Wow. What a mixed feeling of gratitude and saddness I get. I, too, had a "white trash" upbringing but was a little better off than others in my neighborhood. I remeber feeling such a sense of recognition when I read his "Koolaide Junkie" story and still think about the pet shop in "Abortion: everytime I scractch the "lonely " place behind one of my dog's ears.
Iam a therapist and had a client read him and she asked the next session, "Is he still alive.' When I told her no and why she said, "See, I knew they'd get someone like him."