Every 3 weeks, the opioid death toll beats out the death toll of 9/11.

It certainly seems like the kind of thing that would justify a serious response. So it wasn’t a total surprise when, six months ago Trump called a state of emergency… aaaaaand then we waited. And waited some more. Finally, in March (thousands of deaths later), we all got to hear the big plan for curbing the epidemic: death penalties for drug pushers. Because it’s working out so great in the Philippines.

But while that grand statement was supposed to conjure shitty stereotypes and images of this guy, a new report shows the truth you may have already guessed: the six biggest opioid pushers and profiteers in the country are some of Trump’s best buddies and biggest donors, members of the American glitterati. Some of them even look like the polar opposite of Trump: well-spoken, impeccably dressed old money, usually hiding behind faux philanthropy.

For generations, these five individuals — and one very wealthy family — have operated in near-anonymity, while low-level heroin dealers, uninformed pharmacists, and miseducated doctors take the fall for the crisis these billionaires created.

But here, thanks to the incredible report from a coalition of patient groups, activists, organizers, and researchers called Hedge Clippers, is the rundown on the sick, twisted Opioid Pusher Hall of Fame.