Doses
This is an outstanding book every American should read. This book was recommended to me by a Vice President of a large mail order pharmacy corporation. Read more
Published on July 16, 2006 by Terry Cox
4.0 out of 5 stars More Government Bungling!
While the FDA and drug companies rail about the potential dangers of imported drugs, they ignore or downplay reports about adulterated, counterfeit drugs from within the U.S. Read more
Published on December 13, 2005 by Loyd E. Eskildson
5.0 out of 5 stars MUST READ THIS BOOK,
As a Professional working in the Pharmaceutical business and living in the State of Florida, I can identify very well with the contents of this book. Read more
Published on October 12, 2005 by Miriam E. Gonzalez
5.0 out of 5 stars Any pharmaceutical hospital,clinic or retail buyer MUST read this...
This information is very important to take into account when purchasing pharmceuticals. If you are currently a pharmaceutical buyer for any hosipital,clinic or retail chain it is... Read more
Published on August 19, 2005 by Concerned about Americas drug supply
5.0 out of 5 stars How Drugs Are Really Distributed in the U.S.
White collar rarely reaches the headlines in the United States, not enough flash and no blood to show up on the TV screen. Read more
Published on June 23, 2005 by John Matlock
5.0 out of 5 stars An amazing read
This is a book about an terribly important story--how our most expensive and important medicines are being counterfeited and debased and then sold by good pharmacies to... Read more
Published on May 9, 2005 by Jane Isay
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