In case you needed a reminder of the extraordinary value of local newspapers, The Post and Courier of Charleston, South Carolina, recently published a stellar investigation of a man who claims he can end the opioid crisis. Douglas Randall Smith a grifter of the classic American variety: a self-proclaimed prophet selling snake oil to people desperate to be cured of what ails them. His business, which he runs with dubious partners, is even registered as a non-profit church:
In October 2017, Smith became one of three founders of Church Ekklasia Sozo in Charlotte. Its name roughly translates to the assembly of the healed. The church’s founding documents outline a mission “to teach and preach the gospel to all people, conduct evangelistic activities, license and ordain ministers of the gospel, provide religious, charitable and humanitarian services, provide programs and assistance in fighting opioid addictions.”
Smith said he formed the business as a church because it was the easiest way to grow across state lines. “You’re just exempt from a whole lot of stuff,” he said.
By the following summer, Smith’s partners were gone. He now controlled the company, which offered Suboxone prescriptions written by a cadre of licensed doctors, nurse practitioners and psychiatrists the business enlisted as contract workers.
Smith chose Dr. Henry Emery of North Carolina to serve as medical director. He and Smith had something in common: Months earlier, one of Emery’s patients had died from a cocktail of drugs he prescribed, according to records from the North Carolina Medical Board. The year before going to work for Smith, Emery gave Medicare patients more oxycodone than 98 percent of prescribers in the nation, Medicare data shows.
Almost from the start of Emery’s partnership with Smith, he wrote more prescriptions for buprenorphine than the DEA allowed, federal investigators’ records show.
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Isabella Hammad, a Palestinian novelist, delivered this lecture just before the October 7 attacks by Hamas and Israel’s response in the form of genocidal violence. It is a profound piece of writing, mustering diverse references—Aristotle, Sigmund Freud, James Joyce, Anne Carson, and Edward Said, among others—to reflect on the power and limitations of narrative devices to illuminate and organize our understanding of the world:
What in fiction is enjoyable and beautiful is often terrifying in real life. In real life, shifts in collective understanding are necessary for major changes to occur, but on the human, individual scale, they are humbling and existentially disturbing. Such shifts also do not usually come without a fight: not everyone can be unpersuaded of their worldview through argument and appeal, or through narrative. Maggie Nelson, in The Art of Cruelty, punctures the high-minded moralism of art that seeks, through depicting suffering, to move an audience to do something about it. “Having a strong reaction is not the same thing as having an understanding,” she writes, “and neither is the same thing as taking an action.” It’s true that emotion and understanding are not the same as action, but you might say that understanding is necessary for someone to act.
Of course, the word recognition has another, very formal connotation in political discourse as a diplomatic or governmental action; states will recognize the sovereignty of another state or political entity, or a political or legal claim, or a right to life, a right to have rights. Cultural recognition of difference can form the basis of just societies, but recognition that remains solely that—a form of acknowledgment without economic and political redistribution—is an act of language that leaves out the plot of history, where a word tries to stand in for material reparations through the smoke and mirrors of discourse and ceremony. The recognition of Indigenous peoples by settler colonial societies, including acknowledging First Nation territories, might be a place to start, but it is no place to end. In the Palestinian case, the Oslo Accords of the nineties, which inaugurated a misleadingly titled “peace process” and led to an entrenchment of Israeli occupation, prominently featured letters of mutual recognition between the PLO and Israel. The PLO was recognized as the legitimate representative of the Palestinian people: granted the mantle of statecraft without an actual state.
In the language of both law and literary form, then, recognition is a kind of knowing that should incur the responsibility to act for it to have any value beyond personal epiphanies, or appeasing the critics of the one doing the recognizing. Great effort is required to ensure that such a moment marks the middle of the story, and not the finale. Another act must follow.
The fact is, huge edifices do move in human history. Empires have fallen. The Berlin Wall fell, political apartheid in South Africa did end, and although in neither of these cases were these putative conclusions by any means the end of the story, they are testaments to the fact that, under the force of coordinated international and local action, Israeli apartheid will also end. The question is, when and how? Where in the narrative do we now stand?
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Today’s Best of 2023 list honors five notable investigations we read in 2023. Below, our editors recommend deeply reported stories about child laborers working overnight, migrant boats lost at sea, the preservation of historical records, the criminalization of pregnant mothers, and penile enhancement surgery.
