From its title and premise, the hope for this kind of documentary would be for it to show some respect for the people who died from the Floridian opioid epidemic. At the very least, the film should dissuade people from the crimes documented here, by emphasizing the consequences of these actions. American Pain does not do this. It’s interesting to view how quickly the business gets out of hand for these unethical entrepreneurs – director Darren Foster reveals each development with enough style and flourish to be entertaining – but the film is clearly more fascinated with how the twins got away with drug dealing for so long. It’s a fun watch… if you forget people died from the events of this film.