Our national opiate-addiction epidemic is different from other American drug scourges for many reasons.
It’s the deadliest and the most widespread. It didn’t begin with drug mafias, but through the promotion of narcotic painkillers by pharmaceutical companies to doctors, who were pressured by we Americans, demanding an easy solution
to our pain.
But the epidemic is also remarkable for whom it has forced to its frontlines.
Librarians make up one such group.
I’m in Ohio this week, speaking at four regional conferences of librarians around the state. Today was Gallipolis — pop. 3500, in rural Gallia County, along the quiet, majestic Ohio River.
I stayed after my talk to listen to a panel made up of a university librarian, an elementary school librarian, and a public librarian talking about their experiences with this epidemic.
We heard about needles in the bushes, about how a child who lives in a drug house smells, about calling 911 because a customer had overdosed in a bathroom, about the look of some people who come into the library high. The epidemic has made danger zones of innocuous public places.
One school librarian, I was told, suspects two girls at her school are being abused. They come to school smelling badly. She takes their clothes home and washes them.
I was also struck by the stories many in the audience (80 people or so) had to tell about addiction in their families. Several librarians were raising their addicted relatives’ children.
Librarians are also perfectly poised, though, to be great catalysts for change – community organizers in the fight against this plague. That’s what I believe. They have the spaces, the local trust and credibility, and often small towns need folks like librarians to bring them together — and this is happening.
As I said to the group I spoke to, who better than purveyors of the book to be the leaders in this fight.
Plus, librarians are looking for new roles to play – rebranding libraries as community centers, places where people can come together. This catastrophe is offering libraries and librarians that moment to reinvent themselves towns and counties.
In the afternoon, I drove through the pristine southern Ohio farmland – white houses, white churches, silver siloes, blue sky, and acres of green corn.
I stopped at the Dairy Queen in Washington Court House, another small town with a bunch of opiate addiction problems.
Tomorrow Dayton – then Findlay and, finally, Twinsburg.
Next week I speak in Weber County, Utah, and after that Brunswick County, North Carolina.
All frontlines in America’s epidemic of opiate addiction.
I’m a reporter with an earring, from L.A., a Berkeley grad who doesn’t go to church. In the last year, I’ve spent a lot of time in small American towns, meeting people from fairly traditional, church-going places in the Midwest.
On paper, on social media, or on 24-hour cable news, we would seem to have little to share.
Yet in these places, meeting these people, I’m struck by how much we have in common. This may sound trite, but it is true. The commonality is there if you want to look for it. Not that hard to find when you look someone in the eye.
At each place, I’ve had the great privilege of talking with folks about their lives, their jobs. I’ve been struck by the intensity of feeling of the people with whom I’ve spoken, hugging folks I didn’t know. I remember a paramedic telling me of saving overdosing addicts, and of a chamber of commerce president telling me how many people couldn’t pass drug screens. I remember a grandfather in Portsmouth who wouldn’t let my hand go as he told me how he was raising his granddaughter, that his daughter was in prison. Many had lost children, and many others were cautious yet happy that their children were doing well now.
It is a humbling and powerful thing to be brought so quickly into the intimate lives of strangers, and I hope more than anything that I’ve been up to the responsibility.
Today, I want to say how thankful I am to the people I’ve met in those places – Peoria, Van Wert, Scottsburg, Logan, South Shore, Marysville, Portsmouth, Marion, Huntington, Albuquerque, Medford, Zanesville, Knoxville, Covington, Chillicothe – for their warmth and hospitality and, above all, their willingness to share a bit of their stories with a guy from out of town.
These are not towns typically on most authors’ book tour itinerary, and I feel so lucky that I was able to get there.
I’ve met folks at conferences of associations I didn’t know existed two years ago: Kentucky Association of Counties, National Association of Community Health Centers, Indiana Hospital Association, Ohio Association of School Nurses, Illinois Rural Hospital Association, Oregon Narcotics Officers Association, West Virginia Medical Association, National Association of Medicaid Directors, and the Iowa Association of County Medical Examiners, among them.
Meeting people at these conferences has been a real light of the last year as well. The Kentucky Association of Counties a couple weeks ago was an amazing event, as the state has 120 counties for four million people. So it was really like a small-town convention. Folks with strong Kentucky accents and me with my earring – yet I felt so welcome, and their reception to what I had to say was overwhelming.
I’m thankful for my family, who has been so important in all that’s happened. They were able to accompany me on a trip to Chillicothe, Ohio, which we’ll never forget.
