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Why is Middle America so addicted to opiates?

West Virginia has the highest rate of overdose death out of any state. What's wrong with this country?
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It's an Addiction. Just like any other addiction. You want to rattle and name off. Sex addiction, Porn addiction, Alcoholism, Cheating, Lieing, Stealing, etc.

Three of my Cousins and my Aunt are both using drugs and also lie and steal. To get what they want. And every one of them either have friends that also use or know where to get everything. It's very sad. Me and my parents, have all tried to help them. Especially since one of my Cousins has two little kid's living with her. But you can't help someone that doesn't want the help or that hasn't hit there final rock bottom yet and at that place in there lives now. Where they are basically crying out for help, and will finally accept your help. Before it's too late with either Death or in Prison.