Higham says one sales director at the pharmaceutical manufacturer Mallinckrodt was jokingly called "ship, ship, ship" by colleagues because of the amount of oxycodone and hydrocodone he sold: "His bonus structure was tied to the amount of sales that he made," Higham notes. "And that was a time when there was no secret about how many people were dying in places across the country, and the opioid epidemic was raging."