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Empire of Pain: The Secret History of the Sackler Dynasty

Nonfiction | Biography | Adult | Published in 2021

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Book Brief

Patrick Radden Keefe

Empire of Pain

Nonfiction | Biography | Adult | Published in 2021
Book Details
Pages

820

Format

Biography • Nonfiction

Setting

United States • 20th Century

Publication Year

2021

Publisher

Doubleday

Audience

Adult

Recommended Reading Age

18+ years

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Super Short Summary

Empire of Pain by Patrick Radden Keefe explores the origins of the opioid crisis through the story of the Sackler family and Purdue Pharmaceuticals, detailing their roles in the creation and aggressive marketing of OxyContin despite growing evidence of its addictive potential and misuse. It traces the family's rise from the humble beginnings of the Sackler brothers to their influence in medical advertising, philanthropy, and the controversial expansion of opioid use for pain management, ultimately leading to legal and public scrutiny. Descriptions of living with opioid use disorder, including overdoses and deaths by suicide, are present in the narrative.

Informative

Dark

Unnerving

Reviews & Readership

4.6

124,606 ratings

93%

Loved it

6%

Mixed feelings

1%

Not a fan

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Review Roundup

Empire of Pain by Patrick Radden Keefe receives high praise for its meticulous research and compelling narrative about the Sackler family's role in the opioid crisis. Reviewers commend Keefe for blending investigative journalism with a gripping, character-driven story. Some critics, however, note a dense detail level that may overwhelm casual readers.

Who should read this

Who Should Read Empire of Pain?

Readers who appreciate investigative journalism and gripping non-fiction narratives will enjoy Empire of Pain by Patrick Radden Keefe. Comparable to The Immortal Life of Henrietta Lacks and Bad Blood, this book will appeal to those interested in corporate corruption, the opioid crisis, and the intersection of wealth and power.

4.6

124,606 ratings

93%

Loved it

6%

Mixed feelings

1%

Not a fan

Character List

Patrick Radden Keefe

A staff writer for The New Yorker and the author of critically acclaimed works. He is known for his investigations into the Sackler family's role in the opioid crisis.

The eldest Sackler brother who became a doctor and was involved in medical advertising. His career was marked by avoiding regulation and ethical conflicts, and he ultimately amassed significant wealth and an art collection.

Arthur's younger brother who developed Purdue's foreign subsidiaries and lived a lavish lifestyle. He was later involved in the opioid market through MS Contin.

The youngest Sackler brother who helped build Purdue Frederick and oversaw the launch of MS Contin. He remained deeply involved in the company and maintained a culture of denial regarding its controversies.

Arthur Sackler's second wife, a German doctor, who provided personal insights into Arthur's complex personality through her unpublished memoirs.

Arthur Sackler's third wife who was active in his artistic and philanthropic pursuits. After his death, she sought to distance him from the family's scandals related to OxyContin.

Raymond Sackler's eldest son who played a leading role at Purdue. He was heavily involved in the development and promotion of OxyContin.

Mortimer's daughter who worked at Purdue and claimed partial credit for the idea of OxyContin but distanced herself from its controversies.

An investigative journalist with The New York Times who reported on OxyContin's addictive nature and faced pressure from Purdue as a result.

Purdue's devoted company lawyer who played a key role in launching MS Contin and later faced legal consequences for the company's actions.

A photographer and activist who, driven by personal experiences with addiction, campaigned against the Sacklers' influence in the art world.

Richard Sackler's son and the third-generation family member to work at Purdue. He attempted to rehabilitate the family's image amid legal troubles.

A filmmaker and Richard Sackler's granddaughter, who focused on social issues in her work but avoided discussing her family's impact on such issues.

Mortimer's son from his second marriage, who focused on maintaining a luxurious lifestyle and sought influential support during family legal troubles.

Former attorney general of Massachusetts who pursued legal action against Purdue, seeking accountability for their role in the opioid crisis.

David Sackler's wife, who became a fashion influencer and launched a clothing line. She distanced her work from Purdue's controversies.

Father of the Sackler brothers, who initially ran a grocery business and acquired real estate. He impressed upon his sons the importance of a "good name."

A business associate of the Sackler brothers who ran a supposedly rival ad agency that Arthur Sackler secretly co-owned.

A doctor who worked closely with Arthur Sackler and was involved in the intersection of Pfizer and the FDA during their early collaborations.

Head of the FDA's antibiotics division in the 1950s who had a conflict of interest due to his partnership with Arthur Sackler.

A Democratic senator known for investigating crime and corruption, including the pharmaceutical industry's ties to the FDA.

Book Details
Pages

820

Format

Biography • Nonfiction

Setting

United States • 20th Century

Publication Year

2021

Publisher

Doubleday

Audience

Adult

Recommended Reading Age

18+ years

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