The Heroin Business Is Booming in America

Cartels boost profits as painkiller supplies tighten up.

Cincinnati police spend much of their time responding to heroin-related crimes.

Cincinnati police spend much of their time responding to heroin-related crimes.

Photographer: Taylor Dorrell for Bloomberg Businessweek

On a drizzly May afternoon, a man in gray sweatpants and a black Bengals hoodie sold a half-gram of heroin for $70 inside a dingy market on the west side of Cincinnati. The buyer was a plainclothes police officer; the seller was promptly handcuffed. The bust was the first of two that a team of local police would make that Thursday and one of several heroin-related cases to cross their radios: Three people overdosed, and another was caught driving under the influence. Compared with some days in their district, it was pretty slow.

Heroin has become so pervasive in cities such as Cincinnati and so profitable for the cartels that supply it that even cops admit the sporadic arrests they make have little effect. “It’s really not going to make any impact out on the street,” says Detective Brandon Connley, speaking from the damp parking lot outside the market. “Everybody and their mom sells drugs these days. There’s always somebody right there to pick back up.”