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You can blame a lot of that on Stern. When Artie was left to his own devices he was funny on Stern. His drinking and gambling in Vegas. Him and Gilbert doing Robin's news and screaming. All of the crazy stories of his life he told. His fights with the staff. His ability to get on mic and interrupt Howard and not fear for his job. It all made for good radio. Artie was great on the show from 2001 to 2005. But everything after that was continually downhill until the implosion (too soon for implosion jokes?).
What happened in 2005?
A major problem with Artie is that Stern never really reigned him in and got him to be normal and just focus on the show. Just like Howard didn't really force Artie into rehab when he was obviously drinking or using drugs. Stern also didn't stop Artie from making Beer League which was clearly too much work for Artie to take on by himself and greatly affected him negatively. Howard always loathed when his guys would use his name to plug their side gigs. He hated when guys like Gary, Fred, John, and even Robin would use his name to get themselves work outside of the show. The only person to ever be allowed to basically plug everything was Jackie because he was a proven standup comic before working for Stern. And even then Jackie knew that he had to compete with the plugs of the other staff members and forced Tom Chiusano to write the plugs into this contracts.
But Howard always hated people using his name to pick up other gigs when they were already working for him full time. It was something that Howard was very consistent with from early KROCK days. Up until today. Yet, he let Artie pitch Beer League to literally every movie distribution company by saying "Look.....I'm on the Stern....the movie will make tons of money". And told Artie that he could make Beer League and work for the Stern Show and it would not be a problem. He made the exception for Artie which is something he didn't even do for Jackie or Billy.
We might not ever know the truth of what happened with Artie. But at some point he was producing and filming Beer League and he was having trouble concentrating on all of his work. So he began using cocaine heavily. Was it because of Beer League? Comedy gigs? He's just an asshole disgrace? We don't really know. But at some point he was doing Stern, standup comedy, and Beer League nonstop for months. According to Artie, so this might be a lie, he was at a comedy gig and asked someone to get him cocaine and they got him heroin instead. And he used the heroin thinking that it was cocaine. And when he asked the guy for more the guy said "I can hook you up with a heroin dealer". So Artie began using heroin from that point on. But this trusting a junkie's word so who knows.
Multiple people on set of Beer League thought Artie was on drugs. Stern staff members did. But Stern ignored all of their warning and basically said "mind your own business". And this was during 2005 when Artie was clearly messed up. And after years of him binge drinking during live appearances and showing he had no control over his alcohol intake. Someone from Beer League contacted Stern and the radio show and said that Artie was on drugs. And others threatened to walk off of Beer League unless Artie went to rehab. Stern knew about this and so did others from the show. But Artie refused rehab. Instead Artie began using Subutex pills and trying to ween himself off of heroin which bought him another few years of using without people fearing for his life. But he never was off heroin for more than a short period. Never sober.
And the drugs for Artie basically didn't stop until his suicide attempt and his nose looked like the Titan submersible (too soon?).
You can't force a 40 year old man into rehab. Artie is a fat junkie.