I’m thankful that my wife and I are in good health, happy with our lives. My daughter is a cheerful, intelligent girl, healthy and polite to others. My wife and I are thankful for that.
It’s been a good, full year and I hope it was for you, too.
In the farming town of Carthage, Illinois, a lot of kids are afraid of summer.
Ada Bair told me this. Ada runs a rural hospital in Carthage, population 2700, in Hancock County in western Illinois. I met her in Springfield, where I spoke this week to a conference of rural hospital administrators.
Half the kids in town are eligible for free or reduced lunches. So many Carthage kids rely on school for food, she said, that the idea of summer terrifies them. This is the byproduct of rural poverty, unemployment and now widespread drug addiction.
Yes, kids in America’s farm belt don’t have enough food for the weekend. There’s something very messed up about that.
A few years ago, Ada started Food For Thoughts, which sends home weekend lunches with these kids. Her hospital also now funds free lunches for kids 18 and under through June and July. I’m not sure about August and was afraid to ask.
Six weeks ago, Ada’s husband, Charlie, opened a frozen-yogurt shop in what had been a long-abandoned drive-in bank that he’d bought and remodeled. He calls it Lilly’s, for Ada’s late mother, who helped bag the lunches for the kids before she passed at age 102 last year. The shop is at Wabash and Madison in downtown Carthage.
“He wanted to do something on a micro scale that could be replicated in other communities to help revive dying downtowns,” Ada said.
Lilly’s operates in an economic desert of shuttered storefronts. It offers chocolate, vanilla, and a flavor that changes periodically; salted carmel pretzel was a big hit. The profits go to Ada’s Food For Thoughts.
Carthage has been thinning out for years now, Ada says. Methode – a company that makes batteries – has finished moving most of what was several hundred jobs down to Mexico, in a process that took 15 years. Farms are consolidating, too. They’re still family farms, but where there was four or five farms and families working them, there is now one. Where there were four or five farm houses on one road, there’s now one. A farm that size is the only way to afford the kind of massive farm equipment they’re selling these days.
So there’s just fewer people in Carthage, fewer people to support grocery stores, churches, to form the critical mass to move projects of all kinds. Less community. Made it feel almost like a desert – at least where people are concerned. With that comes isolation and a deep poverty.
Seems to me this also has a lot to do with the opiate-addiction epidemic in America. Isolation – in suburbia or in tiny farming towns. Either way, we’re cut off from each other. Opiates feed on that. As drugs, they create the idea that being alone is preferable. But in a small town or county, they also create the feeling that we’re powerless against them. It’s true; when we work in isolation, all problems are insoluble. Sometimes I get depressed.
But then I meet folks like Ada Bair — a little like Narcan for the soul.
In Chillicothe, Ohio, the way I understand it, school janitors are heroes.
Many kids are growing up in families of addicts and have no place to go, their home studded with neglect and jagged edges; so they hang around after school. There, janitors have befriended them, bringing them food, giving them a sober adult to talk to and a calm place to hang out.
My family and I spent Thursday in Chillicothe, a southern Ohio town (pop. 21,000) bedeviled, as so many are, by the opiate-addiction epidemic.
I spoke all day long – a radio interview at 6:30 am, meetings with three groups through the day, and a 7 pm public talk at the Majestic Theater, the oldest (1853), continuously operated theater in America. Yet by the end I wasn’t exhausted; I was instead exhilarated by the electric, intense response of people I met.
That’s how it’s been everywhere lately.
Writing Dreamland wasn’t arduous; it was engrossing. But it was also about a tough topic in which the worst of human behavior was on display. So I’m thrilled to see towns like Chillicothe using the book to come together, form alliances, leverage talent, talk about this problem in a way that hasn’t happened before, and do something hopeful.
Heroin seems to be having the opposite effect in Chillicothe that it has on users. If heroin isolates addicts into self-absorption and hyper-consumption, the drug also seems to be bringing people together to fight against it. I see this elsewhere as well and that’s encouraging. I know the problem is big. A new sporting-goods store delayed its opening in Chillicothe for months, I’m told, because it couldn’t find enough workers that could pass a drug test.
I wish I had a better answer to those who asked what to do about families where drug addiction is now generational, where the grandparents on down are using, where great-grandparents are raising their grandchildren’s kids. Kentucky Gov. Matt Bevin, the day before in Louisville, told me that his state is on the verge of losing an entire generation, swallowed up in a morass of dependence, unemployment and now opiates. Kentucky has more able-bodied, working-age people who aren’t working than those who are, he said. That feels scary.
