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Dreamland: The True Tale of America's Opiate Epidemic

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'Dreamland: The True Tale of America's Opiate Epidemic' by Sam Quinones is a wide-ranging narrative that delves into the intertwining stories of the oxycontin epidemic and the black tar heroin epidemic, focusing on the impact of pharmaceutical companies on the rise of prescription pain relievers and the subsequent emergence of the Opioid Crisis. Quinones provides a detailed account of how legal opiates led to the heroin epidemic, shedding light on the role of Purdue Pharma, unscrupulous doctors, and the Mexican black tar heroin trade in shaping America's current addiction problem. The book offers a mix of informative storytelling and insightful commentary, highlighting the societal ills facing America and the breakdown of community due to widespread addiction.

The writing style of 'Dreamland' is engaging and informative, presenting a sobering yet compelling narrative that keeps readers immersed in the harsh realities of addiction and the devastating consequences of the opiate crisis. Quinones skillfully weaves together multiple storylines, offering a nuanced perspective on the complexities of the epidemic while exposing the greed, negligence, and ignorance that fueled the drugging of America. Despite some pacing issues and repetitive elements, the book remains a powerful and essential read that provides valuable insights into the root causes of the opiate problem in the United States.

Writing/Prose:

The writing style is engaging and immersive, blending facts with personal narratives and emotional depth to provide a comprehensive view of the epidemic.

Plot/Storyline:

The plot explores the interconnected stories of the heroin epidemic in America, detailing the roles of drug dealers, physicians, and the experiences of affected families while presenting economic insights.

Setting:

Setting focuses on small-town America, particularly Portsmouth, Ohio, highlighting the profound impact of the opiate epidemic on rural and suburban communities.

Pacing:

The pacing is inconsistent, with some parts feeling repetitive or drawn out, affecting the overall flow of the narrative.
One hot day in the summer of 1999, a young Mexican man with tight-cropped hair, new shoes, a clean cream-colored button-down shirt, and pressed beige pants used a phony U.S. driver’s license to cross ...

Notes:

In 1980, a brief letter in the New England Journal of Medicine falsely claimed only 1% of patients prescribed opioids became addicted, sparking liberal opioid prescriptions.
Purdue Pharma released OxyContin in 1996, aggressively marketed it as safe for chronic pain, which significantly contributed to the opioid crisis.
The Xalisco Boys, a group of Mexican migrants from Nayarit, established a unique heroin distribution network in California, which spread across the U.S.
These dealers treated heroin distribution with a 'pizza delivery' approach, emphasizing customer service and discretion, unlike traditional drug gangs.
Black tar heroin from Mexico became popular because it was pure, cheap, and convenient compared to prescription painkillers.
The Purdue Pharma scandal led to 63 million dollars in fines, but many believe this is insufficient punishment for their role in the epidemic.
OxyContin came in high doses, allowing it to be abused like currency, further fueling addiction.
By the early 2000s, Portsmouth, Ohio had the highest number of pain management clinics per capita in the U.S.
The book outlines how rural communities, once thriving, suffered devastatingly due to this opioid crisis, leading to high addiction rates and community decay.
The opiate epidemic has been linked to increased social isolation across socioeconomic classes, affecting both wealthy suburbs and struggling urban areas.

Sensitive Topics/Content Warnings

Content warnings include discussions of addiction, overdose, and the societal impact of drug abuse, which may be distressing for some readers.

From The Publisher:

Winner of the NBCC Award for General Nonfiction

Named on Amazon's Best Books of the Year 2015-Michael Botticelli, U.S. Drug Czar (Politico) Favorite Book of the Year-Angus Deaton, Nobel Prize Economics (Bloomberg/WSJ) Best Books of 2015-Matt Bevin, Governor of Kentucky (WSJ) Books of the Year-Slate.com's 10 Best Books of 2015-Entertainment Weekly's 10 Best Books of 2015 -Buzzfeed's 19 Best Nonfiction Books of 2015-The Daily Beast's Best Big Idea Books of 2015-Seattle Times' Best Books of 2015-Boston Globe's Best Books of 2015-St. Louis Post-Dispatch's Best Books of 2015-The Guardian's The Best Book We Read All Year-Audible's Best Books of 2015-Texas Observer's Five Books We Loved in 2015-Chicago Public Library's Best Nonfiction Books of 2015

From a small town in Mexico to the boardrooms of Big Pharma to main streets nationwide, an explosive and shocking account of addiction in the heartland of America.

In 1929, in the blue-collar city of Portsmouth, Ohio, a company built a swimming pool the size of a football field; named Dreamland, it became the vital center of the community. Now, addiction has devastated Portsmouth, as it has hundreds of small rural towns and suburbs across America-addiction like no other the country has ever faced. How that happened is the riveting story of Dreamland.

With a great reporter's narrative skill and the storytelling ability of a novelist, acclaimed journalist Sam Quinones weaves together two classic tales of capitalism run amok whose unintentional collision has been catastrophic. The unfettered prescribing of pain medications during the 1990s reached its peak in Purdue Pharma's campaign to market OxyContin, its new, expensive-extremely addictive-miracle painkiller. Meanwhile, a massive influx of black tar heroin-cheap, potent, and originating from one small county on Mexico's west coast, independent of any drug cartel-assaulted small town and mid-sized cities across the country, driven by a brilliant, almost unbeatable marketing and distribution system. Together these phenomena continue to lay waste to communities from Tennessee to Oregon, Indiana to New Mexico.

Introducing a memorable cast of characters-pharma pioneers, young Mexican entrepreneurs, narcotics investigators, survivors, and parents-Quinones shows how these tales fit together. Dreamland is a revelatory account of the corrosive threat facing America and its heartland.

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About the Author:

Sam Quinones is a journalist, author and storyteller whose two acclaimed books of narrative nonfiction about Mexico and Mexican immigration made him, according to the SF Chronicle Book Review, "the most original writer on Mexico and the border." His book, Dreamland, won the 2015 National Book Critics Circle Award for General Nonfiction.

 
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