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And also - it's not like Americans are uniquely prone to opioid addiction, why isn't the rest of the world seeing this problem on anything approaching similar scale? What are they doing differently?

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I get the impression America is uniquely vulnerable among the wealthiest nations. Private healthcare providers, a defanged health regulator, and rampant corporate bribery/advertising. Purdue salespeople lobbied doctors directly to prescribe their opioids to patients, while Purdue suppressed knowledge their incredibly addictive nature, and later offloaded blame to the addicts they largely created.

Here's a long overview of the Sackler family and their involvement in creating the opioid epidemic https://www.youtube.com/watch?v=3-dptkIZ7tI

I think you'd want to look into the Opioid Epidemic.

https://en.wikipedia.org/wiki/Opioid_epidemic

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