THE MAIN FLIGHT path into Bostonās Logan Airport takes air travelers over the eastern edge of South Boston, an insular Irish Catholic community best known for its gangsters and addicts (and for its nickname, Southie). Today, the gangsters are mostly gone, but the addicts are as stuck in this neighborhood as they are on the drugs that make living here bearable.
āSometimes I think God could do us a favor and crash a 747 into this fucking place,ā Bobby says, standing barefoot in the kitchen of his parentsā Southie brownstone, smoking a cigarette and loading dirty glasses and plates into the dishwasher. A thirty-four-year-old heroin addict, Bobby didnāt want me to come over until he got high. āI got some about twenty minutes ago,ā he shouts from the kitchen. āThatās all Iāve been thinking about since I woke up. How am I going to get what I need? Thatās all I ever think about anymore.ā
His younger brother, Dan, sits on a red couch in the living room clutching a copy of the book Boyos, a novel set in Southieās criminal underworld written by a former state trooper who started robbing armored cars. Dan can relate to good guys doing bad things. A few years ago, when Dan was twenty-five, he was arrested for holding up a pharmacy for OxyContin, although the charges didnāt stick.
High on Oxys (as he is now), Dan, who is boyish and handsome, likes to read. āI can read ten books in a row on Oxys!ā he tells me proudly, sitting upright on the couch in baggy blue warm-up pants and a blue-collared shirt. Oxys make Dan feel smart. On them, heās not some Southie loser with no college degree, no job, no apartment, and a daughter he never sees. On Oxys, the former two-sport varsity athlete is a Southie intellectual, even if he doesnāt always have the vocabulary to back it up.
āYou know, when Oxys first came out, a lot of people around here thought heroin was voodoo,ā he tells me. Dan says āvoodooā a few more times before his brother canāt stand it any longer. āYou mean taboo,ā Bobby shouts from the kitchen. āNot voodoo. Taboo!ā
Dan ignores him. āSo the kids that would never dream of sticking a needle in their arm, they thought Oxys must be okay, because a doctor made it, ya know? What they didnāt realize was that itās basically heroin in a pill. And then when they ran out of money and couldnāt afford the Oxys anymore, they switched over to heroin, because they needed something. So kids either went to treatment, or they started using heroin.ā
āOr they killed themselves,ā Bobby says, walking purposefully into the living room and scanning the area for any dirty dishes. He scoops up a half-empty glass of Sprite from the top of the television and sits down, his hulking body (6-foot-5, 250 pounds) sinking into a beige sofa. Heās wearing jeans, a gray long-sleeve shirt, and a red beanie over messy blond hair. He looks like an out-of-shape professional football player.
āI remember when I first saw an Oxy pill,ā Bobby tells me. He pauses, then takes a drag from his cigarette. āIt was ā96 or ā97, and I was down in the projects when this kid came up to me and had these rough-looking pills. They were forty milligrams of OxyContin, but I didnāt know that at the time. He didnāt know what he had, either. He had taken them from some old guy who was dying, and he had a whole fucking container of them! So I was like, āAll right, Iāll buy a few of those.ā So I bought like ten for $4, which is so cheap, because now theyāre $40 a piece. So then I did them, and I was like, āOh, shit, what the fuck is this?ā I started calling them super-perps. So the next day I went back and bought every single one off the guy for $4 a piece. He found out later what he actually had, and one day he saw me and he was like, āYou fuckinā motherfucker.āā
OxyContināa controlled-release pain formula approved in 1995 by the FDA amid the heightened awareness that millions of Americans were suffering from chronic paināwas supposed to be less addictive than other painkillers. But by the late 1990s, people in Massachusetts and in many other states had figured out that if they crushed the pill or dissolved it in water, it created a staggeringly powerful high.
Dan never drank or used drugs until he was twenty-two, and for two years he resisted offers from friends to try Oxys. But when his relationship with his longtime girlfriend soured, Dan moved back into his parentsā house and worked odd jobs. With seemingly little to live for, trying the drug didnāt seem like that big a deal.
āIt started as a weekend thing, but then before I knew it I was craving it, and then I needed it to function,ā he says, in perhaps the most concise and accurate description of the progression from habit to addiction Iāve ever heard.
