Dreamland: The True Tale of America's Opiate Epidemic
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It is really well written and researched and lays out the several separate events and trends that converged to make this perfect storm happen when and where it did:
https://www.amazon.com/Dreamland-True-Americas-Opiate-Epidem...
Sam ran the podcast circuit awhile back if you want to listen to his story. I found out about it via Russ Roberts' Econ Talk. http://www.econtalk.org/archives/2017/01/sam_quinones_on.htm...
https://www.amazon.com/Dreamland-True-Americas-Opiate-Epidem...
Long interview podcast (~1hr) with the author to listen to or read the transcript of here:
http://www.econtalk.org/archives/2017/01/sam_quinones_on.htm...
There are a multitude of reasons to explain how this happened but to quickly sum up an excellent book:
- Purdue created the whole "sell-direct-to-doctor" phenomena that is now the norm in the US medical profession
- One bad study that showed opiates for pain relief are NOT addictive and this study kept being cited by sales people
- Mexican drug dealers from a very tiny area in Mexico importing black tar heroin
- A prevailing idea in the US that people should never be in pain and managing it through lifestyle changes is not acceptable; a quick fix is needed
- economic depression in the Midwest and Appalachia regions
But really, read the book. It's eye opening and well written.
Except it wasnt.
Very worthy your time listening to this guy if you are interested in the topic.
[1] https://www.amazon.com/Dreamland-True-Americas-Opiate-Epidem...
https://www.amazon.co.uk/Dreamland-True-Americas-Opiate-Epid...
This book has more of a focus on American pharma industry but still has lots of interesting insider insights.
https://www.amazon.com/Dreamland-True-Americas-Opiate-Epidem...
My takeaway was that opiates were incorrectly classified as a non-addictive way to treat pain, so doctors started dolling them out far too liberally. Hospitals also started employing pain specialists who's sole job was to treat pain in patients. It's pretty easy to find people in any sort of "pain" if that's all you're looking for.