Issues with heroin aren’t just something celebrities face. It’s also hitting small-town America, according to The New York Times, which published an article that examined how heroin is affecting families. The article primarily features Karen Hale, whose daughter, Alysa Ivy, died from an overdose in May 2013.

“When the actor Philip Seymour Hoffman died with a needle in his arm on Feb. 2, Ms. Hale thought first about his mother, then his children,” The Times reported. “Few understand the way addiction mangles families, she said, and the rippling toll of the tens of thousands of fatal heroin and painkiller overdoses every year. Perhaps it took Mr. Hoffman’s death, she said, to ‘wake up America to all the no-names who passed away before him,’ leaving a cross-country trail of bereavement.”

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