Dan stands up and then sits down again. He does this often when heās highāoccasional bursts of movement without really going anywhere. Bobby gets up, too, although he shuffles back to the kitchen.
āFuck!ā Bobby screams a minute later, kicking the dishwasher in frustration. āFucking thing wonāt work. Did you put the dishwasher stuff in the dishwasher?ā
āYeah, Bobby, now let me talk to him, will ya? Relax, we can do it later.ā
āI want to do it now,ā Bobby says, hunched over at the waist and frantically pushing buttons on the machine. As is his pattern, he goes from calm to enraged in the span of a minute. He grabs the cordless phone and starts jabbing at the number keys. āIt wonāt work! It wonāt go on! Iām trying to tell you it wonāt work!ā he screams to someone on the other end of the line. Iām curious to know who heās talking to, but Iām afraid to ask. Iāve been warned by several people who know Bobby well to stay out of his way when heās angry, or when heās desperate to find drugs.
āHe has mood swings,ā Dan explains. āHeās just a totally different person on heroin. You should see him when heās sober. Heās a great guy!ā (I already have. I met Bobby a few months ago at a community meeting about addiction, where he was a few days clean and said he was finally ready to stop using for good. But when it came time for him to get into a friendās car and be driven to a local treatment center, he changed his mind.)
āFuck!ā Bobby screams again from the kitchen.
āBobby, relax,ā Dan says.
āI hate this stupid thing. Iām trying to fucking clean, you know? Why wonāt this thing work? All I want to do is the fucking dishes.ā
And then, a miracle: The machine starts working. Bobby hangs up the phone. āOkay, now who wants food?ā he asks, opening the oven where heās been heating up a frozen pizza. The rage is gone as quickly as it came. He tosses the pizza on a plate and joins us in the living room, plopping himself down on the sofa again.
āYou canāt really keep a job on Oxys,ā Dan says, picking up where he left off before Bobbyās tantrum. āSo now I donāt do anything all day, really. And Iām stuck in this fucking town.ā
āOur parents are in denial about Danās addiction,ā Bobby tells me, coughing loudly. āIām the addict, Iām the fuck-up of the family. They must know about Dan, but itās like they donāt want to know. You gotta understand, thereās a lot of dysfunction and denial in our family. I canāt think of any family around here where there isnāt addiction. Parents are alcoholics. Kids are alcoholics and drug addicts. Look around Southie. What do you see? You see a fucking liquor store and church on every other corner. So people can drink their life away, and then they can go and pray and ask God to make it all better.ā
While Dan has never been to treatment (āItās just not my thingā), Bobby estimates that heās been in and out of some seventy detoxes and residential treatment centers. Space in treatment centers isnāt always easy to come by, but Bobby has an advantage. His godmother, Margaret, works for a local anti-addiction community group. Margaret spends her days counseling Southie parents, shuffling their kids to treatment and drug court, and making sure her own kids donāt start using.
Bobbyās longest periods of sobriety have come in jail. Heās been convicted of drug possession and assault, serving a total of three years. āIn jail, Iām working out, Iām eating right, and Iām clean,ā he explains. āWhen I get out, I end up back in Southie, around the same people, places, and things. But I donāt want to leave my kids.ā (Bobby has two sonsātheyāre seven and tenāwho live with his ex-girlfriend.)
I ask Dan and Bobby if itās possible to stay sober in Southie. āItās hard, but itās possible,ā Dan says, standing up and pacing around the couch. āSome of my friends go to AA meetings all the time, and theyāre clean. Theyāre always like, āDan, you should come to a meeting. Dan, you can change your life. Dan, come on.ā But thereās a lot of cliques in AA and stuff. Iām not a person who deals well with cliques and phonies, you know? Plus Iāve probably had a run-in with half the people in the room at AA. Some stupid fight over drugs, or a girl. But I can talk to people I know in AA and basically have a meeting like Iām doing right now with you. You know what I mean? This is sort of like an AA meeting right now, but without the fucking cliques. You know what I mean?ā
I donāt know what he means. This is far from an AA meeting, and while Dan desperately wants me to agree with him, Iām uncomfortable supporting his rationalizations. āI donāt know,ā Dan continues. āMaybe in the future Iāll go. I want to get into the Marines, and Iāll have to be clean for that. But if I donāt do the Marines, Iāll probably start going to AA.ā
Dan sits down and squeezes his book tight. Bobby takes a big bite out of his pizza, smacking loudly as he chews. I ask Bobby if he has plans to return to treatment. āIāll go back soon enough,ā he says. āIāll get sick of this life, like I always do, and Iāll go.ā
āWhen?ā I ask him.
