Pill Addiction Quotes

Love exists in powder. Love exists in pills. We are all addicts.

Even when I took the drugs I realized that this just wasn't fun anymore. The drugs had become a part of my routine. Something to wake me up. Something to help me sleep. Something to calm my nerves. There was a time when I was able to wake up, go to sleep, and have fun without a pill or a line to help me function. These days it felt like I might have a nervous breakdown if I didn't have them.

However, when given the chance, many people choose cocaine over love. I wouldn’t say that’s a bad choice. The endorphins released during infatuation are similar to heroin. OxyContin, “the cuddling hormone,” most often found in new mothers and newlyweds, is like ecstasy; every touch tingles. I think I read that somewhere. Love exists in powder. Love exists in pills. We are all addicts.

The say addiction might be linked to bipolar disorder. It's the chemicals in our brains, they say. I got the wrong chemicals, Ma. Or rather, I don't get enough of one or the other. They have a pill for it. They have an industry. They make millions. Did you know people get rich off of sadness? I want to meet the millionaire of American sadness. I want to look him in the eye, shake his hand, and say, 'it's been an honor to serve my country.

In the debate over opioid addiction, there’s one group we aren’t hearing from: chronic pain patients, many of whom need to use the drugs on a long-term basis.

The desire to be loved, to feel loved, is behind every diet, pill, surgery, and lie. It is behind each act of violence and every affair as well as each organized religion and every method of self-help.

Happiness is not to be found at the bottom of a bottle or from the tip of a needle; it is not to be found amidst a cloud of smoke or within a sugar-coated pill. If you look for it in these places, you will find naught but despair.

I was trapped. The day would be hell. I would suffer. I felt I might not survive. I needed a dark, quiet room, my videos, my bed, my pills. I hadn't been this far from home in many months. I was frightened.

What did you do to him?” he asked in a hushed voice. “Did you get him addicted to happy pills? Did you give him a personality transplant? Hypnotism? You have to tell me, because I have a bet going with Artie.

I realized I could really become hooked on these happy pills. They gave me a glorious feeling of general well-being and didn't make me fat, like alcohol. I wondered if there was any harm in being addicted to only these.

I have always thought that people are, by nature, nomadic, but they’ve built up anti-human constructs to keep them in place and then they pop pills to mask their misery and look for ways to distract from their emptiness.

When had being an addict gotten so fucking hard? So exhausting? It had been so easy for so long; she had a steady supply, she kept to herself, nobody bothered her. Now she was constantly up to her ears in intrigue and complications, being torn in every direction but her own, all thanks to her need for those pills

Being a compulsive overeater is no different from being an alcoholic or drug addict. The only difference is that you can avoid drugs and alcohol completely and you have to have a relationship with food every day for the rest of your life. It's actually the hardest addiction to live with. If you were an alcoholic and someone said to you that you were required to have a single drink three to five times a day, but were not supposed to ever drink to excess, or a drug addict who was required to take just one pill severeal times a day every day, but you're not supposed to ever take more than that...no one would ever make it through rehab.

And then he's somewhere inside of me, each thrust rattling my ribcage like a bottle of pills. I'm somewhere outside of myself, thinking about lust— about my slutty white sheets and all the men who like to hide in them.

Too many codeine pills, Too many nights of cold chills Too many weak-handed deals Too many lives, the addict steals

I don't know what it's like to be addicted to pills But I do know what it's like to be a witness it kills

The reason the program is so successful is because alcoholics help other alcoholics. I've never met a Normie (our lingo for a person who doesn't have a problem with drugs and alcohol) who could even conceive of what it's like to be an alcoholic. Normies are always going, 'There's this new pill you can take and you won't want to shoot heroin anymore.' That shows a fundamental misunderstanding of alcoholism and drug addiction. These aren't just physical allergies, they're obsessions of the mind and maladies of the spirit. It's a threefold disease. And if it's partly a spiritual malady, then there's a spiritual cure.

Timothy Leary, always happy to supply a reporter with a delectably outrageous quote, was famous. He delivered a particularly choice one after the university forced him to put his supply of Sandoz psilocybin pills under the control of Health Services: “Psychedelic drugs cause panic and temporary insanity in people who have not taken them.

They say addiction might be linked to bipolar disorder. It’s the chemicals in our brains, they say. I got the wrong chemicals, Ma. Or rather, I don’t get enough of one or the other. They have a pill for it. They have an industry. They make millions. Did you know people get rich off of sadness? I want to meet the millionaire of American sadness. I want to look him in the eye, shake his hand, and say, “It’s been an honor to serve my country.

And like a baby, I didn't want to do the inner work for so long, because if a pill fixes it, well, that's easier, and that's what I was taught.

It was a myth you couldn't function on opiates: shooting up was one thing but for someone like me-jumping at pigeons beating from the sidewalk, afflicted with Post Traumatic Stress Disorder practically to the point of spasticity and cerebral palsy-pills were the key to being not only competent, but high-functioning.

the media, at least in the U.S., tends to focus on pain pill use, abuse, and addiction by people who do not have chronic pain. Even if these stories offhandedly mention that these pills are used to treat pain in people whose physical pain does not go away, however, the stories of those who use pain medicine responsibly -- or, worse, accused of drug-seeking behavior because they need certain types of pills for chronic pain -- are usually overshadowed by the “How can we prevent pain pill addiction?” concern, instead of asking, “How can we treat chronic pain more effectively?

I have a colleague who often tells people, “Look, allowing yourself to be dependent on another person is the worst possible thing you can do to yourself. You would be better off being dependent on heroin. As long as you have a supply of it, heroin will never let you down; if it’s there, it will always make you happy. But if you expect another person to make you happy, you’ll be endlessly disappointed.” As a matter of fact, it is no accident that the most common disturbance that passive dependent people manifest beyond their relationships to others is dependency on drugs and alcohol. Theirs is the “addictive personality.” They are addicted to people, sucking on them and gobbling them up, and when people are not available to be sucked and gobbled, they often turn to the bottle or the needle or the pill as a people-substitute. In summary, dependency may appear to be love because it is a force that causes people to fiercely attach themselves to one another.

When she walks in that first Monday, of course I am awake - I am always up these days - I decide to lay it down. “Look”, I say, “I snort Ritalin. That’s what I do. I snort it all day long. I crush up the pills and inhale them like cocaine. I’m up to about forty a day. I can’t stop. I am planning to get help, to check into rehab or something like that, as soon as this book is finished. In the meantime, I can’t stop, and I am not going to.” She looks at me impassively. “I don’t care what you think about it. So you have a choice. I can sit here and do it in front of you, or I can keep running into the bathroom so you don’t have to see. Either way, it’s going to happen, so it’s just about how bad it’s going to make you feel to watch.” She doesn’t seem to know what to say. She stares. I think she is going to cry. I think she wants to give me a hug, maybe, but there is an invisible cage, a delicate netting of glass, an ice sculpture surrounding me that no one can walk through. I’m cold. I’ve frozen into someone who just can’t be touched. I dare you to try.

