Sunday, November 12, 2017

edgar explained to bosch how it worked

“I know you told Bella some of this already, but can you school me a little bit? How does a pill mill—how does all of this work?”

Edgar nodded vigorously as Bosch asked the question, jumping at the opportunity to show some expertise to the man who had always doubted him.

“They call the people involved in the mills ‘cappers,’” he said. “They run the show and you need unscrupulous doctors and pharmacies in the mix to make it all work.”

“The cappers are not the doctors or pharmacists?” Bosch asked.

“No, they’re the bosses. It starts with them either opening a clinic or going into an existing clinic in a marginal neighborhood. They go to a dirtbag doctor, somebody just this side of having their license revoked. A lot of docs that worked in the medical marijuana joints are perfect candidates. The capper goes in and says, ‘Doc, how’d you like to make five grand a week for a couple mornings in my clinic?’ That’s good money for somebody like that and they sign up.”

“And they start writing prescriptions.”

“Exactly, the cappers line up the shills in the morning, and they get their scrips from the doctor—no good-faith physical exam, nothing legit about it—and then they go out and get in a van and the capper drives them to the pharmacies to get the pills. Usually, it’s more than one pharmacy in cahoots so they can spread it out and try to fly under the radar for as long as possible. A lot of them have multiple IDs, so they hit two, three, places a day and it doesn’t come up on the computer. Doesn’t matter that the phony IDs are for shit, because the pharmacist is in on it. He doesn’t look too close at anything.”

“And then the pills go to the capper?”


“Exactly right. Most of these shills, they’re addicts themselves. That capper is the straw boss and he reports to somebody down the line, and he’s gotta make sure nobody guzzles those pills. So he keeps everybody in the van and they hit the pharmacies, maybe two going in at a time, and they turn those pills over right away when they get back to the van. The capper will front them what they need out of the day’s haul to maintain their addiction and keep them working. He keeps them high and keeps them moving. It’s a trap. They get in and they can’t get out.” (Connelly, Michael. Two Kinds of Truth (A Harry Bosch Novel Book 20) pp. 102-103)

interestingly, both lee child and michael connelly have written their most recent novels about the opioid endemic, from different angles, of which the latter is civilian and thus more near the reality (2017-11-12 5:47 AM)