具体描述
A devastating portrait of the opioid epidemic, a uniquely American and catastrophically lethal tragedy born of Congressional neglect, amplified by corporate greed, and brutally exploited by illegal drug cartels.
The opioid epidemic is the deadliest drug crisis in American history; it results in ninety American deaths a day and has eviscerated communities across the country. It is a consequence of a healthcare system run as a business, one that prescribed drugs with unprecedented amounts of oxycodone to patients experiencing everything from toothaches to severe chronic pain. The practice created a culture of addiction in towns and cities from Florida to Maine and throughout Appalachia and the American West.
In American Fix, Chris McGreal outlines the three main stories of the opioid epidemic: first, the negligent policies that allowed the greed and corruption of big pharma to profit off the suffering of their patients and new evidence on the FDA's complicity in the matter; second, the widespread addiction that ravaged American towns and cities; and finally, the even more devastating arrival of the drug cartels who deliberately and catastrophically exploited the market for addiction that has been created.
Through the lives of doctors, addicts, policy-makers, pharmaceutical reps, and family members, McGreal tells two parallel stories: that of the rise of opioids in the healthcare system and the personal stories of those affected on the ground, joined in what a former member of the FDA has called "one of the greatest mistakes of modern medicine."
作者简介
目录信息
ACT I DEALING
CHAPTER 1 The Undertaker
CHAPTER 2 Junk Science
CHAPTER 3 Pilliamson
CHAPTER 4 The Sales Pitch
CHAPTER 5 What They Knew
CHAPTER 6 Investigation
CHAPTER 7 Vital Sign
ACT II HOOKED
CHAPTER 8 A Loaded Gun in the Suicide Ward
CHAPTER 9 Paying to Play
CHAPTER 10 Pursuit
CHAPTER 11 The Silence
CHAPTER 12 Pushback
CHAPTER 13 Sounding the Alarm
CHAPTER 14 Kermit
CHAPTER 15 A Free Pass
CHAPTER 16 The End of Days
ACT III WITHDRAWAL
CHAPTER 17 The Public Health
CHAPTER 18 Russian Roulette
CHAPTER 19 Dodging Torpedoes
CHAPTER 20 The National Nightmare
CHAPTER 21 Guilt
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写作和内容值得四颗星。考虑这本书关注了个重要问题，提出了深刻的体制问题，强行增加一颗星。
评分写的很引人入胜, 一幕幕跟看电影似的. 书里主要讲的是制药公司如何像医生, 公众, 和公共卫生机构推销药物和治疗疼痛的理念, 以及那些上瘾的人们的悲惨遭遇, 以及一些有良知的医生/律师/公共卫生机构官员对大公司的(迟迟不能成功)对抗. 医生也是为了捞钱乱开药, 随便就开一个月的阿片类药物, 也有根本不见病人就开药, 然后让病人去跟自己有联系的药房取药. 感觉一切都要到有很多青少年成瘾overdose而亡, 或者家长吸毒无法照看孩子导致children care homes人满为患, 问题才开始受到重视. 果然没人会管那些蓝领底层劳工 (而且他们都吸毒了制造业怎么复苏?). 全国范围的epidemic感觉有文化因素, 比如无法忍受不社交而stay alone, 以及追求recreation.
评分politics, 2010s
评分politics, 2010s
评分写作和内容值得四颗星。考虑这本书关注了个重要问题，提出了深刻的体制问题，强行增加一颗星。
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