Review - 'Empire of Pain: The Secret History of the Sackler Dynasty' by Patrick Radden Keefe

Sometimes I think I've seen it all. Certainly as a reader of fiction, I think I've read it all. But then a nonfiction book comes along, and the true tale within is so gripping, so abhorrent, as to blow all those made up stories out of the water.

I'd previously read a few books and countless articles on the Opioid Crisis, so I'm not new to the subject. But Empire of Pain approaches from a different angle, focusing on the Sackler family who owned and ran Purdue Pharma. Through their insatiable greed and morally repugnant actions, they got millions of people addicted to OxyContin and hundreds of thousands killed. This is an unflinching look at their history and their legacy.

From the very first page, I was riveted. The central story here is a well-known one at this point: how the Sackler-owned Purdue Pharma, at the behest of the family, aggressively marketed OxyContin as the non-addictive drug of choice for pain management. When evidence started emerging of its highly addictive properties, the family went on to obfuscate this knowledge from the public and the government, effectively contributing to the emergence of the Opioid Crisis.

But this is more than just a story about Purdue and OxyContin. The book captures three generations of Sacklers, going all the way back to when the three brothers Arthur, Mortimer, and Raymond first started making money and building up the family name. To see how they approached their early businesses and their philosophy towards profit and philanthropy is to understand how Purdue eventually became the monster it did.

But the fault doesn't reside entirely with one family and the book is careful to provide a nuanced portrayal of that. No doubt there was plenty of blame to go around. They had help from many different corners, including the FDA who gave their seal of approval on OxyContin, shady salespeople and doctors, and plenty of government officials who looked the other way.

This easily could've become a story bogged down in the weeds, with too much detail and not enough interest. But it didn't. It was a fascinating read from beginning to end, and I couldn't turn the pages fast enough. It really speaks to the author's abilities that he was able to take such a complicated and convoluted narrative and turn it into a tale that is both cohesive and intensely compelling.

This is investigative nonfiction at its best. It goes behind the scenes and lifts the veils to one of the biggest tragedies in modern American history. Though it was hard to read and stomach at times, I couldn't look away.

Readaroo Rating: 5 stars!

My heartfelt thanks for the copy that was provided for my honest and unbiased review.