Chasing the Scream

In the pharmacies, morphine had cost two or three cents a grain; the criminal gangs charged a dollar. The addicts paid whatever they were told to pay.
The world we recognize now—where addicts are often forced to become criminals, in a desperate scramble to feed their habit from gangsters—was being created, for the first time. The Williams brothers had watched as Anslinger’s department created two crime waves. First, it created an army of gangsters to smuggle drugs into the country and sell them to addicts. In other words: while Harry Anslinger claimed to be fighting the Mafia, he was in fact transferring a massive and highly profitable industry into their exclusive control.

Second, by driving up the cost of drugs by more than a thousand percent, the new policies meant addicts were forced to commit crime to get their next fix.

Henry Smith Williams assumed that Anslinger—and prohibition—were rational, like him. They were not. They are responses to fear, and panic. And nobody, when they are panicking, can see the logical flaws in their thought.
Harry worked very hard to keep the country in a state of panic on the subject of drugs so that nobody would ever again see these logical contradictions. Whenever people did point them out, he had them silenced. He had to make sure there was no room for doubt—in his own head, or in the country—and no alternative for Americans to turn to.

There would be many more bullets, but I was going to learn on my journey that Arnold Rothstein has not yet died. Every time he is killed, a harder and more vicious version of him emerges to fill the space provided by prohibition for a global criminal industry. Arnold Rothstein is the start of a lineup of criminals that runs through the Crips and the Bloods and Pablo Escobar to Chapo Guzman—each more vicious because he was strong enough to kill the last.

[…]

And I was going to see that, like Rothstein, Harry Anslinger is reincarnated in ever-tougher forms, too. Before this war is over, his successors were going to be deploying gunships along the coasts of America, imprisoning more people than any other society in human history, and spraying poisons from the air across foreign countries thousands of miles away from home to kill their drug crops.

That is when Marisela heard rumors that started to make it possible to make sense of this whole story. Sergio, she was told, is a Zeta. That is why the police would not touch him. That is why he kept escaping. When Marisela got her final lead on where Sergio was, the police were finally honest with her. “If he’s with the Zetas, we’re not going to be able to do anything, because they run the state,” they told her. “If we do a bust, it’s because they allow us to do it. We don’t bust people just like that.” They were apologetic, but they explained that the Zetas give them money if they serve them and death if they don’t.

I knew what caused addiction before I even left London. We all do. As a culture, we have a story about how addiction works, and it’s a good one. It says that some substances are so chemically powerful that if you use them enough, they will hijack your brain. They will change your neurochemistry. They will give you a brain disease. After that, you will need the drug physically. So if you or I or the next ten people you pass on the street were to use an addictive drug every day for the next month, on day thirty, we’d all be addicts. Addiction, then, is the result of repeated exposure to certain very powerful chemicals.

When I looked at the people I love who have become addicts, that is what I believed had happened to them.

Suddenly, the slightly depressing debate at the start of the drug war between Harry Anslinger and Henry Smith Williams—prohibition forever versus prescription forever—seems bogus. But in this clinic, they have discovered that that isn’t the real choice. If you give hard-core addicts the option of a safe legal prescription and allow them to control the dose, the vast majority will stabilize and then slowly reduce their drug consumption over time. Prescription isn’t an alternative to stopping your drug use. It is—for many people—a path to it.

I try now to picture Harry as the first dose of opiates washes through his system and it makes him still and calm. What does he think in that moment? Does he think of Henry Smith Williams and Billie Holiday and his order to his agents to “shoot first” when they saw drugs? Does he think of the scream he heard all those years before as a little boy in a farmhouse in Altoona, and of all the people he had made scream since in an attempt to scrub this sensation from the human condition—or does he, for a moment, with the drugs in his hand, hear, at last, the dying of the scream?