Category Archives: The Heroin Heartland

just can’t do no more today

As I try to keep a gauge on the opiate-addiction epidemic in America, one place I go is to The Addicts Mom Facebook page, with 22,000 members, one of whom is me.

The posts are from mothers as they attempt to deal with the lacerating addictions of their children. Here are a few posts, with names removed, that I saw at random this morning. Those who listed a location are from Georgia, Wisconsin, upstate New York, Pennsylvania, and Alabama.

At times, it gets to almost an aching kind of poetry.

Note: AS means addicted son; RAS recovering addicted son

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Well my almost 21 year old AS will be spending another birthday in jail I am sure! Please pray for his healing and mine!IMG_9349

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I always knew it was going to be my child one day. On the Fourth of July I found my addicted daughter unresponsive and blue. I breathed for her until paramedics came. They saved her life this time. She spent three days in Icu and was released with no help at all. I live in Florida and I was wondering if this is enough for a marchman act? Doc is Xanax and snorting oxicodone. Any advise is appreciated. God bless all of us Mothers. I just can’t take much more.

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I love having a place where people actually listen when I talk bout my addict children. Most people in my town don’t want to hear that there are children addicted in their town people need to wake up sad for the addicts who are outcast. Having trouble getting police to put narcan in there cars also

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UPDATE: His PO is coming to see him tomorrow– I will let y’all know how it goes.
My Birthday overall was a good day. Thanks for the wishes and prayers. Blessings to you all.

Dilemma- my 18 almost 19 AS was released from jail last Friday to serve out his probation-14 months (it’s a joke; very seldom face to face visits with his PO). On Sunday he apparently used LSD; when I confronted him he said ‘no worries Mom; it won’t show up on a UI.’ He had no where else to go but our house and the court said our house is not an option for him to stay (we have a younger child at home). He was told the rules- no drugs or drug use. A small issue he flat out refuses to pick up his clothes (drives me crazy) states he’s just defiant; like I’m supposed to be ok with that answer.
Suggestions??? Oh yeah; today is my Birthday- I feel like hiding in a hole not celebrating life

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Last night my phone rang at 11:30 my heart automatically started racing. Then I seen the caller I.D it was my RAS instantly worry washed over me, I picked up the phone and the first words out of my mouth was ” what’s wrong? Are you okay?” His reply was ‘Yes ma’am I was just on my way to work and I seen a shooting star and it was the brightest most beautiful one I’ve every seen, and just wanted to call and share with you”.

Four years clean, still suffer from shell shock but feeling blessed.

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So another week and another dirty urine at probation. Told me he wants suboxone, I suggested vivitrol. Someone on the MAT (medically assisted treatment) site posted a link for a slide show on all the meds used. I sent it to him privately. He wants to do vivitrol now and I sent him the local dr name and address. He swears he wants to be sober. I asked him, you know how awful detox is, why isn’t that enough to not pick up? He CANNOT deal with stress. No coping techniques. We all have stress but you have to learn to cope. I get the whole disease thing I truly do, but I also struggle with the you know it’s not good for you, you know what you are running away from is gonna still be there and you are making more problems to deal with when you sober up. I know my mind doesn’t function as an addicts but they are all smart kids or adults. Dang fight for your sobriety hard the way you chase that freaking drug. He looks terrible. Lost weight again. And all he keeps saying is everyone is judging me and that makes me want to use. No that gives you a lame excuse to use. We aren’t judging we love you and are worried. I know my dealer he wouldn’t do that yadda yadda yadda. Won’t be long and he is gonna end up in jail, then maybe I can sleep:( I am ANGRY this time.

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My soul is tired, my heart hurts, I just can’t do no more today😥

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Filed under Dreamland, Drugs, The Heroin Heartland, Writing

“My father went to a pain doctor…”

I received this note from a reader. I print it here as it came over the transom, though a few things were added at my prodding, wanting to know more. Has a feel like a beat poem somehow, just one long run-on sentence of how addiction comes to those aren’t looking for it.

No one in this reader’s family was on drugs before “my father went to a pain doctor.”

