Death in Mud Lick: A Coal Country Fight against the Drug Companies That Delivered the Opioid Epidemic (Paperback)

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A New York Times Critics’ Top Ten Book of the Year * 2021 Edgar Award Winner Best Fact Crime * A Lit Hub Best Book of The Year

From a Pulitzer Prize–winning investigative reporter at the Charleston Gazette-Mail, a “powerful,” (The New York Times) urgent, and heartbreaking account of the corporate greed that pumped millions of pain pills into small Appalachian towns, decimating communities.

In a pharmacy in Kermit, West Virginia, 12 million opioid pain pills were distributed in just three years to a town with a population of 382 people. One woman, after losing her brother to overdose, was desperate for justice. Debbie Preece’s fight for accountability for her brother’s death took her well beyond the Sav-Rite Pharmacy in coal country, ultimately leading to three of the biggest drug wholesalers in the country. She was joined by a crusading lawyer and by local journalist, Eric Eyre, who uncovered a massive opioid pill-dumping scandal that shook the foundation of America’s largest drug companies—and won him a Pulitzer Prize.

Part Erin Brockovich, part Spotlight, Death in Mud Lick details the clandestine meetings with whistleblowers; a court fight to unseal filings that the drug distributors tried to keep hidden, a push to secure the DEA pill-shipment data, and the fallout after Eyre’s local paper, the Gazette-Mail, the smallest newspaper ever to win a Pulitzer Prize for investigative reporting, broke the story.

Eyre follows the opioid shipments into individual counties, pharmacies, and homes in West Virginia and explains how thousands of Appalachians got hooked on prescription drugs—resulting in the highest overdose rates in the country. But despite the tragedy, there is also hope as citizens banded together to create positive change—and won.

“A product of one reporter’s sustained outrage [and] a searing spotlight on the scope and human cost of corruption and negligence” (The Washington Post) Eric Eyre’s intimate portrayal of a national public health crisis illuminates the shocking pattern of corporate greed and its repercussions for the citizens of West Virginia—and the nation—to this day.

About the Author


Eric Eyre has been a newspaper reporter in West Virginia since 1998. In 2017, his investigation into massive shipments of opioids to the state’s southern coalfields was awarded a Pulitzer Prize. He lives in Charleston, West Virginia, with his wife and son.

Praise For…


One of Houston Chronicle's Most Anticipated
National Bestseller -- American Booksellers Association  
“Favorite Business Books of 2020” -- Yahoo Finance 
“Editor’s Choice” -- New York Times 
“Five Hot Books” -- The National Book Review
“Best Nonfiction Books of 2020” -- She Reads
 “Hot Books” -- The American Public Health Association
“Earphones Award Winner” -- Audio Files Magazine
“Best New Southern Books of March” -- Southern Review of Books
Investigative Reporters & Editors Book Award
.Winner

"Powerful . . . . [Eyre] writes with candor and gravity; a tensile rod of human decency braces every paragraph. . . . .  [Death in Mud Lick] is the work of an author who understands that objectivity is not the same as bland neutrality. I expect it will be taught to aspiring reporters for many years to come. It's the story of an epidemic; it's also the story of a newspaper."
New York Times

“Eyre won a Pulitzer Prize for investigative reporting in 2017, for a revelatory series of articles on West Virginia’s opioid epidemic. His new book is a well-written account of that reporting. It’s a profoundly human document that also reads like a simmering John Grisham thriller. Eyre begins with the story of a single pharmacy in Kermit, W.Va., population 382. In just two years in the mid-aughts, it distributed nearly nine million opioid pain pills to customers. We meet some of those customers, and this story expands until it takes in corruption and greed on a gruesome scale.”
New York Times, Times Critics' Top Books of 2020

"Death in Mud Lick is a product of one reporter’s sustained outrage: a searing spotlight on the scope and human cost of corruption and negligence."
Washington Post

