A Look at America’s Opioid Crisis: Arizona

NOGALES, ARIZONA Outwitting the Mules A tipster warned: Look out for a silver Nissan Sentra approaching the busy Dennis DeConcini Port of Entry in Nogales, Arizona, a crucial gateway for cheap heroin made in Mexico. Early one morning, the Nissan rolled into passport control. A Customs and Border Protection officer caught the telltale signs of…

A Look at America’s Opioid Crisis: Washington

SEATTLE, WASHINGTON ‘For the Grace of God, There Go I’ The girl looked to be barely out of her teens, and was teetering on the brink of consciousness. “She couldn’t even form a sentence,” said Dan Manus, a soft-spoken 61-year-old in a Seattle Seahawks cap. His jaw tightened as he recalled the night in October…

A Look at America’s Opioid Crisis: Iowa

MARSHALLTOWN, IOWA Help May Be Thin on the Ground Andrea Steen is one of the fortunate ones. For people in this rural community of 28,000 in Iowa, getting medication to help overcome opioid addiction used to require long drives to treatment centers. That changed about a year ago when two doctors in Marshalltown were licensed to…

A Look at America’s Opioid Crisis: Massachusetts

MARBLEHEAD, MASSACHUSETTS In Suburbia, ‘Tired of Everything’ Katie Harvey walked out of the house where she lived with friends, shoved her duffel bag into her mother’s car and burst into tears. “I need to go to detox,” she told her mother, Maureen Cavanagh. “I’m just tired of everything.” Ms. Harvey, 24, had been shooting heroin…

A Look at America’s Opioid Crisis: California

LOS ANGELES, CALIFORNIA Tough-Love Rehab They enter through an unmarked turquoise storefront, nestled between fashion boutiques on Melrose Avenue in Los Angeles, California. They gather in a circle, ready for the tough-love approach they have come to expect from Howard C. Samuels, a clinical psychologist who runs the Hills, a drug rehabilitation center whose location…

A Look at America’s Opioid Crisis: Utah

HUNTINGTON, UTAH Staying Clean in the High Desert As she drives to work each morning, past horse ranches and nodding oil pumps, Marsha World stops to give her son, Kolton, a pale yellow pill to help keep him off heroin for another day. There are few options for drug treatment in the high desert of…

A Look at America’s Opioid Crisis: Milwaukee

In the End, Uncomprehending Sometimes they call themselves “the last responders.” They work in the county medical examiner’s office, in a low-slung brick building downtown in the shadow of an old Pabst factory. Here is where they take over after a drug addiction has been more powerful than pleas from family, 12-step programs or even…