![]() And then I saw people losing their jobs and then their apartments. One guy I wrote about, Steve Lloyd, was like, “It was really great. You could call a buprenorphine prescriber and just do it over the phone. What the Substance Abuse and Mental Health Services Administration (SAMHSA) did right away is loosen the restrictions on buprenorphine (or Suboxone)-allowing telehealth for buprenorphine. ![]() What caused this? And what has happened since then, in response? When COVID-19 hit, opioid-related overdoses really started to spike, by about 30 percent. This interview has been edited for length and clarity. In her latest book, Raising Lazarus: Hope, Justice, and the Future of America’s Overdose Crisis, Macy moves beyond “how did this happen” and towards “how do we stop it?” Emphasizing the need for harm reduction, she seeks solutions that can save lives. In her 2018 book Dopesick, adapted into a Peadbody-winning Hulu series, Beth Macy recounted how Purdue Pharma’s Sackler family aggressively marketed Ox圜ontin, triggering what we now know as the opioid epidemic. The crisis bears little resemblance to its origins. Fatalities from illicit opioids now dwarf those from prescription drugs, with far more people dying of illicitly manufactured fentanyl than ever died of Ox圜ontin annually. More than one million Americans have died in just over two decades, with more than 107,000 people dying in 2021 alone. Since Beth Macy’s first book on the overdose crisis, the death toll has risen steeply. The icon indicates free access to the linked research on JSTOR.
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