Long-time friends and partners in their efforts to maintain an addiction that spans three decades, Spoons and Country agree that, statistically, they should be dead.
Both men call Pittsburgh “home” and vacillate between temporary housing, living on the street and short periods of sobriety. Both also carry Narcan and take turns getting high just in case one must resuscitate the other. Though their minds and bodies are slaves to the drug, Spoons and Country both have moments of clarity and insight where they express desire for a life free from addiction.
The state of Pennsylvania has the fourth highest fatal overdose rate per capita in the country (CDC) and in Pittsburgh, the number of annual, reported overdose deaths has more than doubled since 2014—with 737 in 2017.
In January 2018 Pennsylvania Governor Tom Wolf declared the heroin and opioid epidemic a statewide disaster emergency.