kathrynshields's review against another edition

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challenging dark informative tense medium-paced

5.0

My spooky season reading started a little early with this absolute horror story. I was familiar with the Sackler family’s connection to the opioid epidemic, but Patrick Radden Keefe expertly untangles a complex and complicated history spanning three generations. The material is dense at times, but the story is captivating. This is an important work of journalism and storytelling that everyone, directly or indirectly affected by opioids, should read. 

*Extra points to the author for a consistently correct pronunciation of “Appalachia” in the audiobook.

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bibliomich's review against another edition

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dark informative medium-paced

5.0

Patrick Radden Keefe is an author who has been on my radar for a long time, and I'm glad that I finally decided to listen to Empire of Pain.

First of all, I want to note that Keefe narrates his own audiobook, and he is an excellent narrator, so I highly recommend the audiobook, should you enjoy/prefer listening to your books.

The core thesis of this book is that the decisions of several generations of one single family shaped the pharmaceutical industry of today, as well as significantly contributed to the current opioid crisis. Keefe's research is thorough, substantial, and tremendously convincing. The story is compelling, devastating, and infuriating.

I highly recommend Empire of Pain and personally intend to read Keefe's other books soon.

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abigail_lo's review

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challenging dark informative sad medium-paced

5.0

the only reason it took me so long to read this book is how goddamn infuriating it is. multiple times, i had to close the book before i became overpowered by sheer rage at the fucking nerve of the sacklers + everyone else they bought off. in terms of my takeaways: immense wealth and nepotism will be the literal death of our society. when corporations are allowed to buy their way through all the regulations in place in what amounts to a caricature of free-market capitalism, real people will always suffer. like he says in the afterword: while pain management is a very complex question and opioids are helpful to many people, my heart aches for those who lost their lives due to big pharma's (and specifically purdue's) lust for money. fuck capitalism -- eat the rich <3

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mariawie's review against another edition

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challenging dark informative medium-paced
  • Plot- or character-driven? A mix
  • Strong character development? No

4.5


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jhbandcats's review against another edition

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challenging dark emotional informative reflective sad medium-paced

5.0

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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tiernanhunter's review against another edition

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challenging dark emotional informative reflective medium-paced

5.0


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bennyfelds's review

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challenging dark emotional informative sad slow-paced

4.0


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megang519's review

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challenging emotional informative medium-paced

4.0


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