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Dreamland: The True Tale of America's Opiate Epidemic Paperback – April 5, 2016

4.5 4.5 out of 5 stars 9,129 ratings

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Winner of the NBCC Award for General Nonfiction

Named on Slate's 50 Best Nonfiction Books of the Past 25 Years, 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

From a small town in Mexico to the boardrooms of Big Pharma to main streets nationwide, an explosive and shocking account of addiction in the heartland of America.

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.

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Customer reviews

4.5 out of 5 stars
9,129 global ratings

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Customers say

Customers find the book informative and well-researched. They describe it as a great read with a fine narrative style and compelling stories. The subject is portrayed as tragic and heartbreaking, revealing a shocking truth about America. Readers appreciate the compassionate and personal touch the author provides through personal stories. The reporting quality is described as excellent and thorough.

AI-generated from the text of customer reviews

798 customers mention "Information quality"780 positive18 negative

Customers find the book informative and well-researched. They appreciate the factual context and analysis, finding it a valuable overview of the topic. The book provokes thought and is considered one of the most important books they have read in a long time.

"Quinones does a fantastic job of explaining the various origins of the opioid epidemic and their convergence to create the foundation of so many..." Read more

"Overall this is a very powerful book that provides a balanced, well-researched history of the opioid epidemic in the US...." Read more

"...Quinones is still an engaging author and his ability to distill voluminous amounts of data into a perfectly logical narrative takes talent...." Read more

"...The book opens with a ridiculously thorough timeline that begins with the distillation of morphine in 1804, moves on to the invention of the..." Read more

700 customers mention "Readability"671 positive29 negative

Customers find the book engaging and informative. They appreciate the author's narrative style and short chapters that keep them reading. The writing is crisp and the book is described as the best they've read on addiction. It's a must-read for parents to understand the dangers of opioid use.

"...Finally, this is one of the most accessible books on the origins of the epidemic in the category; written almost like a series in a newspaper..." Read more

"...This being said, I think Mr. Quinones is still an engaging author and his ability to distill voluminous amounts of data into a perfectly logical..." Read more

"...came to be is expertly told in acclaimed journalist Sam Quinones' fantastic book, "Dreamland: The True Tale of America's Opiate Epidemic",..." Read more

"...Besides being a great read because of his fantastic narrative style and passion for getting to the bottom of it, Quinones brings together a complete..." Read more

489 customers mention "Story quality"455 positive34 negative

Customers find the story engaging with a fine narrative style and compelling stories. They describe it as an excellently written immersion into the subculture of opiate abuse. The book is readable, with many short chapters and vivid descriptions like the Dreamland Pool.

"...At moments, the story unfolds like a mystery, but the prose is always respectful of the human destruction caused by these drugs and the communities..." Read more

"...ability to distill voluminous amounts of data into a perfectly logical narrative takes talent...." Read more

"...The captivating story of exactly how this came to be is expertly told in acclaimed journalist Sam Quinones' fantastic book, "Dreamland: The True..." Read more

"...Besides being a great read because of his fantastic narrative style and passion for getting to the bottom of it, Quinones brings together a complete..." Read more

144 customers mention "Terror level"117 positive27 negative

Customers find the book disturbing and informative about the opiate epidemic. They find it an important and tragic subject that is well-researched. The book reveals a heartbreaking truth about America. Readers appreciate the individual stories of addiction and overdoses.

"...This epidemic is uniquely American, and the prose makes that clear in a very subtle way--through our medical system, through our drug distribution..." Read more

"...A well written book that is hard to put down and is a sad comment on life in this country...." Read more

"This is the most compelling, gripping and harrowing account on how opiates came to dominate all levels of society in The United States...." Read more

"...This book is the true story of an epidemic that has and continues to silently grip the country future." Read more

95 customers mention "Heartfelt story"78 positive17 negative

Customers find the story heartfelt and empathetic. They appreciate the personal touch and mention it chronicles the history of painkillers and the explosion of OTCs. The book chronicles the opioid crisis with lyrical prose and a simple positive tone that eases anxiety. It puts a human face on the opioid crisis while simultaneously delivering on compassion.

"...1. The medical policy that pain is a 5th vital sign and the demand for pain relief, by almost any means necessary, is the right of every..." Read more

"...to doctor with the pitch of a miracle "cure" --- pain relief without addiction --- created an explosion in the dispensing of pills to treat..." Read more

"...What a wonderful, informative and depressing book...." Read more

"...This book is a much-needed wake-up call! It focuses on the personal stories of people who have died, and/or lost family members to opiates...." Read more

75 customers mention "Reporting quality"75 positive0 negative

Customers praise the book for its thorough reporting and personal accounts from those involved in the heroin epidemic. They find the author's investigative skills and storytelling talent remarkable. The book is described as journalism at its best and praised for its bravery.

