Part of the problem is the volume of overdose deaths from heroin and
fentanyl in the last few years, which are being attributed to opiates, which is partly true in regard to fentanyl.
Part was the huge increase in pill mills, and a huge part of the problem was primary care physicians , dentists, and others prescribing huge amounts of opiates to patients, or refilling prescriptions without actually seeing the patient in person.