The Skeptics Society & Skeptic magazine


EPISODE # 484

Ben Westhoff — Fentanyl and the Opioid Epidemic

Fentanyl, Inc.: How Rogue Chemists Are Creating the Deadliest Wave of the Opioid Epidemic (book cover)

In 2023, 107,543 Americans died from an overdose—over 75 thousand of those overdosed from fentanyl. This is almost double the number of people who died in car accidents or from gun homicides that year.

Fentanyl has been cut into heroin for years, but now is often mixed into meth and cocaine, fueling rising death counts for those drugs, a troubling development, considering that Americans are much more likely to try meth and cocaine than heroin.

In Canada, the numbers are similarly astronomical, and fentanyl deaths have marched upward in Australia and many European countries as well. Ten years ago, fentanyl and its analogues overtook heroin to become the deadliest drug in Sweden.

“Fentanyl is the game changer,” Special Agent in Charge James Hunt of the US Drug Enforcement Administration (DEA) told Vice News. “It’s the most dangerous substance in the history of drug tracking. Heroin and cocaine pale in comparison to how dangerous fentanyl is.”

Ben Westhoff is a best-selling investigative journalist focused on drugs, culture, and poverty. His book Fentanyl, Inc.: How Rogue Chemists Created the Deadliest Wave of the Opioid Epidemic is the bombshell first book about fentanyl. Since its publication, Westhoff has advised top government officials on the fentanyl crisis, including from the White House Office of National Drug Control Policy, U.S. Senate and House of Representatives, the U.S. embassy in Beijing, and the U.S. State Department.

Ben Westhoff (portrait)

His new book Little Brother: Love, Tragedy, and My Search for the Truth tells the story of his relationship with Jorell Cleveland, his longtime mentee in the Big Brothers Big Sisters program. When Jorell was murdered at age 19, and the case went cold, Ben used his skills as an investigative journalist to find the killer. It’s a three-year investigation set in the northern suburbs of St. Louis that uncovers a heartbreaking cycle of poverty, poor education, drug trafficking, and violence. Follow him at benwesthoff.substack.com and benwesthoff.com.

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This episode was released on November 12, 2024.

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