"At the Gazette-Mail, Eyre’s career has been the stuff of quiet legend ... Eyre served his community in a time of need. With his new book, he took the death of a coal miner, William (Bull) Preece, found dead in a trailer in Mud Lick amid a residue of crushed pills, and told the how and the why. His reporting led to restrictions on prescriptions, greater tracking, more transparency. He shamed an industry and saved lives. Working at a small newspaper, Eyre made a big difference."
—NewYorker.com

“[An] important new book . . . . “Death in Mud Lick’’ is more than a takedown of the out-of-state predators who exploited West Virginians for obscene profit; it’s a 300-page rebuttal to those who dismiss honest reporting as #fakenews, or claim that journalism doesn’t matter. . . . [and] a real-life legal thriller that barrels along like a runaway coal truck on Horsepen Mountain. "
—Pittsburgh Post-Gazette

"Death in Mud Lick is full of sharp reporting and story-telling. But is also infused with the kind of compassion and moral outrage necessary to understand how a man-made disaster like this one happens."
Pittsburgh Current

"Eyre mined for the truth not with a hard hat or heavy machinery, but with notepads, pens and a doggedness to keep digging. Death in Mud Lick is for readers who root for the underdog, who want justice served and who love newspapers."
Roanoke Times

“A very poignant look at a town of around 400 people where you have millions of pills flowing in in a short space of time. We have to start talking about drugs in a different way—not blame the failings of the system on the individuals who are using the drugs. I was just blown away by the depth of research and knowledge that was in the book.”
—Megan Rapinoe, author of One Life

"Death in Mud Lick is an insistent narrative about one American town that became every American town not only because of addiction to drugs, but because the companies that pushed them became addicted to money."
LitHub

"Compellingly told ... a tale of compassionate people deeply wronged and a dogged journalist who won't stand for it."
Booklist, starred review

“Packed with colorful details and startling statistics, this page-turning journalistic thriller shines a brilliant spotlight on a national tragedy.”
—Publishers Weekly, starred review

“Timely and well documented, with appeal to a broad range of readers.”
—Library Journal, starred review

“Disturbing, moving, and heart-wrenching…”
Kirkus Reviews

"Compelling and terrifying... In many ways [Death in Mud Lick is] as interesting as a John Grisham courtroom thriller, featuring an extended series of legal actions, the requisite heroes and villains, and personal problems that add to the drama."
The Daily Beast

"A stunning story, and Eric Eyre tells it with compassion, grit, deep knowledge and the 'sustained outrage' (as he puts it) that is the rocket fuel of great journalism."
—Dan Fagin, author of the Pulitzer Prize-winning Toms River

"Death in Mud Lick is simultaneously a gripping account of the corporate interests who started the opioid epidemic and a vivid illustration of the power of scrappy, relentless, investigative journalism. Eric Eyre is not just a great West Virginian; he’s a national treasure."
—Keith Humphreys, former White House drug policy adviser to Presidents George W. Bush and Barack Obama

"Death in Mud Lick is a riveting, intimate look at the corporate greed, regulatory failure and lobbying shenanigans that led to pill mills complete with “courtesy snacks” and cash registers so full they wouldn’t close."
—Beth Macy, author of Dopesick: Dealers, Doctors, and the Drug Company That Addicted America

"With searing storytelling and deep investigative reporting, Eric Eyre has written an indispensable book that you won't be able to put down."
—Anna Sale, host of the podcast Death, Sex & Money and author of Let's Talk About Hard Things

"Death in Mud Lick attaches names, stories, and vivid characters to the major public-health story of our times."
—James Fallows, author of Our Towns: A 100,000-Mile Journey into the Heart of America

"At a time when real journalism is under attack, Death in Mud Lick stands as a clenched fist of rebuke ... Eyre’s book is a thrilling recounting of how it all went down in the tradition of Call Northside 777 and Spotlight."
—Brian Alexander, author of Glass House: The 1% Economy and the Shattering of the All-American Town


Product Details
ISBN: 9781982105327
ISBN-10: 1982105321
Publisher: Scribner
Publication Date: April 6th, 2021
Pages: 304
Language: English