Pain from injuries treated with opioids opening the door to dependence, coupled with depression from loss of work setting it in? Given the dire state of disability benefits this wouldn't be a susprising pathway.
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And this would surprise anyone . . . why, exactly? Opioids are primarily painkillers. Like it or not, they're very good at that job. So: injured worker ends up in hospital, is prescribed opioids because they're the most readily available thing that will actually help, and either has an addictive response or is cut off while they're still in pain. Or they don't want to go to the hospital at all, but it still hurts, and the Tylenol they were told to take won't help because Tylenol is mostly useless for many types of pain. So they turn to illegal sources, meaning that they're taking stuff whose content and dosage isn't regulated. My cat could figure out why that results in opioid overdoses.