In the 1980s, when people were just beginning to talk about AIDS, there were just a few categories of those who were at high risk: homosexuals, hemophiliacs, heroin addicts, and Haitians. We were the only ones identified by nationality.

I could not kick heroin to save my life, literally, until I started telling my secrets. It was some of the clearest evidence I've ever found of anything. It was the only immediate change in behavior I've ever undergone. I told the most frightening truths, and I was free.

I've never done anything that I felt was crossing the line for me. But everybody has to make that decision individually. Like, I've never shot heroin to play a heroin addict. I've never turned a trick to play a prostitute. Whatever. You draw the line where you feel it could be harmful.

I can remember years ago, when Kate Moss first came around and there were so many articles. Everyone was saying that it was heroin chic - that she was a waif, that she was anorexic. But Kate would eat just as much as anybody I knew - the media had just turned her into this thing. It must be really, really hard when you're the object of that.

What happened with the opioid epidemic is the Mexican cartels made a very deliberate, corporate decision to undercut the price of opioids. What they discovered was they could increase production, increase potency and decrease the price, and sell it for a third of what the Big Pharma could, or street dealers could, for Big Pharma pills. North America, and to a slightly lesser extent Europe, is being flooded with this Mexican heroin as a direct result of the attempt to undercut American pharmaceutical companies.

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