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“A heartfelt narrative filled personal anecdotes and horrifying statistics, Macy gives the reader an encompassing view of the opioid epidemic. Macy is a terrific writer and her reading of the book for audio conveys the sense of devastation for the addicts and their families.”
— Maria • Bartleby's Books
Bookseller recommendation
“Dopesick should be required reading for ages 14 and up. Detailed, devastating, and infuriating, Dopesick tells how big Pharma, and Purdue specifically, is responsible for the addiction and deaths of thousands of Americans. If you think addication can't happen to you or those you love, this book will give you story after story of people who felt the same way, then had to say goodbye to those they love. Incredible non-fiction, read by the author whose voice conveys her passion on the subject matter.”
— Mary • Anderson's Bookshop
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.ย 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
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.
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.
Reviews
"Dopesick follows the long chain of preventable, profit-driven human misery that is the opioid crisis."โThe Approval Matrix, New York Magazine "This book blends memoir and reportage, leaving nearly no stone unturned, looking at the opioid epidemic."โBook Riot "The Roanoke, Va.-based writer tasked herself with unravelling a demonically complex issue, and Dopesick is both devastating and sprawling in scope. In part, it's a David-versus-Goliath narrative like her first book, Factory Man."โMacleans "A sensitively written and rigorously reported book on the opioid epidemic"โEntertainment Weekly "[Macy] brings a clear eye for journalistic detail and a searching humanity to her account of the people who turn to crime to avoid dopesickness...Dopesick will enrage you and bring you to tears, often on the same page.โSteve Mitchell, Lit South "[a] masterful work."โMisty Hawkins, The Charleston Express "Intensely researched stories about the opioid crisis have been trickling in for a few years, but truly comprehensive books on the topic have just started hitting bookshelves in the last few months. In Dopesick, journalist Beth Macy charts the epidemic in small communities in Central Appalachia, wealthy suburbs, and everywhere in between and details the insidious, indiscriminate effects of addiction."โCristina Arreola, Bustle "Macy potently mixes statistics and hard data with tragic stories of individual sufferers, as well as those who love and attempt to treat them. . . . Macy's forceful and comprehensive overview makes clear the scale and complexity of America's opioid crisis."โPublishers Weekly, Starred Review "Award-winning Virginia-based journalist Macy, author of best-sellers Factory Man (2014) and Truevine (2016), carefully constructs the through line from the mid-nineties introduction of the prescription painkiller OxyContin to the current U.S. opioid crisis... Although the realities are devastating, the doctors, the bereaved, and the advocates Macy introduces do offer hope. Hers is a crucial and many-faceted look at a still-unfolding national crisis, making this a timely and necessary read."โBooklist, Starred Review "An urgent, eye-opening look at a problem that promises to grow much worse in the face of inaction and indifference."โKirkus, Starred Review "A comprehensive and thoroughly reported book."
โMackenzie Dawson, New York Post "Beth Macy wrote a very powerful book. If you haven't read it, I would highly recommend you read Dopesick."
โNancy Howell Agee, Becker's Hospital Review and President of the American Hospital Assosiation "It's a tragic story, beautifully told, but redemption comes in the heroic figures of patients, parents, judges, physicians, and prosecutors and others who did the right thing. Dopesick is the best exploration I have read of an epidemic that is very much with us."โAbraham Verghese, author of My Own Country and Cutting for Stone "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."โTom Hanks "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."โTony Horwitz, Pulitzer Prize winning author of the National bestseller Confederates in the Attic "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."โElizabeth Catte, author of What You Are Getting Wrong About Appalachia "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"โBrian Alexander, author of Glass House "All prior books on this topic, including my own, were written as if describing the trunk, the ear, or the tail, without quite capturing the whole elephant. Journalist Beth Macy has packed the entire elephant and then some into one book. Her writing jumps from the page with a fast-paced narrative, colorful and inspiring characters, vivid historical detail, and a profound sense of place."โAnna Lembke, author of Drug Dealer, M.D., psychiatrist and professor of addiction medicine at Stanford University School of Medicine A New York Times Bestseller
American Society of Addiction Medicine Annual Media Award Winner
2018 Kirkus Prize Finalist
2019 Library of Virginia People's Choice Award for Nonfiction finalist
2019 Ohioana Book Award in nonfiction finalist
Andrew Carnegie Medal shortlist
800-CEO-READ 2018 Business Book Awards Longlist
A New York Times Bestseller
One of New York Times Book Review's 100 Notable Books of 2018
