This is a big book written by a journalist in Appalachia who has seen first-hand the struggles faced by individuals addicted to opioids and heroin. Macy tracks dealers and families throughout this book to show how this epidemic has become a national crisis.

She traces small-town heroin overdose victims and families – who are more than just statistics – to the introduction of OxyContin in 1996 and the doctors who fueled the obsession and subsequent addiction. Issues of lack of healthcare and the country’s inability to provide adequate mental health resources are at the heart the problem. This is a problem that takes years to solve within a family – and decades for a community – but is one that Macy believes is worth fighting for.

This is a book that will weigh heavily upon you after reading it, especially if you know anyone affected by this issue.