New Books In Public Health

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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Settler Colonialism is the Disaster: A Critique of New Orleans After Hurricane Katrina and During the COVID-19 Pandemic (U Illinois Press, 2026) is the new book from Dr. Cassandra Shepard, Assistant Professor in the Department of African American and Diaspora Studies at Xavier University of Louisiana. Published with University of Illinois Press, this encompassing and engrossing book focuses on the crises that have engulfed New Orleans, including the disasters of colonialism, Hurricane Katrina in 2005, and COVID-19, taking the reader through their causes and impacts on not only a broad level but through the everyday and often traumatic experiences of the residents of New Orleans. The analysis moves from the Lower Ninth Ward in New Orleans, to state-level post-disaster reconstruction contracts, to international forms of colonialism, and even encompasses Beyonce. This book, which is also includes poetry and a recommended playlist, is also very relevant to the current global moment.

Shepard analyses the overlapping and intersecting disasters that have affected New Orleans through ideas of disaster capitalism and settler colonialism, demonstrating how Black and Indigenous peoples have been deprived of critical resources. The reconstruction processes following, and during, these crises have often sought to exploit the authentic New Orleans culture and vibrancy to further the consolidation of power, profit, and privilege of white elites, to the detriment of Black and Indigenous peoples. Shepard’s book, Settler Colonialism is the Disaster, takes a multi-scalar view of settler colonialism and investigates how it has not only operated historically in New Orleans, but clearly demonstrates that it is a continual process that still determines reconstruction, relief, and other projects today. Shepard connects the ongoing violence and dispossession inherent in settler colonialism within New Orleans, expressed through structural responses to Hurricane Katrina and COVID-19, to other settler colonial projects around the world, such as in Canada, Israel, New Zealand, and Australia.

Cassandra Shepard’s new book is an exceptional, theoretically and empirically rich book that offers a new critique into ‘best practice’ reconstruction, which demands attention. Settler Colonialism is the Disaster offers an urgent, critical view of the political economy of reconstruction, aid, and government responses; a view which is crucial to take seriously in our world today, plagued as it is by crisis, war, and settler colonialism.

Elliot Dolan-Evans is a sessional lecturer in law at Monash University and RMIT. His research investigates the political economy of global capitalism, forms of international governance, and questions of war and peace. His first book, Making War Safe for Capitalism: The World Bank, IMF and the Conflict in Ukraine, is now out with Bristol University Press.
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Food justice activists have worked to increase access to healthy food in low-income communities of color across the United States. Yet despite their best intentions, they often perpetuate food access inequalities and racial stereotypes. Hanna Garth shows how the movement has been affected by misconceptions and assumptions about residents, as well as by unclear definitions of justice and what it means to be healthy. Focusing on broad structures and microlevel processes, Garth reveals how power dynamics shape social justice movements in particular ways.Drawing on twelve years of ethnographic research, Garth examines what motivates people from more affluent, majority-white areas of the city to intervene in South Central Los Angeles. She argues that the concepts of "food justice" and "healthy food" operate as racially coded language, reinforcing the idea that health problems in low-income Black and Brown communities can be solved through individual behavior rather than structural change. Food Justice Undone: Lessons for Building a Better Movement (U California Press, 2026) explores the stakes of social justice and the possibility of multiracial coalitions working toward a better future.

Hanna Garth is Assistant Professor of Anthropology at Princeton University, author of Food in Cuba: The Pursuit of a Decent Meal, and coeditor of Black Food Matters: Racial Justice in the Wake of Food Justice.

Reighan Gillam is Associate Professor in the Department of Latin American, Latino, and Caribbean Studies at Dartmouth College. Her research examines the ways in which Afro-Brazilian media producers foment anti-racist visual politics through their image creation. She is the author of Visualizing Black Lives: Ownership and Control in Afro-Brazilian Media (University of Illinois Press).
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How healthy you are is dependent on where you live. Americans suffer more cancers, heart disease, mental illness, and other chronic diseases than those who live in other wealthy nations, despite having the most expensive healthcare system in the world. Why? Embark on a journey to unravel the profound impact of public policies on American health from before birth in Born Sick in the USA: Improving the Health of a Nation (Cambridge UP, 2026). Delve into the intricate web where economic inequality weaves a tapestry of sickness stemming from a highly stressed society. This compelling read illuminates the need for transformative change in social safety nets and public policies to uplift national health and well-being. Through vivid storytelling, the book unveils the symptoms, diagnosis, and 'medicine' required to steer the nation toward a healthier future. Join the movement for a healthier America by embracing the insightful revelations and empowering calls to action presented within the pages of this eye-opening book. Contact the author at: [email protected] 
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Jonathan Gleason spent ten years writing the ten essays in his debut collection, Field Guide to Falling Ill (Yale UP, 2026). In them, Gleason braids together strands from a variety of sources – from his experience with a potentially-lethal blood clot, to his imprisoned uncle, to his journey to access medication to prevent HIV – to analyze America’s healthcare system and the humiliating, confusing, and depersonalizing effects it can often have. The essays approach medicine from a variety of viewpoints, from Jonathan’s perspective as a gay man analyzing the development of HIV medications like AZT and Truvada, to his experience as a Spanish language medical interpreter at a free clinic in Iowa City. But each essay also reminds readers of the importance of understanding the history of our healthcare institutions, and the necessity of feeling less alone when confronted by their myriad failures. Lyrical, poignant, and deeply human, Field Guide to Falling Ill is a poetic approach to understanding medicine in America.

For more information on Jonathan and his writing, visit:

Jonathan’s website: here

Jonathan’s Substack, Histories of Present Illness: here Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). Her new book, Addiction, Inc.: Medication-Assisted Treatment and America's Forgotten War on Drugs, will be released in April 2026.
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