Let’s look again at the top five opioid-consumers. These are all “Portenoy states,” without a triplicate program. Nevada 1,019.9 West Virginia 1,011.6 Tennessee 938.3 Oklahoma 884.9 Delaware 881.5 Here is the per-capita opioid consumption for the same year in the Madden states. Illinois 366 New York 441.6 California 450.2 Texas 453.1 Idaho 561.1 Illinois had one-third the opioid use of Nevada and West Virginia. New York had half the problem Tennessee did. Of the triplicate states, only Idaho came anywhere close to the national average.
