Dreamland
Dreamland
by Sam Quinones
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Dreamland: Afterword Summary & Analysis

Summary
Analysis
According to the CDC, heroin overdoses tripled between 2010 and 2013. The Xalisco Boys may have been the first to “systematically exploit” the new market the pill epidemic created for heroin, but today, the number of dealers entering that market has increased as former pill addicts continue to move toward heroin.
The Xalisco Boys “systematically exploit[ed]” the new market the opiate epidemic created for heroin, just as Purdue exploited the new market the pain revolution created for painkillers. New regulations on prescription painkillers do little to halt the epidemic, as painkiller addicts have moved on to illegal drugs like heroin.
Active Themes
Pain Management and the Normalization of Narcotics Theme Icon
The Drug Business Theme Icon
Stigma, Shame, and the Opiate Epidemic  Theme Icon
Simultaneously, though, a wave of criticism enveloped the country, driven by families of addicts. In addition, governments have been forced to reconsider how they will respond to a surplus of addicts with records: many are beginning to see jail “as an investment, not a cost,” advocating for more treatment facilities in prisons. In these ways, Quinones sees heroin “as an agent of change.”
The surplus of addicts has forced governments to reshape their existing ideas about addicts and addiction. Seeing jail “as an investment, not a cost” represents a gradual shift from stigmatizing drug use to trying to understand and treat it. In this way, heroin has acted “as an agent of change,” inspiring a massive shift in perspective.
Active Themes
Stigma, Shame, and the Opiate Epidemic  Theme Icon
When Quinones returns to Portsmouth in fall 2015, he sees more new businesses and community events. Quinones feels optimistic that Portsmouth can return to the town it was when Dreamland reigned.
Active Themes
Stigma, Shame, and the Opiate Epidemic  Theme Icon
Community as a Remedy to Addiction Theme Icon
The epidemic might be the natural result of a country increasingly driven into isolation. Scared parents raised children who grew up to themselves be afraid. Quinones cites an Atlantic article, “The Coddling of the American Mind,” that reports a generation of college students unwilling to engage with uncomfortable ideas. These trends are symptomatic of America’s notion “that we should be protected from pain at all cost.” Additionally, the American public has for too long sought solace in “stuff,” feeling it will bring them happiness. It’s in America’s isolation, Quinones believes, that “heroin thrives.” Ultimately, he decides that “the antidote to heroin is community.”
Active Themes
Pain Management and the Normalization of Narcotics Theme Icon
Community as a Remedy to Addiction Theme Icon
Quotes
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