Ratings23
Average rating3.8
Chronicles America's more than twenty-year struggle with opioid addiction, from the introduction of OxyContin in 1996, through the spread of addiction in distressed communities in Central Appalachia, to the current national crisis.
Reviews with the most likes.
5 stars for the content. I knew there was an opioid epidemic, but didn't know anything about how it started, how it progressed, and how slow finding a solution (and agreeing to any solutions!) has been. A good overview, and also how did I not know how bad this is in my neck of the woods?! Macy kept naming places and I was like, oh yep, I've been there, oh, I know where that is...
The writing was a little disjointed and repetitive, and it took me a bit to figure out how we'd jumped from OxyContin over-prescribing to heroin dealing, but I think where it really shines is in the human element - in the interviews with parents who have lost their teenaged and young adult children to overdose deaths; in conversations with doctors in Virginia counties who saw the problem coming from a mile away, tried to fight it from the pharma-rep all the way up, and how hard they've still been trying to get their patients appropriate help after more than 20 years; and in the text messages with addicted user-dealers, some who want desperately to stay clean, and some who never quite manage it. Macy excels at putting human faces and human stories front and center - they are, first and foremost, still people, not just addicts and dealers.
I am so glad that I was able to listen to this book. It was incredibly insightful and heart wrenching in the struggles the addicted face.