Provisional data from the National Center for Health Statistics at the end of December 2022, showed that overdose deaths in America remained at over one hundred thousand. Although a decrease from the previous year, the statistics are sobering and a reminder that the war against opioid addiction continues as fentanyl claim victims, and a new drug “tranq“, has emerged as the next monster on the streets of America. But how did we get here? And what lies ahead? I previously reviewed San Quinones’ ‘Dreamland: The True Tale of America’s Opioid Epidemic‘ but was curious to read what author Beth Macy discovered in her own research into America’s drug crisis. What I found is another book equally as compelling and important about where the United States went wrong and how deadly the epidemic is.

I do want to issue a disclaimer which is that this book is not for the faint of heart. But if you are intimately acquainted with the epidemic either as a friend, relative or savior of a drug addicted person, then you already know this. Frankly, this is not the book for those in search of a happy conclusion. This is the raw truth about a crisis that continues to expand and claim more lives. However, all does not have to be lost if we pay close attention to what Macy reveals.

The author takes us through the history of opioids, from the discovery of morphine by Friedrich Wilhelm Serturner (1783-1841) to the Harrison Narcotics Act of 1914, and 1924 when heroin was officially outlawed. It is a fascinating compendium of the development of drugs that have morphed into a nightmare. The story changes gears and pace when we reach the years 1995 and the a new drug arises called OxyContin. Hailed at first as a new wonder drug, America soon learned that behind the promises and fake smiles lay a demon that trapped its users in a vicious cycle of dependency. It is not long before doctors began to sound the alarm that all is not well, and addiction in patients begins to increase exponentially. But before any action is taken, lives are unfortunately lost. Macy captures the stories of a select few individuals including convicted drug trafficker Ronnie Jones, who is currently serving a 30 year sentence in federal prison. Each story is riveting yet also heartbreaking, and by the book’s conclusion, I could only sit in silence as weight of the lives lost to opioid addiction settled in.

As I read the book, I could not believe the stories I read. Having witnessed drug use in my own family, I am firmly aware of the lengths to which addicts will go to get their next high. However, what I read here was even crazier at times. And while addicts were dropping dead, pharmaceutical companies continued to reap enormous profits from the marketing and distribution of pain killers that spared no one. However, the author does point out a shocking aspect of the epidemic in regard to addiction rates across demographics. Even the epidemic is touched by race but not in way readers may think. In fact, the irony is haunting, and continues to ripple across suburban America. Further, it also shows that drug use is not just an “inner city” problem. No one is immune.

My youth was spent in East New York, Brooklyn during the 1980s which saw the rise of crack cocaine. I shall never forget those days and the devastation across the City of New York. As I watch the opioid epidemic, it feels like Deja vu. The difference is that the users are not contained in the ghetto or low-income areas, and every sector of America is now confronted with an issue that cannot be ignored. Empty promises by politicians have not helped, and the failures of multiple administrations are highlighted in the book. Macy makes it clear that this is an issue the entire country will need to confront head because it will not go away on its own. But the frightening realization is that by the time the Government takes tougher action, more Americans may be laid to rest as dealers increase the stream of fentanyl and deadlier drugs into the supply.

This is an uncomfortable yet critical book about the horrific impact of opioids and the havoc they have wreaked. However, it also shows that lives can be saved if governments are willing to invest the time, money, and effort into fighting it head on. Until that time comes, it is imperative that books such as this are read by an increasing number of readers who will be fully aware of the signs that come with addiction and the importance of intervention.

ASIN : B078D67JCF