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Dreamland: The True Tale of America's Opiate Epidemic, by Sam Quinones
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Winner of the NBCC Award for General Nonfiction
Named on Amazon's Best Books of the Year 2015--Michael Botticelli, U.S. Drug Czar (Politico) Favorite Book of the Year--Angus Deaton, Nobel Prize Economics (Bloomberg/WSJ) Best Books of 2015--Matt Bevin, Governor of Kentucky (WSJ) Books of the Year--Slate.com's 10 Best Books of 2015--Entertainment Weekly's 10 Best Books of 2015 --Buzzfeed's 19 Best Nonfiction Books of 2015--The Daily Beast's Best Big Idea Books of 2015--Seattle Times' Best Books of 2015--Boston Globe's Best Books of 2015--St. Louis Post-Dispatch's Best Books of 2015--The Guardian's The Best Book We Read All Year--Audible's Best Books of 2015--Texas Observer's Five Books We Loved in 2015--Chicago Public Library's Best Nonfiction Books of 2015
In 1929, in the blue-collar city of Portsmouth, Ohio, a company built a swimming pool the size of a football field; named Dreamland, it became the vital center of the community. Now, addiction has devastated Portsmouth, as it has hundreds of small rural towns and suburbs across America--addiction like no other the country has ever faced. How that happened is the riveting story of Dreamland.
With a great reporter's narrative skill and the storytelling ability of a novelist, acclaimed journalist Sam Quinones weaves together two classic tales of capitalism run amok whose unintentional collision has been catastrophic. The unfettered prescribing of pain medications during the 1990s reached its peak in Purdue Pharma's campaign to market OxyContin, its new, expensive--extremely addictive--miracle painkiller. Meanwhile, a massive influx of black tar heroin--cheap, potent, and originating from one small county on Mexico's west coast, independent of any drug cartel--assaulted small town and mid-sized cities across the country, driven by a brilliant, almost unbeatable marketing and distribution system. Together these phenomena continue to lay waste to communities from Tennessee to Oregon, Indiana to New Mexico.
Introducing a memorable cast of characters--pharma pioneers, young Mexican entrepreneurs, narcotics investigators, survivors, and parents--Quinones shows how these tales fit together. Dreamland is a revelatory account of the corrosive threat facing America and its heartland.
- Sales Rank: #1698 in Books
- Published on: 2016-04-05
- Released on: 2016-04-05
- Original language: English
- Number of items: 1
- Dimensions: 8.24" h x 1.07" w x 5.56" l, 1.00 pounds
- Binding: Paperback
- 384 pages
Amazon.com Review
An Amazon Best Book of April 2015: The rise of OxyContin addiction and subsequent heroin use has been much in the news lately as we try to make sense of what is happening in suburban and small town America. Sam Quinones’ Dreamland takes a multifaceted approach to the subject, profiling people from all walks of life, ranging from citizens of impoverished Mexican ranchos to young affluent white athletes, all cogs in the wheel of the latest drug epidemic. Unlike the crack cocaine phenomenon of the 1980s, today’s widespread opiate addiction has roots in the prescription pads of certified physicians and the marketing machine of Big Pharma. When the addict, forced by availability and economics, transitions to heroin he is met by a new breed of entrepreneurial drug dealers who are only too happy to take calls and make deliveries. The changing landscape of small town America, along with science, opportunity, shame, and of course greed, all play a role here and to see the puzzle come together, one comprehensible piece at a time, is as fascinating as it is unsettling.-- Seira Wilson
Review
"Does what ‘Fast Food Nation’ did for fast food to Black Tar Heroin and oxycodone . . . A stunning journalistic journey that follows the history and narrative trajectories that lead to this entirely new style of cultivating drug addiction . . . I just love this book." - Marc Maron
“The most original writer on Mexico and the border out there.” ―San Francisco Chronicle Book Review
“Over the last 15 years, he has filed the best dispatches about Mexican migration and its effects on the United States and Mexico, bar none.” ―Los Angeles Times Book Review
“Journalist Quinones weaves an extraordinary story, including the personal journeys of the addicted, the drug traffickers, law enforcement, and scores of families affected by the scourge, as he details the social, economic, and political forces that eventually destroyed communities in the American heartland and continues to have a resounding impact.” ―starred review, Booklist
“Quinones' research ensures that there is something legitimately interesting (and frequently horrifying) on every page. A-.” ―Entertainment Weekly
“[A] compelling examination . . . a driven and important narrative.” ―Wall Street Journal
“In Dreamland, former Los Angeles Times reporter Sam Quinones deftly recounts how a flood of prescription pain meds, along with black tar heroin from Nayarit, Mexico, transformed the once-vital blue-collar city of Portsmouth, Ohio, and other American communities into heartlands of addiction. With prose direct yet empathic, he interweaves the stories of Mexican entrepreneurs, narcotics agents, and small-town folks whose lives were upended by the deluge of drugs, leaving them shaking their heads, wondering how they could possibly have resisted.” ―Mother Jones
“Smack is back in the news as heroin use spikes and busts pile up at the border, making Dreamland a timely book. Veteran journalist and storyteller Sam Quinones provides investigative reporting to explain the latest surge. But he also goes way deeper; he tells the social and human stories at the heart of the opiate trade and how it tortures the souls of America and Mexico.” ―Ioan Grillo, author of EL NARCO
“Dreamland spreads out like a transnational episode of The Wire, alternately maddening, thrilling, depressing, and with writing as sharp and insightful as a razor blade. You cannot understand our drug war and Mexican immigration to the United States without reading this book.” ―Gustavo Arellano, syndicated columnist �Ask a Mexican!
