Tag Archives: small towns

Opiates & the Senate Health Care Bill

When the Senate’s health-care bill died this week, it was worth noting the few who led the revolt.

Most were senators from states hardest hit by our epidemic of opiate addiction:

Maine (Susan Collins), West Virginia (Shelly Moore Capito), Utah (Mike Lee), Ohio (Rob Portman).

“I didn’t come to Washington to hurt people,” Shelly Moore Capito said.

Let’s leave aside how the bill would have done away with basic health care for millions of working folks and provided a tax cut for wealthy people.

One of the biggest problems with it, I think, was that it would have reversed Medicaid expansion and that meant taking away coverage for drug rehabilitation from hundreds of thousands of people, maybe millions of them.

I could not understand how that was a good idea.

It was also interesting to see how, as the debate progressed through the spring to now, a lot of people began to realize what they were losing.

In so many areas where Donald Trump did best in November’s election, areas he promised to make great again, there is a documented need for massive investment in more drug rehabilitation capacity, not less. That is not an opinion. What exists is saturated. Getting into rehab takes weeks, months. Many addicts have no resources of their own with which to seek treatment.

I wrote in another post that opiate addiction was the crucial element in Trump’s victories in several states that were in turn essential to his capturing the presidency.

Eight months later, the Senate’s health-care carnival emphasized my belief that this issue is one of the most potent political forces of our time.

In the spring of 2015, shortly after Dreamland was released, I received a call from Hillary Clinton’s campaign advisor for health issues. Hillary was feeling the ferocity of parents in Iowa and New Hampshire from all walks of life, horrified at their children’s addiction and not knowing where to turn. This surprised the candidate, her advisor told me.

I spoke with her for about ninety minutes. I told her that I thought this was the great silent issue in America today and whoever truly owned it, embraced it, treated it as a thing of the heart, would have a good chance of getting votes from unexpected places, but that this probably would not be felt in opinion polls ahead of time. Mrs. Clinton did some of that, but never enough, and in the end she wrote a position paper and that amounted to most of her campaign’s attention to opiate addiction. I might be wrong, but she didn’t seem to understand the latent power of the issue. Least she didn’t act on it. That was a huge mistake.

Politicians would do well to better understand the deep well of pain and anxiety surrounding, and thus the political power within, this issue. It’s not something expressed easily in polls. People aren’t likely to admit to a pollster on a phone that a loved one is an addict.

But it’s there and dims the view of the future of so many people, the prospects of so many towns and counties, the economies of so many regions, and thus is of paramount importance to them. Right up there with jobs – connected inextricably with jobs, in fact. In so many depressed areas, huge numbers of folks can’t pass an employer’s drug test.

Nor does it take many addicts for that foreboding to spread. A few cases in a small town, I think, are all that’s needed. People see it hit almost anyone and seemingly at random – like a plague – including families who before had no connection to the drug world or the criminal justice system. Soon everyone’s view of the future turns negative.

On top of that, today we have the increasing nationwide notoriety of the issue as compared with just two years ago. An awakening has taken place in those short years – a reckoning and a truth-telling when before there was subterfuge and fabrication.

Overall, this is healthy – for the families now telling the truth and for the country, I think.

But one effect is that the knowledge, and thus dread, has spread to even families untouched by addiction.

In that room where 13 of them put that bill together, Senate Republicans didn’t seem to understand that.

That was a huge mistake.

Because in the small towns or suburbs where folks live, they now know the high school’s quarterback has landed in jail again, and that their pastor’s daughter died from an overdose and that it wasn’t a heart attack after all.


Filed under Dreamland, Drugs, The Heroin Heartland

COMPTON: In SoCal, the best stories come from smallest towns

I’ve long thought that in Southern California, the best stories come from the small suburbs — particularly those just to Compton Fashion Centerthe southeast of Los Angeles, which have become a vast Mexican-immigrant suburbia.

Their names belie a wild and wholly politics: Maywood, Huntington Park, South Gate, Bell, Bell Gardens, Hawaiian Gardens.

These towns are unprecedented in American immigration history. Other immigrant groups advanced politically and economically into America at the same time, and almost always in big cities, where their numbers were large but not dominant: New York, Chicago, Boston, Miami and others.

Mexicans long ago put down economic roots here in Southern California, usually when most were living in Los Angeles. But politically they are neophytes. However, they now live in these small suburbs I mentioned above, where they make up the vast majority of the population.  (More on why that is later….) I don’t believe this is true of any other major immigrant group in American history.

But this is why these towns have produced such astonishing and bizarre stories of municipal governance.

As it happens, Compton (pop. 97,000) is one of them and varies from the others only in the fact that the population being slowly displaced is black and not white.

Today’s LAT article (not mine) on its mayoral election chronicles one of those great small-town LA stories … which almost involved child TV star Rodney Allen Rippy.

Former mayor Omar Bradley, under whose administration the $4999 city expense check was notoriously invented (lookRuben's Bakery, Compton that one up), is running against a young woman, Aja Jones, with serious municipal credentials but not the emotional connection to black voters. So somehow Omar Bradley is again a political force in Compton.

Almost always, the reason these towns turn out such remarkable stories has to do with Mexican immigration.

In this case, Compton, the town where gangsta rap was born, is now 70 percent Hispanic, but both mayor candidates are black.

That’s because Mexican immigrants cannot, or choose not to, vote. So a very small percentage of the population has any say over who runs the town. Were there more Mexican immigrant civic participation, these two candidates likely wouldn’t even be in the running.

Very similar to what the other towns went through in the 1990s, which were once white but then transformed into almost entirely Mexican-immigrant suburbs.

But more on that in other posts….

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Filed under California, Los Angeles, Migrants