"A fact-filled account of the evolution of the opiate epidemic ravaging this country, especially middle America...." Read more

"...I felt validation and support, from the author and interviewees, for my personal and professional struggle...." Read more

"...What an amazing journalist, Sam Quinones is!" Read more

"Excellent reporting on our nations current heroin epidemic that arose out of small Midwestern Appalachia's need to kill chronic pain, both physical..." Read more

71 customers mention "Addiction"51 positive20 negative

Customers find the book informative and helpful for understanding addiction. They appreciate the easy-to-read style and how it brings the drug crisis into everyday life. The book provides a wealth of information about the opioid epidemic and related heroin crisis in the United States. It helps readers understand their own addictions and what they've seen happen to those they love. Readers also mention that the book provides insights into the development of opiate drugs and the impact on families.

"WHAT I LIKED. The book is a wealth of information and research on the narcotics epidemic in the United States...." Read more

"..."Dreamland" is an important work about the power and destructiveness of opiates and the recovery much of our country is undergoing as a..." Read more

"...4. The opioid is real and more widespread that I could have ever imagined. The statistics are jaw-dropping...." Read more

"...to others because I learned so much from it & it was a fascinating story about big Pharma that few have heard about...." Read more

171 customers mention "Repetitiveness"36 positive135 negative

Customers find the book repetitive. They feel the narrative circles back too often to the same points. The outline is difficult to follow and feels disjointed. It quickly loses novelty and becomes dull to read, lacking sophistication.

"...the crack and meta-amphetamine era as being crude, backward, lacking in sophistication, and missing a huge addressable market which feeds on..." Read more

"...Simply put—I enjoyed every single word. The topic isn't necessarily the most popular (for the average reader), so I'm not sure that I would..." Read more

"...This quickly loses novelty and makes the book quite dull to read...." Read more

"...Dreamland would be great as a work of fiction — intense, edgy, adrenalin-inducing — if it were only that. Unfortunately, it’s for real...." Read more

This may tell you more that you really want to know, but in a fascinating fashion.
3 out of 5 stars
This may tell you more that you really want to know, but in a fascinating fashion.
I bought this book after I had seen it for many months at the top of the Kindle list for books written by foreign authors living in Mexico. I have a book on the list and though it's doing well, I doubt it will ever rise to the top. I was curious. This isn't subject matter I would usually choose (and I'd love to see a breakdown of how many men to women have read it.) It is the basicallly very detailed story of how drugs from Mexico get to the US and the very clever way they are sold (different from what you would think.) Meanwhile pain pills are being prescribed by more and more American doctors, mostly in the east. Many people go to different docs for presciptions and it seems they are being handed out like candy. What amazed me the most was that these two "movements"eventually meet in my boring, waspy home state of Ohio. So many young people there have died from heroin or oxycontin. For my taste the book could have used some editing, or maybe I just got weary of reading such a sad tale. Well done, though.
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Top reviews from the United States

  • Reviewed in the United States on December 28, 2024
    Quinones does a fantastic job of explaining the various origins of the opioid epidemic and their convergence to create the foundation of so many problems American society faces today. This epidemic is uniquely American, and the prose makes that clear in a very subtle way--through our medical system, through our drug distribution system, and through the forces driving immigration. At moments, the story unfolds like a mystery, but the prose is always respectful of the human destruction caused by these drugs and the communities they've ravaged. Finally, this is one of the most accessible books on the origins of the epidemic in the category; written almost like a series in a newspaper (no surprise given the author's background) I have been able to put this book down for long periods and pick up without issue.
  • Reviewed in the United States on December 5, 2024
    Overall this is a very powerful book that provides a balanced, well-researched history of the opioid epidemic in the US. There is a fair bit of repetition suggesting it was built of multiple shorter articles, and some editing would be in order for a new edition.
  • Reviewed in the United States on October 30, 2017
    A fact-filled account of the evolution of the opiate epidemic ravaging this country, especially middle America. Sam Quinones, armed with tons of research, sets about writing a compelling narrative linking the liberal prescription of opioids in suburban America and widespread distribution of black tar heroin, from small agricultural villages in northwest Mexico to epidemic opioid overdose deaths across the country. The victims are mainly white, middle class, and suburban.

    Interesting takeaways from this book are:

    1. The medical policy that pain is a 5th vital sign and the demand for pain relief, by almost any means necessary, is the right of every patient.

    2. A small group of rancheros from little-known agricultural towns in northwest Mexico innovated and introduced the notion of retail drug trafficking. The best analogy would probably be the current ride-hailing methods used by companies such as Über and Lyft. However, unlike these companies, there is no central control. The traffickers operate as autonomous cells with extremely personalized customer service. The goal of the customer service is to never lose an addict through accidental overdoes or attempts at recovery—both interrupting commerce and the flow of revenue.

    3. These traffickers were essentially young, polite, and non-violent. Because the traffickers were always on the move in cars, there were no turfs or corners to control, eliminating the need for any gang violence. The methods used by these Mexican crews show up the distribution methods during the crack and meta-amphetamine era as being crude, backward, lacking in sophistication, and missing a huge addressable market which feeds on convenience shopping.

