Empire of Pain

The Secret History of the Sackler Dynasty

By: Patrick Radden Keefe

Narrated by: Patrick Radden Keefe

Length: 18 hrs and 6 mins

Publisher's summary

National Book Critics Circle Nominee

A New York Times Notable Book of the Year

New York Times best seller

A grand, devastating portrait of three generations of the Sackler family, famed for their philanthropy, whose fortune was built by Valium and whose reputation was destroyed by OxyContin. From the prize-winning and best-selling author of Say Nothing

The history of the Sackler dynasty is rife with drama—baroque personal lives; bitter disputes over estates; fistfights in boardrooms; glittering art collections; Machiavellian courtroom maneuvers; and the calculated use of money to burnish reputations and crush the less powerful. The Sackler name has adorned the walls of many storied institutions—Harvard, the Metropolitan Museum of Art, Oxford, the Louvre. They are one of the richest families in the world, known for their lavish donations to the arts and the sciences. The source of the family fortune was vague, however, until it emerged that the Sacklers were responsible for making and marketing a blockbuster painkiller that was the catalyst for the opioid crisis.

Empire of Pain begins with the story of three doctor brothers, Raymond, Mortimer, and the incalculably energetic Arthur, who weathered the poverty of the Great Depression and appalling anti-Semitism. Working at a barbaric mental institution, Arthur saw a better way and conducted groundbreaking research into drug treatments. He also had a genius for marketing, especially for pharmaceuticals, and bought a small ad firm.

Arthur devised the marketing for Valium, and built the first great Sackler fortune. He purchased a drug manufacturer, Purdue Frederick, which would be run by Raymond and Mortimer. The brothers began collecting art, and wives, and grand residences in exotic locales. Their children and grandchildren grew up in luxury.

Forty years later, Raymond’s son Richard ran the family-owned Purdue. The template Arthur Sackler created to sell Valium—co-opting doctors, influencing the FDA, downplaying the drug’s addictiveness—was employed to launch a far more potent product: OxyContin. The drug went on to generate some 35 billion dollars in revenue, and to launch a public health crisis in which hundreds of thousands would die.

This is the saga of three generations of a single family and the mark they would leave on the world, a tale that moves from the bustling streets of early 20th-century Brooklyn to the seaside palaces of Greenwich, Connecticut, and Cap d’Antibes to the corridors of power in Washington, DC. Empire of Pain chronicles the multiple investigations of the Sacklers and their company, and the scorched-earth legal tactics that the family has used to evade accountability.

Empire of Pain is a masterpiece of narrative reporting and writing, exhaustively documented and ferociously compelling. It is a portrait of the excesses of America’s second Gilded Age, a study of impunity among the super elite and a relentless investigation of the naked greed and indifference to human suffering that built one of the world’s great fortunes.

©2021 Patrick Radden Keefe (P)2021 Random House Audio

Critic reviews

New York Times Book Review 100 Notable Books of the Year • One of The Washington Post's 10 Best Books of the Year • TIME Magazine 100 Must Read Books of 2021 • One the Best Books of the Year: NPR, Slate, EW, Boston Globe, Goodreads, The Guardian, Town & Country, BuzzFeed, LitHub, Vulture, and more

Winner of the Baillie Gifford Prize for Non-Fiction and Finalist for the Baillie Gifford Winner of Winners Award

One of President Obama's Favorite Books of the Year

“An engrossing (and frequently enraging) tale of striving, secrecy and self-delusion….Keefe nimbly guides us through the thicket of family intrigues and betrayals… Even when detailing the most sordid episodes, Keefe’s narrative voice is calm and admirably restrained, allowing his prodigious reporting to speak for itself. His portrait of the family is all the more damning for its stark lucidity.”—Jennifer Szalai, The New York Times

“I read everything he writes. Every time he writes a book, I read it. Every time he writes an article, I read it … he’s a national treasure.”—Rachel Maddow, host of MSNBC’s “The Rachel Maddow Show” and author of the #1 New York Times bestselling Blowout

“A true tragedy in multiple acts. It is the story of a family that lost its moorings and its morals… Written with novelistic family-dynasty and family-dynamic sweep, EMPIRE OF PAIN is a pharmaceutical FORSYTHE SAGA, a book that in its way is addictive, with a page-turning forward momentum.”—David M. Shribman, The Boston Globe

Unputdownable

You won't find a better reporter or storyteller than Patrick Radden Keefe. I was spellbound from the first page.

Excellent!

Great writing and investigating. This family is beyond evil, and now I know the FDA is too!

Excellent

This and his book on the troubles, Say Nothing, are excellently reported and well written.

Greed , and evilOn display

Well in 1900 the Sacklers would have built a cottage in Newport, raced for the America Cup, built. Mansion on Fifth Avenue: all on the back of pioneering a major industry; and in the 21st Century they accomplished much the same by moving the likes of the SinaLoa drug cartel to the East Coast of the United States with headquarters in Connecticut, When the death toll of ~500,000 give or take, related to successful marketing of their product seemed ominous, the Sackler clan moved the bulk of their monies off shore and then successfully proved innocence is for sale in this “nation of laws “! ; as they reiterated their skills at the subversion of Federal Agencies, Judges and the like while keeping the bulk of their blood money: the price 500,000 permanently dead, millions permanently addicted, the Sackler name temporarily besmirched.
Easy though very disturbing reading in journalistic style and you can tell the author to have really had their heart in this work .

An amazing deep dive into the Sackler family

It’s amazing to realize that the wealth these people built has prevented them from being punished in a more meaningful way. The bankruptcy judge seems to be on the family side and that’s sickening.

This is a 6 star book - a Pulitzer

This is a fantaistic book - the writing is superb, the reserach excellent, the structure of the book outstanding (which is saying something consdiering the length of time it covers and the complexity of the topic), and his narration excellent. I rarely ever listen to a book performed by its author, they are usually awful, but I heard Mr. Keefe interviewed on Fresh Air so I took a chance.

I cannot say enough great things about this book - Mr. Keefe deserves a Pulitzer for this one. Congratulations.

A story I never knew.

Wow this book is enthralling. I never knew this story. And found it fascinating from beginning to end.

As Vile as One Might Imagine

I remember the first time I heard about OxyContin, it was about 2000, and I was reading an article about this “hillbilly heroin” that was prescribed by doctors, highly addictive, and ruined lives. A few weeks later, I’d know some folks who enjoyed it recreationally. This was in Florida, at the beginning (then height) of the pill mill party. I always wondered how such a nasty drug could find it’s way into medicine. Now I know.

A fascinating and enraging book that underscores my own goals to never use/accept opiates. They’re vile and the folks that peddle them are worse.

Lots of Facts, No Real Explanations

It was a tough listen, for a couple reasons. I have many personal relationships with family and friends addicted to opioids. The whole thing is tragic. Through the book I think I was looking for something more, an explanation rather than just the blame game on the Sacklers. By the end I was trying to speed through the book, I felt like fact after fact and I had gotten his point, it didn’t need to drone on. The authors narration was not helping me either, his tone of voice made the book sound gossipy and righteous.

Simply too much information

I think this story about the Sacklers, which I mostly already knew, would have been better without so much early background information. Brilliant people, with good intentions, driven mad by greed and a need to be famous, and unwilling to accept the magnitude of what they did not create, but accelerated.