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Kingsolver had spent years watching the opioid crisis hollow out her corner of southwestern Virginia, but the public reckoning focused on lawsuits and pharmaceutical executives. What it skipped over entirely were the children left behind once the headlines moved on.
A scary percentage of the kids in my region — as high as 30 percent — have lost their parents to prescription drug abuse. They are wards of the state, or are living with grandparents or others who might prefer not to be raising them. That’s the case with my fictional hero, Demon, and his ragtag band of friends. They want so badly to be seen, in a world that wants them erased.
Beyond the immediate crisis, she had carried a second, older obligation. For decades she had moved between Appalachia and the rest of the country, watching the region get reduced to a punchline, and she had been accumulating the confidence to answer it on the page. The book she describes below is the one she decided she could only write after a lifetime of being from there.
I’ve been waiting my whole life to write this book. I had to get this old, this much gray hair. And more importantly, be this comfortable with myself and my Appalachian identity, to embrace this project. [paraphrased from audio]
She knew the subject and she knew the community, but for two years she had no form to put them in. The breakthrough did not come in Appalachia at all. It came at the end of a book tour, in a room on the English coast that Dickens had once used as a writing studio.
The novel is set where I live, but surprisingly, its inspiration came to me the night I stayed in Charles Dickens’s former home in Broadstairs, UK. I got a clear message to look to *David Copperfield* for guidance. I began the book that same night.
That night at Bleak House produced more than a structural idea. It produced a specific instruction about point of view. Kingsolver describes what she understood in Dickens’s study, and the description reveals both the formal decision and the speed with which she acted on it.
I sat up and took note. And what he told me is, ‘Point of view is your tool. Let the child tell the story.’ And I started writing it that night on his desk, the desk in his house at Broadstairs where he wrote *David Copperfield*.
She then spent three years working chapter by chapter with the original novel open beside her, finding a modern American equivalent for every Victorian circumstance: a boot-black factory becomes kids sorting garbage behind a Circle K that doubles as a meth lab; a cruel boys’ school becomes a tobacco farm where foster children do unpaid labor.
First-person narration by a child in danger carries an obvious problem: readers who fear for the child may not get far enough into the book to be changed by it. Kingsolver describes the specific contract she built into the choice of voice, and why it was not negotiable.
It needed to be first person, just to give readers that assurance that he’s gonna make it because he’s telling you the story. I personally hate to read about children in jeopardy. If it looks to me like a kid, a child is going to die in a novel, I will actually, I can’t bear it... I want to give you that promise. This is a survivor’s tale.
Settling on first person solved one problem and immediately created another. About 200 pages into the first draft, Kingsolver searched the manuscript for a single word and counted 175 instances. The number told her the voice was arriving too hot, too fast, before readers had any reason to care what Demon was angry about.
I really want you to want to adopt this kid, to get you on his side. And then by the end, I think you’re probably just as mad as he is at the way our country has failed him.
The revision strategy was to soften his tone in the early chapters and let the fury accumulate as the reader accumulated understanding. The 175 F-bombs were redistributed toward the back of the book, where they had earned their place.
Kingsolver has moved between Appalachia and the wider world her whole adult life, and that movement taught her something the novel had to account for: the gap between how she speaks at home and how she speaks everywhere else is not an affectation but a survival skill acquired under pressure.
This is my native language. I grew up listening to Appalachian talk. What you’re hearing from me right now isn’t exactly Appalachian vernacular. I code-switch, and I learned very soon after I moved from Appalachia that if I talk the way I grew up talking, people would have their opinions of who I am.
That same experience of being seen as lesser because of where you come from shapes the novel’s central argument. Kingsolver draws a direct line between how the region has been perceived and how it has been treated economically, and she is direct about where she stands in that history.
I’m Appalachian, through and through. I grew up in Kentucky and live in the mountains of Southwest Virginia. I’m committed to writing honestly and respectfully about this region that is widely ridiculed or just invisible in mainstream American culture. Appalachia is beautiful and culturally rich, but a long history of exploitation has left us with structural poverty, limited opportunities, and educational deficits that outsiders tend to laugh at.
Kingsolver names the novel’s argument with unusual directness in interviews, because she believes the subject has been deliberately kept out of polite conversation in America. Class, she argues, is the thing that ties the opioid crisis to the coal economy to the foster care system, and it goes unnamed precisely because naming it would require accountability.
This is a novel about class in America. And class is not something people talk about.
She traces the pharmaceutical industry’s targeting of Appalachia as the continuation of a pattern that began with the coal industry buying up local courthouses and suppressing competing employment. The opioid crisis, in her account, is not a new catastrophe but an old mechanism with a new product.
The opioid epidemic is the latest in this cold train of exploits. These are things that were done to us and that have left us, you know, in a difficult place.
One specific discovery during her research stopped her and became structural to the book’s argument. She had known the foster care system was inadequate; she had not known it was, in its current form, a profit-generating industry. The implication for children like Demon, who move from placement to placement, is that they are not wards of the state in any protective sense.
So these kids are product. How can that be a good thing? [paraphrased from audio]
Kingsolver spent time with people in recovery while writing the book, and every person she spoke with had begun with a prescription following a doctor’s instructions and pharmaceutical company assurances. That fact shapes her argument about punishment. She wants readers to leave the book having felt, rather than simply processed, the distinction between a moral failure and a disease.
We have been trained, culturally trained, to think of addiction in this way, as a personal failing that needs to be punished. Incarceration does not cure addiction any more than it cures cancer. Addiction is a disease.
But the book’s ambition is larger than a corrected understanding of one policy area. Kingsolver describes what she believes fiction can do that no policy paper or lawsuit can: place the reader so completely inside another life that the distance between ‘us’ and ‘them’ becomes impossible to maintain.
The superpower of novels is that they put you, the reader, inside the brain and the eyes and the life of another human being. So that creates compassion. It can create empathy and breaks down the walls between ourselves and others, particularly between ourselves and people who are less lucky than us. [paraphrased from audio]