Perhaps the lower workforce participation is causing the opioid crisis.
The real culprit may have been Big Pharma pushing Oxycontin into clinics all across America for profit reasons; there is evidence that many opioid users got hooked on Oxycontin first and then moved over to dirt cheap heroin from Mexico once the former drug became too expensive and/or unavailable.
http://www.latimes.com/projects/la-me-oxycontin-part2/
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