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76 pages 2 hours read

Patrick Radden Keefe

Empire of Pain: The Secret History of the Sackler Dynasty

Nonfiction | Biography | Adult | Published in 2021

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Book 1, Chapters 6-10Chapter Summaries & Analyses

Book 1, “Patriarch”

Book 1, Chapter 6 Summary: “The Octopus”

In 1960, the Sacklers celebrated Arthur Felix Sackler’s Bar Mitzvah as a gesture to Sophie Sackler, then dying of lung cancer. Mortimer became an avid traveler after his mother’s death, expanding Purdue Frederick’s international clientele. At this stage, the company made most of its money from medications for routine ailments like constipation.

Meanwhile, Arthur Sackler’s business practices had become of interest to the federal government. The investigation was the result of Arthur Sackler’s deeper involvement with politics, especially the Food and Drug Administration (FDA). Felix Marti-Ibanez, a friend of Arthur’s and a McAdams advertising agency employee, published his own medical magazine, installing Henry Welch, the head of the FDA’s antibiotics division, as editor. In 1956, when Welch and Marti-Ibanez hosted a major symposium on antibiotics, Welch suspected that an anonymous third party was funding both the conference and the publications. The public-private partnerships behind the conference would end in scandal and government oversight.

Arthur’s troubles began when an investigative journalist named John Lear learned that the physicians who appeared in advertisements for the new antibiotics were fictional: “The ad was polished, impressive, and fundamentally deceptive. It had been produced by Arthur Sackler’s agency” (83). Welch insisted that medical professionals could not be susceptible to false advertising.

Lear turned to the Senate for the next phase of his investigation. Senator Estes Kefauver had made his name through corruption investigations—he participated in the first televised congressional hearings targeting organized crime. By 1958, Kefauver had run for president unsuccessfully three times and had returned his focus to investigating wrongdoing in defense of the public interest. He noted that just like the mafia, the pharmaceutical industry paid lawyers and lobbyists to protect its interests. He found witnesses willing to testify to “unrelenting pressure from the drug companies and a culture in which regulators, rather than regulate the drug companies and their products, showed slavish deference to the private sector” (85-86).

When he turned his attention to the antibiotics symposium, Kefauver learned at the hearings that Pfizer advertising was “insinuated […] directly into [Welch’s] speech” (87). The speech was reprinted in the publications Welch co-owned with Marti-Ibanez, and Pfizer purchased many thousands of copies, knowing Welch would personally profit.

Kefauver and his investigative team became interested in Arthur Sackler because he represented Pfizer and owned the McAdams agency. They soon discovered that the Sacklers could control and profit from every aspect of a new drug, from testing to marketing. Investigators hoped to directly connect the Sacklers to Welch’s corruption at the FDA. Welch was forced to resign when the extent of his profits from advertising revenue and medical journals was made public. Bill Frolich of the rival ad agency was a person of interest for his role in advertising antibiotics, but he and Marti Ibanez each refused to testify, citing sudden illness.

Arthur Sackler was successfully subpoenaed, to his general outrage. He testified to Kefauver’s committee in grandiose, dramatic terms, insisting on the nobility of his work and arguing pharmaceuticals were too complex for the government to effectively supervise. Kefauver never got the chance to discuss correspondence he had found between Henry Welch and Arthur Sackler, proving that Sackler had funded Welch’s business ventures and thus participated in Welch’s abuse of his position at the FDA.

Book 1, Chapter 7 Summary “The Dendur Derby”

Radden Keefe turns to Arthur Sackler’s philanthropic life and his role in restoring a priceless Egyptian archaeological site, the Temple of Dendur. The temple had to be removed from Egypt due to dam construction near the Nile; graffiti within it was a testament to its many visitors through the centuries, from Egyptian grave robbers to French and American visitors. Arthur became interested in the temple through the Metropolitan Museum of Art (the Met), which was free to visitors and heavily dependent on philanthropy. Belonging to its board would be a tremendous social asset to the Sacklers, proof they had lived up to their ambitions and those of their father.

