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Dopesick(36)
Author: Beth Macy

The plant had become such a sore point among local police that Lutz and his colleagues joked: “Forget building a Mexican border wall. What they should really build is a wall around George’s Chicken.”

*

But the arrival of bulk heroin in Woodstock was more proof that borders were impotent in the face of the drug. The weed-killer Roundup may cure your front yard of crabgrass, but if your next-door neighbor’s lawn is infested with it, those weeds will eventually creep back into your turf.

During the six months Lutz was away from his usual drug beat, heroin exploded in his tiny, bucolic community—three people died of overdose, and the hospital would soon report its first opioid-dependent baby. “How it transformed from a pill problem to a heroin problem here, it was like cutting off and on a light switch,” Lutz recalled.

Local deputies had yet to identify the supplier of the dope. But an informant helped them zero in on people close to the dealer, including Smith and Butler, who were the eyes and ears of a major heroin supplier Lutz knew only by his nickname: D.C.

In late 2012, D.C. was more rumor than reality, a malignant but murky force. A few counties to the east, an associate of D.C.’s selling heroin in Stafford County went by the nicknames Sunny and New York. In between the new heroin hot spots, local police were also noticing a spike in drug arrests and shoplifting.

Lutz called in federal reinforcements when he heard that D.C., whoever he was, was in the habit of demanding sex from female addicts before he’d sell them their dope. Informants said at least one was a teenager. Lutz was also beginning to see former classmates hijacked by the drug—farmer’s kids, football stars, many of them still managing, somehow, to get up and go to work. One woman he knew was in the habit of kissing her husband goodbye in the morning, putting her kids on the school bus, then driving to Baltimore to buy enough to last the day before returning to Woodstock just as the school bus brought her kids home.

Though Lutz had made his first undercover heroin buy in 2010—at a price twice the current going rate—Woodstock was now, three years later, beginning to fall prey to what economists would label the diseases of despair. Whereas central Appalachian communities like Lee County—victims of factory and coal-mine shutdowns, followed by skyrocketing disability claims that made them prime sales targets for Big Pharma—had been battling opioid addiction since OxyContin’s 1996 release, Woodstock and similar small towns were slower to experience deaths related to opioid addiction, alcohol-related liver disease, and suicide. They seemed to be somewhat shielded because their economies, while not exactly robust, had maintained a centuries-old agricultural base and were never dominated by a single industry or two like so many smaller Appalachian counties where pill abuse first took root.

“The places with the lowest overdose mortality rates tend to be in farming-dependent counties” with a more diversified economy, said Shannon Monnat, a Syracuse University professor. She likened Woodstock to her hometown of Lowville, New York, a village near the Adirondacks that’s economically dependent on dairy farming, wood products, and a wind farm that generates about $3.5 million a year for the local school district.

Compared with Lee County at the western tip of Virginia, Woodstock and other rural communities like it displayed far better indicators of health: Fewer residents smoked, fewer were uninsured, and drug-related mortality rates were much lower than in places where single, labor-heavy industries like coal and furniture once dominated.

More significantly: The opioid-prescribing rate in the Woodstock region was almost half the state’s rate—and less than one-third the rate of opioid prescriptions in the coalfield counties. On average, every person enrolled in Medicare Part D in Lee County had been handed a whopping 10.23 opioid prescriptions in 2013, compared with just 2.96 in Shenandoah County.

As the epidemic spread from rural enclaves to cities and suburbs in the early aughts, police in Monnat’s upstate New York hometown began seeing the same trends as Sergeant Lutz: “They were saying, ‘It’s coming, we see traces, but it isn’t yet here,’” she said. “That doesn’t mean people weren’t self-medicating in other ways. It’s just that alcohol doesn’t kill you instantly like heroin and fentanyl can.”

As journalist Sam Quinones theorized in his 2015 book, Dreamland, maybe the addiction-prone people who would have succumbed to alcohol addiction in late middle age—had opiates not appeared—were the same people who were now prematurely dying of heroin in their early adulthood.

Monnat’s deep dive into rural wellness data underscored that hunch: Binge-drinking rates in the northern Shenandoah Valley were roughly the same, even a little higher, than rates for rural dwellers living in the nation’s most distressed counties and towns. But people in their late teens and twenties didn’t often die from booze.

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 to 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.

*

By the spring of 2013, Lutz still didn’t know D.C.’s real name or what he looked like. But he had pieced together an impressive dossier of details: D.C. was African American, in his midthirties, with no tattoos. He drove a silver, older-model Mercedes SUV, nice but not too flashy, no custom rims. His heroin was said to enter Virginia’s I-81 corridor in plastic Walmart bags, tucked inside snack containers carried by young women riding the Chinatown bus from New York, earning $300 to $500 per round trip.

Packaged in Harlem, the heroin was shaped into uniform, four-ounce hockey-puck-shaped disks that nestled snuggly inside a Pringle’s can. Whoever was coordinating the production seemed to have a craving for a single flavor, cheddar cheese. And they were methodical, emptying the cans, then repacking them with four pucks and stacking a few Pringles at the end before resealing the tubes with a hot-glue gun. The mystery source also seemed to crave Nilla Wafers and Pepperidge Farm chocolate chip cookies, using those empty packages to transport powder cocaine, which Butler and Smith cooked into crack, Lutz later learned.

An ex-offender who had long dealt in crack and marijuana, D.C. at first had no idea what to do with the Pringles pucks when they landed in Woodstock. So he hired Smith and Butler to break them down into dosage-sized units, or tenths of a gram. In fact, D.C. was so afraid of the drug that he wore rubber gloves, goggles, and a face mask while Smith and Butler cut and packaged the heroin into bags, called points or tenths—on the other side of his living room.

“He looked like he was doing surgery,” one of his subordinate dealers told me. “He was way too scared of heroin to ever use it.” Like many black heroin users and dealers, D.C. pronounced his product “herr-on,” as in: None of my friends or close associates does herr-on. I wouldn’t even know where to put the needle.

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