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None of these. Why should we look to blame someone? At the core of this issue as well as many in the US, we are in the midst of a mental health epidemic. The medical system in this country does not care about preventative care, the primary directive is triage.

Why are people using drugs at staggering quantities? Whether it is "recreational" or seemingly necessary, mind-altering substances are being used for a reason and I don't think this country has a good answer to why. We certainly do not have a good way to solve this problem.