Dreamland: The True Tale of America’s Opiate Epidemic by Sam Quinones.
Bloomsbury Press, New York, my edition 2016, first published 2015.
Adult nonfiction, 374 pages including index and notes.
Dreamland is the far-reaching narrative of America’s unprecedented struggle with opiate addition. It looks inside doctor’s offices and pharmacutical marketing, studies villagers from Xalisco, Nayarit in Mexico, and interviews street addicts, rehabilitation workers, and more to form a comprehensive picture of how this situation developed.
This book doesn’t entirely fit my usual review criteria. After all, the author and the majority of people in it are white, although there is a substantial Mexican and Mexican-American element present. However, I decided it was close enough to my usual topics (since addicts are generally not a privileged group, even if they are white or privileged in other areas) to discuss here.
America’s opiate epidemic has been getting a lot of attention because it’s affected a lot of people that those in power don’t usually think of as potential addicts – middle class Midwestern white suburbians. Another, lesser known, oddity of the problem is that nearly all of the black tar heroin dealers in American’s smaller cities are from small towns in the tiny Mexican state of Nayarit.
Quinones interviews addicts, dealers, medical professionals, reformers, and law enforcement to provide as accurate a picture as possible of how this came to be. Most of the people he talks to are white, Mexican, or Mexican-American, although he does talk to some people of color, and he brings up the disparity between political response to this ‘epidemic’ and previous reactions such as the ‘war on drugs’.