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Together, the separate constituencies of Oelwein’s two cafés give a sense of the pillars on which society in that town is built. Life in a small midwestern town lingers in the bars and passes weekly through the church sanctuaries. But it’s rooted in the stores that line Main Street, and on the green and yellow latticework sprawl of the farms that begin just feet from where the pavement ends. The fit is symbiotic, though not always seamless. Without the revenues generated by the likes of the 480-acre Lein operation—a sheep and corn farm twelve miles north of town—Repeats Consignment Store and Van Denover Jewelry Plus would be hard-pressed to stay in business. As life in the fields and along the sidewalks goes, so goes the life of the town, and along with it, the life of the hospital, the high school, and the local Christmas pageant, for which Oelwein is known throughout at least two counties.

And yet, things are not entirely what they seem. On a sultry May evening, with the Cedar Rapids flight long gone back to Chicago, and temperatures approaching ninety degrees at dusk, pass by the Perk and Hub City on the way into Oelwein’s tiny Ninth Ward. Look down at the collapsing sidewalk, or across the vacant lot at a burned-out home. At the Conoco station, just a few blocks south of Sacred Heart, a young man in a trench coat picks through the Dumpster, shaking despite the heat. Here, amid the double-wides of the Ninth Ward, among the packs of teenage boys riding, gang-like, on their Huffy bicycles, the economy and culture of Oelwein are more securely tied to a drug than to either of the two industries that have forever sustained the town: farming and small business. This is the part of Oelwein, and of the small-town United States, not visible from the plane window as the flat stretch of the country rolls by. After sundown in the Ninth Ward, the warm, nostalgic light that had bathed the nation beneath a late-afternoon transcontinental flight is gone.

Against the oppressive humidity, the night’s smells begin to take shape. Mixed with the moist, organic scent of cut grass at dew point is the ether-stink of methamphetamine cooks at work in their kitchens. Main Street, just three blocks distant, feels as far away as Chicago. For life in Oelwein is not, in fact, a picture-postcard amalgamation of farms and churches and pickup trucks, Fourth of July fireworks and Nativity scenes, bake sales and Friday-night football games. Nor is life simpler or better or truer here than it is in Los Angeles or New York or Tampa or Houston. Life in the small-town United States has, though, changed considerably in the last three decades. It wasn’t until 2005—when news of the methamphetamine epidemic began flooding the national media—that people began taking notice. Overnight, the American small town and methamphetamine became synonymous. Main Street was no longer divided between Leo’s and the Do Drop Inn, or between the Perk and the Bakery: it was partitioned between the farmer and the tweaker. How this came to be—and what it tells us about who we are—is the story of this book. And this book is the story of Oelwein, Iowa.

By the time I went to Iowa in May 2005, I’d already spent six years watching meth and rural America come together. The first time I ran across the drug in a way that suggested its symbolic place in the heartland was not in Iowa but in Idaho, in a little town called Gooding. I went to Gooding in the fall of 1999 to do a magazine story on that town’s principal industry, ranching. At the time, I didn’t know what meth was; it was completely by accident that I found myself in a place overrun with the drug, though the obviousness of meth’s effects was immediate. That first night in Gooding, I went to have dinner at the Lincoln Inn, a combination road house and restaurant. On Friday nights, the road crews who’d busied themselves all week paving and grading the county’s few byways descended on the Lincoln to drink beer. An inordinate number of them, it seemed to me, were also high on meth. When the sheriff and a deputy drove by in the alley around midnight, they stopped to look in through the back door. Then they got back in their cruiser and drove away. What could they do, the two of them, faced with a room full of crank users? Two nights later, I was in the bunkhouse of a nearby ranch when three Mexicans drove up in a white Ford F-150. They were meth dealers, and the oldest among them, a nineteen-year-old who gave his name as Coco and said he’d been deported three times in the last four years, explained the crank business to me this way: “At first we give it away. Then the addicts will do anything to get more.” Meth, it seemed, was just a part of life for the 1,286 inhabitants of Gooding, Idaho.

Back in 1999, very little was being written about the drug, with the exception of a few newspapers on the West Coast and a smattering of smaller ones like the Idaho Mountain Express. At the time, I was living in New York City. To read the New York Times, the Washington Post, and even the Chicago Tribune was to be largely unaware of methamphetamine’s spread throughout the United States. When I talked to friends about what I’d seen in Gooding, no one believed it. That, or they dismissed crank as one more unseen, unfathomable aspect of life in The Middle: as prevalent as corn, as inscrutable as the farm bill, and as tacky as evangelical theology. Whether I traveled to Ennis, Montana, to Merced, California, or to Canton, Georgia, local consciousness of the drug was invariably acute, even as meth somehow avoided coherent, national scrutiny. For four years, wherever I went, there meth was, as easy to discount as it was to discover; once I was back in any major American city—be it New York or Chicago—whatever I’d seen or heard lost all context. I even began to get the feeling that the drug was somehow following me around. I tried and failed on numerous occasions to convince my agent and several magazine and book editors that meth in American small towns was a major issue. Eventually, I tried to forget about it and move on. But I couldn’t ignore what I saw in November 2004, five years after being in Idaho, which is that meth had become a major feature in the landscape of my home.

I grew up near St. Louis, Missouri. Fifty-five miles away, near the town of Greenville, Illinois, is a wetland complex that is one of the more important stopover points in North America for what is annually the world’s most concentrated migration of waterfowl. I’ve duck-hunted there for much of my life, and consider Greenville to be a part of the place, largely defined, from which I come. Like St. Louis, Greenville sits in the midst of the bluff prairies and timbered hollows that once stretched along the Mississippi Valley from east-central Missouri down to Kentucky. Together, this area is a discrete subset of the southern Midwest, unified by a geography, an accent, an economy, and a cultural sensibility that is an elemental part of who I am. Hunting ducks each autumn at Carlyle Lake has always served as an annual exploration of my family’s history, for the birds that hatch on the prairies of northwest Iowa and the Dakotas migrate south, like my father did six decades ago, down the Missouri River toward the promise of St. Louis. There, they meet with great masses that have moved north along the Mississippi River, just as thousands of people have done, my grandmother included: she left an Ozark mountain subsistence farm along Ebo Creek, Missouri, and came looking for a better life on the fertile floodplain that surrounds St. Louis. Not far from where the two strands of my family came together, there’s Carlyle Lake, and the little town of Greenville, where I have always felt at home. Somehow, despite having run across meth in small towns all over the Mountain and Middle West, I had persisted in thinking that the area where I grew up was somehow immune to its presence. That all changed one night in Greenville.