Tarryn Vick and her best friend, Anjelic Baker, line up every morning before dawn outside a methadone clinic in the Grays Harbor town of Hoquiam. On this day, the talk among those in line is whether they all might lose their health coverage if Republican lawmakers repeal the Affordable Care Act. Without insurance, Vick and Baker would likely be unable to get their daily cup of pink liquid that prevents the sickness of withdrawal that strangles so many addicts' attempts to get clean.

"Recovery is like chasing a freight train; it's the hardest thing you'll ever do," Vick says. "I enjoy being clean. But I can't say I could stay clean if I lost insurance. We would all be too sick."