Tag Archives: abuse

Hillary Clinton, Heroin, and the Time to be Heard

Three weeks ago, Hillary Clinton’s health-policy advisor called me to discuss the opiate epidemic, its causes and what could be done about it.feed-image-1

The advisor said she was reading my book, Dreamland, and that Mrs. Clinton had read my NY Times op-ed column of April 19 about the issue.

The advisor told me Mrs. Clinton had been hearing a lot of very passionate comments from parents with addicted children as she campaigned in Iowa and New Hampshire.

We spent an hour on the phone, talking about policy, about pain pills, pill mills, Mexican heroin trafficking, and about the quiet surrounding this epidemic that had allowed it to spread.

So I’m glad to see that Mrs. Clinton is now coming up with policy proposals to address it, one of which is to begin talking about it and end the stigma and silence surrounding addiction.

This epidemic is neither a red nor a blue issue. Thus I hope candidates from both parties will respond as well. I’ll be happy to chat with them, if they want to call.

I’d hope, moreover, they would focus not only on heroin, but on the broader problem of overprescribing of opiate painkillers, which so often provide the gateway to heroin. (Pain pills have their legitimate role in medicine, but too often are massively and unnecessarily prescribed.)

But there’s another important point in this. I believe parents of addicted children need to use this approaching presidential campaign as a way of magnifying their voices.

As a longtime journalist, I know that the most poignant stories are the ones that can have the most impact. Sadly, many parents up to now have kept silent, ashamed or simply worn out by their children’s addiction.

That is changing. More are stepping forward, as Mrs. Clinton was hearing on the campaign. Some are mentioning heroin overdose as a cause of death in their children’s obituaries – an act of enormous, and necessary, courage.

But these stories are still not being heard the way they need to be.

During past drug scourges, public violence aroused public ire. The crack years, for example, saw drive-by shootings and carjackings. I was a crime reporter during those years and saw this first hand.

None of that public violence has happened during this epidemic. So the job of arousing public attention falls almost entirely to parents.

I believe this presidential campaign offers an opportunity to be heard, to magnify voices. Make opiate abuse (pain pills and heroin) and overprescribing a point of presidential debate.

To do that, parents in particular need to step forward and tell their stories the way no one else can.

Photo: Hillary For President website

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CALIFORNIA: Toothbrushes and solitary confinement

The other day, on my way out of town on vacation, I stopped by a San Bernardino County Courthouse to hear a bit of the trial of Richard Gatica.

Richard Gatica is accused of strangling his cellmate at West Valley Detention Center in Rancho Cucamonga in 2006. He then propped up the cellmate for more than a day, pretending to talk and play chess with the cellmate, and moving the corpse occasionally, so that jailers wouldn’t realize what had happened.

Gatica, who grew up in Rosemead, was already doing two life terms in prison when this happened. So prosecutors are asking for the death penalty.

I happened to catch the testimony of the psychiatrist, employed by the prison system, who examined Gatica for several hours and reviewed thousands of pages of documents about him, and concluded Gatica suffered from several kinds of mental illness.

The doctor described a childhood of apparently nonstop abuse by a sadistic mother who “was severely mentally ill, both because of addictions and because of an innate mental disease which appears to be major depression. … Mr. Gatica was, along with his younger brother, the focus of his mother’s illness and anger in that Mr. Gatica was physically and emotionally abused through much of his childhood.”

Among the mental illnesses Gatica developed was post-traumatic stress disorder.

The doctor went on to say that later, in the prison system, Gatica was incarcerated in a special housing unit, SHU, which amounts to solitary confinement, where inmates are denied human contact, often sunlight and are let out of a cell an hour a day. The SHU is reserved usually for inmates who’ve committed some crime in prison, or been part of a prison gang. Gatica lived in a SHU for a dozen years, the doctor said.

“He grew up without a father in the home and with a crazy abusive mother who was also a drug addict. There wasn’t much opportunity for Mr Gatica to learn coping skills, how to be a loving, caring person. What he learned was how to be a drug addict and a criminal. Being in the segregated housing unit only reinforced Mr Gatica’s dwelling in his internal world of disassociation and very pathological defense mechanisms.”

One of which, the doctor said, was to develop an extreme phobia to germs to the point where he would scrub his cell with a toothbrush “20 to 30 times a day or [wash] his hands 20 to 30 times a day.”

Gatica sat in his seat, dressed in a lavender shirt, a tie, black slacks, glasses, short, gelled hair — looking like a business executive and watching the very middle-class jury absorb all this.

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