āIāll go when I go. I donāt know.ā
āHI, FOLKS, MY name is Marvin, and Iām an alcoholic.ā
āHi, Marvin!ā
As I survey the crowded room of gray-haired grandparents with hearing aids, walkers, and oxygen tanks, I have to remind myself where I am. This is not Friday night bingo. This is an AA meeting unlike any I have seen. Once a week, the Hanley Center in West Palm Beachāone of the few treatment centers in the country with a program designed specifically for seniorsāhosts a Sober Seniors meeting, which is open to both current patients and addicts from around the area. At thirty, Iām the youngest person here by some twenty years.
Itās Marvinās turn to hand out sobriety chips, and he gets right down to business. (Sobriety chips are coins signifying that a person has attained a period of sobriety.) First is the āsurrender chip,ā meant for those who want to affirm their willingness to do whatever it takes to stay sober today.
āI picked mine up here two years ago,ā he tells the group of about thirty-five seniors. āAnd thanks to my higher power, I still havenāt had a drink. I rub it every day! So, who wants to start a new way of life today?ā An elderly woman with gray hair and a slow, defeated gait makes her way to the front of the room, where Marvin hands her a chip and a bigger hug than she anticipated.
(During AAās early years, many members didnāt believe women could be ārealā alcoholics. In an AA newsletter published in 1946, a male member specified eleven reasons why women shouldnāt be allowed in meetings, including āwomen talk too much,ā āwomenās feelings get hurt too often,ā āso many women want to run things,ā āmany women form attachments too intenseābordering on the emotional,ā and āsooner or later, a woman-on-the-make sallies into a group, on the prowl for phone numbers and dates.ā The wives of some early AA members were so threatened by single and divorced women attending meetings that they demanded that men and women sit on opposite sides of the room.)
Looking dapper in a green golf shirt and khakis, Marvin, who recently turned eighty and has a heavily wrinkled face and thinning gray hair, waves another chip in the air. āAnybody else?ā he asks. āWhere thereās one, thereās two!ā When no one comes forward, Marvin moves on. āOkay, so the next chip is for thirty days. After thirty days, youāre feeling pretty good, the mind is clearing a bit. Itās a green chip, a green light if you will, to keep doing what youāre doing.ā He hands out two thirty-day chips and two bear hugs.
āSo after thirty days we have a chip for sixty days,ā Marvin says, to which he is promptly corrected by most people in the room. There is no sixty-day chip. āRight, right,ā Marvin says. āNinety days. Anyone for a ninety-day chip? By this time your mind is really starting to clear. Your life is getting better. Things are looking up! Anyone for thirty days?ā
The crowd corrects him againāheās on ninety days, not thirtyāalthough this time most people in the room find the mistake hilarious. A woman whoās been knitting quietly in a corner starts giggling uncontrollably, and a frail man slaps his knee.
Itās not the first time this group has broken out into laughter.
In his book Slaying the Dragon, William White notes that the levity of many AA meetings can surpriseāeven offendānonalcoholic professionals attending as an observer (some Twelve Step meetings are open to those wishing to learn more about addiction). āThe laughter within AA is not the superficial tittering of the cocktail party or the gallows laughter of the actively addicted,ā White writes. āThis is the boisterous, knowing belly-laughing of healing.ā
When everyone settles down, Marvin, whoās still smiling, decides to use his forgetfulness as a life lesson. āSee,ā he tells the group. āThis is what happens when you drink too much in your life! Let me be a warning to you all.ā
Later that afternoon, Marvin invites me t...