Arthur founded a gallery at the Met, filling it first with Chinese art he had purchased from the museum and then returned to it as a gift, giving himself a significant tax advantage. Arthur also secured an “enclave” at the museum for his collection (101) and a private office for himself and his friend Paul Singer. In 1967, when the museum’s new, ambitious director Thomas Hoving prevailed over those who backed the temple going to the Smithsonian Institute in Washington, DC, he sought out Arthur Sackler as a prospective funder for moving the temple to the Met, an enormous financial and logistical undertaking. Arthur agreed to donate $3.5 million—then a staggering sum—in exchange for extensive naming rights in the new wing of the Met. But Arthur still was not placed on the board of trustees or fully accepted into the exclusive coterie of museum donors. While Arthur felt this was due to anti-semitic, other donors pointed to Arthur’s private use of museum funds. By the time the grand unveiling of the new wing took place, Arthur was under investigation for his role at the museum. His date for the evening was “almost three decades younger than he was, British, and not his wife” (107), suggesting that his personal life also remained unconventional and tangled.

Book 1, Chapter 8 Summary: “Estrangement”

The Sackler family’s domestic relationships—the marriages of the three brothers—illustrate the family’s fortunes, political faultiness, and temperaments. Mortimer Sackler and his first wife Muriel Lazarus had three children: Ilene, Kathe, and Bobby (Kathe, the subject of the Prologue’s deposition, would become a doctor and work at Purdue Frederick). Mortimer made his fortune at Purdue Frederick, bolstering its overseas presence, and became involved with an Austrian woman, Geri Wimmer, in the 1950s. After his mother’s death, Mortimer became a “European playboy” (109), with a villa on the Mediterranean. He and Geri had a son, who was expected to follow in Mortimer’s footsteps since Bobby was seemed too temperamental to be a successor. Arthur Sackler envied and resented Mortimer’s carefree lifestyle; after Sophie’s death, Mortimer and Raymond grew distant from Arthur.

Arthur Sackler’s domestic life remained tangled. His son Arthur Felix proved to be a disappointment as a business successor, while his daughter Denise became an artist with his approval. Marietta remained disconcerted by Arthur’s closeness to his first wife Else, unaware that he had started a relationship with the much younger Jillian Tully. Arthur insisted that Jillian take his name, without informing Marietta or divorcing her.

The changing dynamics between the brothers began when Bill Frolich died in 1971. The division of Frolich’s business interests created more resentments and difficulties. Frolich had purchase yet another business for Arthur: IMS, a marketing analytics company devoted to helping pharmaceutical companies understand drug success and profitability. IMS was left to Raymond and Mortimer Sackler in Frolich’s will. The profits from IMS could not have gone to Arthur in any case because his role at McAdams prevented formal involvement with a rival agency. Raymond and Mortimer took IMS public, netting nearly $37 million for themselves. They then claimed that because their original business agreement meant Arthur had no involvement in international holdings, they had no obligation to share these profits, which soured the relationship between the brothers.

Bobby Sackler’s life spiraled into tragedy, as he struggled with mental health issues and drug addiction. In 1975, possibly while under the influence of PCP, he died by apparent suicide, jumping out of a window in front of his mother.

Book 1, Chapter 9 Summary: “Ghost Marks”

Arthur Sackler’s personality affected the dissolution of his marriage with Marietta Lutze. Depressed by Arthur’s unavailability, she sought therapy and eventually confronted him. He confessed his involvement with Jillian but did not want a divorce, hoping to run his relationships according to his own wishes. Marietta still threw him a 60th birthday party celebrating his life and accomplishments.

Arthur became increasingly famous in his 60s, granting interviews about his career and relationships with famous people such as Egyptian president Anwar Sadat and Russian-French painter Marc Chagall. The family never spoke of Bobby Sackler’s suicide. Mortimer married his third wife, British schoolteacher Theresa Rowling, and started a new life in London.

Arthur Sackler’s relationship with the Met grew more fractious as his domestic life grew more complex. He became furious when the museum hosted a Valentino fashion show in his private gallery, and tried to prevent information about his private space there from being made public. Museum administrators hoped this incipient scandal might result in them getting Arthur’s collection permanently. The Met’s new director, Phillips Montebello, was less deferential than his predecessors, and Arthur still resented not being a board member. This resulted in Arthur making a large gift to the Smithsonian in Washington, DC, insisting that a new museum be built for his holdings bearing his name.

