Hasn't the opioid epidemic really screwed up a lot of rural America? I see interviews online, and it seems like half the people are struggling with addiction. A

Hasn't the opioid epidemic really screwed up a lot of rural America? I see interviews online, and it seems like half the people are struggling with addiction. And a lot of others are loaded up with prescription psychotropics. These things may be related, what with "self-meducation". And perhaps there are selection effects -- the mentally well ones got out? But there's some kind of cocktail of drugs and mental illness out there.