The best books about the opioid crisis written by journalists

Meier’s takedown of Purdue Pharma was ahead of its time. First published in 2003, Pain Killer was updated and re-published in 2018, Meier’s book is a hard-hitting account of the early causes of the opioid crisis. He shows how Purdue tried to hide information about OxyContin’s widespread abuse and the painkiller’s addictive nature. He also spotlights the Justice Department’s repeated failures to combat the drug epidemic. Meier is a former reporter at The New York Times. At one point, the Times’ editors yanked Meier off the opioid beat in response to complaints by Purdue Pharma lawyers. The complaints, of course, were unfounded, and editors later admitted they had been duped. I’m glad it didn’t stop Meier from writing and updating this landmark book.

For years, Dreamland has been my go-to book to understand the opioid crisis. Quinones, a former reporter with The Los Angeles Times, skillfully weaves the stories of a heroin drug syndicate based in Mexico—known as the “Xalisco Boys”—and the unfettered prescribing of pain pills in the U.S. The combination battered towns and cities. His book won the National Book Critics’ Circle Award for nonfiction.    

Macy’s bestselling book also became an award-winning Hulu limited TV series of the same name. Macy also co-wrote the screenplay and has a cameo in one of the eight episodes. She is a former features writer with The Roanoke Times, a Virginia newspaper. A lot of the book is set in small communities not far from Macy’s hometown. Dopesick is a gut-wrenching tale of the ruin and devastation that drug companies left behind. I’ve been so impressed with Macy’s compassion for people struggling with addiction. Her book hits all facets of the opioid scourge. This is an essential read about the biggest man-made health crisis in American history.

The New Yorker writer and author of the New York Times bestseller Say Anything—unveils the secrets and lies of the Sackler family, the billionaire owners of Purdue Pharma. Keefe is a master of narrative storytelling and an incredible researcher, and this book made me want to scream at the greed and callousness of the Sacklers. Many see the family as downright evil, and understandably so. Since Keefe’s book came out, a number of museums and organizations have tried to distance themselves from the Sacklers. Keefe also testified before a congressional committee that aimed to hold the Sacklers accountable for the opioid crisis. Keefe poured through hundreds of thousands of documents—including messages sent from one family member to another—as part of his definitive investigation of the Sacklers. I admire reporters like Keefe who are willing to do the tedious work of scouring records.

McGreal’s book fell a bit under the radar, but in my mind, it’s one of the best books of reportage on the opioid epidemic. As a reporter for The Guardian, McGreal covered the drug crisis for years. American Overdose connects all the dots that caused it. The book starts out, “Even as a teenager, Henry Vinson wanted to be an undertaker,” then takes flight from the hollows of West Virginia to the halls of Congress. McGreal is a tenacious reporter and a superb writer. He’s one of the first reporters to lay bare the Food and Drug Administration’s cozy relationship with Purdue Pharma. And he introduces readers to former DEA agent Joe Rannazzisi, who tried to put the brakes on massive shipments of painkillers to small towns across America, but was forced to step aside after Big Pharma complained about him to powerful U.S. lawmakers. The story builds from one chapter to the next. If you like propulsive, page-turning accounts of important subjects, then this is your book.