Hint: It's spelled M-E-D-I-C-A-I-D, and its expansion under ObamaCare made access to opioids cheap and easy for far too many people, including the ones who want to obtain them illegally.
Guess what appears to be the single greatest contributor to the opioid crisis
I'm convinced that an awful lot of the opioid crisis owes simply to current cultural attitudes about drugs, which is to say medicating everything from a sore back to a bad mood is not only fine but encouraged. And altering the workings of your brain just so you can escape reality for awhile? That's "recreation."
No drug abuse problem is quite as serious without these sad societal trends. You don't need to medicate every little thing, and you can have lots of fun in life without altering your consciousness. I don't know why that's hard for people to understand, but I guess you're never going to understand anything if you just plain don't want to.