NBN Book of the Day

How the war on drugs created the gold standard treatment for addiction--until America's opioid crisis got privatized for profit, to the detriment of patients.

Despite epidemic levels of overdoses in the United States, by 2020, only twenty percent of Americans suffering from opioid use disorder (OUD) received medication-assisted treatment (MAT), the gold standard of addiction treatment, which uses methadone, buprenorphine, or naltrexone to reduce illicit drug use and curb the symptoms of withdrawal. While MAT is the most effective treatment available for OUD, it's also the most controversial, the most expensive, and the most difficult to access. And yet, the medications at the center of this treatment--and the private industries that distribute them--generate roughly sixteen billion dollars each year, on par with national sales of coffee and pet food.

In Addiction, Inc: Medication-Assisted Treatment and America's Forgotten War on Drugs, historian Emily Dufton explains how this promising avenue of treatment emerged during President Richard Nixon's war on drugs in 1971 as a radical experiment in public health, when hundreds of federally-funded treatment clinics opened nationwide. Dufton then explores how these nationalized clinics gave way to an immensely profitable private industry that offers poor care at high costs to an insufficient number of people. Drawing on original research and over a hundred interviews with policymakers, medical experts, pharmaceutical lobbyists, and patients and their families, she tells a gripping story of squandered potential and missed opportunities, as MAT transformed from a revolutionary political project launched from the White House itself into a commercial success--and a public health disaster.

Urgent, eye-opening, and deeply human, Addiction, Inc. reveals how, over the past fifty years, the United States built an addiction treatment system that made recovery harder instead of easier, and what it will take to change its course.

Despite epidemic levels of overdoses in the United States, by 2020, only twenty percent of Americans suffering from opioid use disorder (OUD) received medication-assisted treatment (MAT), the gold standard of addiction treatment, which uses methadone, buprenorphine, or naltrexone to reduce illicit drug use and curb the symptoms of withdrawal. While MAT is the most effective treatment available for OUD, it's also the most controversial, the most expensive, and the most difficult to access. And yet, the medications at the center of this treatment--and the private industries that distribute them--generate roughly sixteen billion dollars each year, on par with national sales of coffee and pet food.

In Addiction, Inc., historian Emily Dufton explains how this promising avenue of treatment emerged during President Richard Nixon's war on drugs in 1971 as a radical experiment in public health, when hundreds of federally-funded treatment clinics opened nationwide. Dufton then explores how these nationalized clinics gave way to an immensely profitable private industry that offers poor care at high costs to an insufficient number of people. Drawing on original research and over a hundred interviews with policymakers, medical experts, pharmaceutical lobbyists, and patients and their families, she tells a gripping story of squandered potential and missed opportunities, as MAT transformed from a revolutionary political project launched from the White House itself into a commercial success--and a public health disaster.

Urgent, eye-opening, and deeply human, Addiction, Inc. reveals how, over the past fifty years, the United States built an addiction treatment system that made recovery harder instead of easier, and what it will take to change its course.
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There have long been whispers, coming from the castle; from the village square; from the dark woods. The great lady-a countess, from one of Europe's oldest families-is a vicious killer. Some even say she bathes in the blood of her victims. When the king's men force their way into her manor house, she has blood on her hands, caught in the act of murdering yet another of her maids. She is walled up in a tower and never seen again, except in the uppermost barred window, where she broods over the countryside, cursing all those who dared speak up against her.

Told and retold in many languages, the legend of the Blood Countess has consumed cultural imaginations around the world. But despite claims that Elizabeth Bathory tortured and killed as many as 650 girls, some have wondered if the Countess was herself a victim- of one of the most successful disinformation campaigns known to history. So, was Elizabeth Bathory a monster, a victim, or a bit of both? With the breathlessness of a whodunit, drawing upon new archival evidence and questioning old assumptions, in The Blood Countess: Murder, Betrayal, and the Making of a Monster (Bloomsbury, 2026) Shelley Puhak traces the Countess's downfall, bringing to life an assertive woman leader in a world sliding into anti-scientific, reactionary darkness-a world where nothing is ever as it seems. In this exhilarating narrative, Puhak renders a vivid portrait of history's most dangerous woman and her tumultuous time, revealing just how far we will go to destroy a woman in power.

This interview was conducted by Dr. Miranda Melcher whose book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. You can find Miranda’s interviews on New Books with Miranda Melcher, wherever you get your podcasts.
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This episode is brought to you by the BISA Environment and Climate Politics Working Group.

African Climate Futures (Oxford UP, 2025) shows how climate-changed futures are imagined in Africa and by Africans, and how these future visions shape political debates and struggles in the present. Scientific climate scenarios forecast bleak futures, with increased droughts, floods, lethal heatwaves, sea level rises, declining crop yields, and greater exposure to vector-borne diseases. Yet, African climate futures could also encompass energy transitions and socio-economic revolutions, transformed political agency and human subjectivities, and radically reparative more-than-human climate politics.

