In the next episode of Risk Matters, we delve into the lucrative world of prescription painkillers and the opioid crisis which has hit the US. We chart the history of the burgeoning opioid litigation in the US and the role of the Sackler family in the growth of Purdue Pharmaceutical and their recent attempts to circumvent US bankruptcy laws. We explain how the London and International insurance market is implicated and what it might expect in the future.