A FEW YEARS AGO, I was sitting in a McDonald’s, getting some work done during my son’s orchestra practice, when I looked up and saw an ambulance parked on the sidewalk outside, a team of EMTs at work on a man at one of the patio tables. I pulled out my earbuds just in time to hear the McDonald’s worker behind the counter say, in an exasperated tone, “I don’t know why they have to come here to shoot their dope.”
The man was being revived from a heroin overdose, but life was going on around him as though his situation was a routine occurrence. That’s because here in Kentucky, it is.
It’s even more routine in Huntington, W.Va., a city known as the overdose capital of America, with a rate twice the national average. In 2017, Huntington was the setting for a prize-winning Netflix documentary, Heroin(e), by West Virginia filmmaker Elaine McMillion Sheldon, which profiled three women—a fire chief, a drug court judge, and a Christian volunteer—who had their fingers in the dike, struggling to hold back the overdose deluge.