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Plot Summary


The film begins with an advertisement for New West Recovery (NWR), a rehabilitation center in Los Angeles, founded by the former addict, Vin. In his narrative, Vin takes pride in the transformative power of the Affordable Care Act, which he claims has made drug addiction and recovery recognized pre-existing conditions. This shift has sparked a massive industry of treatment clinics throughout Southern California.

Meanwhile, in Columbus, Ohio, a homeless couple, Utah and Opal, resort to robbing convenience stores to finance their drug habit. Opal also supplements their income by engaging in sex work for truck drivers. While out panhandling, they cross paths with NWR sponsor Wood, who offers them a meal and a chance at rehabilitation. Initially, Opal perceives Wood as a religious zealot, yet he clarifies that he simply seeks to provide drug recovery options. Ultimately, Utah accepts his offer and heads to Los Angeles with Wood, while Opal, deeply entrenched in addiction, opts to remain in Ohio.

A few weeks later, it’s evident that Utah is making progress, and he tries to convince Opal to join him. However, she remains unyielding and uninterested in treatment. With Wood’s encouragement, Opal finally chooses to become a patient at NWR, which brings Utah a financial reward for his referral. Utah, now following in Wood’s footsteps, becomes involved in multi-level marketing for NWR, reaping significant profits from other referrals, inflated medical tests, and unnecessary procedures. Vin, through his narration, boasts about his intricate schemes, while Utah grapples with his conscience.

Initially, these fraudulent activities seem to be harmless and victimless; however, the situation escalates when the unethical Dr. Riner demands a larger share of a controversial procedure and belittles both Wood and Utah. In a fit of rage, Wood kills Riner and conceals his body. Following this incident, Vin advises Wood and Utah to leave town temporarily and maintain a low profile.

Not long after, Vin arranges for Utah to meet with a new referral at LAX. Before they even set foot in NWR’s facility, Utah allows the patient one last fix. In a tragic turn, as the man succumbs to unconsciousness, Utah succumbs to temptation, resulting in a fatal overdose. It becomes evident that Utah’s vulnerability to relapse was deliberately exploited by Vin to tidy up the aftermath of Riner’s murder.

The film concludes with an epilogue highlighting alarming statistics on addiction and overdoses, underscoring the prevalence of similar criminal enterprises like NWR, and asserting that twelve-step programs remain the most effective and cost-free means of treating addiction.

Timeline


Advertisement for New West Recovery

The film opens with an advertisement for New West Recovery (NWR), a rehabilitation center based in Los Angeles. Founded by Vin, a former addict, he emphasizes the transformative effect of the Affordable Care Act on addiction treatment accessibility.

Los Angeles, California

Utah and Opal's Struggles

Meanwhile, in Columbus, Ohio, a homeless couple named Utah and Opal struggles with their drug habits. To support their addiction, they resort to robbing convenience stores and engaging in sex work, showcasing the desperate lengths they go to.

Columbus, Ohio

Encounter with Wood

While panhandling, Utah and Opal meet Wood, a sponsor from NWR. He offers them a meal and presents an opportunity for rehabilitation, attempting to provide hope amidst their dire circumstances.

Utah Heads to Los Angeles

After initially refusing help, Utah ultimately decides to accept Wood's offer and travels to Los Angeles for rehabilitation. Opal, still entrenched in addiction, chooses not to join him and remains in Ohio.

Los Angeles, California

Opal Enters Treatment

Weeks later, Utah encourages Opal to join him in treatment, but she is resistant. Eventually, with Wood's support, she decides to enter NWR, leading to financial benefits for Utah as a referral.

NWR, Los Angeles, California

Utah's Involvement in NWR

Utah starts to engage in multi-level marketing for NWR, making money by referring other patients. Despite initial successes, he struggles with ethics as the business relies on inflated medical tests and unnecessary procedures.

NWR, Los Angeles, California

Confrontation with Dr. Riner

Tensions rise when the unethical Dr. Riner demands a larger cut from a controversial procedure. He belittles Wood and Utah in the process, escalating conflicts within the treatment center.

NWR, Los Angeles, California

Murder of Dr. Riner

In a moment of rage, Wood kills Dr. Riner after a heated confrontation. The act adds a dark twist to the burgeoning treatment industry and leaves both Wood and Utah grappling with the consequences.

NWR, Los Angeles, California

Vin's Advice

After the murder, Vin gives Wood and Utah advice to lay low and leave town temporarily. The recommendation underscores the urgency to hide their criminal actions amidst the rising tension and fear of being caught.

Tragic Overdose Incident

At LAX, Utah meets a new referral who he allows to take one last fix before entering NWR. Unfortunately, this decision leads to a fatal overdose, highlighting the vulnerabilities surrounding addiction.

LAX, Los Angeles, California

Utah's Downfall

In a moment of weakness, Utah succumbs to temptation during the referral's overdose. This tragic turn of events portrays the exploitative nature of NWR's operations and illustrates the perilous journey of recovery.

NWR, Los Angeles, California

Epilogue on Addiction

The film concludes with an epilogue that highlights alarming statistics on addiction and the prevalence of similar criminal enterprises like NWR. It suggests that twelve-step programs remain the most effective, yet often overlooked, means of treatment.

Characters


Vin (Frank Grillo)

Vin is a charismatic yet manipulative figure who seems to genuinely care about recovery but ultimately exploits the system for profit. His narrative drives the film, showcasing the darker side of the recovery industry.

🧠 Manipulation 💼 Business

Utah (Jack Kilmer)

Utah is a deeply flawed character whose longing for recovery is overshadowed by his vulnerabilities. His journey illustrates the danger of falling back into addiction and the consequences of exploitation from those around him.

💔 Struggle 😔 Vulnerability

Opal (Alice Englert)

Opal represents the struggles of those still caught in addiction, grappling with her choices and the influence of her environment. Her initial refusal to accept help highlights the complexity of addiction.

💔 Denial 😞 Despair

Wood (Michael Kenneth Williams)

Wood is portrayed as a complex character who genuinely wants to help but also gets swept up in the morally dubious aspects of the recovery business. His actions highlight the precarious balance between care and exploitation.

🤝 Help ⚖️ Complexity

Setting


Time period

The film is set in a contemporary time period, reflecting current societal issues related to drug addiction and recovery. It also addresses the impact of modern legislation like the Affordable Care Act on treatment accessibility.

Location

Los Angeles, Columbus, Ohio

The movie takes place primarily in Los Angeles, known for its vibrant recovery communities and the significant presence of treatment clinics. Columbus, Ohio serves as the backdrop for the struggles of Utah and Opal, showcasing the challenges faced by many in smaller urban areas dealing with addiction.

🏙️ City 🌆 Urban

Themes


💔

Addiction

Addiction is a central theme of the film, showcasing the struggles of individuals like Utah and Opal as they navigate their dependencies. The film highlights the harsh realities of substance abuse and the difficult choices that come with it.

💰

Exploitation

The theme of exploitation is pervasive, as characters manipulate the drug recovery process for profit. Utah's journey illustrates the moral dilemmas involved in taking advantage of vulnerable individuals for monetary gain.

🚫

Corruption

Corruption within rehabilitation clinics is another critical theme, illustrating how unethical practices can pervade systems meant to help. The film condemns the fraudulent activities that undermine true recovery.

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