An important book with meticulous research. It juxtaposes a tale of meth and economic downturn in Oelwein, Iowa, with the meth epidemic in America and the role of pharmaceutical companies. It is grim, despite an upswing at the end. I'm from a rural, economically depressed area myself, but on the West Coast. I had a hard time relating to the Midwest culture, but I keep referring to it in conversations which means the book succeeded nevertheless.