I wish that, at the end of life, when things were truly "done," there was something to look forward to. Something more pleasure-oriented. Perhaps opium, or heroin. So you become addicted. So what? All-you-can-eat ice cream parlors for the extremely aged. Big art pictures books and music. EXTREME palliative care, for when you've had it with everything else: the x-rays, the MRIs, the boring food, and the pills that don't do anything at all. Would that be so bad?

A needle, a pill, a shot glass…they’ll never fill the void that only love can.

During the post-breakdown period, she read books the way an addict swallowed pills. She devoured stories one after the other, trying not to let reality intrude too deeply.

Worst of all, I couldn’t find my Xanax or my Ambien. I shook out the sheets; I dug through the piles. Finally, I left without them. Have you ever heard the thing about pillheads—that if you really want to see their addictions, just take their pills away? Yeah, this was gonna be bad.

Since my symptoms began 13 years ago, I’ve tried every form of pain management I could access — NSAIDS, nonopioid analgesics, neurologic medications, acupuncture, laser therapy, physical therapy, prolotherapy, massage, and trigger-point injections. Most of these have been unhelpful; others provide temporary relief, often at great expense. At the end of the day, when my body is fully depleted of its resources and in the most pain, a single dose of Percocet is the only tool that silences the pain enough for me to fall asleep. I honestly don’t know what I’d do if Percocet became unavailable to me, and the very thought scares me. I’ve been taking it for five years. To avoid any chance of addiction, I only take it at night and have stayed on a consistently low dose.

You can track the trajectory of my addiction if you gauge my weight from season to season—when I’m carrying weight, it’s alcohol; when I’m skinny, it’s pills. When I have a goatee, it’s lots of pills.

New Rule: Stop pretending your drugs are morally superior to my drugs because you get yours at a store. This week, they released the autopsy report on Anna Nicole Smith, and the cause of death was what I always thought it was: mad cow. No, it turns out she had nine different prescription drugs in her—which, in the medical field, is known as the “full Limbaugh.” They opened her up, and a Walgreens jumped out. Antidepressants, anti-anxiety pills, sleeping pills, sedatives, Valium, methadone—this woman was killed by her doctor, who is a glorified bartender. I’m not going to say his name, but only because (a) I don’t want to get sued, and (b) my back is killing me. This month marks the thirty-fifth anniversary of a famous government report. I was sixteen in 1972, and I remember how excited we were when Nixon’s much ballyhooed National Commission on Drug Abuse came out and said pot should be legalized. It was a moment of great hope for common sense—and then, just like Bush did with the Iraq Study Group, Nixon took the report and threw it in the garbage, and from there the ’70s went right into disco and colored underpants. This week in American Scientist, a magazine George Bush wouldn’t read if he got food poisoning in Mexico and it was the only thing he could reach from the toilet, described a study done in England that measured the lethality of various drugs, and found tobacco and alcohol far worse than pot, LSD, or Ecstasy—which pretty much mirrors my own experiments in this same area. The Beatles took LSD and wrote Sgt. Pepper—Anna Nicole Smith took legal drugs and couldn’t remember the number for nine-one-one. I wish I had more time to go into the fact that the drug war has always been about keeping black men from voting by finding out what they’re addicted to and making it illegal—it’s a miracle our government hasn’t outlawed fat white women yet—but I leave with one request: Would someone please just make a bumper sticker that says, “I’m a stoner, and I vote.

It seems old-age homes are teeming with junkies. They’re addicted to sleeping pills containing benzodiazepines. Huh? Yes, benzodiazepines. They also help assuage anxiety and fretting. But they come with a dangerous side effect: you might break a hip. In the Netherlands alone they’ve caused over a thousand broken hips, by the experts’ estimate—elderly folks who wake up in the middle of the night in an extra-doddering state, stagger to the bathroom and take a fall. Crack.

He died at forty-two. I was there to collect his talent. I was there at the hospital deathbed of my beloved Billie Holiday, just forty-four, her liver destroyed by drinking; I was there inside the hotel room of Charlie Parker, my singular jazz saxophonist, who died in his midthirties, but whose body was so ravaged by drugs the coroners thought he was sixty. Tommy Dorsey, the bandleader, choked in his sleep when he was fifty-one, too deep in pills to awaken. Johnny Allen Hendrix (you called him Jimi) swallowed a handful of barbiturates and expired. He was twenty-seven. It is not new, this idea that a purer art awaits you in a substance. But it is naive. I existed before the first grapes were fermented. Before the first whiskey was distilled. Be it opium or absinthe, marijuana or heroin, cocaine or ecstasy or whatever will follow, you may alter your state, but you will not alter this truth: I am Music. I am here inside you. Why would I hide behind a powder or a vapor? Do you think me so petty?

I'm not sure why so many people get addicted to pain pills because, at a certain point, not feeling anything becomes much more painful than the disease eating away at your cells.

I had a monster in my brain, a monster who wanted to get me alone, and convince me to have that first drink or pill, and then that monster would engulf me.

If exercise was sold in the pill form, it would be the number pill sold throughout the world because the benefits are endless.

I take opioids to treat chronic pain. Stigmatizing them will harm me.

They are finding solace in substances. But the truth is, if they just dealt with their issues in the first place, then they wouldn't need to self-medicate.

you’re like a goddamn drug that I can’t get enough of. do you have any idea how addictive you are? I should turn you into pills, sell you on the street.

Over the years, Skye sampled every drug she could find, and like many addicts, had a working knowledge of pharmacology. She snorted coke and swallowed pills. She took downers—orange and red Seconal, red and ivory Dalmane, Miltown, Librium, Luminal, Nembutal, and Quaaludes. Blue devils, red birds, purple hearts. Enough of them sank her in a kind of coma, where she watched her own limbs suspended in front of her in syrup. For a party, there was Benzedrine, rushing in her veins and making her talk for an hour in one long sentence. Day to day, she carried yellow tablets loose in her pockets, Dilaudid and Percodan, and chewed them in the back of classrooms. But her favorite was the greatest pain reliever of them all, named for the German word for hero.

