In the
1990s, Purdue Pharma executive Richard Sackler (Michael Stuhlbarg) aggressively
pushes OxyContin as a miracle pain management cure, seeking to downplay or bury
reports of its addictive properties. Salesman Billy Cutler (Will Poulter) is at
first enthusiastic about marketing Purdue to doctors, but he has second
thoughts when higher and higher doses are recommended. One of Billy’s clients, rural
Virginia doctor Samuel Finnix (Michael Keaton) experiences a similar
disillusionment, especially after he begins taking OxyContin himself.
Meanwhile, deputy U.S. Attorneys Rick Mountcastle (Peter Sarsgaard) and Randy Ramseyer
(John Hoogenakker) begin investigating Purdue Pharma as does DEA official Bridget
Meyer (Rosario Dawson).
Beth Macy’s
comprehensive exploration of America’s opioid crisis would have made for a fine
docuseries. Instead, Danny Strong adapted it as a dramatic miniseries. It’s a
dumbed-down distillation with an overly narrow focus even if it does touch on
relevant themes and offer potent performances.
One of the
more salient features of Macy’s book is showing how addiction cuts across race,
class, and geographic lines. While the miniseries acknowledges the opioid
crisis’s national scope, the characters shown affected by it are largely
Appalachian whites. Similarly, the book pointed to plenty of bad actors, unscrupulous
Purdue Pharma among them. Here, the “get Purdue” focus obscures the involvement
of others.
This simplification
of a complex issue may make for more manageable storytelling, but it also leads
to predictability and one-note characterization. Stuhlbarg plays Richard
Sackler as a black hole of amoral greed, and both Poulter (wide-eyed go-getter
who develops a conscience) and Dawson (dogged agent whose devotion affects her
personal life) play composite characters who function less as people and more
as types. Keaton’s Finnix (another composite) acquits himself better. Rather
that simply playing the doc as a naïve-but-well-intentioned man led astray, he’s
shown as angry and desperate before committing himself to helping others as
best he can. The best performance, however, belongs to Kaitlyn Dever as Betsy
Mallum, one of Finnix’s Oxy-prescribed patients. The queer daughter of
conservative churchgoers who works a dangerous mining job while battling
chronic pain, she inspires empathy even at her worst.
While Dopesick’s
narrative choices are frustrating, it still brings gravity and attention to a
worthwhile issue, and if it inspires viewers to read Macy’s more informative
telling, all the better.