Heroin, it seems, is the final nausea to afflict small towns and rural communities already crushed by the farm crisis, downsizing, outsourcing, the loss of local retail, depopulation, and more. It seems that heroin has pushed many places to a life-or-death moment.
Knowing that, though, I also can’t help but recognize the energy I’ve been encountering in the people I meet.
In manufacturing, as I understand it, innovation happens through immersion in the work, people knowing the production process so well that together they find new, small, better ways to improve on how to make something.
Fighting heroin, I believe, is the same. When people come together, work together, knowing their community and its problems, when they leverage their talents and energies, the solutions specific to that place will emerge. I believe that.
And just as manufacturing processes improve incrementally, in small steps, so this problem has no sexy silver bullet, I suspect, but will be best fought with a combination of tiny efforts, many partial solutions, none of which is perfect, but together amount to something powerful. That’s good. Haven’t we had enough, after all, of the one sexy solution to solve all our problems: Didn’t `one pill for all people and every kind of pain’ do enough damage?
While I was writing Dreamland, people seemed to work in isolation, cut off from each other. Parents of addicts seemed hidden, silent. That’s the biggest change I’ve seen. People have now started talking about this issue, forming new alliances, comparing notes.
In Chillicothe, we stayed in the Carlisle, a beautiful brick building, restored after many years empty due to a fire. A hospital group decided to move into downtown and refurbish the building, believing apparently that it served the community best by being part of the revival of its core. The Majestic Theater will soon get a renovation. Luckily, the town never tore down its old beautiful brick buildings, which are being repurposed. New retail businesses are opening downtown. A t-shirt shop sells shirts of companies that have left town. My daughter now has a shirt proclaiming “Chillicothe, Ohio.” So the town seems to be rebounding, even as it battles this debilitating scourge. Maybe that’s the story – complicated, and not easily or neatly told.
I want to thank the people of Chillicothe for so hospitably welcoming my family and me. Thanks to Hudson Ward, at the Carlisle.
Thanks especially to Nick Tepe, the county’s head librarian, for organizing folks to bring us to town. Librarians ought to be playing exactly this kind of role in communities, and Ross County, Ohio seems to be blessed with a talented one.
Next, I’m heading to Knoxville, for the International Tuba and Euphonium Conference. And from there to Springfield, IL to speak to a conference of that state’s rural hospitals.
Meanwhile, Chillicothe had an annual street fair going while we were there, known as The Feast:
Elkhart, Indiana sounds like a town that needs to stop watching 24-hour news.
This Jackie Calmes story in the New York Times reports that the town once on its back, having lost many jobs and about to lose thousands more should Chrysler have gone under in 2009, has rebounded from the depths of the Great Recession and now is near full employment (3.8% unemployment down from 23%).
This has a lot to do with Barack Obama’s auto bailout and stimulus package passed to resuscitate the ravaged economy he inherited upon taking office.
Obama visited this town as a candidate and as president and did not forget it, but instead helped save it. Yet support for him is weak in Elkhart, Indiana. Yet somehow they find something to support in Donald Trump, and can only fault the president.
The problem here goes pretty deep, I think. If nothing – not even solid political performance – is good enough for us any more, who are we then? Has the great American ideal of accountability been taken to such absurd extremes? Will only perfection suffice?
It used to be common for people to have mixed allegiances, because their politics were born of their towns and the solutions people saw locally, which stretched quite naturally across party lines. Today we’ve grown into bubbles, even locally, obeying the stark divides in Washington and in the broadcast media. We view politics as some sports contest and we’re fans of one team or another. I’ll admit it: nothing the Dallas Cowboys do is going to make me their fan. But that’s not how politics, governing should be.
We excoriate government, but government is our way of coming together, in community, to solve problems.
Why imitate our national political leaders who live captive to politics as sport? And what about some courtesy? How about saying thank you?
I’ve written a lot about my belief that our heroin and pain pill-addiction problem stems from years of destroying community in this country, leaving us without the social immune system to combat a drug as isolating as opiates. Elkhart is one place where that happened. Now it appears that this town is forming community again, becoming a place where people are working and putting their lives back together. I assume it’s not perfect and that much remains to be done.
