Dreamland

The True Tale of America's Opiate Epidemic

Sam Quinones | 4.47 | 22,157 ratings and reviews

Recommended by David Heinemeier Hansson, and 1 others. See all reviews

Ranked #22 in Drugs, Ranked #23 in Public Health — see more rankings.

In fascinating detail, Sam Quinones chronicles how, over the past 15 years, enterprising sugar cane farmers in a small county on the west coast of Mexico created a unique distribution system that brought black tar heroin—the cheapest, most addictive form of the opiate, 2 to 3 times purer than its white powder cousin—to the veins of people across the United States. Communities where heroin had never been seen before—from Charlotte, NC and Huntington, WVA, to Salt Lake City and Portland, OR—were overrun with it. Local police and residents were stunned. How could heroin, long considered a drug found only in the dense, urban environments along the East Coast, and trafficked into the United States by enormous Colombian drug cartels, be so incredibly ubiquitous in the American heartland? Who was bringing it here, and perhaps more importantly, why were so many townspeople suddenly eager for the comparatively cheap high it offered?

With the same dramatic drive of El Narco and Methland, Sam Quinones weaves together two classic tales of American capitalism: The stories of young men in Mexico, independent of the drug cartels, in search of their own American Dream via the fast and enormous profits of trafficking cheap black-tar heroin to America’s rural and suburban addicts; and that of Purdue Pharma in Stamford, Connecticut, determined to corner the market on pain with its new and expensive miracle drug, Oxycontin; extremely addictive in its own right. Quinones illuminates just how these two stories fit together as cause and effect: hooked on costly Oxycontin, American addicts were lured to much cheaper black tar heroin and its powerful and dangerous long-lasting high. Embroiled alongside the suppliers and buyers are DEA agents, local, small-town sheriffs, and the US attorney from eastern Virginia whose case against Purdue Pharma and Oxycontin made him an enemy of the Bush-era Justice Department, ultimately stalling and destroying his career in public service.

Dreamland is a scathing and incendiary account of drug culture and addiction spreading to every part of the American landscape. less

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Reviews and Recommendations

We've comprehensively compiled reviews of Dreamland from the world's leading experts.

David Heinemeier Hansson Dreamland: The True Tale of America’s Opiate Epidemic accounts how a few tiny studies on low rates of opium addiction for hospital patients lead to a whole new paradigm for treating pain in the US. From mid 90s to late 2000s, opium pain pills were basically considered non-addictive by much of the medical community. This led to crazy over-prescription, subsequent addiction, and a whole new market for heroin once someone was hooked and couldn’t afford the pills. This heroin market was served in large parts by on-demand delivery services driven by small-town Mexican heroin cells. It’s really an... (Source)

Rankings by Category

Dreamland is ranked in the following categories:

#23 in Addiction
#70 in Criminology
#82 in Medicine
#58 in Mexico
#58 in Psychiatry

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