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Hi I know you get alot of people asking you things I think what your doing is great IMG_4113my father went to a pain doctor in Ohio and he was getting 224 80mlg oxy take four four times a day plus perk 15 I dont know the dose on them he was a drywaller and I have a old bottle so ppl wouldnt think I was crazy when I tell them what he got he would go every two weeks to pick up I just now am realizing how bad that was for him when u have a family of addicts and myself feel into that same pattern you dont wake up and do homework till ur own mind is right

when he got them thats when everyone got bad bc he got so many my mother and sister got them handed to them when he was alive I didnt do anything I did after the fact

he ended up passing Oct 2010 due to finally trying to use a needle to inject those pills and getting a blood infection my mother still is on dope and my sister was and has been clean for almost three years now I was did buy pills and dope on street for three years after my dad passed I then back in 2014 put myself in the Methadone clinic till Jan 28th 2016 in South Eastern Indiana I have been clean since and wanted to say we live in Tri State of Cincinnati and its bad in this 275 loop and see you came very close to NKY to speak I hope to see u when u come back but wanted to tell my past and I always thought for my dad that was way to much a Dr was giving a man who just had back problems thank you

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Just Tired

From a Facebook page that I’m a member of. Don’t think I’ve read anything recently that better gets to the heart of the weariness so many American moms and dads are feeling:

Hi Moms, I guess I need your advice today. My recovering addicted daughter called last night from Nashville, she said her daughters father beat her up. She sent pictures. It broke my heart. She has supposedly been clean for 3 months. We’ve been going through this nightmare with her for over 13 years. She always has huge drama in her life, every man she gets involved with she says ends up abusing her. She’s also bipolar and has been arrested in the past for also abusing some of these men. She wants me to fly to Nashville to get my grandaughter ASAP, before DCF takes her. I know this should be a no brainier but I am tired and it always affects my husband and our marriage.

We have 4 addict children and a total of 7 adult children. This daughter, Amber, has chosen to live far away for years as she doesn’t like our advice. We’ve had to take other grandchildren from another daughter for 3 years.

We’ve been parents for 38 yrs, and we are just exhausted.

Our lives revolve around helping kids get into treatment, or visiting them in treatment, or going to court or trying to visit or help grandchildren that are effected by parents addiction. We are currently in NH, and we are suppose to go to Boston Sunday to celebrate our 30th anniversary, we have reservations, and tickets to the Redsox game. Now I’m sitting here trying to figure out what to do. And I am actually afraid to go to Nashville, if my daughter is not telling me the whole truth which happens often, I could get into a mess and I feel like I’m just getting to old for all of it. I’m so tired. I just laid in my bed last night crying, and my husband told me we may have to just let it all go and whatever happens is Gods will.

I am posting mostly because you moms are the only ones that understand and when we can’t think for ourselves because of our overwhelming exhausting emotions, I feel that you all may help me see this more clearly. Thank you for being here Moms, I don’t know what I would do without you.

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Filed under Dreamland, Drugs, The Heroin Heartland

Carthage, IL: Frozen Yogurt & Kids Who Fear Summer

In the farming town of Carthage, Illinois, a lot of kids are afraid of summer.IMG_1205

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 theIMG_1113 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 dIMG_1115ays.

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.

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Good Day in Chillicothe

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, IMG_1525giving 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 theCHILLICOTHE STUDENTS 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 IMG_1514test.

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 IMG_1591pushed 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 IMG_1592bullet, 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:

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Filed under Dreamland, Drugs, Storytelling, The Heroin Heartland

Obama, Elkhart & the Dope of 24-Hour News

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 lostIMG_0638 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.

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Trump, Heroin & Mexico

A lot has been made lately of Donald Trump and his wish to build walls between the U.S. and Mexico.IMG_4841

This got a new bump recently when the candidate, in New Hampshire, reiterated that he’d build these walls and use them to stop Mexican heroin from coming into the U.S. – New Hampshire being one of many states suffering from huge jumps in opiate addiction.

Opiate addiction appears to be emerging as an issue in the presidential campaign, as well it should.

I’ve read a lot that does seem to be too nuanced on either side of this topic.

Here are a few of my thoughts:

Virtually all our heroin comes from Mexico, or comes from Colombia through Mexico.

Originating now in our hemisphere, heroin now changes hands less and travels far shorter distances than it did when so much of it came from Turkey or Burma (1970s).

All that means that it’s cheaper here than ever, it’s more prevalent, and it’s far more potent. And all that, in turn, has a lot to do with why people begin using it in the first place (cost), and then stay addicted (prevalence), or relapse after rehab, and then why they die more frequently (potency).