But this attitude expressed by people in Elkhart now that things are better, to me, feels childish, feels unserious. Above all, it feels as if they’ve downed too much of the dope of alarm, frenzy and anger dealt by 24-hour cable news and talk radio, which traffic in all that and never heard of a solution to a problem, nor reported on one.
We luxuriate in complaining about politicians, yet won’t support those who follow through and who help create community out of destruction?
Seems to me that if we believe the alarmism of 24-hour cable news despite the evidence looking us in the face, then we’ve become infantile, hardly deserving of our world-power status, and we deserve the loonies we get.
I’m in Little Rock for the Arkansas Literary Festival, a very nice book festival held downtown.
So here’s what happened yesterday. Flew in, met my fellow panelists, learned that Southwest lost my bag, went to the hotel, took a quick nap, went to a festival reception, met someone with an opiate addict in the family (the family member is a woman in her 60s or so).
Little Rock is no different from every other part of the country I’ve visited recently.
Researching our national addiction to pain pills and heroin to write my book, Dreamland, I’ve been struck by the normalcy of addiction nowadays. Everywhere, strike up a conversation, you find someone with a family member or friend or co-worker addicted to opiates.
It’s far more prevalent than crack use was, I believe, and certainly infinitely more deadly.
I remember starting the research, flying to Dallas a couple years ago. On the plane was an elderly couple from rural Oklahoma. We got to talking and before long, they were telling me of their oldest son, addicted to OxyContin.
Not long after that, in a tavern on New Year’s Day in Covington, KY, I met a family, celebrating a young girl’s birthday. Before long, we’re talking about two people in that extended family dead from heroin overdoses.
There are many reasons why this is so.
First: the massive over-prescribing of pain pills nationwide. We often debate whether supply or demand drives drug plagues. This one is supply driven. Pain pills eventually lead to heroin addiction – as the pills are molecularly similar to heroin and much cheaper; in some areas, like those serviced by the Xalisco Boys I write about in Dreamland, heroin is easier and more convenient to obtain the pills.
But this is also driven by silence. There’s no violence to fuel public ire. Meanwhile, though, parents are loathe to talk about their children’s addiction. When they die, they camouflage it in some palatable cause of death. Some parents are going public. But far too few given the huge numbers.
The result is silence, and stories you never hear until you’re sitting next to someone on a plane, or chatting with them at a cocktail party.
When neck-deep in writing a book, I’m never sure if it’s any good. Too much time spent laboring over every phrase, whether one clause should be separated by a comma or a semicolon, which adjective best describes a person’s mood – on top of all the facts that, like cats, need to be corralled and herded in one direction or another.
And new facts you learn every day that may change everything.
Then there’s the rewriting – which is what writing is all about.
So I’m thrilled to hear reaction to the book – that people couldn’t put it down. Love hearing that, I have to say.
I’ve had great appearances at the LA Times Bookfest and at Vroman’s, with more to come at Powell’s Books in Portland, Elliott Bay Town Hall in Seattle and Bookstore West Portal in San Francisco, not to mention the Arkansas Literary Festival in Little Rock, where I’m heading as I write.
Amazon.com chose Dreamland one of its Best Books of the month, alongside books by Toni Morrison, TC Boyle and others. That was nice of them.
The NY Times ran a column of mine on the front page of its Sunday Review opinion page. Nice of them, as well.
KPCC in LA aired an interview i did on their show, Take Two, and CSPAN did the same with an interview at the Bookfest, then covered the LA Times Bookfest panel I was on with some terrific nonfiction crime authors – Ruben Castaneda, Barry Siegel, and Deanne Stillman, and Tom Zoellner doing a bang-up job moderating.
All in all, an exhausting but fulfilling first few days to a book’s life.
Thanks to all who’ve bought the book, and especially to those who’ve written me about it with such feeling.
Two weeks from today, my third book, Dreamland: The True Tale of America’s Opiate Epidemic (Bloomsbury Press), is officially released.
The story of this epidemic involves shoelaces, rebar, Levi’s 501s, cellphones, football, Walmart, American prosperity, with marketing, with Mexican poverty and social competition, and with the biggest swimming pool in the US and what happened when that was destroyed.
It’s about the marketing of prescription pills as a solution to pain of all kinds, and about a small town in Mexico where young men have devised a system for retailing heroin across America like it was pizza.
The tale took me from Appalachia to suburbs in Southern California, into one of the biggest drug-abuse stories of our time – and one of the quietest, and whitest as well.