The opiate scourge might never have spread as quickly had these rural areas where it all started possessed a diversity of small retailers, whose owners had invested their lives in their stores, knew the addicts personally, and stood ready to defend against them. Walmart allowed junkie shoplifters to play Santa to the pill economy, filling dealers’ orders for toys and presents in exchange for dope.

The Church, though, has always held up a mirror in which society can see reflected some of its uglier aspects, and it does not like what it sees. Thus it becomes angry but not, as it should be, with itself, but with the Church. This is particularly noticeable when it comes to issues of personal gratification and sexuality and especially, apart from abortion, when issues of artificial contraception, condoms, and the birth-control pill are discussed. The Church warned in the 1960s that far from creating a more peaceful, content, and sexually fulfilled society, the universal availability of the pill and condoms would lead to the direct opposite. In the decade since, we have seen a seemingly inexorable increase in sexually transmitted diseases, so-called unwanted pregnancies, sexuality-related depression, divorce, family breakdown, pornography addiction, and general unhappiness in the field of sexual relationships. The Church's argument was that far from liberating women, contraception would enable and empower men and reduce the value and dignity of sexuality to the point of transforming what should be a loving and profound act into a mere exchange of bodily fluids. The expunging from the sexual act the possibility of procreation, the Church said, would reduce sexuality to mere self-gratification. Pleasure was vital and God-given but there was also a purpose, a glorious purpose, to sex that went far beyond the merely instant and ultimately selfish.

Still, I knew rehab was important. So I listened. I went to every class. I held hands with strangers. With suburban mummies who’d gotten addicted to prescription pills, and a preacher’s son who’d fallen into the arms of heroin, and a Russian oligarch’s daughter who, like me, had snorted pounds and pounds of cocaine to numb the feeling that the world was closing in on you from all angles. I wrote letters to my family and friends. Angry letters. Apologetic letters. Funny letters. Then I burned them all. I couldn’t write Stardust shite, though. Everything I had to say to her—every single groveling word—had to be said in person.

Was it possible that a single psychedelic experience—something that turned on nothing more than the ingestion of a pill or square of blotter paper—could put a big dent in such a worldview? Shift how one thought about mortality? Actually change one’s mind in enduring ways? The idea took hold of me. It was a little like being shown a door in a familiar room—the room of your own mind—that you had somehow never noticed before and being told by people you trusted (scientists!) that a whole other way of thinking—of being!—lay waiting on the other side. All you had to do was turn the knob and enter. Who wouldn’t be curious? I might not have been looking to change my life, but the idea of learning something new about it, and of shining a fresh light on this old world, began to occupy my thoughts. Maybe there was something missing from my life, something I just hadn’t named.

One of my big problems and the reason I've had so much trouble getting sober over the years, is I never let myself feel uncomfortable long enough to have a spiritual connection. So I fix it with pills and alcohol before God can jump in and fix me.

the Times says there's a heroin epidemic, Malone thinks, which is only an epidemic of course because now white people are dying. Whites started to get opium-based pills from their physicians: oxycodone, vicodin... But, it was expensive and doctors were reluctant to prescribe too much for exactly the fear of addiction. So the white folks went to the open market and the pills became a street drug. It was all very nice and civilized until the Sinoloa cartel down in Mexico made a corporate decision that it could undersell the big American pharmaceutical companies by raising production of its heroin thereby reducing price. As an incentive, they also increased its potency. The addicted white Americans found that Mexican ... heroin was cheaper and stronger than the pills, and started shooting it into their veins and overdosing. Malone literally saw it happening. He and his team busted more bridge-and-tunnel junkies, suburban housewives and upper Eastside madonnas than they could count....

They say addiction might be linked to bipolar disorder. It’s the chemicals in our brains, they say. I got the wrong chemicals, Ma. Or rather, I don’t get enough of one or the other. They have a pill for it. They have an industry. They make millions. Did you know people get rich off of sadness? I want to meet the millionaire of American sadness. I want to look him in the eye, shake his hand, and say, “It’s been an honor to serve my country.” The thing is, I don’t want my sadness to be othered from me just as I don’t want my happiness to be othered. They’re both mine. I made them, dammit. What if the elation I feel is not another “bipolar episode” but something I fought hard for? Maybe I jump up and down and kiss you too hard on the neck when I learn, upon coming home, that it’s pizza night because sometimes pizza night is more than enough, is my most faithful and feeble beacon. What if I’m running outside because the moon tonight is children’s-book huge and ridiculous over the line of pines, the sight of it a strange sphere of medicine? It’s like when all you’ve been seeing before you is a cliff and then this bright bridge appears out of nowhere, and you run fast across it knowing, sooner or later, there’ll be yet another cliff on the other side. What if my sadness is actually my most brutal teacher? And the lesson is always this: You don’t have to be like the buffaloes. You can stop. There was a war, the man on TV said, but it’s “lowered” now. Yay, I think, swallowing my pills.

the consequences of scientific illiteracy are far more dangerous in our time than in any that has come before. It’s perilous and foolhardy for the average citizen to remain ignorant about global warming, say, or ozone depletion, air pollution, toxic and radioactive wastes, acid rain, topsoil erosion, tropical deforestation, exponential population growth. Jobs and wages depend on science and technology. If our nation can’t manufacture, at high quality and low price, products people want to buy, then industries will continue to drift away and transfer a little more prosperity to other parts of the world. Consider the social ramifications of fission and fusion power, supercomputers, data “highways,” abortion, radon, massive reductions in strategic weapons, addiction, government eavesdropping on the lives of its citizens, high-resolution TV, airline and airport safety, fetal tissue transplants, health costs, food additives, drugs to ameliorate mania or depression or schizophrenia, animal rights, superconductivity, morning-after pills, alleged hereditary antisocial predispositions, space stations, going to Mars, finding cures for AIDS and cancer. How can we affect national policy—or even make intelligent decisions in our own lives—if we don’t grasp the underlying issues?

Fewer than one-quarter of heroin addicts who receive abstinence-only counseling and support remain clean two or more years. The recovery rate is higher, roughly 40 to 60 percent, among those who get counseling, support group, and medication-assisted treatment such as methadone, buprenorphine, or naltrexone. “We know from other countries that when people stick with treatment, outcomes can be even better than fifty percent,” Lembke, the addiction specialist, told me. But most people in the United States don’t have access to good opioid-addiction treatment, she said, acknowledging the plethora of cash-only MAT clinics that resemble pill-mill pain clinics as well as rehabs that remain staunchly anti-MAT.

I look away from his eyes. Since I’ve met you, Brennus, my life has not been mine, I say with more honesty than I like to admit to myself. Time with you is visceral…white-knuckle moments that make me know that I’m alive. I think I have become addicted to the rush of fear and desire you create…the uncertainty that I was once forced to endure has now become a need, like those pills that people keep in their medicine cabinets.