Used to be that people (addicts from the 1970s) lived for many years on heroin – when it was more expensive and less potent and more arduous to find. A lot of heroin addicts who started in those years did die, but they died during the AIDS epidemic from sharing needles, not so much from overdoses.

Now heroin addicts aren’t living long; They’re dying young and quickly. I believe that’s because so much of the drug comes from Mexico, making it cheaper, more potent and more prevalent than ever.

* *

We already have walls up in many parts of the border. Heroin already crosses where walls are – Tijuana (two walls) is one example.

When uncut or less cut, heroin is easy to conceal because it’s so concentrated – again because now it comes from Mexico, which is so close.

So you don’t need trucks to get a lot of heroin across – though trucks have been used. A lot of people walk it across at the border crossings hidden in a purse, or a backpack, or on their person.

There’s a market for heroin because there is a demand for it.

* *

That said, I believe that supply is fundamental to this issue – supply created this demand, just as it did during the cocaine days. We didn’t have a huge demand for cocaine before Colombians began smuggling tons of it up through Florida. Likewise, we didn’t have huge numbers of heroin addicts before doctors began prescribing enormous quantities of opioid painkillers such as Vicodin and OxyContin, etc. and a lot of people got addicted, then switched to heroin, which is now, as I said, cheaper than ever.

Heroin traffickers, as I hope I made clear in Dreamland, came late to this party. They followed the demand for opiates that had been created by massive overprescribing by doctors of these painkillers.

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Just as we cannot arrest our way out of this problem, we likely cannot treat our way out of it, either. Particularly with treatment costing so much and taking so long. Typical treatment that has any chance of success, from what addiction specialists tell me, is a minimum of nine months. One doc I know insists a year is the minimum.

Curtailing supply is thus essential to giving each attempt at rehab and recovery a greater chance of success. So that every recovering addict isn’t bombarded with dope at every turn, as they are in so many parts of the country today.

* *

That said, among the steps I think we need to take – some of which are articulated by the CDC recently – is retraining doctors to question why they prescribe these drugs and, if they’re necessary, in what quantities. For example, for wisdom tooth extraction, 60 Vicodin is common. That seems crazy to me.

Seems like 6-12 pills would be reasonable, and that the patient should return if he needs more. Doctors prescribe so many of these pills out the gate because they don’t want to see patients a second time, and they know that insurance companies often won’t reimburse for those follow-up visits, no matter how few.

So this problem will require that insurance companies change their practices, and reimburse doctors for follow-up visits for the (again) few patients who might need more of those pills after routine surgery.

* *

Walls have had a healthy effect on the border. Tijuana (two walls, as I said) is an excellent example of that. When it was the main crossing point – 1960s until mid-1990s – rapes, robberies, assaults and murders were common, particularly in the 1980s and early 1990s. Then the first wall went up, then the second. Now it’s calm on that border line. May be a weird symbol for a globalized world, but murders and rapes are rare now.

Despite those walls, heroin will seep in, through the cracks, in ways that seem to me impossible, or extraordinarily expensive, to stop. And that’s not the supply that caused this problem.

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Heroin and the Super Bowl

“H-E-R-O-I-N – what’s that spell?”
 
This 60-second ad about heroin addiction, filmed at a high school in Missouri, will air during the Super Bowl.
 
A drug that once was associated with jazz musicians, pick-pockets, East LA gang members, NY street hustlers and punk rockers is now featured on our secular holiday, interrupting pizza and guacamole as it’s piped into American homes from Alabama to Alaska.
 
That’s a stunning event for this country.
 
What’s more, millions of people will know someone like that girl.
Post Script: Sadly, the Super Bowl came and went and this spot did not run. Not sure why. If anyone has an idea, please let me know.

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The Dayton Heroin Bust

Cops in Dayton, Ohio this week took down a reputed major Sinaloan trafficker, along with a bunch of cash and a million dollars worth of dope.

What this bust shows is that the larger Mexican cartels, which for a long time ignored heroin as a revenue generator, have in the last few years figured out the new market that exists in the U.S., created by the overprescribing of narcotic pain pills nationwide, and shifted priorities.

