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sundin13 said:

That is exactly what it means. When an addict loses their supply, they go for the next best thing. We have 20% of our population with  prescription for opioids. Prescription opioids have a misuse rate for that population of around 30%. How in the hell is that not  clear red flag? 4 in 5 heroin users started with prescriptions. How is that not  clear indicator of how prescriptions fuel demand?

It's impossible for prescription opioids to fuel demand if it's supply has been cut off from the user ... 

Heroin and synthetic opioids themselves are NOW the ones fueling demand for illicit drugs ... 

You can make the argument that prescription opioids could fuel future demand like I said before but it can not be the CURRENT problem if it does not persist being one since the substitutes are taking over ... 

Prescription opioids are the PAST but the PRESENT is heroin and synthetic opioids so we should concentrate on the latter ...