My weight varied between 128 pounds and 225 pounds during the years of Friends.) You can track the trajectory of my addiction if you gauge my weight from season to season—when I’m carrying weight, it’s alcohol; when I’m skinny, it’s pills. When I have a goatee, it’s lots of pills. By the end of season three, I was spending most of my time figuring out how to get fifty-five Vicodin a day—I had to have fifty-five every day, otherwise I’d get so sick.

In 1994, Friedman wrote a memo marked “Very Confidential” to Raymond, Mortimer, and Richard Sackler. The market for cancer pain was significant, Friedman pointed out: four million prescriptions a year. In fact, there were three-quarters of a million prescriptions just for MS Contin. “We believe that the FDA will restrict our initial launch of OxyContin to the Cancer pain market,” Friedman wrote. But what if, over time, the drug extended beyond that? There was a much greater market for other types of pain: back pain, neck pain, arthritis, fibromyalgia. According to the wrestler turned pain doctor John Bonica, one in three Americans was suffering from untreated chronic pain. If that was even somewhat true, it represented an enormous untapped market. What if you could figure out a way to market this new drug, OxyContin, to all those patients? The plan would have to remain secret for the time being, but in his memo to the Sacklers, Friedman confirmed that the intention was “to expand the use of OxyContin beyond Cancer patients to chronic non-malignant pain.” This was a hugely audacious scheme. In the 1940s, Arthur Sackler had watched the introduction of Thorazine. It was a “major” tranquilizer that worked wonders on patients who were psychotic. But the way the Sackler family made its first great fortune was with Arthur’s involvement in marketing the “minor” tranquilizers Librium and Valium. Thorazine was perceived as a heavy-duty solution for a heavy-duty problem, but the market for the drug was naturally limited to people suffering from severe enough conditions to warrant a major tranquilizer. The beauty of the minor tranquilizers was that they were for everyone. The reason those drugs were such a success was that they were pills that you could pop to relieve an extraordinary range of common psychological and emotional ailments. Now Arthur’s brothers and his nephew Richard would make the same pivot with a painkiller: they had enjoyed great success with MS Contin, but it was perceived as a heavy-duty drug for cancer. And cancer was a limited market. If you could figure out a way to market OxyContin not just for cancer but for any sort of pain, the profits would be astronomical. It was “imperative,” Friedman told the Sacklers, “that we establish a literature” to support this kind of positioning. They would suggest OxyContin for “the broadest range of use.” Still, they faced one significant hurdle. Oxycodone is roughly twice as potent as morphine, and as a consequence OxyContin would be a much stronger drug than MS Contin. American doctors still tended to take great care in administering strong opioids because of long-established concerns about the addictiveness of these drugs. For years, proponents of MS Contin had argued that in an end-of-life situation, when someone is in a mortal fight with cancer, it was a bit silly to worry about the patient’s getting hooked on morphine. But if Purdue wanted to market a powerful opioid like OxyContin for less acute, more persistent types of pain, one challenge would be the perception, among physicians, that opioids could be very addictive. If OxyContin was going to achieve its full commercial potential, the Sacklers and Purdue would have to undo that perception.

I spent the rest of the film miserable, hardly seeing it. Or, rather, I was seeing it but in a wholly different way: not the ecstatic prodigy; not the mystic, the solitary, heroically quitting the concert stage at the height of his fame to retreat into the snows of Canada - but the hypochondriac, the recluse, the isolate. The paranoiac. The pill popper. No: the drug addict. The obsessive: glove-wearing, germ-phobic, bundled year round with scarves, twitching and racked with compulsions. The hunched nocturnal weirdo so unsure how to conduct even the most basic relations with people that (in an interview which I was suddenly finding torturous) he had asked a recording engineer if they couldn't go to a lawyer and legally be declared brothers - sort of the tragic, late-genius version of Tom Cable and me pressing cut thumbs in the darkened back-yard of his house, or - even more strangely - Boris seizing my hand, bloody at the knuckles where I'd punched him on the playground, and pressing it to his own bloodied mouth.

I don’t know to what extent ignorance of science and mathematics contributed to the decline of ancient Athens, but I know that the consequences of scientific illiteracy are far more dangerous in our time than in any that has come before. It’s perilous and foolhardy for the average citizen to remain ignorant about global warming, say, or ozone depletion, air pollution, toxic and radioactive wastes, acid rain, topsoil erosion, tropical deforestation, exponential population growth. Jobs and wages depend on science and technology. If our nation can’t manufacture, at high quality and low price, products people want to buy, then industries will continue to drift away and transfer a little more prosperity to other parts of the world. Consider the social ramifications of fission and fusion power, supercomputers, data “highways,” abortion, radon, massive reductions in strategic weapons, addiction, government eavesdropping on the lives of its citizens, high-resolution TV, airline and airport safety, fetal tissue transplants, health costs, food additives, drugs to ameliorate mania or depression or schizophrenia, animal rights, superconductivity, morning-after pills, alleged hereditary antisocial predispositions, space stations, going to Mars, finding cures for AIDS and cancer.

They say addiction might be linked to bipolar disorder. It’s the chemicals in our brains, they say. I got the wrong chemicals, Ma. Or rather, I don’t get enough of one or the other. They have a pill for it. They have an industry. They make millions. Did you know people get rich off of sadness? I want to meet the millionaire of American sadness. I want to look him in the eye, shake his hand, and say, “It’s been an honor to serve my country.” The thing is, I don’t want my sadness to be othered from me just as I don’t want my happiness to be othered. They’re both mine. I made them, dammit. What if the elation I feel is not another “bipolar episode” but something I fought hard for? Maybe I jump up and down and kiss you too hard on the neck when I learn, upon coming home, that it’s pizza night because sometimes pizza night is more than enough, is my most faithful and feeble beacon. What if I’m running outside because the moon tonight is children’sbook huge and ridiculous over the line of pines, the sight of it a strange sphere of medicine? It’s like when all you’ve been seeing before you is a cliff and then this bright bridge appears out of nowhere, and you run fast across it knowing, sooner or later, there’ll be yet another cliff on the other side. What if my sadness is actually my most brutal teacher? And the lesson is always this: You don’t have to be like the buffaloes.

