Poping pills
The ladies living in DSO (desert) are as you guessed it are from the land of the free and the home of the popping pill culture. It is probably not their fault. They are living far from home in a vastly different culture and not making as much money as they did in the states so their quality of life has gone down. They would probably all like to be living back in the states but put a good face on it and the pills help big time. Pop away ladies, we are all there for you!