Two months ago, Paul Lara saw a letter from his doctor to his insurance company. He recalls looking at the bottom of the page, next to the doctor's signature, "It says: Does this patient have cancer? He marked yes."
Only one problem: Paul Lara has never had cancer.
After decades as a commercial fisherman in Texas, Lara was badly injured on the job. In 2013, his doctor prescribed a high dose of an opioid called Subsys for Lara's back and neck pain. The fentanyl-based spray can be up to 100 times stronger than morphine.
Recently, Lara learned the medication is only approved by the Food and Drug Administration for cancer patients who have severe pain despite being on around-the-clock painkillers.
"I was shocked. I was really, really shocked," Lara said.
Federal prosecutors believe Paul Lara was a victim in a complex scheme by Arizona-based Insys Therapeutics to bribe doctors and lie to insurance companies.
In Boston's federal courthouse, prosecutors spent two months calling witness and laying out their argument in the criminal case against Insys Therapeutics founder and onetime billionaire, John Kapoor, and four of his former employees. The defense could begin presenting its case Monday.