All this Nirvana hate aside, what most people forget about Cobain was that he had chronic bronchitis and was always in a lot of freaking pain from other **** too. And so while this is not an excuse for his behalf or anything, I often think that his heroin use (and the image that resulsted) was begun in order to escape from this pain that plagued him daily. The addiction that ensued is probably what caused him to go over the edge in the first place.
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