“Quinones is a veteran journalist and expert storyteller long steeped in the demi-monde of Mexican-American bordercrossings. Dreamland: The True Tale of America's Opiate Epidemic is an intricate jigsaw puzzle piecing together his findings from intensive investigation of the unprecedented spread of heroin addiction throughout the United States over the past two decades . . . Dreamland offers an eye-opening, enlightening and mesmerizing account of one of the most important stories of the last few decades . . . Quinones is a master storyteller, with a knack of bringing hundreds of characters to life . . . Dreamland stands as a model of meticulous investigative reporting providing important insights not only the current opiate epidemic but also into the sometimes negative symbiosis between our country and our neighbors to the south.” ―New York Journal of Books
"Quinones recounts individual tales--from junkies in Portland, Ore., to pill mills in Appalachia to entrepreneurial heroin traffickers from small-town Mexico--to describe a “catastrophic synergy” in which over-prescription of opioid painkillers begets addicts, many of whom then turn to heroin, which is cheaper and just as ubiquitous." ―Best Books of 2015, Boston Globe
“Unflinching . . . compellingly investigated.” ―Kirkus
"The path of heroin from America’s urban slums to its trim suburban subdivisions is traced by a Los Angeles Times reporter. Quinones’ deeply researched and readable book says well-heeled addicts got hooked first on pain-killing medications like OxyContin--but then switched to much cheaper Mexican heroin, feeding a problem across the nation." ―Best Books of 2015, St. Louis Dispatch
“Fascinating . . . a harrowing, eye-opening look at two sides of the same coin, the legal and illegal faces of addictive painkillers and their insidious power.” ―Publishers Weekly
“A haunting tale of opiate abuse in the heartland . . . Using expert storytelling and exhaustive detail, Quinones chronicles the perfect storm of circumstances that cleared the way for the Mexican narcotic to infiltrate our small and midsize communities over the last two decades.” ―Kansas City Star
“Fascinating.” ―Salon
"You won’t find this story told better anywhere else, from the economic hollowing-out of the middle class to the greedy and reckless marketing of pharmaceutical opiates to the remarkable entrepreneurial industry of the residents of the obscure Mexican state of Nayarit . . . Dreamland--true crime, sociology, and expos�--illuminates a catastrophe unfolding all around us, right now." ―Laura Miller’s 10 Favorite Books of 2015, Slate
“The must-read book about America's heroin crisis . . . Quinones combines thorough research with superlative narrative skills to produce a horrifying but compulsively readable book about opiate addiction . . . a book that every American should read. And I state that without reservation . . . This book is as much of a page-turner as a good mystery, as well as being thoroughly and disturbingly illuminating about a national crisis.” ―Christian Science Monitor
“A gripping read and hard-hitting account of a ubiquitous plague that has flown under the radar.” ―Portland Business Journal
“Quinones's absorbing narrative is deep in research, on-site reporting, personal interviews and insight. Spanning the central U.S. and crossing the Mexican border, Dreamland adroitly unsnarls the tangled business that feeds a growing lust for chemical euphoria and relief.” ―Shelf Awareness
"Every so often I read a work of narrative nonfiction that makes me want to get up and preach: Read this true story! Such is Sam Quinones’ astonishing work of reporting and writing, Dreamland: the True Tale of America’s Opiate Epidemic." ―Seattle Times
“Everybody should read this book. Everybody.” ―Rod Dreher, The American Conservative
“An important frame of reference for understanding America’s opiate epidemic.” ―Portland Press Herald
"[A] powerful investigation into the explosion of heroin abuse in suburban America that combines skillful reporting and strong research with a superb narrative." ―The Spectator
About the Author
Sam Quinones is a journalist, author, and storyteller whose two acclaimed books of narrative nonfiction about Mexico and Mexican immigration--True Tales From Another Mexico and Antonio's Gun and Delfino's Dream--have made him, according to the San Francisco Chronicle Book Review, "the most original writer on Mexico and the border." He is also the co-author of Tell Your True Tale. Sam lives in Los Angeles.