Through the 1990s and into the last decade, these cartels didn’t dabble too much in heroin. Other drugs were more popular and profitable. Plus, in Mexico heroin is viewed as about as scuzzy a thing as it in the United States.

That’s changed in the last few years. Mexican cartels, which already dominated on the western side of the U.S., have recognized the widespread opiate addiction among Americans and moved to take control of the markets on the eastern half of the U.S. that once were served mostly by Colombian heroin traffickers back to the 1980s — the same way Mexican cartels wrested the cocaine market from the Colombians in the 1990s.

Pills to heroin to Mexican drug cartels in areas that never had much of any – all in the space of 15+ years.

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A Mother’s Story: Sam Chappell

I continue to receive letters from parents whose children have been consumed in America’s opiate epidemic. Here is one:

 

Your book, Dreamland, does an excellent job of outlining how the convergence of the pharmaceutical environment with heroin trafficking from Mexico over the last two decades provided the avenue for the addiction that killed my son. I believe his story is the third leg of your book.

Sam Chappell


Sam was born in 1994. The next year, OxyContin was approved. Sam was a sweet toddler when Purdue began its aggressive and misleading marketing campaign for the drug. Meanwhile, Sam’s dad was writing a masters thesis on heroin production in Colombia — it was becoming so pure, he pointed out, that it could be snorted or smoked, avoiding the stigma of needles and making its way into the mainstream.

By 2000, when Sam was six and entering first grade, revenues from OxyContin had quadrupled. The initial 80 mg pill had given way to a 160 mg pill to account for increasing tolerance among patients. Purdue’s sales force had doubled and salespeople were receiving annual bonuses of $70,000 and above.

In 2001, when Sam was seven, Purdue was spending $200 million in marketing and had pinpointed doctors who tended to prescribe lots of pain medication for aggressive marketing campaigns. Sam began to face some bullying in school.

By 2002, Purdue knew of doctors who were recklessly prescribing its drug. Sam continued to struggle to fit in at school. It began to affect his mood and motivation.

Between 1999 and 2010 (the year Sam turned 16) Oxycontin prescriptions and overdose deaths quadrupled. Swapping pills became the new form of partying in the schools. Sam found a way to fit in and feel good all at once.

Meanwhile, heroin from Mexico had been making its way north, poised to fill the gap when opioid pharmaceuticals became harder and more expensive to obtain. Sam found his way to that solution.

My beautiful and beloved son, Samuel Logan Chappell, died of a heroin overdose in Columbus, Ohio, on Sept. 7, 2015.


Nancy Chappell

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Forcing Pharma to Pay To Take Back Drugs

The Los Angeles County Department of Public Health is today holding hearings on a proposal that would force pharmaceutical companies to pay to “take back” their drugs and needles that are not used by consumers.

Los Angeles County is following the lead of Alameda County in northern California, which enacted an ordinance requiring pharmaceutical companies to provide funds to collect and dispose of unused pills. The ordinance survived Supreme Court review last spring, and is now in place under the concept of Extended Producer Responsibility (EPR).

According to the L.A. County department’s website, “EPR is an environmental protection policy approach that recognizes the responsibility of a manufacturer or producer of a product to steward that product through the post-consumer stage of its lifecycle.”

This has become an issue due to overprescribing of addictive narcotic painkillers over the last two decades – often following routine surgeries. Frequently patients are prescribed 60 or 90 Vicodin, Percocet, or Oxycontin pain pills, of which they often use only a small fraction, leaving the rest in their medicine cabinets. Many of those pills have been discovered by kids in the home, their friends, by workers doing jobs at houses, or otherwise entered the black market.

These overprescribed and unused pills have added enormously to the street supply of pills and are a large part of why the country is in the midst of an unprecedented scourge of opiate addiction.

Profits from the sale of these pills have accrued to pharmaceutical companies, while the costs of dealing with that addiction have been borne by taxpayers – cities, counties, jails, coroners, police and public health departments.

One response has been Drug Take-Back days, which have spread nationwide. In 2014, 5 million pounds of drugs were taken back during these events nationwide, according to the National Safety Council. (LA County’s interim health director estimates some 200 million pounds remain of these drugs remain in medicine cabinets around the country.)

Of course, the problem is who pays to take back these drugs, and to then dispose of them. Up to now, again, public agencies, typically cities, counties or the DEA, have foot the bill.

