Surprisingly, Temple explains that most of their customers come directly from Appalachia. With 43% from Kentucky alone, a whole nation was being reached. Temple found that taking the trip is “indicative of the level of desperation most addicts feel” to obtain their next high. Becoming depended on painkillers is no different than addiction to the drugs we hear about only on television. Temple was careful enough to not give away too much more of his novel but urged the audience to understand that “we need to stop thinking these [pills and hard drugs] are a separate addiction.” The parallels Temple drew between heroin and pill addiction shocked Madison Fell, a senior at Frostburg. “Its so simple, anyone could become addicted to those things. I
