Thanks for your thoughts. I'm interested to see how kratom fits into the longer-term solution. An issue right now is that its formulation is not standard, so there are different brands with different concentrations, which makes it difficult to "prescribe" as medicne. Another problem is that it's sold at smoke shops along with vape pens and paraphernalia, so people who aren't already using opioids are trying it out of curiosity and becoming accidentally dependent.