The move to push pharmaceutical companies to contribute is new. Counties and cities across America might want to look into this new kind of ordinance as they cast about for ways to pay for taking back the enormous quantities of highly addictive painkillers still out there.

 

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Thank You!

The last few days have been tumultuous for my family and me – and filled with strong emotions.

But I wanted to say how much I appreciated all those who wrote in, via various media, with kind words, words of support and encouragement. Tens of thousands read the blogpost below. Thousands of people shared the post below on Facebook. Hundreds more tweeted it. I received many e
mails, and (now that my WordPress comments section is fixed) comments on my blog.  Many folks wrote in on the 60 Minutes website and the show’s Facebook page to object.

It means so much that you would do that. Thank you!

“People can see the truth,” said one editor and friend. I think that’s probably right.

Journalists and writers sent me notes with their own tales of how 60 Minutes and other shows had taken their stories/books/articles/reports and redone them without giving credit.

“This has been going on for years,” said one.

Maybe, but that doesn’t make it right. I hope writers/reporters will speak up when this happens in the future.

I hope my public objection, calling them out, means that a show like 60 Minutes will think twice before it appropriates the work of others without giving them credit. Television in particular seems afflicted with the weakness for taking the stories of others.

To those who would do that, I say, fine. Just give credit. It’s common decency. Show the work the real reporters did. Show respect. Don’t pretend, as 60 Minutes did so brazenly, that you’re blazing some new trail.

All that show had to do was mention my name, my work, my book, and that I did indeed help them.

That seems unlikely now, given the comments of the show’s spokesman. Let me say for the record: I spoke up not to promote my book. I spoke up because I had to defend my work. Because if I didn’t defend my work, no one else would. 60 Minutes was profiting from my work. I spoke up because this was work that 60 Minutes had not done by themselves. I had and I did it when almost no one in the media cared about this issue; early on, some questioned my judgment for even getting into the topic. Who cares about heroin addiction?

I spoke up because we’re in a new world, where if you want to do good journalism you almost have to go independent. And if independent journalists are routinely, and with impunity, scavenged by predators without the interest or energy for doing the work themselves, then we are doomed.

I spoke up because 60 Minutes, while taking what I’d taught them in phone conversations and in Dreamland, displayed no interest in advancing the story, taking it new places, teasing out new angles. None of that. Just the “Cliff Notes,” as one retired cop told me, to my book.

After 30 years in this business, three books and more articles than I can count, I’m accustomed to seeing stories that I scooped get picked up by other news outlets. I barely flinch. It’s part of the job. It’s even happened with many news outlets since Dreamland appeared. Everyone seems to be talking about the heroin epidemic in the last six months. Time Magazine, New York Times, Sports Illustrated. That’s great, and one of the reasons I wrote the book.

I called out 60 Minutes because it was such an egregious violation.

They could have gone anywhere in the country and done this story. You’d have to ask them why they didn’t. I suspect they went to the place I told them to go (on the phone and in an email) and where a major part of Dreamland was set  – Columbus, Ohio – because it was cheaper to do it that way, with the roadmap I provided them.

The night of the show, I was proud of the parents who were interviewed, several of whom I know. They spoke for millions of mothers and fathers like them across the country who have suffered this nightmare of watching their kids transformed into something like zombies under the influence of pills and now heroin. They pushed along this  awakening regarding the opiate epidemic that has been gaining strength across the country in the last six months.

But I also found myself dumbfounded, then outraged as I watched,  remembering all the work I’d put in on this topic, the time I spent away from my wife and daughter – all of which 60 Minutes just appropriated as if it belonged to them. After it was over, I apologized to my daughter for my outbursts during the show.

“You don’t have to be sorry, Daddy,” she said.

So I’m not.

But I am grateful. Thank you!

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Filed under Books, Storytelling, The Heroin Heartland, Writing

Sad for 60 Minutes

I grew up admiring 60 Minutes for its storytelling and investigative reporting.

So many original stories. No one on television was doing what 60 Minutes was doing then. It looked so exciting and that was part of why I became a journalist.60 Minutes Logo

So six months after the publication of my book Dreamland: The True Tale of America’s Opiate Epidemic, it saddened and appalled me to watch the show last night.

Last night, 60 Minutes ran a piece about heroin in Ohio. I’m very happy that these Ohioans, who I know and like and respect, are getting this megaphone. Their story needed telling.

