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Good policies can reduce the number of addicts to the minimum (there will always be a subset of the population that will fall into addiction but it can be low enough to not be a public health concern). Practically everything America does, from extreme inequality, normalised predatory capitalism, no public healthcare, rent seeking drugs companies who push opioids on vulnerable patients, terrible social policies and pathetic public schooling etc etc is counter productive to reducing the number junkies.

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