sHeartland Tobacco War chronicles the political and public relations battles between health advocates and forces supported by the tobacco industry in Oklahoma from the 1980s to the present, drawing on previously-suppressed tobacco insider documents and first-hand interviews with key players. The authors especially highlight the role of Oklahoma’s “renegade” Department of Health Commissioner, Dr. Leslie Bietsch, in the theoretical contexts of insider and outsider policy advocacy, administrative ethics, and direct democracy.