    4. The opioid is real and more widespread that I could have ever imagined. The statistics are jaw-dropping. The deaths and subculture economy in opioids are dystopian. The epidemic crosses race, class, social and economic lines. We hide from it or ignore it at our own risk and the risk of our moral fabric.

    If I dislike anything about this book is the journalistic style in which it was written. It is a form that most editors take to engage readers in a story, they make things concrete with long-winded personal back stories and manipulative emotional literary devices. To me, the approach becomes both tedious and repetitive especially when used chapter after chapter in a book this length. I prefer to deal in dry cold facts.

    This being said, I think Mr. Quinones is still an engaging author and his ability to distill voluminous amounts of data into a perfectly logical narrative takes talent. The authorship, the relevance, and the life-saving importance of the subject matter of this book are deserving of a 5-star rating.
    2 people found this helpful
    Report
  • Reviewed in the United States on June 6, 2018
    The United States of America is in the midst of a widespread opiate epidemic that has devastated hundreds of small rural towns and suburbs across the country. The captivating story of exactly how this came to be is expertly told in acclaimed journalist Sam Quinones' fantastic book, "Dreamland: The True Tale of America's Opiate Epidemic", which was published in 2015.

    In "Dreamland", Quinones magnificently blends together two seemingly-independent narratives: the overly generous prescription of pain medications during the 1990s (including Purdue Pharma's ambitious campaign to aggressively market and sell OxyContin) and the unforeseen—and unprecedented—arrival of cheap, consistent, high quality black tar heroin from one small county in Mexico. According to Quinones, these developments joined forces in a dangerous synergy that ultimately resulted in America's modern-day opiate epidemic.

    The book opens with a ridiculously thorough timeline that begins with the distillation of morphine in 1804, moves on to the invention of the hypodermic syringe in 1853 (did you know that the inventor's wife was the first to die of injected drug overdose?), glances at the release of OxyContin in 1996, and ends with the FDA's 2014 approval of Targiniq ER, which combined timed-release oxycodone with naloxone. This timeline, which provides plenty of insight into what went on in between those four events, sets the stage for the book's narrative and successfully primes the reader for the information that follows.

    And the actual book doesn't disappoint, either—as the dust-jacket blurb states, it introduces "a memorable cast of characters—pharma pioneers, young Mexican entrepreneurs, narcotics investigators, survivors, and parents, and Quinones shows how these tales fit together." Sure enough, about midway through "Dreamland", the reader begins to see the sophisticated web that was woven by several groups of people who were simply following the capitalist dream (operating in their own best interest in an attempt to make as much money as possible), and the once-hidden connections between the people and places involved become as clear as crystal.

    When it comes down to it, "Dreamland" is the best book that I've read so far this year. The story is compelling and unfolds beautifully, in a masterful manner that constantly tempts the reader to read the next chapter. The level of detail that is crammed into each page is truly impressive, but never overwhelming. Simply put—I enjoyed every single word. The topic isn't necessarily the most popular (for the average reader), so I'm not sure that I would recommend this book to someone unless they're already interested in America's opiate epidemic. However, if you are at all intrigued by the topic, then I wholeheartedly recommend this book to you. It will likely take a while to read, because it is packed so densely, but it will be worth your investment of money, time, and energy. And I will keep an eye out for any future books and articles by Quinones, as his writing is an absolute joy to read.
    12 people found this helpful
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Top reviews from other countries

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  • Anna Leigh Leighton
    5.0 out of 5 stars A Gripping and Eye-Opening Journey Through America's Opiate Crisis
    Reviewed in Canada on January 22, 2024
    "Dreamland" is an impactful exploration of America's opioid epidemic. Sam Quinones skillfully combines real stories with in-depth research, creating a compelling narrative that educates and engages. This book is a concise yet powerful examination of the crisis, deserving of its five-star rating. A must-read for anyone looking to understand the human side of this challenging issue.
  • Stuart Anderson
    5.0 out of 5 stars A must read
    Reviewed in the United Kingdom on November 1, 2023
    Found this book after reading the Purdue Pharma story. It provides a much wider view of the whole opiate crisis than was caused by OxyContin. A gripping read.
  • raul
    5.0 out of 5 stars great book
    Reviewed in Mexico on February 25, 2021
    The product is new and in perfect state, thenk you very much
  • Francisco Inacio Bastos
    5.0 out of 5 stars trabalho jornalístico brilhante
    Reviewed in Brazil on May 8, 2019
    Mesmo para quem, como eu, atua nessa área de estudos há décadas, o livro informa e mesmo surpreende, pois o jornalista que o escreveu realizou um trabalho notável de investigação, além de escrever de forma claríssima, de modo que a gigantesca investigação jornalística que se transformou em um livro que vem colecionando prêmios pode ser lida com prazer tanto pelos especialistas como pelo público em geral. Não é necessário qualquer conhecimento prévio sobre a dramática situação dos opioides/opiáceos nos EUA, pois o texto é 100% auto-explicativo.
  • Salvatore G.
    5.0 out of 5 stars A great book
    Reviewed in Italy on January 21, 2019
    Not only for americans. The best way to understand the opioid crisis in USA