Genre: Adult Nonfiction
Year Release: 2022
Source: Audible

Listened to the audiobook
Content/trigger warnings: COVID-19, overdose, vomiting, prison, drug abuse, structural inequality, death of relatives

This book is a kind of sequel to Dopesick, in that it is a continuation of Beth Macy’s research and investigation into the impact and extent of the devastation left behind by the Sackler’s mismarketing and straight-up lying about the acute and long-term effects of their so-called miracle drug. There is some follow-up with the activists, doctors, and caregivers from the initial investigation, with several new key players in the movement to curb overdose deaths both within Appalachia and nationwide.

Though “hope” is in the subtitle, this volume reckons with the fact that the COVID-19 pandemic has slowed down many of the boots-on-the-ground work with regards to harm reduction and further stigmatization and rethinking addiction as a disease rather than a personal failing. It does end, however, with action items that the reader can take on personal, political, and local levels.