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A bottle of prescribed morphine lays open. Light blue morphine tablets surround the bottle. Credit card appears out of focus in the background.

"Right this minute I’m detoxing like hell,” James, an opioid user, said.  On top of feeling fatigued but unable to sleep, his weakened muscles are draped in a relentless ache. These are the unbearable symptoms of withdrawal.

James was run over by a city bus in Cleveland, Ohio when he was 13 years old. For six days the doctors pumped him with morphine. That’s when his addiction started, he said. 

Eighteen years later, James, 31, is on disability and still addicted to painkillers. It doesn’t help that he lives in Florida, he says, where demand for oxycodone and other opioids remains high despite a federal cracking down on crooked pain clinics. 

“I've tried like hell to get help or quit by myself but I just keep falling back in,” he said. 

Addiction runs in his family. His father died of a heroin overdose when he just 9 years old. His family history, coupled with grieving the death of his father, left him uniquely vulnerable to addiction. But the doctors treating him for his bus injury didn’t know any of this, because they...