Among them, Portsmouth was ground zero in the opiate epidemic that is now sweeping the country. I’ve been there four times for the book: twice to hear about the degradation that took place with economic decline and the rise of prescription pill use; twice to hear the stories of how Portsmouth is emerging from that hell and a recovery community is forming.
I hope to return a fifth time.
What I found electric about the RWR video was that it was not a celebration of thuggery. Instead it was journalism — a description of what these guys had grown up in, using Portsmouth as the video backdrop — and a call to rebirth for their hometown.
I suspect Bruce Springsteen and Merle Haggard would find a lot to value in the RWR and their song.
Plus it was DIY all the way, and, as a fan of early punk rock that pioneered DIY attitudes, I thought it looked great.
Anyway, five of the nine members of RWR took some time to talk to me about the group, the song, the reaction and more. Portsmouth born and raised, they are: Clint “Random” Askew, Nick “Big Mung” Mungle, Donricko “D’Gree” Greene, Barry “B.E.Z.” Munyon, Justin “JLew” Lewis. (Others in the group include Lexxy “Riide R Diie” Jackson, David Packard, Arrick “Lil Mont” Montgomery and Angelo “Anjo” Jackson)
You can listen to them at the link above or download it.
Check out their story. Tell me yours. Leave it in Comments.
Meanwhile, you can read the fantastic comments so many left on earlier posts I did last week.
So I sifted through the comments for some excerpts that tell the story of a small American town that is beaten down and rising up.
“…I’m 60 yes old….have lived here since I was 9. I cry when I see what had become of the town I grew up in. I remember a downtown that was filled with stores and restaurants. Christmas shopping was magical. Shoulder to shoulder, bells ringing… You could find anything you wanted! There were no Kmarts, Walmarts or malls. …”
“…We never locked doors and never had to worry. Now we live behind closed locked doors with alarms on them. The working class is worried about keeping what they have while the others steal to get what we work for. Kids being raised by grandparents because of the drugs here….”
“Drugs have been prominent as early as Dr.Lily and Dr.Proctor. With a steady and fast decline ever sense then. With businesses shutting down. No work around the area….”
“…Watched the girl next door go from straight A’s to prison in just two years from the first O/C. watched my son’s friend go from valedictorian to living in his own filth, without any utilities. … At one point the estimate was that of every 10 adults in Scioto county, 7 were addicted to oxycontin. think about this. you go to the store, the clerk is high. you take your dog to a vet, you see the pinprick pupils. you stop at the post office, you see the obvious proof of addiction, it is … as if someone crop dusted the county. with opiate.”
“… knew our town was on trouble when people young and old were lined up down Chillicothe (the main street in Portsmouth) to see the pain pill doctor. Or maybe it was when I bought pills from friends Grandmother. Or how about when I saw a former high school cheerleader walking the stro….’
“…I got pregnant I was unable to stop so my son was taken from me n I went to treatment immediately after five weeks of treatment my father was shot and killed robbing theCarry out…”
“…You can’t leave the house alone without fear of coming up missing to never be heard from again….”
“…You got to survive the 740 is what the hell I know….”
“…My daughter is an addict in early recovery. She was in the top 10 of her graduating class, and on the dean’s list at SSU…until the dope got to her. She went from pain pills, to heroin, to meth. … She got busted and sent to jail. … Maybe I never paid enough attention, maybe I was just to busy trying to work to survive. Maybe I just didn’t want to believe that things were so bad in our town….”
“…I’ve only been free from prison since May 31st,2013 and I know I can’t go back to living in Portsmouth….”
“…I noticed an out-of-towner at a coffee shop and asked what brought her to town. She was on a boat trip down (and back) the entire length of the Ohio River. In all her trip preparations, no one had ever mentioned Portsmouth. She had pot lucks and stops scheduled in towns all along the river, but stopped in Portsmouth by accident, to pick up supplies. She added a couple of days to her itinerary to look around. “What happened here?” she asked. “This was a real city once,” she said. “All the buildings are taller than a lot of places I’ve stopped. But it seems like a ghost town.”
“…7-4-0 reminds me of my hometown, Elkhart, Indiana (574). Elkhart was built on the pharmaceutical, band instrument, and musical instrument manufacturing industries. Because of the mobile home industry, it tags along with the fortunes of Detroit. Don’t know about heroin, but backpack meth and home meth labs (one blew up across the street from the high school) are everywhere….”