But I have to stand my ground.

Months ago, my publisher and I pitched 60 Minutes on stories from Dreamland: first, the Xalisco Boys heroin traffickers, and then a story about heroin in Ohio.

Over the span of several months and several phone calls, 60 Minutes decided against both ideas.

The Xalisco story wasn’t doable, they concluded, after I convinced them that it was unrealistic to assume that they could show up and in 3-4 days have someone magically open up a heroin lab for them to film. I argued that there were other ways to tell the story. I found them sources, people with years of experience in the drug underworld who trusted me. That wasn’t good enough. They wanted traffickers who spoke English. I told a producer that the traffickers in the Xalisco system were working-class guys from Mexico without even sixth-grade educations and that they spoke only Spanish. He also insisted that 60 Minutes had to have film of dope being made, and had to have it accessible after three days of reporting on the ground.

The Ohio story that we then pitched 60 Minutes had no such cost/danger/language concerns. The state was awash in heroin now. America’s opiate ground zero – for many reasons I made clear in Dreamland. Pills had taken hold there first, and heroin had come sooner than it had anywhere else. Over lunch, a 60 Minutes producer even asked me what story I would do in Ohio. I gave her some ideas.

60 Minutes did go to Ohio. Made it look as if they had figured out who to talk to, and what questions to ask, all on their own. No mention of what led them there and what explained the whole story to them. When I asked them whether they were going to refer to my book, one producer said they wanted to focus on the personal stories of local folks. They could have done the personal stories of local folks in Alabama, or anywhere else in America, but then they wouldn’t have had a book telling them specifically where to look, whom to talk to, and what the story was.

Care to leave 60 Minutes a few of your thoughts? Here’s the comment page to the episode, and here’s the show’s Facebook page.

Parents and others in Ohio and elsewhere are understandably thrilled that major media like 60 Minutes are finally taking an interest in this topic. I’m glad for them and very happy that the issue is now getting attention. Wayne, Brenda, Tracy, Jenna, Rob and others spoke with eloquence and force, and in my opinion saved the piece.

I hope they won’t see this as raining on their long-overdue parade … but I have to say something to defend myself, my family’s sacrifice, and my work. If I don’t, who will?

I spent years working on this story, interviewing hundreds of people, poring over documents, taking collect phone calls from Mexican traffickers in prisons. Before doing it, I lived and wrote for 10 years in Mexico, which made me distinctly prepared to see a part of this story that 60 Minutes producers, judging from our phone calls, knew only because of me.

I took a leave of absence from the LA Times, where my book’s story began (as I note several times). I finally resigned from the paper to finish this book. I went all over the country. Each trip meant time away from my wife and daughter; each trip meant scrimping on meals and motels. When few people were talking about heroin, when most folks I met looked at me askance for researching the topic, I risked my professional career and my family’s financial future: all to find a story that I believed to be profound in its nationwide impact, and in what it says about our country.

I’m thrilled to receive emails like this one, from a retired undercover narcotics officer, who helped in my heroin education:

“The 60 minutes Heroin story last night was the “CliffNotes” version of your book, they needed to have you on that piece! … These news stories are great but they are quickly becoming “old news”. They need to go a few layers deeper. It’s time to talk about solutions! Thanks to guys like you the nation now knows very clearly what the problem is, now it’s time to move the national narrative towards developing real solutions through accountability. … Keep up the good fight Brother …Be Safe!”

It isn’t often that a book more or less scoops radio, TV, and print. But I believe that, to a large degree, is what Dreamland did.

Since its release, I’ve been disappointed to see Time, Sports Illustrated, Washington Post and now the New York Times publish stories on topics that I dealt with first in Dreamland and not mention it. (Btw, my book clearly cites several books to which I am indebted, both in the text and in the acknowledgements.) But 60 Minutes seemed to me to cross a line.

And even after the months of dealing with them, I might not have written this blogpost had not Sunday’s show itself seemed to involve so little original reporting and seemed to rely so heavily on my book.

Is that what it means to be 60 Minutes these days? Just riff off the work of an independent reporter and do nothing to recognize it?

The whole episode reminds me that 60 Minutes is no longer a standard bearer of anything except cost containment. Shows like 60 Minutes no longer set the national debate. They’re followers, imitators, People Magazinenow, where once they were leaders.

