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Dreamland: The True Tale of America's Opiate Epidemic Hardcover – April 21, 2015

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Editorial Reviews

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

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)

Unflinching . . . compellingly investigated. (Kirkus)

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)

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)

Everybody should read this book. Everybody. (Rod Dreher The American Conservative)

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Product Details

  • Hardcover: 384 pages
  • Publisher: Bloomsbury Press (April 21, 2015)
  • Language: English
  • ISBN-10: 1620402505
  • ISBN-13: 978-1620402504
  • Product Dimensions: 6.6 x 1.3 x 9.5 inches
  • Shipping Weight: 1.4 pounds (View shipping rates and policies)
  • Average Customer Review: 4.6 out of 5 stars  See all reviews (152 customer reviews)
  • Amazon Best Sellers Rank: #4,213 in Books (See Top 100 in Books)
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Customer Reviews

Most Helpful Customer Reviews

26 of 28 people found the following review helpful By Denny on May 2, 2015
Format: Kindle Edition Verified Purchase
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.
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24 of 27 people found the following review helpful By Chris M. White on April 22, 2015
Format: Hardcover
This book tells one of the most important stories of our time. This is especially true if you live an area where pills and heroin have destroyed countless lives. No other book tells this story so completely and so fluidly. Buy this book and be enlightened.
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6 of 6 people found the following review helpful By Christine Miller on June 1, 2015
Format: Hardcover
If you want to read one book this year that weaves together the forces shaping our culture today, this is it. Sam Quinones is not only a master storyteller, but also possesses the sharp intellect necessary to weave together such a complex topic in the medical, social and criminal realms. Though not a quick read, this became my go-to book when I wanted to escape from my work for the day, because it can actually be relaxing to have someone explain so clearly what is wrong with a picture that seemed so fuzzy before. How did we get to this place, where accomplished, rich, smart people like Seymour Hoffman end up dead on the floor of an NYC condo from an overdose? Where white kids in the Midwest who were once successful athletes or scholars don't make it to their mid-twenties because they turn up dead with needles dangling from their arms? Quinones does a great job of laying blame where it is due without recrimination, leaving room for the reader to develop their own simmering anger. The medical establishment's blind adherence to the data fed them by a pharmaceutical company would be laughable if it weren't so true to form and so devastating in its consequence. If the AMA does not come out with a public service announcement on this issue, shame on them and shame on the medical schools that continue to generate so many physicians who are woefully under-educated on both the addictive potential and harmful side effects of many drugs.

There are many other lessons in the book, including the fact that the Xalisco boys from Mexico who fanned the heroin epidemic across the country were by in large peaceful purveyors, treating their customers (and everyone else) well.
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18 of 22 people found the following review helpful By L. COOK on April 24, 2015
Format: Hardcover
This is a tale of a great American tragedy...
Tells the story of how the usa medical establishment with pharma became complicit in addicting many Americans on opiates, convincing themselves that somehow opiates were not really that addictive. Somehow popular think can somehow override 25 centuries plus of evidence to the contrary!!! Fads in medicine, only Jeremiah could give adequate voice to this tragedy!

That poor Mexican farmers learn how to grow and sell ,en masse, high grade heroine to eager customers in america is a very interesting story as well. but it is not these peasants that we as a society look to as the high priests of our health and well being. Cry havoc!!!
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6 of 6 people found the following review helpful By Kindle Customer on May 10, 2015
Format: Kindle Edition Verified Purchase
If you want to learn about one of the most critical underlying forces at work in America read Dreamland. It's a huge story about how many areas of the country have become crippled and demoralized by drugs prescribed by a medical industry that has allowed itself to be run by giant pharmaceutical concerns whose only focus is profit. This is the story of how we grew our own addiction problem in the doctor's offices in our towns. Read it now.
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8 of 9 people found the following review helpful By JT on April 30, 2015
Format: Kindle Edition Verified Purchase
Fascinating story about the opiate pandemic in our country today. As a father of teenage boys, I would make this book required reading in our high school for students and their parents. We need to move beyond the typical alcohol and pot talks to the harsh reality of prescription pain killers and heroin. The narrative is a bit jumpy but the author is a skilled story teller and conveys the heartbreak and helplessness surrounding this addiction and the sad societal consequences we may all end up facing.
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5 of 6 people found the following review helpful By William Capodanno VINE VOICE on May 22, 2015
Format: Kindle Edition Verified Purchase
"Dreamland" is a critical book that charts the epidemic of opiate addiction that has run rampant across the United States over the last 20 years. Quinones does a commendable job of weaving several converging narratives together that collectively gave rise to the scourge that resulted. Quinones focuses a great deal of the story on Portsmouth, Ohio, an epicenter of the destructiveness when these forces collide and a microcosm for what played out across so many places across America.

Multiple factors came together to create this epidemic. One key factor was the changing view of pain management in the medical profession. Many medical professionals began viewing and talking about pain as a "fifth vital sign" that required treatment and management like other vital signs such as blood pressure. While there had been more holistic approaches to pain management used given the concern around opiate addiction, a small study was about have a dramatic impact.

Since the advent of opioids, pharmacologists and drug companies were looking for ways for a "miracle" formula that took advantage of the pain "numbing" nature of opioids while diminishing or eliminating their addictive nature. Then a study was published in a pain journal (ultimately highly distorted and taken out of context) that provided doctors, drug companies and others the impetus to expand prescribing the drugs as treatment because they could now fall back and cite research that stated these drugs were not addictive.
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