New Books in Drugs, Addiction and Recovery

How the war on drugs created the gold standard treatment for addiction--until America's opioid crisis got privatized for profit, to the detriment of patients.

Despite epidemic levels of overdoses in the United States, by 2020, only twenty percent of Americans suffering from opioid use disorder (OUD) received medication-assisted treatment (MAT), the gold standard of addiction treatment, which uses methadone, buprenorphine, or naltrexone to reduce illicit drug use and curb the symptoms of withdrawal. While MAT is the most effective treatment available for OUD, it's also the most controversial, the most expensive, and the most difficult to access. And yet, the medications at the center of this treatment--and the private industries that distribute them--generate roughly sixteen billion dollars each year, on par with national sales of coffee and pet food.

In Addiction, Inc: Medication-Assisted Treatment and America's Forgotten War on Drugs, historian Emily Dufton explains how this promising avenue of treatment emerged during President Richard Nixon's war on drugs in 1971 as a radical experiment in public health, when hundreds of federally-funded treatment clinics opened nationwide. Dufton then explores how these nationalized clinics gave way to an immensely profitable private industry that offers poor care at high costs to an insufficient number of people. Drawing on original research and over a hundred interviews with policymakers, medical experts, pharmaceutical lobbyists, and patients and their families, she tells a gripping story of squandered potential and missed opportunities, as MAT transformed from a revolutionary political project launched from the White House itself into a commercial success--and a public health disaster.

Urgent, eye-opening, and deeply human, Addiction, Inc. reveals how, over the past fifty years, the United States built an addiction treatment system that made recovery harder instead of easier, and what it will take to change its course.

Despite epidemic levels of overdoses in the United States, by 2020, only twenty percent of Americans suffering from opioid use disorder (OUD) received medication-assisted treatment (MAT), the gold standard of addiction treatment, which uses methadone, buprenorphine, or naltrexone to reduce illicit drug use and curb the symptoms of withdrawal. While MAT is the most effective treatment available for OUD, it's also the most controversial, the most expensive, and the most difficult to access. And yet, the medications at the center of this treatment--and the private industries that distribute them--generate roughly sixteen billion dollars each year, on par with national sales of coffee and pet food.

In Addiction, Inc., historian Emily Dufton explains how this promising avenue of treatment emerged during President Richard Nixon's war on drugs in 1971 as a radical experiment in public health, when hundreds of federally-funded treatment clinics opened nationwide. Dufton then explores how these nationalized clinics gave way to an immensely profitable private industry that offers poor care at high costs to an insufficient number of people. Drawing on original research and over a hundred interviews with policymakers, medical experts, pharmaceutical lobbyists, and patients and their families, she tells a gripping story of squandered potential and missed opportunities, as MAT transformed from a revolutionary political project launched from the White House itself into a commercial success--and a public health disaster.

Urgent, eye-opening, and deeply human, Addiction, Inc. reveals how, over the past fifty years, the United States built an addiction treatment system that made recovery harder instead of easier, and what it will take to change its course.
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Highly promising basketball player Chris Washburn was selected third overall in the 1986 NBA Draft by the Golden State Warriors. But a chance encounter with famed basketball player Len Bias introduced him to crack cocaine.

Soon, the overwhelming temptations of fame, fortune, and drugs derailed his promising career. And by 1989, after failing his third drug test, Chris was banned from the NBA. His life then spiraled into addiction, homelessness, incarceration, and near-death experiences.

Yet, in 2000, a turning point came when he lost his father. This loss fueled Chris's resolve to change. With incredible strength and determination, he fought back from the depths of addiction.

Today, Chris is a beacon of hope and resilience. He is a motivational speaker, entrepreneur, and advocate, inspiring others with his journey of recovery from addiction, and redemption. From speaking to youth groups and drug rehab centers to sharing his powerful story with the NBA, Chris is now making a positive difference in the world.

Co-written with bestselling author Ron Chepesiuk, Out of Bounds: From Broken NBA Dreams to Redemption (WildBlue Press, 2025) describes in dramatic, heart-wrenching detail Chris's remarkable journey, which included finding his birth mother, and proves that it's never too late to rise again.

Paul Knepper covered the New York Knicks for Bleacher Report. His first book was The Knicks of the Nineties: Ewing, Oakley, Starks and the Brawlers That Almost Won It All. His next book, Moses Malone: The Life of a Basketball Prophet, is now available. You can reach Paul at [email protected] and follow him on Twitter @paulieknep.
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Jonathan Gleason spent ten years writing the ten essays in his debut collection, Field Guide to Falling Ill (Yale UP, 2026). In them, Gleason braids together strands from a variety of sources – from his experience with a potentially-lethal blood clot, to his imprisoned uncle, to his journey to access medication to prevent HIV – to analyze America’s healthcare system and the humiliating, confusing, and depersonalizing effects it can often have. The essays approach medicine from a variety of viewpoints, from Jonathan’s perspective as a gay man analyzing the development of HIV medications like AZT and Truvada, to his experience as a Spanish language medical interpreter at a free clinic in Iowa City. But each essay also reminds readers of the importance of understanding the history of our healthcare institutions, and the necessity of feeling less alone when confronted by their myriad failures. Lyrical, poignant, and deeply human, Field Guide to Falling Ill is a poetic approach to understanding medicine in America.

For more information on Jonathan and his writing, visit:

Jonathan’s website: here

Jonathan’s Substack, Histories of Present Illness: here Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). Her new book, Addiction, Inc.: Medication-Assisted Treatment and America's Forgotten War on Drugs, will be released in April 2026.
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Using the narratives of women who use(d) drugs, this account challenges popular understandings of Appalachia spread by such pundits as JD Vance by documenting how women, families, and communities cope with generational systems of oppression. Prescription opioids are associated with rising rates of overdose deaths and hepatitis C and HIV infection in the US, including in rural Central Appalachia. Yet there is a dearth of studies examining rural opioid use.
RX Appalachia: Stories of Treatment and Survival in Rural Kentucky (Haymarket, 2020) explores the gendered inequalities that situate women’s encounters with substance abuse treatment as well as additional state interventions targeted at women who use drugs in one of the most impoverished regions in the US.
Lesly-Marie Buer is a harm reductionist and medical anthropologist in Knoxville, TN.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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George Fisher, the Judge John Crown Professor of Law at Stanford Law School, just released his new book Beware Euphoria: The Moral Roots and Racial Myths of America’s Drug War, with Oxford University Press. George has been teaching and writing in the realms of evidence, prosecution practice, and criminal legal history since 1995. He began practice as a prosecutor in Massachusetts and later taught at the law schools of Boston College, Harvard, and Yale. Beware Euphoria is the most recent among a slew of other books, articles, and essays that he’s published over the years, and perhaps the most contrarian. In this interview, George discusses his research methods and how he came to the conclusion that the history of America’s drug war, while racially motivated, was not meant to target minorities, but protect the morals and health of America’s white youth.
Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press.
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