The heroin epidemic in the Midwest is closely linked to the rampant opiate epidemic. As doctors prescribed opioid painkillers such as OxyContin more and more liberally, their abuse grew. Sales of prescription opioid painkillers have increased 300% since 1999, according to the federal Centres for Disease Control and Prevention (CDC), even though the amount of pain Americans report to their physicians has not changed.
Three-quarters of heroin addicts used to take prescription drugs and switched to heroin, which is cheaper and more easily available on the black market. A gram of pure heroin costs less than half what it did in the 1980s, in real terms. “This is a doctor-caused epidemic,” says Tom Frieden, boss of the CDC. In states with higher prescription rate of opioid painkillers, such as Michigan, Ohio and Indiana, the number of heroin addicts is higher too.