“…WTH do I know about the 740? I was born and raised here I watched it go from a quiet little town, where you didn’t have to be afraid to go out at night, or lock your doors, to a poverty sticken, low job rate, drug capitol. Portsmouth is starting to fight back finally …”
“…went to prison cause I couldn’t stay clean my mom did a lot by raising my oldest most of her life,sometimes it’s like a never ending battle,but we do have recovery in our town,an once again back in treatment…”
“…am a mother who use to addict to pain pills been to prison twice and finally went to treatment in the 740 which changed my life for ever.Now I have been working full time for 5 years going back to school to finish my degree and have overcome a lot trying to stay clean and sober it is possible in the 740…”
“…I’m currently involved with a group of people who are looking to start a worker cooperative in the city as a means of providing work and education for the unemployed. …”
“…here are 2 options: be the change you want to see, or change your surroundings & the people you spend your time with!…”
“…I am finishing my Master’s in natural resources and environmental science so I can publish research on this post industrial town and its resulting drug addiction….”
“…we are recovering like crazy down here in little ole Portsmouth!!! I also know one of the men in the video, watched him grow into adulthood and become a GREAT man, a father, and a caretaker despite all of the hurdles that he faced, and he really did beat the odds…”
“…I personally have overcome my past, and will not let the downfalls of MY hometown get me down or pull me back! I did it and so can you Portsmouth!!!! All you need is a lil inspiration, and thats what these men are!!!…”
“…I really dont like rap i usually listen to country but i loved this song n so proud of them….”
“…What I know about the 740 is good people are doing something about it….”
“…The people here need to save our “740″. No one is going to do it for us….”
“…I’m still here and I recently just got out of rehab….”
“…No longer does this have to be a “junkies town”, or “drug infested” … she is inching herself back to be the home I grew up in. A place where doors are left unlocked at night. A place where its okay to send your children to the store. … It doesn’t come easy. It will get better though. (progress not perfection) I’m an addict. My story and the stories of many of my fellow addicts are similar to the story of our city. We can/do Recover. Today I am proud, honored, and happy to say that I am living in the solution and not in the problem….with that I pass….”
So that’s Portsmouth’s story, folks. Share it if you like it.
Well, I’m not gonna lie — I like this guy’s style.
Brad Belcher was upset that people in his hometown of Marion, Ohio (north of Columbus) weren’t talking about the rampant heroin/opiate addiction in their midst.
Home to President Warren G. Harding, the rural town of Marion, like much of Ohio, has been hammered by departing jobs and a general malaise of defeatism and inertia, Belcher told me.
Heroin (in the form of courts, jail, the underground economy, etc) has taken the place in the economy of a lot of manufacturing and other businesses that for decades kept the town tight and townspeople concerned for each other. (Marion was once home to Marion Power Shovel, which once employed 3200 people making earth moving and mining equipment. It closed in the late 1990s.)
Now people were dying. Dope was everywhere.
So to ignite discussion about all this, Belcher printed 800 signs and late one night put them up all over town: in front of Walgreens, outside cornfields, in the wealthy neighborhoods, along the retails strips.
He was caught in the act by three officers of the law just as he was about to put them around city hall and downtown.
They took down most of the signs, but his little bit of guerrilla political theater — a la Abbie Hoffman — was taken up online and in social media.
Belcher, a former addict himself, became a cause celebre.
The signs made the topic okay to talk about, he says. Before people were mortified to admit they had addicts in their families.
The town, he says, is now at least attending to the problem it avoided. Churches are involved. Local folks recently organized a heroin march. The cops arrest more heroin dealers than ever before. People talk openly about what they once kept silent. But the town doesn’t have any drug treatment facilities — besides its jail, that is, which serves as de facto center for detoxifying from heroin.
I’m in Portsmouth, in southern Ohio, a region that has taken a beating from so many corners in the last 30 years.
Farm crisis, factory jobs going overseas, and lately, the hyper-marketing of prescription painkillers, which led to the nation’s first pill mills (unscrupulous docs selling prescriptions like candy for cash).
That led, before many years had passed, to great amounts of addiction to Mexican black-tar heroin delivered by guys from the town of Xalisco, Nayarit — a massive and quiet epidemic, and what the book I’m working on is all about.
The heartland of America — who knew?
This area is showing a few signs of coming back. I just today had conversations with two women today who give me hope. But it’s slow and there’s a long way to go, for having fallen so far.
By the way, the pet store said the people by Red Belly Piranhas to raise in aquariums. They get about as big as a human hand.