The pharmaceutical colonization of Appalachia

Over those 30 years, I have learned that most of what we thought we knew about addictions is wrong or, more accurately, woefully incomplete. This is important because how folks attempt to address the problem comes directly from how they think about it. What causes addictions and substance abuse? What keeps it going? Why does it affect certain people and not others? Why do people have a hard time stopping? We need to answer these questions to ever have a chance of getting a handle on addiction in rural regions like Appalachia where there are problems with addiction.