Arthur refused to accede to Marietta’s requests for a divorce. Finally, desperate, she took an overdose of sleeping pills in front of him at his office. She survived, and Arthur, enraged by what he regarded as an insult, finally agreed to her terms. He married Jillian and moved his art out of the apartment Marietta won in the settlement. Marietta “cried, surrounded by bare shelves and what she thought of as ‘ghost marks’ on the walls, the discolored rectangles where paintings used to hang” (130-31).

Book 1, Chapter 10 Summary: “To Thwart the Possibility of Death”

One of Arthur Sackler’s late in life triumphs was the Sackler Museum at Harvard. The building was a $10 million extension of the university’s art museum, and the public opening included prominent people like actress Glenn Close, Nobel Prize-winning scientist Linus Pauling, and violinist Itzhak Perlman. Arthur’s Smithsonian museum opened soon after. Arthur took pains to be known mostly as a philanthropist—his published biography for the Smithsonian did not mention his advertising or pharmaceutical career, and future generations of the Sackler family would maintain this secrecy about the source of their wealth.

Arthur became preoccupied by and resentful of his mortality. He also became obsessed with money and Jillian’s spending, even writing her a memo demanding she account for her habits and bring in income of her own. His new marriage was also shaped by a passion for art exhibitions and collections.

In May 1987, concerned about chest pain, Arthur checked in to the hospital anonymously: “As a consequence of all this secrecy, none of his family, apart from Jillian, knew that Arthur was in the hospital. By the time his children arrived to see him, he was dead” (137).

Arthur’s life was publicly celebrated at many of the institutions he had given money to, including Harvard, Tufts University, and the Smithsonian. At a large gathering at the Met, Arthur’s brothers did not speak, though the Mayor of New York eulogized him. For all of Arthur’s preoccupation with reputation and good works, inherited from his own father, “it was too soon yet to take the full measure of his legacy” (138).

Book 1, Chapters 6-10 Analysis

Arthur Sackler’s late career and the Sacklers’ fortunes underline the growing importance of wealth generation, at any moral or personal cost, to the family’s political and social future. In Marti Ibanez and Harry Welch, Arthur found partners who shared his penchant for secrecy and willingness to avoid deeper questions of moral culpability. It is striking that Senator Kefauver likened the pharmaceutical industry to organized crime, while Arthur pontificated about the nobility of medicine and the incorruptibility of its practitioners. Kefauver’s insistence that the public interest mattered more than profit and the importance of journalists and insider testimonials to his work show that truth-telling could be a key tool in fighting corruption. However, Kefauver’s lack of success in the face of Arthur’s showmanship is a testament to Arthur’s mastery of cultivating a public image.

The episodes concerning Arthur’s philanthropic life, the Temple of Dendur, and the Sackler wing underline that Arthur’s politics were shaped by his belief in his family and identity—he wanted to memorialize himself just as past visitors to the Temple had. He literally privatized public space in the name of demonstrating his family’s power. Yet no amount of money could fully insulate the Sacklers from human foibles: Their silence about Bobby’s death indicates that they were far more inclined to celebrate triumph than acknowledge limitations.

Arthur’s falling out with his brothers and the breakup of his second marriage reveal much about his brothers, their shared values, and the persistence of some of his earlier personality traits. Mortimer and Raymond’s willingness to fall back on a legal technicality to prevent Arthur from sharing IMS profits is a sign that they, too, were competitive enough to block their brother’s advancement.

For Arthur, the personal was always political, whether this meant his marriage or his philanthropic work. Arthur’s leaving the Met for the Smithsonian was the same kind of a demonstration of power as his refusal to divorce Marietta. Arthur’s relationship with the much younger Jillian was closer to an acquisition than to romance—he insisted she take his name long before they were married and then treated her like a business expenditure. Radden Keefe presents Arthur as a man whose story ended but did not resolve, implying that future generations would define his legacy.

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