The film documents prescription drug abuse in rural Southern West Virginia, based in the town of Oceana and surrounding Wyoming County.

Oceana was once a coal mining town that prospered, but in recent years, has been faced with poverty and addiction.

[4] Oxycodone's introduction to the town in the early 1990s has led to widespread addiction.

Many residents are involved in the drug trade, with one woman in the video stating "you either work in the mines or sell pills."

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