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Dopesick

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Dopesick

Dealers, Doctors, and the Drug Company that Addicted America

Little, Brown US,

15 min read
9 take-aways
Audio & text

What's inside?

Award-winning journalist Beth Macy tracks Appalachia’s rural and suburban opioid and heroin epidemic.

Editorial Rating

9

Qualities

  • Eye Opening
  • Overview
  • Concrete Examples

Recommendation

Award-winning journalist Beth Macy, author of Factory Man, provides a bottomlessly bleak, well-researched and compassionately told epic of heroin and opioid addiction in Virginia’s rural Appalachian mountains. A former Roanoke Times reporter, Macy watched the opioid epidemic build from ground zero – rural, poor, white communities ravaged by globalization, automation and the coal industry’s decline. She paints vivid, heartbreaking portraits of addicted people, rich and poor alike. Readers interested in crime, addiction, marketing, public policy and the long road to recovery will find Macy’s dark tale compelling.

Summary

Overdoses have killed 300,000 Americans since 2003; experts predict more by 2023.

Nothing kills more Americans under age 50 than drug overdoses (ODs). More Americans fatally OD every year than die from gun violence or car accidents. More die annually from ODs than died from HIV at the height of the AIDS epidemic. Yet America has been slow to recognize the scale of this carnage and slow to respond to it.

Historically, the use of new drugs in the United States begins in poor, African-American urban neighborhoods and moves outward into whiter, more suburban markets – as did the burgeoning use of crack and cocaine. But the opioid epidemic started in Appalachian mountain towns, rural Maine and Midwestern Rust Belt counties – predominately poor and white areas.

Opioid addiction so ravaged working-class Americans that between 1998 and 2010, the difference in life expectancy of the poorest one-fifth of the population and the richest one-fifth widened by 13 years. The pharmaceutical painkiller OxyContin (Oxy), manufactured by the family-owned drug firm Purdue Frederick and marketed by its subsidiary Purdue Pharma, was ...

About the Author

Best-selling author Beth Macy also wrote Truevine and Factory Man. She has received many reporting awards and won a Nieman Fellowship in journalism at Harvard University. 


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