Reviews with content warning for Medical content - Empire of Pain: The Secret History of the Sackler Dynasty

The first section of Empire of Pain is background on the three brothers who started what became Perdue Pharma; the rest of the book is about how OxyContin came to destroy so many lives. The whole experience of reading the second and third sections of this book is one of deep frustration and often anger.

Keefe’s dense, heavily researched account of the rise of the Sackler family (they developed Valium so they were knew about addiction from early on) and the way they created the opioid epidemic is absolutely maddening. To see them literally getting away with murder is, well, criminal.

Keefe interviewed two hundred people and had access to hundreds of thousands of pages of correspondence and depositions. He’s able to wade through this mass of information and create a cohesive, easily understood narrative. I know little about medicine and even less about business but the story he details was accessible even to a layman.

Literally more than half the book includes references, footnotes, an index - this is a phenomenally well-documented work. Everyone should read it. It’s a testament to how the rich control the lives of the rest of us.

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eelizard's review against another edition

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challenging dark informative reflective medium-paced

5.0

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laurenleigh's review against another edition

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emotional informative inspiring sad medium-paced

5.0

I am telling everyone to read this, especially when read alongside Demon Copperhead!! This was exactly what I want out of nonfiction. I want to learn, but while being engaged in a cohesive narrative. The amount of research Keefe has done is staggering, but he has communicated his findings so clearly. I was so hooked the whole time, even when I was enraged. (Greed is one hell of a drug.) After reading this and Kingsolver’s aforementioned novel, I feel so much more informed on the opioid crisis. It’s terrifying, depressing, and fascinating to see the similarities between the pharmaceutical, tobacco, and firearms industries. Radden doesn’t necessarily make his stance on the subject a secret, but he also doesn’t throw it constantly in your face.

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