Renata Brito and Felipe Dana | The Associated Press | April 12, 2023 | 4,351 words
One morning in May 2021, fishermen in Tobago spotted a strange boat offshore. To their horror, they discovered a dozen dead men on board. Among the objects left behind: Tattered clothes. Prayer beads. A water bottle labeled with Arabic writing. A phone, through which local authorities eventually pull a list of contacts. All of these items and more would offer evidence about this doomed journey. In this immersive feature, Renata Brito and Felipe Dana use video storytelling, photography, and interactive graphics to reconstruct what happened to these men. Part of a group of 43 migrants that left Mauritania 135 days earlier, they intended to sail to Europe, along a treacherous Atlantic route via the Canary Islands, to start a better life. As is the fate of other boats like it, the pirogue lost its way and washed up in the Caribbean. For two years, Brito and Dana followed a trail of clues, piecing together a narrative that spans three continents. Their investigation, drawn from police documents and interviews with forensic experts and disappeared migrants’ loved ones halfway across the world, led to the identification by name of more than three-quarters of the people on the boat; DNA testing also confirmed the identity of one man, bringing closure to at least one family. “These migrants are as invisible in death as they were in life,” they write of these men—and the larger African refugee crisis. “But even ghosts have families.” These “ghost boats” are vessels of hope for these men, but many of them vanish and are forgotten at sea; with exceptional and empathetic reporting, Brito and Dana tell a very moving human story of one. —CLR
Megan Greenwell | Wired | June 27, 2023 | 7,987 words
As line by line of this piece’s lede unfurled, I leaned a little bit closer, already riveted. In 1973, a fire at the National Personnel Records Center in St. Louis destroyed 17 million Official Military Personnel Files (OMPF), service records that unlock “home, business, and educational loans; health insurance and medical treatment; life insurance; job training programs; and other perks the country has long considered part of the debt it owes its veterans.” For reporter Megan Greenwell, one personnel file was personal. Her grandfather, who died in 2012, had served in the Army in 1943. Could his OMPF have miraculously survived the devastating fire? Greenwell completed “Standard Form 180, ‘Request Pertaining to Military Records,’” in a bid to find out. This piece, dealing with the US Federal Government, could have easily been bogged down by a bureaucracy unwilling to share its secrets about the blaze. But Greenwell brings us fascinating humans who lovingly apply surprising science and technology to restore and decipher records damaged by fire, water, and humidity. For these technicians, each record—each person—is precious, an identity revealed. But did Greenwell find her grandfather’s personnel file? Was his among the few that survived the fire or was carefully restored? I couldn’t possibly spoil that for you; you’ll have to read the piece to find out. —KS
Shoshana Walter | Reveal from the Center for Investigative Reporting | June 29, 2023 | 7,167 words
Sometimes an investigation begins with a single word. In 2016, as part of legislation expanding government support for the prevention and treatment of opioid addiction, Congress amended existing child-welfare policy. “Federal law had long required newborns vaguely identified as ‘affected by’ illegal drugs to be flagged to child protective services,” Shoshana Walter explains. “In this new iteration, lawmakers removed the word ‘illegal.’” The change was intended to help infants exposed in utero to prescription opioids, but in practice, it created a devastating dragnet. Drawing from meticulous research, Walter reveals instances of new mothers being reported for taking antidepressants and run-of-the-mill cold medicines, and for testing positive for the fentanyl found in epidurals (a particularly gobsmacking detail, which I have repeated aloud many times, including to my own doctor). Others were reported for using Suboxone, a drug prescribed to help recovering addicts stay clean, and had their children taken away as a result. “It’s like a sick game,” one mother told Walter. “They don’t want you on illicit street drugs, so here, we’re going to give you this medicine. But then if you take this medicine, we are going to punish you for it and ruin your family.” It would be simplistic to say that this phenomenal story, published in partnership with The New York Times Magazine, is about the unintended consequences of a government policy. On a deeper level, it is about the American impulse to marginalize and punish women who don’t fit into culturally ordained boxes. —SD
Ava Kofman | ProPublica, co-published with The New Yorker | June 26, 2023 | 8,601 words
Once upon a time, I produced a documentary on cosmetic surgery. Having stood in a few operating rooms while silicon got wedged into various crannies, I have retained a morbid curiosity about this field. However, I was still not quite sure what to expect when I decided to join Ava Kofman “inside the secretive world of penile enlargement.” Certainly not something quite so dark—or graphic. Kofman does not shy away from describing what is involved in inserting urologist James Elist’s invention, the Penuma (a silicone implant, “shaped like a hotdog bun”) under the skin of the penis to increase its girth and flaccid length. Having also made it into the operating room, she is fully equipped to assault the senses by describing the sights and smells involved with surgery on an inverted penis. She has done her homework in other ways too, talking to 49 enlargement patients—a high tally for an area notoriously wrapped in shame and secrecy. Her meticulous investigation pays off when she discovers the post-procedure horrors some men have endured: implants becoming infected or detached, buckling at the corners, or even breaking through the skin. The trust she gains from her case studies is impressive, as is the access given to her by Elist himself, who allows her into his inner sanctum to witness his godlike complex firsthand. Kofman is fair in pointing out that all pioneering surgeries involve some trial and error at the start, but what I found shocking was that most men “had been of at least average size before going under the knife.” (Not much education on body dysmorphia seems to make it into the rushed intake process.) This enlightening piece may not be for the faint of heart, but it’s a great piece of journalism. —CW
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The US Coast Guard has detained more than 27,000 people since summer 2021; among these refugees are an alarming number of children who are traveling alone, most of them fleeing Haiti. In this heartbreaking story, Seth Freed Wessler details a 10-year-old Haitian boy’s harrowing journey. Wessler’s meticulous reporting reveals an immigration policy at sea that is opaque, inconsistent, and dangerous.
