Am J Public Health volume 108, issue 2, P182-186 2018 DOI: 10.2105/ajph.2017.304187 View full text
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Nabarun Dasgupta, Leo Beletsky, Daniel Ciccarone

Abstract: The accepted wisdom about the US overdose crisis singles out prescribing as the causative vector. Although drug supply is a key factor, we posit that the crisis is fundamentally fueled by economic and social upheaval, its etiology closely linked to the role of opioids as a refuge from physical and psychological trauma, concentrated disadvantage, isolation, and hopelessness. Overreliance on opioid medications is emblematic of a health care system that incentivizes quick, simplistic answers to complex physical a…

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