Amy Sullivan uses her own story as a launching point to illustrate how the opioid epidemic has challenged longstanding recovery protocols in Minnesota, a state internationally recognized for pioneering addiction treatment. Through the voices of many people who have experienced opioid use, treatment, recovery, and loss, Sullivan exposes the devastating effects of a one-size-fits-all approach toward treatment of opioid dependency. Taking a clear-eyed, nonjudgmental perspective on every aspect of this issue, Sullivan questions current treatment models, health-care inequities, and the criminal justice system. Sullivan also imagines a future where anyone suffering an opioid use disorder has access to individualized care.