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

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'Dopesick: Dealers, Doctors, and the Drug Company that Addicted America' by Beth Macy is a meticulously researched non-fiction book that delves into the opioid epidemic gripping America. Macy provides a detailed account of the origins of the crisis, the role of Big Pharma in fueling addiction, and the devastating impact on individuals, families, and communities, particularly in Appalachia. Through personal stories and factual analysis, Macy sheds light on the complexities of addiction, the failures of the healthcare system, and the urgent need for effective solutions to combat this epidemic.

Writing/Prose:

The writing style effectively combines personal narratives with thorough research, making complex issues relatable and compelling.

Plot/Storyline:

The plot details the origins and development of the opioid epidemic, focusing on the actions of Purdue Pharma and the human toll across various communities.

Setting:

The setting spans the rural communities of Appalachia as well as the corporate landscape of pharmaceutical companies, framing the crisis on both local and national levels.

Pacing:

Pacing is generally fast and engaging, though some parts may feel uneven due to the mixture of narrative and statistics.
Though the opioid epidemic would go on to spare no segment of America, nowhere has it settled in and extracted as steep a toll as in the depressed former mill and mining communities of central Appalac...

Notes:

Opioids, including OxyContin, have been marketed as non-addictive despite clear evidence of their addictive qualities.
Purdue Pharma aggressively pushed OxyContin to doctors as a safe pain management solution, contributing to widespread addiction.
The opioid crisis has resulted in a staggering 300,000 deaths in the last fifteen years, making drug overdose the leading cause of death for Americans under 50.
The over-prescription of opioids began in the 1990s as a response to claims that pain was undertreated in America.
There is a significant correlation between unemployment in Appalachia and the rise of opioid addiction, as many turned to prescription pills for relief.
When restrictions on prescription opioids tightened, many former users turned to heroin as a cheaper alternative, fueling further addiction.
The author, Beth Macy, provides personal stories from individuals and families affected by addiction, adding a human element to the statistics.
Macy highlights the impact of corporate greed and negligence by pharmaceutical companies in creating and perpetuating the opioid crisis.
The opioid epidemic also intersects with issues of race, as the addiction crisis has primarily been highlighted in white communities rather than urban areas historically affected by heroin addiction.
Dopesickness, the physical withdrawal symptoms from opioids, leads many users to desperate measures, including theft and illegal drug purchases.

Sensitive Topics/Content Warnings

Content warnings include substance abuse, addiction, overdose, and discussions of death due to drug-related incidents.

From The Publisher:

A Hulu limited series inspired by the New York Times bestselling book by Beth Macy.

Journalist Beth Macy's definitive account of America's opioid epidemic "masterfully interlaces stories of communities in crisis with dark histories of corporate greed and regulatory indifference" (New York Times) - from the boardroom to the courtroom and into the living rooms of Americans.

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

Ratings (8)

Incredible (1)
Loved It (3)
Liked It (3)
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1 comment(s)

Incredible
8 months

Great book! The author's journalistic style was smooth and engaging, as well as represented both the informational side and emotional side of the story with equal gusto and finesse. Still has great information and insight for being 6 years old (at the time of my reading), and the ending made me ugly cry. 5/5

 
 
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