Should Roseanne Have Died From an Opioid Overdose?

By Pat Anson, PNN Editor

Roseanne Barr is the latest victim of America's opioid crisis. Or to be more precise, Roseanne Conner is.

The fictional matriarch of ABC’s cancelled “Roseanne” show was killed off in the opening episode of “The Conners” Tuesday night, with her family struggling to come to terms with her death. What was initially thought to be a fatal heart attack turns out to be an accidental overdose of prescription opioids.

TV audiences had last seen Roseanne Conner hiding her addiction to opioid painkillers while waiting for long-delayed and costly knee surgery. But that storyline ended when Roseanne Barr was fired by ABC for a racist tweet and the network had to come up with a way to explain her absence.

“We firmly decided against anything cowardly or far-fetched, anything that would make the fierce matriarch of the Conners seem pathetic or debased,” Executive Producer Bruce Helford explained in The Hollywood Reporter.

“I wanted a respectful sendoff for her, too: one that was relevant and could inspire discussion for the greater good about the American working class, whose authentic problems are often ignored by broadcast television.”

ABC

"I AIN'T DEAD BITCHES," Barr tweeted after watching the show. She followed up with a longer joint statement with her spiritual advisor, Rabbi Shmuley Boteach.

“We regret that ABC chose to cancel 'Roseanne' by killing off the Roseanne Conner character,” the statement said. "That it was done through an opioid overdose lent an unnecessary grim and morbid dimension to an otherwise happy family show.”

It was also a bit of a cliché. The popular perception that most opioid overdoses are due to prescription painkillers is now largely a myth.  According to the Centers for Disease Control and Prevention, nearly 49,000 Americans died from opioid overdoses in 2017, but over half of them were due to illicit fentanyl and heroin, not prescription opioids.

A more accurate way to depict Roseanne’s death would have been through an overdose of heroin or counterfeit painkillers laced with fentanyl. That’s how thousands of Americans are dying. Roseanne Conner could have even been driven to suicide by untreated pain. Imagine what an eye-opening show that would have been.

Instead, the Conner family discovers that Roseanne was hiding painkillers all over the house and sharing them with a group of friends, all of them struggling with pain and addiction. The show makes it appear like opioid medication is easy to obtain, something real pain patients know is no longer true.

The only thing missing from the hackneyed script was someone saying, “If only Roseanne had tried yoga and taken Tylenol, she’d still be alive!”

Executive producer Bruce Rasmussen told Variety last week they thought carefully about how to end Roseanne's character. "You don't want to be flip about how you do this," said Rasmussen.

But that’s exactly how it came across to some PNN readers.

“The media can't seem to get the other side of the story out, nor can they print the truth about exactly how many deaths are the result of PRESCRIPTION opiates,” wrote Stephen Johnston.  “Now millions of folks will be watching as more gas is poured onto the fire. That same fire that's burning up what's left of people like myself and millions of others for whom opiate pain medications are the only relief from whatever traumatic accident or terrible malady has befallen them.”

“It was bad enough when they made pain meds a focus of the rebooted show when the first episode of the show's return aired. Now we have the added stigma, as intractable pain people, of them choosing to have Roseanne die from opioid misuse,” said Jack.

“Don't give the writers, actors, producer, the network hacks, etc., anything that isn't OTC when they have occasion to need pain relief — chronic or acute. Tylenol 3's would be much too generous, as many of us don't even get those.”

You can watch the first episode of “The Conners” by clicking here.

Roseanne Shed Light on Chronic Pain

By Barby Ingle, PNN Columnist

The reboot season of the “Roseanne” show recently wrapped up and there won't be another. Lead actress Roseanne Barr put out a racist tweet that went viral and ABC immediately canceled her show.

Although Barr’s tweet -- or ‘bad joke’ as she calls it --- was a big disappointment to her fans and everyone involved in the show’s production, I think she did some good in Season 10. It shined a light on how chronic pain can affect a patient and their family, and how important access to proper and timely mental and physical care really is.

Roseanne (both her character and in real-life) is a chronic pain patient. As a child, she suffered a traumatic brain injury. Over the years she’s shared her mental health challenges, which include nervous breakdowns and a multiple personality disorder.

"I did have a few nervous breakdowns and was hospitalized several times. It was very difficult. Fame was difficult too," Barr said in an interview with 20/20.

In a 2015 interview with The Daily Beast, Roseanne talked about using marijuana to help relieve pain.

“It’s a good medicine, you know,” she said. “I have macular degeneration and glaucoma, so it’s good for me for that because I have pressure in my eyes. It’s a good medicine for a lot of things.”

Two years ago, Roseanne began using a cane after she slipped and broke her kneecap in three places during a trip to San Francisco's Golden Gate Park. Roseanne was prescribed opioid medication for her knee injury and her real-life story was an impetus for addressing chronic pain and opioids in her show this past season. Her character also had a knee injury and used a cane.

ROSEANNE BARR

Throughout the final season, Roseanne's knee injury and chronic pain were woven into the storyline. The last two episodes were the hardest hitting. I have read articles that talk about how she was trying to share the plight of people living with addiction. I have another take on that. I believe Roseanne was actually trying to show what many pain sufferers go through because of the lack of proper and timely care.

I watched and saw a woman in real pain. Roseanne and her husband Dan worked together to overcome some of the invisible challenges of living with chronic pain. They installed an electric stair chair in Episode 3. I get this. When my husband and I chose our house, we chose one with no steps. I was still in a wheelchair at the time  and needed to get around the house without my husband’s help.

Roseanne couldn’t move to a new house due to financial challenges her TV family faced for over 20 years. She helped demonstrate how people in chronic pain must make adjustments to their living spaces to accommodate mobility.

Throughout her final season, Roseanne used a cane, went to physical therapy, and used mindfulness exercises. She even brought up that she didn’t have the money to have a procedure on her knee or to even see the doctor as often as she needed. I get that. The treatments that help me the most are not covered by my health insurance.

I have hosted personal fundraisers with family and friends to help raise the money I needed to get proper care. I’ve also had to make many appeals to my insurance company over the years. I had to find options that work for me, just as Roseanne has in both real life and as her character.

In one episode, she didn’t have enough pain pills and wondered if someone was stealing them. It turned out that Roseanne was hoarding them. She was not taking extra pills as a person with addiction would do. She was stockpiling them because she was not receiving adequate pain care and didn’t know when the pills would be cut off or how long she would need to make them last.

Two and a half million Americans live with opioid addiction, but we must never forget that 100 million will face chronic pain at some point in their lives and 30 million will need opioid pain medication. The vast majority will never abuse it.

Roseanne Barr and her show did a great job showing the limitations of our healthcare system and what happens as result of poor care. I was looking forward to next season and seeing what happened to Roseanne’s health and whether her treatment improved.

We need more media examples of what the challenges are in chronic pain and how to overcome them. I hope to see them addressed properly in future TV shows so that we change the lives of many Americans in need of better healthcare.  

Barby Ingle lives with reflex sympathetic dystrophy (RSD), migralepsy and endometriosis. Barby is a chronic pain educator, patient advocate, and president of the International Pain Foundation. She is also a motivational speaker and best-selling author on pain topics. More information about Barby can be found at her website. 

The information in this column should not be considered as professional medical advice, diagnosis or treatment. It is for informational purposes only and represents the author’s opinions alone. It does not inherently express or reflect the views, opinions and/or positions of Pain News Network.