Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It’s So Hard to Stop

Three out of four people addicted to heroin probably started on a prescription opioid, according to the director of the Centers for Disease Control and Prevention. In the United States alone, 16,000 people die each year as a result of prescription opioid overdose. But perhaps the most frightening aspect of the prescription drug epidemic is that it's built on well-meaning doctors treating patients with real problems. In Drug Dealer, MD, Dr. Anna Lembke uncovers the unseen forces driving opioid addiction nationwide. Combining case studies from her own practice with vital statistics drawn from public policy, cultural anthropology, and neuroscience, she explores the complex relationship between doctors and patients, the science of addiction, and the barriers to successfully addressing drug dependence and addiction. Even when addiction is recognized by doctors and their patients, she argues, many doctors don't know how to treat it, connections to treatment are lacking, and insurance companies won't pay for rehab. Full of extensive interviews-with health care providers, pharmacists, social workers, hospital administrators, insurance company executives, journalists, economists, advocates, and patients and their families- Drug Dealer, MD, is for anyone whose life has been touched in some way by addiction to prescription drugs. Dr. Lembke gives voice to the millions of Americans struggling with prescription drugs while singling out the real culprits behind the rise in opioid addiction: cultural narratives that promote pills as quick fixes, pharmaceutical corporations in cahoots with organized medicine, and a new medical bureaucracy focused on the bottom line that favors pills, procedures, and patient satisfaction over wellness. Dr. Lembke concludes that the prescription drug epidemic is a symptom of a faltering health care system, the solution for which lies in rethinking how health care is delivered.

Table of Contents:
Contents1. Introduction: The Prescription Drug Epidemic2. What is Addiction and Who's at Risk? 3. Pain is Dangerous, Difference is Psychopathology: The Role of Illness Narratives4. Big Pharma Joins Big Medicine, Co-Opting Medical Science to Promote Pill-Taking 5. The Drug-Seeking Patient: Malingering vs the Hijacked Brain 6. The Professional Patient: Illness as Identity and a Right to Be Compensated7. The Compassionate Doctor, the Narcissistic Injury, and the Primitive Defense8. Pill Mills and the Toyota-ization of Medicine 9. Addiction, the Disease Insurance Companies Still Won't Pay Doctors to Treat10. Stopping the Cycle of Compulsive Prescribing Bibliography

About the Author :
Anna Lembke, MD, is the chief of addiction medicine and an assistant professor at Stanford University School of Medicine.

Review :
A thought-provoking study that all healthcare professionals and patients should read. Library Journal ... a story with mythic resonance. Times Higher Education "... excellent... It's a short book, concisely written, giving plenty of examples of patients' stories while at the same time showing trends in policy and national practice." Metapsychology Drug Dealer, MD offers a fresh, comprehensive perspective on addiction and prescription drugs. The patient narratives provide compassionate, albeit sometimes extreme, examples of how the medical field has failed patients, while the data provide the facts needed to prove that this truly is a system failure rather than any one person's fault. This thought-provoking book should be a must-read for medical trainees, providers, and health policy leaders working at the forefront of addressing the prescription drug epidemic. Health Affairs Anna Lembke sheds light on the rise of prescription drug addiction in the USA, fuelled in part by the actions of doctors and the structure of the US healthcare system. London School of Economics Review of Books ... The book is written in a clear, easy-to-read style with lay readers in mind. Pharmaceutical Journal ... once I started reading it, I couldn't put it down. Drug Dealer, MD ... the most important medical book of the decade. -- Abigail Zuger Undark As far as I am concerned, "Drug Dealer, M.D.," in less than 200 unassuming, readable, and carefully referenced pages, may be the most important medical book of the decade for finally getting the story of this epidemic exactly right... every doctor and concerned citizen can take a first step in the right direction by reading Anna Lembke's book.