As an emergency medicine physician I see victims of opiate abuse every day. This is a multifaceted problem involving medicine, economics, psychology, etc. From a medical perspective pain is multifactorial and physicians (as well as NP and PA providers) feel pressure to prescribe opiates for pain which may not rise to that level. A comprehensive approach would include reform to federal medical mandates (patient satisfaction surveys which keep physicians from practicing best medicine), addiction treatment, criminal justice reform. This can only occur on the federal level.