The twelve months ending September 2020 tallied the highest number of overdose deaths in the country’s history—87,000, according to a preliminary estimate by the Centers for Disease Control and Prevention. Much of that was due to illicit street fentanyl. By the time this book is published, we will likely have learned that close to 100,000 Americans died of drug overdoses in 2020—dwarfing any annual tally the country previously produced.

