Matthew Cox | Inside True Crime Podcast

The Largest 'Pill Mill' In American History | American Pain (The Real Story)

Jun 22, 2025
Explore the shocking tale of a pill mill empire led by an unqualified operator and a dog as the fake medical director. Discover the chaos and absurdity of this illicit industry, filled with addiction, legal troubles, and a complete lack of oversight. Hear personal stories of tragedy, family dysfunction, and harrowing encounters in a world where profit overshadows patient care. From bizarre patient antics to the high-stakes drama of law enforcement investigations, this narrative unveils the turmoil that contributed to America's pill crisis.
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ANECDOTE

Traumatic Childhood Experience

  • Matthew Cox recounts traumatic childhood events involving his parents that shaped his early life.
  • His father's actions led to a complex family situation impacting his upbringing.
ANECDOTE

Early Business and Friendship

  • Matthew Cox started building houses with a partner and met Chris and Jeff George through these ventures.
  • This friendship led him eventually to work with their father and later closer to the George brothers.
INSIGHT

Pain Clinics’ Loopholes Exploited

  • Pain clinics can be opened by non-medical people hiring licensed doctors to front them.
  • Regulations allowed medical directors to be nominal, exemplified by the use of a dog as a "medical director."
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