The real perfect storm fueling the opioid epidemic had been the collapse of work, followed by the rise in disability and its parallel, pernicious twin: the flood of painkillers pushed by rapacious pharma companies and regulators who approved one opioid pill after another. Declining workforce participation wasn't just a rural problem anymore; it was everywhere, albeit to a lesser degree in areas with physicians who prescribed fewer opioids and higher rates of college graduates. As Monnat put it: "When work no longer becomes an option for people, what you have at the base is a structural problem, where the American dream becomes a scam." She likened the epidemic's spread not to crabgrass but a wildfire: "If the economic collapse was the kindling in this epidemic, the opiates were the spark that lit the fire." And the helicopters were nowhere in sight.

I know that the consequences of scientific illiteracy are far more dangerous in our time than in any that has come before. It’s perilous and foolhardy for the average citizen to remain ignorant about global warming, say, or ozone depletion, air pollution, toxic and radioactive wastes, acid rain, topsoil erosion, tropical deforestation, exponential population growth. Jobs and wages depend on science and technology. If our nation can’t manufacture, at high quality and low price, products people want to buy, then industries will continue to drift away and transfer a little more prosperity to other parts of the world. Consider the social ramifications of fission and fusion power, supercomputers, data “highways,” abortion, radon, massive reductions in strategic weapons, addiction, government eavesdropping on the lives of its citizens, high-resolution TV, airline and airport safety, fetal tissue transplants, health costs, food additives, drugs to ameliorate mania or depression or schizophrenia, animal rights, superconductivity, morning-after pills, alleged hereditary antisocial predispositions, space stations, going to Mars, finding cures for AIDS and cancer. How can we affect national policy—or even make intelligent decisions in our own lives—if we don’t grasp the underlying issues? As I write, Congress is dissolving its own Office of Technology Assessment—the only organization specifically tasked to provide advice to the House and Senate on science and technology. Its competence and integrity over the years have been exemplary. Of the 535 members of the U.S. Congress, rarely in the twentieth century have as many as one percent had any significant background in science. The last scientifically literate President may have been Thomas Jefferson.* So how do Americans decide these matters? How do they instruct their representatives? Who in fact makes these decisions, and on what basis? —

I’ve never met a Normie (our lingo for a person who doesn’t have a problem with drugs or alcohol) who could even conceive of what it’s like to be an alcoholic. Normies are always going, “There’s this new pill you can take and you won’t want to shoot heroin anymore.” That shows a fundamental misunderstanding of alcoholism and drug addiction. These aren’t just physical allergies, they’re obsessions of the mind and maladies of the spirit. It’s a threefold disease. And if it’s partly a spiritual malady, then there’s a spiritual cure. When I say spiritual, I’m not talking about chanting or reading Eastern philosophy. I’m talking about setting up the chairs at a meeting, picking up another alcoholic and driving him across town to a meeting. That’s a spiritual lifestyle, being willing to admit that you don’t know everything and that you were wrong about some things. It’s about making a list of all the people you’ve harmed, either emotionally or physically or financially, and going back and making amends. That’s a spiritual lifestyle. It’s not a fluffy ethereal concept.

I just have to ask these questions. Are you DEA? FDA? NICB? NHCAA? Are you a private investigator hired by any private or governmental entity? Do you work for a medical insurance company? Are you a drug dealer? Drug addict? Are you a clinician? A med student? Getting pills for an abusive boyfriend or employer? NASA?” “I think I have insomnia. That’s my main issue.” “You’re probably addicted to caffeine, too, am I right?” “I don’t know.” “You better keep drinking it. If you quit now, you’ll just go crazy. Real insomniacs suffer hallucinations and lost time and usually have poor memory. It can make life very confusing. Does that sound like you?” “Sometimes I feel dead,” I told her, “and I hate everybody. Does that count?” “Oh, that counts. That certainly counts. I’m sure I can help you. But I do ask new patients to come in for a fifteen-minute consultation to make sure we’ll make a good fit. Gratis. And I recommend you get into the habit of writing notes to remind yourself of our appointments. I have a twenty-four-hour cancellation policy. You know Post-its? Get yourself some Post-its. I’ll have some agreements for you to sign, some contracts. Now write this down.” Dr. Tuttle told me to come in the next day at nine A.M.

Outlawing drugs in order to solve drug problems is much like outlawing sex in order to win the war against AIDS. We recognize that people will continue to have sex for nonreproductive reasons despite the laws and mores. Therefore, we try to make sexual practices as safe as possible in order to minimize the spread of the AIDS viruses. In a similar way, we continually try to make our drinking water, foods, and even our pharmaceutical medicines safer. The ubiquity of chemical intoxicants in our lives is undeniable evidence of the continuing universal need for safer medicines with such applications. While use may not always be for an approved medical purpose, or prudent, or even legal, it is fulfilling the relentless drive we all have to change the way we feel, to alter our behavior and consciousness, and, yes, to intoxicate ourselves. We must recognize that intoxicants are medicines, treatments for the human condition. Then we must make them as safe and risk free and as healthy as possible. Dream with me for a moment. What would be wrong if we had perfectly safe intoxicants? I mean drugs that delivered the same effects as our most popular ones but never caused dependency, disease, dysfunction, or death. Imagine an alcohol-type substance that never caused addiction, liver disease, hangovers, impaired driving, or workplace problems. Would you care to inhale a perfumed mist that is as enjoyable as marijuana or tobacco but as harmless as clean air? How would you like a pain-killer as effective as morphine but safer than aspirin, a mood enhancer that dissolves on your tongue and is more appealing than cocaine and less harmful than caffeine, a tranquilizer less addicting than Valium and more relaxing than a martini, or a safe sleeping pill that allows you to choose to dream or not? Perhaps you would like to munch on a user friendly hallucinogen that is as brief and benign as a good movie? This is not science fiction. As described in the following pages, there are such intoxicants available right now that are far safer than the ones we currently use. If smokers can switch from tobacco cigarettes to nicotine gum, why can’t crack users chew a cocaine gum that has already been tested on animals and found to be relatively safe? Even safer substances may be just around the corner. But we must begin by recognizing that there is a legitimate place in our society for intoxication. Then we must join together in building new, perfectly safe intoxicants for a world that will be ready to discard the old ones like the junk they really are. This book is your guide to that future. It is a field guide to that silent spring of intoxicants and all the animals and peoples who have sipped its waters. We can no more stop the flow than we can prevent ourselves from drinking. But, by cleaning up the waters we can leave the morass that has been the endless war on drugs and step onto the shores of a healthy tomorrow. Use this book to find the way.

