Empire of Pain Book Summary - Empire of Pain Book explained in key points
Listen to the Intro
00:00

Better than a summary

Empire of Pain summary

Patrick Radden Keefe

The Secret History of the Sackler Dynasty

  • 4.5 (73 ratings)
  • 19 mins
  • 7 Key ideas
  • Audio & text
Get started

No credit card required · Cancel anytime

Empire of Pain by Patrick Radden Keefe is a gripping account of the Sackler family's multi-billion dollar empire, built on the sale of OxyContin, and the tragic consequences of the opioid epidemic they fueled.

Table of Contents

Empire of Pain
Summary of 7 key ideas

Audio & text in the Blinkist app

Key ideas in Empire of Pain

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6
  7. 7

Key idea 1 of 7

Chapter 1: Arthur and his kid brothers.

From a young age, Arthur Sackler was a hustler. In high school he worked for the school paper where he sold ads on commission. He had so many side gigs that he had to give some over to his younger brothers, Mortimer and Raymond.

He kept it up in college, too, graduating in the middle of the Great Depression with enough money to buy his parents a grocery store in Brooklyn. He then enrolled in medical school at NYU and took a full course load while maintaining extracurriculars and several jobs.

After med school, Arthur would work all day at a state psychiatric hospital, and then spend evenings and weekends working for a medical advertising agency, called William    McAdams. Arthur quickly scaled the ranks there. He was named President after just two years, and eventually bought the firm. 

Being a doctor himself, Arthur’s ad campaigns appealed directly to physicians. He placed them in medical journals, and sent literature to doctors’ offices. He also enlisted prominent doctors, and sometimes fake ones, to sell his products. Over his career, Arthur would transform pharmaceutical advertising–colleagues claimed he really invented the wheel. 

One drug in particular helped make Arthur rich. His advertising campaigns for Valium, a minor tranquilizer produced by the company Roche, focused on convincing physicians to prescribe it for just about any ailment, major or minor. For years it was the most prescribed drug in America.

Mortimer and Raymond would also become doctors. Still, Arthur couldn’t stop thinking of them as his kid brothers.

He would get them both jobs at the psychiatric hospital (where he continued to work). The three of them would eventually start a research center there that explored drug treatment options that could replace shock therapy and lobotomies, which were standard practices at the time. 

Then in 1952, Arthur decided to purchase a pharmaceutical company for his kid brothers. It was a tiny company, but it had a good, patrician name: Purdue Frederick.

Get the key ideas from 9,000+ bestselling books

Get started

No credit card required · Cancel anytime

More knowledge in less time

  • Read or listen

    Get the key ideas from nonfiction bestsellers in minutes, not hours.

  • Find your next read

    Get book lists curated by experts and personalized recommendations.

  • Shortcasts

    We've teamed up with podcast creators to bring you key insights from podcasts.

What is Empire of Pain about?

Empire of Pain (2021) follows the rise and fall of the elusive Sacklers, the billionaire family behind Purdue Pharma. Its blockbuster drug, OxyContin, was aggressively marketed as safe, but would go on to spur a devastating opioid crisis that claimed hundreds of thousands of lives. Yet the Sacklers’ fortress of lawyers, political connections and a philanthropic name would, time and again, protect them from responsibility.

Empire of Pain Review

Empire of Pain: The Secret History of the Sackler Dynasty (2021) delves deep into the captivating and controversial story of the Sackler family, the makers of OxyContin. Here's why this book is worth reading:

  • Offers a meticulously researched account of the rise and fall of the Sackler empire, providing a comprehensive understanding of the pharmaceutical industry and its impact on society.
  • Provides insightful and thought-provoking analysis of the Sackler family's business practices and their role in the opioid crisis, shedding light on important social and ethical issues.
  • Keefe's skillful storytelling keeps readers engaged from start to finish, making this complex and controversial topic accessible and compelling.

Who should read Empire of Pain?

  • Current affairs enthusiasts
  • Lovers of family dynasty dramas
  • Anyone wanting to understand the opioid crisis
Buy on Amazon

About the author

Patrick Radden Keefe is an award winning journalist and staff writer at The New Yorker. In 2014 he received the National Magazine Award for Feature Writing. He has written several books, including the previous bestseller Say Nothing (2018)

Categories with Empire of Pain

Book summaries like Empire of Pain

People ❤️ Blinkist

Become a member of our community of 43 million people

4.76App Store

96k ratings

4.5Google Play

73k ratings

Laura H.

When I saw Blinkist had produced an infographic style Blink for the Rich Dad, Poor Dad book, it was a good reminder of the concepts I loved.

Jonathan A.

Clearly communicates the value proposition of the most popular book summaries and offers a relatable, tangible template that I can use immediately.

Renee D.

I'm absolutely thrilled that Blinkist now offers infographics! I can't get enough of them—they're such a fun and effective way to grasp and remember key points.

Get started

People also liked these summaries

Trusted by the world's leading brands

brand logos from TikTok, Booking.com, Microsoft, Lyft, Babbel, Tier, LinkedIn, and Zalando

Powerful ideas from top nonfiction

Try Blinkist to get the key ideas from 7,500+ bestselling nonfiction titles and podcasts. Listen or read in just 15 minutes.

Get started

Empire of Pain FAQs

The main message of Empire of Pain is the dark history and impact of the Sackler family's involvement in the opioid crisis.

The reading time for Empire of Pain varies depending on the reader, but it typically takes several hours. The Blinkist summary can be read in just 15 minutes.

Empire of Pain is a thought-provoking and eye-opening book that delves into a significant issue. It offers a comprehensive and revealing perspective on the opioid crisis.

Patrick Radden Keefe is the author of Empire of Pain.

Featured Titles