We are working hard to bend the curve of the opioid crisis here in Ohio. The cause of the crisis is complex and so is the remedy. Statistics examining the last several months have not yet been released, but the trend over the past several years is very troubling. When I first learned that Ohio was the epicenter of opioidmania, I was quite shocked, as I wrongly thought that this plague would spare the heartland. In contrast, it seems the heartland is ground zero. While I have no specific expertise in addiction medicine or sociology, here are my speculations on some of the contributors to the current crisis. Aggressive marketing by pharmaceutical companies. Deceptive marketing by pharmaceutical companies claiming non-addictive potential of their products. Economic decline and hopelessness. Increasing expectation by the public of a pain free existence. Physicians prescribing opioids, rather than non-addictive alternatives, in response to a new prescribing culture for th
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