Sam Quinones: "America and hope in the time of fentanyl and meth"

Dastardly Cleverness in the Service of Good

In many ways, addiction has become a defining feature of life in America. More and more of us have become addicted to drugs like alcohol, heroin, cocaine, and opioids, and to other things increasingly recognized as addictive, like sugar, junk food, and social media.

The problem has been growing for decades, but in recent years it has exploded. A record for deaths by overdose was set in 2020, at a level six and a half times higher than just 10 years before. The 2020 record was smashed last year, with the overdose death rate still rising. Overdose is now the leading cause of death for Americans between the ages of 18 and 45.

Some of the toll is probably related to the COVID pandemic. But much of it is also caused by a seemingly infinite supply of incredibly addictive and dangerous synthetic drugs, especially meth and fentanyl. They can be obtained or made cheaply by almost anyone, and sold at an enormous profit. Often they’re mixed in with other illegal drugs, or with counterfeit versions of legal drugs. Now there are reports of fentanyl pills made to look like candy.

Spencer's guest this time is one of the leading experts on the addiction crisis, and one of its most powerful storytellers. Journalist Sam Quinones sounded the alarm on opiate addiction in 2015 in his multiple-award-winning book Dreamland. That book focused on the devastation visited on a small Ohio town from two sources: the aggressive marketing of a supposedly safe universal painkiller called Oxycontin and a flood of cheap, black tar heroin. Dreamland played a major role in exposing the scale and the origins of the opioid epidemic, and that helped produce consequences for many of those who promoted and profited from that epidemic.

Sam Quinones was well ahead of the crowd when he wrote Dreamland, and he still is. His latest book is called The Least of Us. In it, he describes how the addiction crisis has gotten even worse — and yet he also gives reasons for hope. Those reasons are found in the stories of ordinary people who reject the despair that addiction feeds on and amplifies. They’re replacing it with small acts of rebuilding and love, the mutual care that may be the only lasting cure for addiction.