From the bestselling author of Dopesick comes a new book that meets the opioid crisis where it is — not where we think it should be or wish it was. Beth Macy takes us into the nation's hardest hit places to witness the devastating personal costs that one-third of American families are now shouldering. Here we meet ordinary people fighting for the least of us with the fewest resources — from harm reductionists risking arrest to bring lifesaving care to the homeless to the activists and bereaved families pushing to hold Purdue Pharma and the Sackler family accountable. These heroes come from all walks of life; what they have in common is an up-close and personal understanding of addiction that refuses to stigmatize—and therefore abandon—people who use drugs, as big pharma execs and many politicians are all too ready to do.