![]() ![]() Since the late 1990s, nearly 500,000 Americans have died, with white working people in places like Appalachia, the Rust Belt and Florida particularly hard hit. There are any number of credible explanations, mostly based in economics and race, but one often overlooked factor is the opioid epidemic. Why have they cast off civic values and embraced conspiracy theories? Why do they flock to candidates who offer little beyond a middle finger raised at elites? What is behind their seething rage? Liberals have spent a lot of time recently puzzling over the behavior and attitudes of working-class Americans. If you buy books linked on our site, The Times may earn a commission from, whose fees support independent bookstores. Empire of Pain: The Secret History of the Sackler Dynasty ![]()
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