Moreover, I'm not at all clear on what prescription painkillers have to do with this except as a symptom of underlying economic precariousness and social isolation.
Vicious cycle, et cetera (although the drug of choice in my particular corner of depressed small-town America is heroin. It gets passed up from dealers in Springfield as part of a perverse barter economy also involving guns coming down from Vermont).
I'm perfectly willing to admit that I emptyquoted the answer that's most to blame for the problems
in my particular area without really considering whether or not my area is representative.