What if shame works?

I've been meaning to do multiple posts on Patrick Radden Keefe's extraordinary article on how the Sackler family built a fortune by largely engineering the opioid crisis. You should definitely read the whole thing, but there are a number of interesting points that are worth singling out.

For instance, the role of social pressure in curbing bad corporate behavior.

Mike Moore, the former Mississippi attorney general, believes that the Sacklers will feel no pressure to emulate this gesture until more of the public becomes aware that their fortune is derived from the opioid crisis. Moore recalled his initial settlement conference with tobacco-company C.E.O.s: “We asked them, ‘What do you want?’ And they said, ‘We want to be able to go to cocktail parties and not have people come up and ask us why we’re killing people.’ That’s an exact quote.” Moore is puzzled that museums and universities are able to continue accepting money from the Sacklers without questions or controversy. He wondered, “What would happen if some of these foundations, medical schools, and hospitals started to say, ‘How many babies have become addicted to opioids?’ ” An addicted baby is now born every half hour. In places like Huntington, West Virginia, ten per cent of newborns are dependent on opioids. A district attorney in eastern Tennessee recently filed a lawsuit against Purdue, and other companies, on behalf of “Baby Doe”—an infant addict.

There is something both sad and hopeful in this passage.

One of the overarching themes of this article is the way we are replaying the gilded age in increasingly obvious way. Specifically, the piece compares 19th century robber barons buying respectability with libraries and universities and today's billionaires doing much the same (though I think the comparison may be somewhat unfair to Carnegie and Stanford). This certainly applies to the Sackler family.

But if vanity and the pursuit of respectability can persuade plutocrats to give large chunks of money to good causes (or at least causes with the appearance of good), is it possible that fear of shame might dissuade these same people from doing bad things?