They're emaciated wraiths living in the margins of society and making their money through a combination of drug dealing, panhandling, and ATM-based murder. Those drug addicts exist. And so do these:

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She snorts it right off the breast pump.

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Researchers from the great schools of America's meth belt (the Crystal League?) have concluded that meth use is often seen as a necessity:

"The long hours and tedious work in oil fields, agriculture, construction, ancillary health care, and fast food restaurants may be more tolerable on methamphetamine. Users report using meth to provide the energy to work multiple jobs or be a good mother."

And that's a critical part of the whole meth story. It's a stimulant, and large numbers of people rely on it because they need more energy than 60 hours of manual labor and three kids leave them with. Is all that meth helping their lives out in the long run? Of course not, but they aren't living the party life 24/7. They're doing a bump before their 16-hour shift at Walmart, because have you ever had to work a 16-hour shift at anything?