The treatment of children is perhaps the starkest difference between immigration policy on land and at sea. At land borders, unaccompanied minors from countries other than Mexico and Canada cannot simply be turned back. They are assigned government caseworkers and are often placed in shelters, then with family members, on track to gain legal status. That system has its own serious failings, but the principle is that children must be protected. Not so at sea.
Tcherry fell asleep on the larger cutter and woke at around dawn to commotion. He saw an EMT pressing on the chest of a middle-aged woman who lay several yards away from him. She had been moaning in pain the night before. The crew member keeping watch had found her dead, her nose and mouth covered in blood. Another Haitian woman began to sing a hymn as the EMT performing CPR cried. A small boat took the woman’s body away and then returned for another man who had been complaining of pain and could not urinate. “I thought they would take us to land after the woman had died,” Tcherry says. “I thought they would let us go.” But that afternoon, he was transferred to yet another cutter that pulled away from Florida and into the high seas. Tcherry finally understood he was being sent back.
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In November 2021, a young Afghan girl, Mahbuba, and her family resettled in Chicago. Mahbuba is deaf: in Afghanistan, she had no exposure to language, and her family, not able to communicate with her and having no access to resources, saw a bleak future.
But as Elly Fishman reports in this uplifting piece, Mahbuba has made incredible progress in Chicago, thanks to her school’s deaf education program. With the help of a few people—notably her teacher and a refugee youth program manager—in just a few months Mahbuba has learned to sign simple sentences.
Hoffman spent the first few days sitting with Mahbuba on the floor of her classroom and playing games — mostly Jenga. She showed her toy houses where Mahbuba could play with plastic dolls and animals.
“I was really just trying to help her feel safe,” Hoffman recalls. “I could feel her fear.”
Over time, the teacher started to introduce numbers and colors. They slowly worked their way through the alphabet, both written and in sign. She used cards to begin to teach Mahbuba everyday objects, food and words to describe her day at school.
But before any of that, Hoffman introduced Mahbuba to a concept both simpler and far more profound: her own name.
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Kiese Laymon takes us back to 1984 and childhood Friday nights, where he, his grandmama, and her boyfriend Ofa D. went to Jr. Food Mart for takeout dinners Laymon remembers with great fondness.
I loved that we could get batteries and gizzards. I loved that we could get biscuits and Super Glue. I loved that we could get dishwashing soap, which was also bubble bath, which was also the soap we used to wash Grandmama’s Impala, and the good hot sauce in the same aisle. I was 8 years old. I never knew, or cared, that my favorite restaurant served gas. My Grandmama and Ofa D were deep into their 50s. They seemed to never know or care that our favorite restaurant served gas, either.
I suppose there were choices of where you’d eat out in Forest. There was a Pizza Inn. There was a McDonald’s. There was Penn’s Fishhouse. There was Kentucky Fried Chicken. But there were no choices in what we’d eat on Friday. Ofa D would order a box of dark meat, a Styrofoam container of fried fish, and a brown bag filled with ’tato logs. Grandmama would grab a box of a dozen donuts. Grandmama and Ofa D would let me pick my own cold drank. I picked the six-pack Nehi Peach or RC Cola every single time.
Maybe 35 minutes later, I’d eat myself into a lightweight coma while Grandmama and Ofa D lightly petted and pecked each other on the couch with the week’s greasiest lips. This was our practice.
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Rebecca Mason is the UK’s leading romance fraud specialist, so skilled that she can track down victims before they even know they are victims. In this riveting piece, Stuart McGurk explores how Mason discovered an international ring of fraudsters—and told people they were in love with a fantasy.
But Mason was developing something of a specialism: she had begun tracking down victims before they even knew they were victims, locating fraudsters before anyone had reported a fraud. As she and a colleague sat at Baldwin’s dining room table, which was covered with assorted paperwork, they explained what had brought them to him.
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