At the heart of the book is an original and interdisciplinary approach. It studies official climate policy strategies and fictional texts side-by-side, as ecopolitical imaginaries that envision low-carbon, climate-changed futures, and narrate pathways from 'here' to 'there'. It discusses net zero strategies from Ethiopia, The Gambia, Nigeria, South Africa, and Zimbabwe and draws on postcolonial, feminist, and queer theory, arguing that Africanfuturist climate fiction can inspire more radical, reparative, more-than-human ecopolitical imaginaries. These stories can help us to understand the debts we all owe, imagine what reparations might entail, and explore the contours of living convivially alongside more-than-human others in heterotopian, climate-changed futures.

Stories can help explore how we might feel in climate-changed futures and can help us to narrate a path through them. This book uses Africanfuturist climate fiction to inspire new ways of challenging and enriching theoretical debates in global climate change politics, including how we understand the places, temporalities, ecologies, and politics of climate futures. If we want to survive to tell new stories in liveable futures then we need to urgently and radically transform carboniferous capitalism.

Carl Death joined the University of Manchester in August 2013 as a Senior Lecturer in International Political Economy, after four years in the Department of International Politics, Aberystwyth University, and a year in the School of Law and Government, Dublin City University. He has conducted research in South Africa, Tanzania and the USA, and has held visiting researcher positions at The MacMillan Centre for International and Area Studies and the Agrarian Studies Program at Yale University; the Wits Institute for Social and Economic Research (WISER) at the University of the Witwatersrand in Johannesburg; Stellenbosch University; and the Centre for Civil Society (CCS) at the University of KwaZulu-Natal in Durban.

Pauline Heinrichs is a Lecturer in War Studies (Climate and Energy) at King’s College London. Her research focuses climate and energy security. Pauline has worked with and led international teams in conflict and post-conflict countries such as Ukraine and the Baltic States, leading on qualitative methods and strategic narrative analysis. Pauline has also been a climate diplomacy professional working in foreign policy, and an international climate think tank.
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The balance of global power changed profoundly over the course of the twentieth century, above all with the economic and political rise of Asia. Asia after Europe: Imagining a Continent in the Long Twentieth Century (Harvard UP, 2024) is a bold new interpretation of the period, focusing on the conflicting and overlapping ways in which Asians have conceived their bonds and their roles in the world. Tracking the circulation of ideas and people across colonial and national borders, Sugata Bose explores developments in Asian thought, art, and politics that defied Euro-American models and defined Asianness as a locus of solidarity for all humanity.Impressive in scale, yet driven by the stories of fascinating and influential individuals, Asia after Europe examines early intimations of Asian solidarity and universalism preceding Japan’s victory over Russia in 1905; the revolutionary collaborations of the First World War and its aftermath, when Asian universalism took shape alongside Wilsonian internationalism and Bolshevism; the impact of the Great Depression and Second World War on the idea of Asia; and the persistence of forms of Asian universalism in the postwar period, despite the consolidation of postcolonial nation-states on a European model.Diverse Asian universalisms were forged and fractured through phases of poverty and prosperity, among elites and common people, throughout the span of the twentieth century. Noting the endurance of nationalist rivalries, often tied to religious exclusion and violence, Bose concludes with reflections on the continuing potential of political thought beyond European definitions of reason, nation, and identity.

Sugata Bose is Gardiner Professor of Oceanic History and Affairs, Harvard University.

Lucas Tse is Examination Fellow at All Souls College, Oxford University.
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In Women, Dance and Parish Religion in England, 1300-1640: Negotiating the Steps of Faith (Boydell & Brewer, 2022) Dr. Lynneth Miller Renberg presents a lively exploration of the medieval and early modern attitudes towards dance, as the perception of dancers changed from saints dancing after Christ into cows dancing after the devil.

The devil’s cows, impudent camels, or damsels animated by the devil: late medieval and early modern authors used these descriptors and more to talk about dancers, particularly women. Yet, dance was not always considered entirely sinful or connected primarily to women: in some early medieval texts, dancers were exhorted to dance to God, arm-in-arm with their neighbors, and parishes were filled with danced expressions of faith. What led to the transformation of dancers from saints dancing after Christ into cows dancing after the devil?

Drawing on the evidence from medieval and early modern sermons, and in particular the narratives of the cursed carolers and the dance of Salome, this book explores these changing understandings of dance as they relate to religion, gender, sin, and community within the English parish. In parishes both before and during the English Reformations, dance played an integral role in creating, maintaining, uniting, or fracturing community. But as theological understandings of sacrilege, sin, and proper worship changed, the meanings of dance and gender shifted as well. Redefining dance had tangible ramifications for the men and women of the parish, as new definitions of what it meant to perform one’s gender collided with discourses about holiness and transgression, leading to closer scrutiny and monitoring of the bodies of the faithful.

This interview was conducted by Dr. Miranda Melcher whose book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. You can find Miranda’s interviews on New Books with Miranda Melcher, wherever you get your podcasts.
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Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/book-of-the-day