In the introduction, the author talks about a drug detoxification clinic in New Mexico’s Espanola Valley. This area is where a lot of heroin addictions occur and it often results in deaths. I found the stories of the people that were apart of the clinic really interesting, particularly when John leaves the clinic and gets arrested. I took a class last semester that discussed a lot about how the physical environment/ land relates to different things. And so, I find it interesting how that is talked about here as well. More experiences of people in this area are shared in Chapter 5. And although there is a lot of drug dealing, addictions, and deaths happening, I like that the author mentions that the healthcare system is not giving the treatment that these people need. What do these personal struggles represented in Introduction and Chapter 5 say about the systemic issues in healthcare and drug detoxification clinics?