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Its implausible that there was an increase this large in the number of people with an opioid use disorder. The document then devotes a great deal of attention to opioid prescribing. Toward the end, there are a couple of graphics that caught my attention. First, a map showing rates of opioid use disorders. Though critical to treating opioid use disorder, the use of medication-assisted treatments (e.methadone) does not always track with rates of opioid use disorder (compare Exhibits 10 and 11).

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