This book spans nearly 100 years of history having to do with the Sackler's. As mentioned in the book, many people have been touched by the opioid crisis, and I think this book does an incredible job of describing how it came about and where it touched. It was honestly astonishing to me how far it all went, as well as disturbing. The very special way large corporations exist in this country in coordination with the government allows large scale health epidemics over and over again.

This book is very dense, but not difficult. It took me 2 separate Libby rentals to finish. Linking old information I had known previously with passing comments from my childhood; it was a very specific experience I have not experienced in a book before. Very much worth the read.