He grew up in Middletown, Ohio. Even if she hadn’t been stealing drugs from patients, I know the drug scene there well enough to know plenty of dealers are white. But also the opiate epidemic in the rust belt wasn’t some cartel thing, it’s simple: the jobs left, nobody had any hope left, and suddenly that injury you got from doing manual labor for years wound up with this new painkiller the doctor was told isn’t addictive.