Little Nicky heads to the Badlands to see the show for himself. The Western Roads are outside his remit as a U.S. Treasury agent, but he knows the men he wants are its denizens. Standing on the corner of the Great Western and Edinburgh Roads, a sideshow, a carnival of the doped, the beaten, and the crazed. He walks round to the Avenue Haig strip and encounters the playground of Shanghai’s crackpots, cranks, gondoos, and lunatics. He’s accosted constantly: casino touts, hustling pimps, dope dealers; monkeys on chains, dancing dogs, kids turning tumbles, Chinese ‘look see’ boys offering to watch your car. Their numbers rise as the Japs turn the screws on Shanghai ever tighter. Half-crazy American missionaries try to sell him Bibles printed on rice paper—saving souls in the Badlands is one tough beat. The Chinese hawkers do no better with their porno cards of naked dyed blondes, Disney characters in lewd poses, and bare-arsed Chinese girls, all underage. Barkers for the strip shows and porno flicks up the alleyways guarantee genuine French celluloid of the filthiest kind. Beggars abound, near the dealers and bootleggers in the shadows, selling fake heroin pills and bootleg samogon Russian vodka, distilled in alleyways, that just might leave you blind. Off the Avenue Haig, Nicky, making sure of his gun in its shoulder holster, ventures up the side streets and narrow laneways that buzz with the purveyors of cure-all tonics, hawkers of appetite suppressants, male pick-me-ups promising endless virility. Everything is for sale—back-street abortions and unwanted baby girls alongside corn and callus removers, street barbers, and earwax pickers. The stalls of the letter writers for the illiterate are next to the sellers of pills to cure opium addiction. He sees desperate refugees offered spurious Nansen passports, dubious visas for neutral Macao, well-forged letters of transit for Brazil. He could have his fortune told twenty times over (gypsy tarot cards or Chinese bone chuckers? Your choice). He could eat his fill—grilled meat and rice stalls—or he could start a whole new life: end-of-the-worlders and Korean propagandists offer cheap land in Mongolia and Manchukuo.

At the clinic, they fed us pills like they were biscuits. Those pills made the tongue loose in my head, my left arm numb from the elbow down. Sometimes the world would smoulder at the edges. Patients came and went, people from every kind of background but all with one thing in common: no longer capable of contributing to society, they needed to be kept out of sight: losers, loners, dreamers, freaks; God forbid they ever make it onto a TV screen.

Why, after all, was all that effort necessary if pain patients could be given pills with little risk of addiction? Patients, too, were hard to motivate when the treatment required behavior changes, such as more exercise. Pills were an easier solution. Multidisciplinary clinics began to fade. Over a thousand such clinics existed nationwide in 1998; only eighty-five were around seven years later.

near-deserted parking lot, both buildings looking freshly painted and hopeful for a marina in which there were no yachts. The biggest boat moored at the dock looked to be a forty-footer. Most of the others looked to be lobster boats, aged and constructed of wood. A few of the newer ones were fiberglass. The nicest of those was about thirty-five feet long, the hull painted blue, the wheelhouse painted white, the deck a honey teak. She paid attention to it because her husband stood on it, bathed in their headlights. Caleb exited the car fast. He pointed back at her, told Brian his wife was not taking things well. Rachel was happy to note Caleb limped even as he speed-walked to the boat. She, on the other hand, moved slowly, her eyes on Brian. His gaze barely left hers except for the occasional flicks in the direction of Caleb. If she’d known she’d end up killing him, would she have boarded the boat? She could turn around and go to the police. My husband is an impostor, she’d say. She imagined some smarmy desk sergeant replying, “Aren’t we all, ma’am?” Yes, she was certain, it was a crime to impersonate someone and a crime to keep two wives, but were those serious crimes? In the end, wouldn’t Brian just take a plea and it would all go away? She’d be left the laughingstock never-was, the failed print reporter who’d become a pill-addicted broadcast reporter who’d become a punch line and then a shut-in and who would keep the local comics stocked with weeks of fresh material once it was discovered that Meltdown Media Chick had married a con man with another wife and another life. She followed Caleb up the ramp to the boat. He stepped aboard. When she went to do the same, Brian offered his hand. She stared at it until he dropped it. He noticed the gun she carried. “Should I show you mine? So I feel safer?” “Be my guest.” She stepped aboard. As she did, Brian caught her by the wrist and stripped the gun from her hand in the same motion. He pulled his own gun, a .38 snub-nosed revolver, from under the flaps of his shirt and then laid them both on a table by the

And then he’s somewhere inside of me, each thrust rattling my ribcage like a bottle of pills. I’m somewhere outside of myself, thinking about lust— about my slutty white sheets and all the men who like to hide in them.

You know how some people develop addictions to manage their overwhelming emotions? Some people become alcoholics, coke fiends, potheads, pill-poppers, over-eaters, sex addicts or meth-heads. Well, Ann seemed to have a similar addiction to anger, he concluded. Feeling angry served the dual purpose of keeping others at a safe distance while drowning out all other competing and overwhelming emotions.

I was sitting in a cop’s house with a briefcase full of thousands of dollars’ worth of pills on my lap. Even if I wanted to sell all this, I wouldn’t know where to begin—and it would take me years to get rid of all of it. Did

No,” he growls. “I’ve never had this primal urge to mate. But I need this Charlotte, I need you off the pill so I can fuck you and breed you. I need every part of you to belong to me.

WHEN I GRADUATED from my New Jersey high school in 1979, I was an honor student and a junkie. I don’t mean I smoked a lot of weed or popped too many pills—I shot speed daily. Methamphetamine to the chemist, crank in my hometown, crystal in modern terminology.

Louis told himself he only wanted to know if he could get pills. His addiction wasn’t broken unless he had a choice to lapse.

I don’t like the pills or the way they make me feel, but the only alternative is the debilitating emotional pain. It’s the loss of control and the groundlessness when they overtake me that are so terrifying. Feeling nothing is preferable. Maybe that’s how addicts get started.

To the best of my abilities, I made it sad and true to the laughable mess of addicted youth. Also bitter. In one of my strips, Crash is filling his pill-mill scrip and the pharmacy lady leans over to warn him, “This one’s strong, hon. The Purdue rep takes it so he can sleep nights.