Yet I’m also invigorated, exhilarated even, by this experience. For it means that I and many independent colleagues have wide-open spaces now where we can harvest stories. That if we’re willing to put in the work and take the risks, that important stories will be ours to find. It means it’s a great time to be an independent journalist.

The Daily Show made fun of TV cable journalists, and gave respect to real reporters. It taught a generation to be skeptical of what was reported to them on television. The next step is to elevate real independent journalism.

As desiccated titans collapse, abdicating any role in maintaining standards of journalism, we now have this terrain to ourselves. We must work it, push at it, be relentless. But it’s there. People want it, thirst for it, as I’ve found in the reaction to Dreamland. When we find these stories – as now only we are equipped to do – they will probably mean more than ever.

Remember, too, that if you want risk-taking, on-the-edge, original, independent, red-blooded American journalism, then you have to look pretty far past 60 Minutes. The Atlantic is doing some good stuff. As is the Atavist. Might check out the Marshall Project. I thought Grantland looked good before ESPN pulled its plug. I’m sure there are many places I don’t know of – and I invite them to chime in.

I’d also strongly suggest that the books recently written by my friends and former colleagues Gerry Hadden, Alfredo Corchado, and Jill Leovy are well worth your time.

And if you want to read the full story of America’s opiate epidemic from a journalist with no one but his wife and daughter standing behind him, then I’d suggest my own book, Dreamland.

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Filed under Books, For The Record, The Heroin Heartland

Heroin and the Sugar Added

We have spent too long demanding that doctors fix our pain.

As Americans, too often we’re angered when they don’t – or, more likely, can’t – as if we’re entitled to solutions.

That wouldn’t be so disturbing were it not that at the same time it seems a national malaise that we don’t feel much accountability for our own wellness.

This combination has given rise to the overuse and overprescribing of pain pills. They are the solutions that doctors have for a country that doesn’t (won’t) address its pain in a more holistic way.

But those pills are also the reason why across America we have so much addiction to opiates and to heroin.

I’m a layman, but it’s my understanding that a lot of the pill prescribing is for pain problems that could be better addressed or reduced by better wellness: more exercise, healthier diets, less sitting, more walking, etc.

In that regard, a new National Institute of Health study in the journal Obesity suggests that consuming fewer sugar-added foods and drinks results in very quick changes to a kid’s health. Researchers studied 43 obese children and found that when they replaced foods that had sugar added (sweet teas, pastries, even – who knew? – chicken teriyaki, which is apparently very sugary) with foods with no sugar added, while keeping the calorie consumption the same, the kids’ problems with hypertension, blood sugar, cholesterol improved within 10 days.

The research suggests that calories that come from sugar added to foods are harmful.

All the more reason to cut down substantially on (very unhealthy) sodas, sugary drinks and foods where sugar is added.

Of course, that does not include food in which sugar comes naturally – primarily fruit.

Now we also all need to get up and walk a mile. I’ll go first.

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Filed under Culture, The Heroin Heartland

Why I Voted Against California’s Prop. 47

Last year, Californians were asked to approve Prop. 47, which made misdemeanors of several felonies.

The idea was to send fewer people to prison and a majority of Californians voters approved it. I wasn’t one of them.

I voted against Prop. 47 for exactly the reason mentioned in a recent op-ed piece in the LA Times: that addicts frequently need the threat of jail or prison to get their minds around the idea of entering rehab.

The threat of prison was, in other words, a rock bottom from which some could achieve recovery.

cropped-IMG_0910.jpgThis comes from interviews with many recovering addicts whose lives were saved by being arrested, by going to jail and facing prison time.

The idea that government or society should play no role in pushing addicts into recovery is foolish, dangerous, too. It does no one any good to remove that threat.

But that’s what Prop. 47 does, to the detriment of folks addicted to drugs, I believe.

The op-ed makes the point that it’s leading to an increase in crime. That may be true. But from my standpoint, having written Dreamland, and seeing widespread addiction to pain pills and now heroin across America, it is the former reasoning that makes most sense, particularly given how horrifying difficult it is for so many to kick their habits.

Prop. 47 couldn’t have come at a worse time. Addicts need any kind of impetus they can get. Unfortunately, for many in California, it no longer exists.

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Filed under California, Drugs, The Heroin Heartland, Writing