Dopesick by Beth Macy

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Originally published in: 2018

What it’s about: The opioid crisis in America, how it started, and why it is only going to get worse.

What made me pick it up: I was having yet another bitch session with a friend about not-even-Appalachia-adjacent author J.D. Vance and how his only solution for the opioid crisis is an offhand “it’s the addict’s own fault” and they should “pull themselves up by the bootstraps”. Then my friend said if I want to read an actual good book about actual Appalachia, I should pick up Dopesick.

My favorite parts: This book is nothing but heartbreaking from start to finish. I cried a LOT. After everything that has been done to Appalachia by Big Coal to then have them taken advantage of by Big Pharma was too much. The reporting here is excellent. The unlayering of the onion is well done by the author and I couldn’t put it down. But what she’s describing is horrific and worsening and its epicenter is just a couple hours from where I live in my beloved adopted state. As someone who was employed in a public library for years as this epidemic built, and saw the adoption of library staff-administered Narcan treatment, I know something needs to change. I have humanities degrees. I should not be the front line against this drug problem. And addicts should not need me to be. What confounded me most was the stubborn adherence to abstinence-only addiction treatment that science says fails with this type of addiction. Other countries know it fails is why there are methadone clinics everywhere else but rarely here. The author doesn’t have a lot of suggestions for battling the drug’s presence, but does have recommendations to be made about treatment. And we should listen. If we do, maybe we can lose fewer lives. This book will leave you feeling grateful for all the recovering addicts you still have in your life and heartbroken for all those lives missing due to heroin. Because we all know at least one.

Who it’s great for: Everyone.

Erica’s rating: five shells