Years ago, I received a call from a paramedic I had known for a long, long time. He was a true believer; a provider in it to do good more than to do well. By the tone of his voice, I could tell he was in some serious trouble. His voice did not lie. He was. It seemed that some years earlier he had suffered an injury off the job. The injury resulted in several surgeries and months of painful recovery, physical rehabilitation, and pain medicine. It started as an as-needed remedy for intense pain but before long became a physical necessity. When the actual pain no longer necessitated the monthly refills, the feigned pain took over. When that excuse had run its course, new injuries and favors from friends took over. The cycle had begun. Back at work, he became adept at leading his double life; on the job he was clean, sober, and clear-headed, but off-duty the pills took over. The decline was slow, but steady. It would not be long before he would lose all control. One day, on a call with the entire crew, he found himself in the home of a patient whose medicine cupboard was a veritable treasure trove of pain killing goodies. Jackpot! While logging all of the medicines, it was easy to drop a full bottle of a certain pain killer into his pocket, and he did…completely undetected. The patient was transported, and the scene was cleared, and his addiction would be fed for a little while longer. Nobody would ever know. However, as he exited the scene with his supervisor, he was struck with a blunt and harsh realization: This is not who I am and it’s not who I want to be! While still at the curbside, in front of the patient’s home, he pulled the bottle from his pocket, handed it to his supervisor, and admitted sincerely: “I have a problem. I need help.” His supervisor considered the heartfelt and painfully honest plea for help, but the paramedic was summarily fired from a job where he had an impeccable record of exemplary service for nearly two decades. He was stripped of his Paramedic license and reported to local authorities and was charged with multiple felonies by the District Attorney. That was the response from his supervisor and the rest of the morally superior lemmings up the chain of command. He asked for help, and they fucked him…because they were afraid of what actually helping him might look like to the outside world. Not once was he offered treatment or an ounce of compassion. He asked for help; now he was looking at serious prison time. This brings us to the frightened and helpless tone in his voice when he called me. Thankfully, his story ends with the proper treatment: A new career and the entire criminal case being dismissed (he had a great lawyer). Unfortunately, similar stories continue to play out in agencies, both public and private, all across America and they do not, or will not, end so well.

i could tell that the speed was affecting my heart rate and i could only sleep for a couple of hours at the time, sometimes the only thing i ate was beer, it’d all gotten very extreme. (…) at one point i walked by a kinda scary looking homeless woman and said ‘good morning’, and she spat back ‘don’t good morning me, you got the devil in you, and i can see it’, and i lost it, because she was right, i did have a devil in me, the devil came in the form of medical grade prescription diet pills and they were controlling my mind and killing my heart. (…) and so here was my life, working out exactly the way i wanted to, and i blew it, because i couldn’t handle taking pharmaceutical grade speed daily, i just didn’t have the grit or the gumption…and i didn’t have any kind of plan or a mentor, i just figured it would work out fine (…) no one said ‘hey, this weird plan can give you permanent seizures’, i just kinda went for it.

Alone in her childhood bed, she lay awake, battling her need (addiction—had she ever thought of it in those terms before?) for a sleeping pill, and her overwhelming guilt, as well as this new and eviscerating fear that she had wanted to end her own life.

she read books the way an addict swallowed pills. She devoured stories one after the other, trying not to let reality intrude too deeply.

Volumes could be written on the problem of [drug] addiction. Millions of barbiturates are swallowed every night to help the nation sleep. Millions of tranquilizers keep us calm during the day. Millions of pep pills wake us up in the morning. The Bible warns that these flights from reality bring no lasting satisfaction.

Some [young people] are taking pills called “heaven or hell” drugs, because you’re liable to experience either one.

the girls on the track team do their thang, when I spot ass.  See, when ya boy spots ass, I be on it.  I leave Dre and Twan, my teammates, and head over to see what the face looks like that's connected to this ass. Oh yea, I’m Rashard Peterson, number 06, quarterback for UMA.  This is my last year and I’ll have my Bachelors in Business Management.  I do my thang with Twan and Dre in these streets too.   If you want some weed, I got you, but that's pretty much all I’ll touch.  I never keep enough on me to get a charge. The most I’ll have on me is a blunt and shit, that's for recreational use. Ya boy ain’t dumb by a long shot. That's why I got this degree in the works, so I can open up different businesses.   Anyway, if you want pills then holla at Twan; my boy got opioids, tabs, Xanax

This is a particular problem in the U.S., which makes up less than 5% of the global population but consumes 80% of the world’s supply of opioid prescription drugs.4 By 2012, 15,000 Americans were dying each year from prescription pill overdoses, more than from heroin and cocaine combined.5 In 2013, the U.S. Centers for Disease Control and Prevention (CDC) named painkiller addictions the worst drug epidemic in U.S. history.

When addicts are not just the heroin pushers or prescription pill junkies “out there,” but are in our pews and among us, we are in the right position to begin helping addicts step into recovery.

Transformation happens when we see our own crippling brokenness and need for God’s grace in the face and story of the addict in front of us. When addicts are not just the heroin pushers or prescription pill junkies “out there,” but are in our pews and among us, we are in the right position to begin helping addicts step into recovery. And this identification can’t be emphasized enough: my own secret cravings, patterns of self-destructive behavior and unchecked forms of consumption (of money, power, approval—you name it) may not manifest themselves in quite the same way as those of the crack addict in front of me, but they fall within the same realm of human bondage. So getting addicts into recovery means first standing in solidarity with addicts, recognizing that their plight and their stories are hitched to our own and in many ways are similar.

Better. Some nights it’s hard to sleep. So I take a pain pill. I hate them.” “You’d make a bad drug addict.” “Maybe not. I really liked pot. I really did.

Finding out Chase was part owner of a shipping company was like him hitting the lottery. He was about to give Chase a proposition to ship cocaine, weed, pills, anything he needed all over the place. Once Chase took that—which he’d likely do because they always took the deals he offered—he’d be dirty.

McKinsey also estimated how many customers might develop addiction to, or die from, OxyContin. At one point the consultant suggested Purdue pay its drugstore distributors rebates of $14,000 for every addiction and fatal overdose OxyContin caused, to ensure that chains like CVS and others would keep distributing the pill.

Diane, soccer mom, age 32. Got addicted to OxyContin after undergoing surgery for complications with her last pregnancy. After her prescription ran out, she'd cheated on her husband with seven different doctors to acquire more pills. Her rock bottom: her 5-year-old son coming home early to find her fellating Doctor Padmanabhan in the kitchen. 69 days sober.

A tradition of hopelessness. Drug addiction and alcoholism are high almost everywhere in Appalachia because people are hopeless, and when you’re hopeless you look for ways to feel something else . . . anything else. Drugs are good for that. So parents let their kids down because they are slaves to the pills. Politicians sell pills for votes, keeping them that way. The government gives us stuff but then when someone gets a job, they take it away, so everyone becomes afraid of work, not because they’re lazy, but because the job doesn’t cover what the handouts do, even if the handouts make you feel like trash and keep you poor. Being poor becomes the easiest thing to be . . . and the hardest too, because nobody really knows how to do something different.

