Over the last year, pundits looking for an explanation for the improbable victory of Donald Trump in the 2016 presidential election have turned to the opioid epidemic, a public health crisis qua political crisis. Since the widespread closure of steel mills and other manufacturing plants throughout middle America in the 1980s, a new so-called "Oxy electorate" has emerged, citizens who rely on painkillers to ameliorate the material realities of economic decline and loss of community. According to postelection statistics, six of (...) the nine counties in Ohio that flipped from traditionally Democratic to vote Republican in 2016 logged an overdose rate that well exceeded the national average. Historian Kathleen Frydl... (shrink)