New York Times critic Janet Maslin's Top Five Best Books
An NPR's On Point Top Title of 2018
One of Literary Hub's Ultimate Best Books of 2018
One of ALA's 2018 Notable Books
A Chicago Tribune Best Book of the Year
One of Atlanta Journal-Constitution'sBest Southern Books of 2018
One of Newsweek's 61 Best Books of 2018
Washington Post Best Book of the Year
An Amazon Best Book of 2018
One of Anne Lamott's Favorite Books of 2018 "Macy's harrowing account of the opioid epidemic in which hundreds of thousands have already died masterfully interlaces stories of communities in crisis with dark histories of corporate greed and regulatory indifference."โNew York Times Book Review, Editors' Choice "A harrowing, deeply compassionate dispatch from the heart of a national emergency...a masterwork of narrative journalism, interlacing stories of communities in crisis with dark histories of corporate greed and regulatory indifference."โJessica Bruder, New York Times Book Review "This book is comprehensive, compassionate and forceful. No matter what you already know about the opiod crisis, Dopesick's toughness and intimacy make it a must."โJanet Maslin, New York Times "An impressive feat of journalism, monumental in scope and urgent in its implications...gritty and heartbreaking."โJennifer Latson, The Boston Globe "You've probably heard pieces of this story before, but in Dopesick we get something original: a page-turning explanation."โMatt McCarthy, USA Today "Macy has waded into a public health morass that has also become a political minefield...Macy's strengths as a reporter are on full display when she talks to people, gaining the trust of chastened users, grieving families, exhausted medical workers and even a convicted heroin dealer, whose scheduled two-hour interview with the author ended up stretching to more than six hours."โJennifer Szalai, New York Times "Ms. Macy focuses on southern and western Virginia, though the lessons of her narrative apply broadly...Macy embedded herself in the lives of four heartsick families whose children's lives were ravaged--and sometimes lost--because of opioid addiction...for those new to the topic there is much to learn."โDr. Sally Satel, Wall Street Journal "Macy reports on the human carnage with respect and quiet compassion."โGabriel Thompson, The San Francisco Chronicle "Macy's book reveals a more complex truth of an epidemic that has been manufactured by the players of her subtitle."
โJohn Warner, The Chicago Tribune "Heartbreaking, exhaustively researched...a fierce indictment of racism, corporate greed and wily dealers...a terrifying, essential read."โPeople's Book of the Week "Macy is a terrific reporter, scrupulous in detailing the significance of her findings...Dopesick's second section--filled with gut-wrenchingly candid interviews with addicts and their families--is the most essential, placing broken faces onto horrifying data sets."โDavid Canfield, Entertainment Weekly "Macy's book doubles as a history and a call to action."โInside the List, New York Times Book Review "In Dopesick, journalist Beth Macy chronicles the crisis at large, and holds a mirror up to the pharmaceutical companies that are fueling it. Macy does exhaustive research for her books and it's encouraging that, despite all she's learned, she still has hope that our country can effectively combat this epidemic."โAmazon Book Review "Dopesick pulls together [Macy's] decades of research and interviews to highlight why and how doctors, dealers and drug companies conspired (in some cases knowingly) to get large swaths of the American population addicted to painkillers."
โJessica Roy, Deputy Editor of Elle, Best Books of 2018 "A ferocious piece of journalism distinguished by unyielding compassion."โThe Atlanta Journal-Constitution "Beth Macy puts a human face on America's opioid crisis."โChristian Science Monitor "Until I read Dopesick by journalist Beth Macy, I didn't grasp all of the factors that have combined to produce the present crisis...Although Macy's stories are set in Virginia, they could happen anywhere in the United States."โSusan Okie, The Washington Post "Just as she did with her last book, Truevine, Macy is able to develop an intimacy with key individuals that allows her to understand and explain the hearfelt feelings of her characters...The end result is an on-the-ground survey of the crisis that explores it from both the head and the heart."โPaul Markowitz, The National Book Review "Shifting effortlessly between the sociopolitical and the personal, Macy weaves a complex tale that unfolds with all the pace of a thriller, her deep journalism -- interviews with dealers, police officers, activists, local politicians as well as users and their families -- matched by a sense of barely suppressed anger at what is happening to communities like Roanoke, Virginia, where she has lived since 1989."โSean O'Hagan, The Guardian "Beth Macy's recent Dopesick outlined the synergistic destruction that legal and illegal narcotics wreak on users and their communities."โAbigail Zuger, The New York Times "A dogged and empathetic reporter on the ills of Appalachia (see her earlier Factory Man), Macy sets her roving eye on the victims and villains of the opioid crisis...Macy's approach is fresh in its humanity and its outlook, which is at once comprehensive and hyperlocal."โBoris Kachka, Vulture Expand reviews