The Conveyor Belt Conceived, carried, cut out, torn, born, slapped, named, numbered, needled, drugged, stodged, stuffed, shod, shorn, collared, tied, capped, herded, classed, seated, schooled, brought up, put down, labelled a sinner, smacked, caned, loved, deceived, cuffed, suited, sorted, thwarted, broken, tamed, healed, polished, ironed, worked, used, taxed, mortgaged, owned, chiselled, chained, oiled, tanned, plastered, tempted, failed, wired, subscribed, registered, addicted, hitched, kidded, hounded, feared, poisoned, sickened, pilled, nipped, tucked, wigged, bedded, heart attacked. Freed! Buried, burned, mourned and forgotten.. Next Please!

Drinkers at social events will tell you they don’t need to drink. But, when the next bit of anxiety comes up, they grab another glass. Smokers will tell you they enjoy lighting up. They’ll tell you they feel better right after a cigarette. And nearly all of them will tell you they really want to quit—they’re just not quite ready yet. Workaholics will tell you they enjoy what they do, or at least feel a sense of purpose, while stretching themselves to the breaking point. They’ll tell you they have to do it. Some will even admit that it makes them feel important. They’ll promise to get control of their schedules… as soon as the next project is done. Compulsive shoppers love to hit the stores. They call it “stress management” or “retail therapy.” For a few hours, they’ll say, everything is perfect. After they get the goodies home, though, some will tell you they feel empty or even disgusted. They’d love a simpler life—but only if they first can buy the best of everything. People who misuse prescription drugs will tell you the pills ease their pain. The pain from a surgery or disease was so extreme that they got prescribed a medication, and soon they had to take more and more to keep the pain away. They’ll say they hate being constantly constipated and forgetting where they are, but it’s the only way they believe they can function and feel normal.

Why do you give a shit about him?” my kids would ask. “It’s his deal, not yours,” they’d say. “I’m not going to talk about this anymore,” I would reply. “It’s repetitive.” So the subject would be dropped because my family didn’t have the wherewithal to resist me—or to save me. It wasn’t just as if I was an alcoholic or a drug addict refusing to get help. It was exactly that. I was an addict unable to stop myself from drinking or popping pills or shooting heroin into my veins. Worse, I brought my addiction home, constantly shouting on the phone to reporters and publishers when I should have been having a quiet breakfast with my children or a walk in the park. I never, ever, ever got through an entire meal in a restaurant with my wife without being interrupted by Trump. He’d call to ask a favor, or have me make a call on his behalf, or just to complain and rant.

Why do you give a shit about him?” my kids would ask. “It’s his deal, not yours,” they’d say. “I’m not going to talk about this anymore,” I would reply. “It’s repetitive.” So the subject would be dropped because my family didn’t have the wherewithal to resist me—or to save me. It wasn’t just as if I was an alcoholic or a drug addict refusing to get help. It was exactly that. I was an addict unable to stop myself from drinking or popping pills or shooting heroin into my veins. Worse, I brought my addiction home, constantly shouting on the phone to reporters and publishers when I should have been having a quiet breakfast with my children or a walk in the park. I never, ever, ever got through an entire meal in a restaurant with my wife without being interrupted by Trump. He’d call to ask a favor, or have me make a call on his behalf, or just to complain and rant. My family hated it when I picked up his calls, as I always did, no matter the hour or the circumstances. I was always pressing his message, always pressing his message, always pressing his message. What I really needed was an intervention, but my wife and kids and parents and friends didn’t know how to stage such a scene, or how I would react. “Badly,” was the short answer, in hindsight, as it would likely have provoked me to go further and further into the madness, as I gradually and then rapidly took leave of my senses.

don’t have a problem. I’m not addicted or anything. I don’t go out to bars and drink myself into a coma or break into clammy night sweats when I deny myself that nightly glass of merlot. I could go days, weeks, months without a pill or a glass of wine or any kind of chemical substance to numb the constant fear vibrating through my veins; it’s like a plucked guitar string

My basic attitude has always been that the greatest drug any chemist could possibly invent would be an anti-gullibility pill, to cure humanity of its addiction to faith and dogma.

George has other reasons. “A junkie,” George says, “has no choice. He’s hooked. But somebody who isn’t an addict, somebody who has the freedom to say ‘yes’ or ‘no,’ has to be crazy to take a pill or powder admittedly manufactured illegally and put it in his mouth. There is just no way of knowing what you’re getting.

The origin of heroin – and of morphine; and laudanum, Edgar Allan Poe’s habit; and pantopon, the drug popular in addict society back in the 1920s; and Demerol, Hermann Goering’s happiness pills; and paregoric; and the codeine that Sherlock Holmes used to cool down his cocaine habit – is the opium poppy. This is probably the most accursed and hated plant in the world, and has been creating addicts in both the East and the West since the dawn of civilization.

We’ll die from good things and bad things in all the wrong proportions—sugars and medicines, needs and wants. A dozen flavors of addiction. Sleeping pills, narcotics, methamphetamines. Breath too slow or heart too fast. All ashes in the end. Sometimes we can help with Narcan, the bag valve mask, chest compressions. But if the brain has died, then no heart thump or lung pump will ever bring you back. Not to yourself.

At the MORE Center, a Louisville clinic set up to handle pain-pill and heroin addicts, patients started coming in on meth, too—a trickle in 2016, then, within a year, a torrent. Before the Prieto-Greenhill connection, only two of counselor Jennifer Grzesik’s patients were using meth. Within three years, almost 90 percent of new patients coming to the opiate addiction clinic had meth in their drug screen, too. Twenty percent of her clients are now homeless. “I don’t remember having any homeless people in my caseload before 2016,” she told me.

Drug demand is important in all this. But it must be said: these stories begin with supply. Our opioid addiction epidemic began with a mighty supply of pain pills prescribed every year, which created widespread addiction that continues to this day. Right about that time, traffickers were discovering that synthetic drugs were not just immensely profitable but could create or shift demand simply because they could be made in unprecedented quantities all year long. So they flocked to them. The British Empire has rightly received history’s condemnation for pushing its colonies’ opium on China—waging the two Opium Wars to do so in the nineteenth century. Those supplies took what had been a minor problem in China and created a drug scourge that would afflict that country for a century.

mean, we have an OC pill that’s 80 milligrams per pill. Now, that is as much oxycodone as in 16 Percocet tablets . . . That’s why the addicts want to go after our pills.

The endorphins released during infatuation are similar to heroin. OxyContin, “the cuddling hormone,” most often found in new mothers and newlyweds, is like ecstasy; every touch tingles. I think I read that somewhere. Love exists in powder. Love exists in pills. We are all addicts.