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Opioid abuse often starts with easily obtainable doctor scrip for Oxy for an injury and roars off from there. It doesn’t take long to spiral from small Oxy abuse to heroin to death. Big pharma is pushing this as much as Latin drug labs.

Have lots of experience with this issue. I've observed there are two types of people, those who don't want to use pain meds longer than necessary thus do not get psychologically addicted, and the others who have an emotional pain as well as physical pain which opiates are excellent at soothing. Some in this group can maintain a stable life and not escalate their daily intake of their drug of choice, And then there are those who chase the high until the addiction is out of control.

My personal opinion is that the supposed epidemic is solely caused by an educational system that makes no sense, inculcates irrational ideas, thus the most serious and intelligent kids who want to understand the purpose and meaning of life end up hopeless, helpless, lost, vulnerable to someone or thing that offers relief from chronic psychic pain. I formed this opinion watching my high school mates in the 60’s dropping LSD and dropping out after years of American style dumbed down schooling.