Dopesick: Dealers, Doctors, and the Drug Company that Addicted America

Dopesick: Dealers, Doctors, and the Drug Company that Addicted America

by Beth Macy

Hardcover

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Overview

An instant New York Times bestseller, Dopesick is the only book to tell the full story of the opioid crisis, from the boardroom to the courtroom and into the living rooms of Americans struggling to save themselves and their families: "masterfully interlaces stories of communities in crisis with dark histories of corporate greed and regulatory indifference" ( New York Times) from a journalist who has lived through it.

In this extraordinary work, Beth Macy takes us into the epicenter of a national drama that has unfolded over two decades. From the labs and marketing departments of big pharma to local doctor's offices; wealthy suburbs to distressed small communities in Central Appalachia; from distant cities to once-idyllic farm towns; the spread of opioid addiction follows a tortuous trajectory that illustrates how this crisis has persisted for so long and become so firmly entrenched. Beginning with a single dealer who lands in a small Virginia town and sets about turning high school football stars into heroin overdose statistics, Macy sets out to answer a grieving mother's question-why her only son died-and comes away with a gripping, unputdownable story of greed and need. From the introduction of OxyContin in 1996, Macy investigates the powerful forces that led America's doctors and patients to embrace a medical culture where overtreatment with painkillers became the norm. In some of the same communities featured in her bestselling book Factory Man, the unemployed use painkillers both to numb the pain of joblessness and pay their bills, while privileged teens trade pills in cul-de-sacs, and even high school standouts fall prey to prostitution, jail, and death.

Through unsparing, compelling, and unforgettably humane portraits of families and first responders determined to ameliorate this epidemic, each facet of the crisis comes into focus. In these politically fragmented times, Beth Macy shows that one thing uniting Americans across geographic, partisan, and class lines is opioid drug abuse. But even in the midst of twin crises in drug abuse and healthcare, Macy finds reason to hope and ample signs of the spirit and tenacity that are helping the countless ordinary people ensnared by addiction build a better future for themselves, their families, and their communities.

"An impressive feat of journalism, monumental in scope and urgent in its implications." - Jennifer Latson, The Boston Globe

Product Details

ISBN-13: 9780316551243
Publisher: Little, Brown and Company
Publication date: 08/07/2018
Pages: 384
Sales rank: 70,601
Product dimensions: 6.20(w) x 9.40(h) x 1.60(d)

About the Author

Beth Macy is the author of the widely acclaimed and bestselling books Truevine and Factory Man. Based in Roanoke, Virginia for three decades, her reporting has won more than a dozen national awards, including a Nieman Fellowship for Journalism at Harvard.

Table of Contents

Author's Note 1

Prologue 3

Part 1 The People v. Purdue

Chapter 1 The United States of Amnesia 15

Chapter 2 Swag 'n' Dash 31

Chapter 3 Message Board Memorial 57

Chapter 4 "The Corporation Feels No Pain" 87

Part 2 Objects in Mirror Are Closer Than They Appear

Chapter 5 Suburban Sprawl 103

Chapter 6 "Like Shooting Jesus" 122

Chapter 7 FUBI 146

Chapter 8 "Shit Don't Stop" 164

Part 3 "A Broken System"

Chapter 9 Whac-A-Mole 189

Chapter 10 Liminaliry 209

Chapter 11 Hope on a Spreadsheet 232

Chapter 12 "Brother, Wrong or Right" 250

Chapter 13 Outcasts and Inroads 269

Epilogue: Soldier's Disease 297

Acknowledgments 309

Notes 313

Index 365

What People are Saying About This

Professor of Economics and Public Affairs, Emeritus at Princeton University and Sir Angus Deaton, FBA HonFRSE and winner - Anne C Case

“Everyone should read Beth Macy’s story of the American opioid epidemic, of suffering, of heroism and stupidity, and of the corporate greed and regulatory failure that lies behind it. With compassion and humanity, Macy takes us into the lives of the victims, their families, law enforcement, and even some of the criminals. A great book!”

U.S. Senator (Va) - Tim Kaine

“Beth Macy writes about our opioid epidemic but Dopesick is not about the drugs. It’s a book about kids and moms and neighbors and the people who try to save them. It’s about shame and stigma and desperation. It’s about bad policy, greed and corruption. It’s a Greek tragedy with a chorus of teenage ghosts who know how to text but can’t express how they feel.”

Author of Glass House: The 1% Economy and the Shattering of the All-American Town - Brian Alexander

“Dopesick will make you shudder with rage and weep with sympathy. Beth Macy's empathy and fearless reporting reaches beyond the headlines to tell the stories of how real people have been left to cope with the fallout of corporate greed, and the willful blindnesses of businesses and the government. Macy again shows why she's one of America's best non-fiction writers”

Tom Hanks

“Beth Macy is not satisfied with myths or side-bars. She seeks the very hearts of the people who are running the long marathons of struggle and survival - of Life. Dopesick is another deep - and deeply needed - look into the troubled soul of America.” - Tom Hanks

Author of What You Are Getting Wrong About Appalachia - Elizabeth Catte

"With the greatest compassion, Beth Macy plunges us into a world that deserves our knowing, filled with grieving mothers, cut-throat pharmaceutical executives, determined first-responders, and indifferent lawmakers. Radiating out from Appalachia, where the collision of poverty and pain created the ghoulish market for OxyContin, to the quiet addiction of suburbs and farming communities, you will recognize this world and weep for it. And then you will want to change it, because there can be no other response. Dopesick is both a tribute to those who lost and a fierce rebuke to those who took, and the new guidebook for understanding this quintessentially American crisis."

Pulitzer Prize winning author of the National bestseller Confederates in the Attic - Tony Horwitz

“I’m still in withdrawal from Dopesick, a harrowing journey through the history and contemporary hell-scape of drug addiction. Beth Macy brings a big heart, a sharp eye, and a powerful sense of place to the story of ordinary Americans in the grip of an extraordinary crisis.”

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