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Protesters gather outside the Department of Justice building in Washington, D.C., on Sept. 22, 2023, to call for stronger action against Purdue Pharma and the Sackler family for their role in fueling the opioid crisis. Some people worry corporations and their aggressive marketing tactics will gobble up opioid settlement dollars meant to remediate the crisis. (Aneri Pattani/KFF Health News/TNS)
Protesters gather outside the Department of Justice building in Washington, D.C., on Sept. 22, 2023, to call for stronger action against Purdue Pharma and the Sackler family for their role in fueling the opioid crisis. Some people worry corporations and their aggressive marketing tactics will gobble up opioid settlement dollars meant to remediate the crisis. (Aneri Pattani/KFF Health News/TNS)
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Email records in eight states show health departments, sheriffs’ offices, and councils overseeing settlement funds are receiving a deluge of messages from marketing specialists.

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