Most helpful customer reviews
82 of 88 people found the following review helpful.
Nicely researched, enjoyable read...but chronic pain sufferers get short shift
By JKReads
This was a thoroughly researched book and I enjoyed Mr. Quinones's writing style. I was able to get clear mental pictures of the places and people he describes. I had no idea of the heroin trade and while I was aware that heroin addiction had spread to the heartland alarmingly, the complex system of the cartels was certainly eye opening. I also was vaguely aware of the 'pill mills' going on in Florida and other states primarily in the eastern part of the US, after reading this book I can say I not only know but am alarmed at how easy it was to get a Medicaid card and rake in big bucks selling Oxycontin on taxpayer money. I also agree that Big Pharma hid the dangers of Oxycontin and went ahead with a big push to doctors to prescribe it.
On the other side of the coin, I have suffered from Fibromyalgia for sixteen years and the premise that pain can be controlled solely by physical therapy, nutrition, counseling, acupuncture without medication is bunk. It might help in the short run, but at the end of the day you are still in pain. Only those who have chronic pain can fully understand what others in chronic pain are going through. I do not take Oxycontin because when it was given to me as a trial I recognized its potential to be a problem, I had the unwanted and unneeded euphoria and after it wears off the pain is +1000 than what it was before. I chose to stick with my regular medication, tramadol. As much as I definitely agree that the wild and irresponsible prescribing of opioids needed some strong checking, unless you have lived a day in the life of someone who is in terrible pain, denying pain control is a cruelty in my humble opinion. Not everyone who needs pain medications is taking them for recreational fun. If Big Pharma or pain doctors came out with something that could ease pain that has no interest to those merely looking for a buzz, believe me a lot of us would gladly use it.
82 of 89 people found the following review helpful.
Extraordinary Investigative Journalism
By Drake
I have been immersed in American cardiology for many years with little awareness that many thousands-- often young and privileged-- have been dying of the narcotic epidemic described so well in this book. The strangling web of causes, you will learn, includes misinterpreted medical research leading to deadly malpractice, shady doctors, the rusty economic meltdown, criminal behavior by Big Pharma, the easy penetration of Mexican heroin into the U.S., the economic desperation of Mexican small town culture, highly effective just-in -time heroin marketing techniques and even low pay at Walmart. This is insightful sociology told in the form of brief biographies. While sometimes repetitive, the overall effect of the book is devastating. This should be required reading for health professionals, educators, the parents of teenagers, law enforcement officials and legislators. The problem is far from over. This book will shock many awake.
The author has done brave work -- the Waltons, Pharmacy execs, and the cartels will not be happy readers.
7 of 7 people found the following review helpful.
Overly lyrical and rambling
By Amazon Customer
The prescription epidemic and its ties to the rise in heroin addiction is a fascinating subject and I was looking forward to reading this book. Unfortunately, what I found was a disjointed collection of anecdotes and an exhaustive look at the same issue from thirty different perspectives. This book could have easily been 100 pages shorter and lost none of its power.
Additionally, the author's efforts to add color to the narrative don't always land, or are used so often that they lose all meaning. For instance, he refers to one trafficker as "The Man" throughout the story, which starts out clunky and becomes annoying as he revisits it. Also, the phrase "heroin delivered like pizza" pops up in almost verbatim form about 50 times in the book. There are other places where the tonal shifts- in descriptions, sidebars on people's lives, etc. - are jarring and detract from the narrative.
The nexus between prescription pill abuse and black tar heroin is an important and tragic subject and I was impressed by the amount of research in the book and the author's commitment to the issue. However, in the end I found myself scanning/skipping pages because of the repetition and lack of clear structure in the book. With better editing and a more refined focus, this would have been a much more enjoyable read.
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