With initial reviews like “Fentanyl Nation is a gripping, powerful, and profoundly useful book about a truly historic crisis” by Dr. Carl Erik Fisher, Assistant Professor of Clinical Psychiatry at Columbia University, my interest was piqued. As someone who has been a fan of Hampton and his way of taking facts and statistics and humanizing them, I was excited to dig into his latest book.
A few months went by after I squealed with delight at hearing about Hampton’s post about his book release. And then, one night, while I was doom-scrolling, I saw a review that stopped my thumb in its tracks. It was a review by THE Sir Elton John. Like the piano man. Like the really, really famous Elton John, not the discount one you see if you visit Times Square. His review read:
“Ryan Hampton’s voice and advocacy is needed now more than ever. People need compassion and pragmatic solutions, not toxic stigma and criminalization.”
—Elton John, founder, Elton John AIDS Foundation
After immediately rushing over to Amazon and pre-ordering both the book and audiobook, I eagerly waited for September 24th, the book’s release date, to dig in. About an hour ago, I finished reading Fentanyl Nation (side note: I am still shocked that I am the first to write a review on this). Well, enough hype, here’s what you clicked for:
Fentanyl Nation by Ryan Hampton is a deeply insightful and urgent examination of America’s ongoing overdose crisis, specifically focusing on the rise of fentanyl and the systemic failures that have exacerbated the issue. Hampton, a prominent recovery advocate and person in long-term recovery, pulls back the curtain on the political, cultural, and legal factors that have allowed fentanyl to become a lethal force in communities across the country. He doesn’t just point fingers; Hampton offers pragmatic, evidence-based solutions to what he rightfully calls a public health crisis.
Hampton sets the tone of the book during the intro when he gives the CDC’s definition of an endemic and then shifts and states, “To put it another way, an endemic is what happens when an unexpected condition becomes tolerated; it becomes a part of daily life. Like the coronavirus, the overdose crisis is consistently present. This is not because we’ve won, but because the institutions that are supposed to intervene have given up trying.”
He then dives into the lack of access to quality treatment, the lack of funding for harm reduction, OPCs, and research budget and drives home that this leads to people dying. Hampton urges that “the focus on drug policy now should be on preventing as many drug overdoses as possible.”
Hampton’s writing is a compelling mix of personal narrative and hard-hitting journalism. He draws from his own lived experience as a person in recovery from an opioid use disorder to offer an authentic perspective on how the crisis spiraled out of control and the stigma that continues to surround addiction. The book meticulously unravels the entrenched myths about fentanyl, revealing how bad policies, political negligence, and a lack of public understanding have fueled one of the deadliest drug epidemics in history.
Hampton amplifies the ongoing narrative that America’s “War on Drugs” has failed, not only because of its focus on criminalization rather than treatment but because it perpetuates racial inequities and deepens the stigma of addiction. The overdose crisis, Hampton argues, isn’t a problem that can be solved by more policing or incarceration, which echoes what many harm reductionists have been screaming to anyone who will listen for years.
Instead, the overdose crisis requires a compassionate, harm-reduction-focused approach that addresses addiction as the public health issue it is. “Opioid deaths are preventable; they’re not natural. They are the consequences of policy failure … What we don’t know is killing us,” Hampton boldly claims and backs up with his extensive research. These words echo in my head as they are ones I have stated at many town hall meetings and discussions with my legislators.
Since 1999, according to the CDC, more than 932,000 people in the U.S. have died of drug overdose. The disheartening thing is that our nation didn’t open its eyes to this endemic until the New York Times reported that in 2021, 100,000 people had passed of an opioid overdose that year.
Fentanyl Nation is as much a call to action as it is a critique of America’s failed drug policies. Hampton delivers both a sobering assessment of the current state of addiction in America and a hopeful blueprint for change. With its blend of rigorous research, personal testimony, and concrete policy recommendations, this book is a must-read for anyone invested in understanding and combating the overdose crisis. It’s not just a story of fentanyl—it’s a story of systemic failure and the possibility of reform.
On a personal note, I commend Hampton for his advocacy and for bringing attention to this critical issue. I give Fentanyl Nation 4.5 out of 5 Sobees.
The Sobees #QUITLIT Score: 4.5 out of 5
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MENTAL HEALTH: Death By Fentanyl | Jason Mayo
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