The herb kratom has a large following and is so popular that it is sold in vending machines. The FDA recently issued a public warning about the herb, which contains low levels of opioids.
Many who need help with opioid addiction live far from dedicated treatment centers.
Dependency on opioid painkillers reflects what we already know about life in the small towns of Australia - people tend to have poorer health.
The number of people dying from opioid overdose continues to rise, in part because of cheap street drugs. Yet the price of a drug used to treat addiction is out of reach for many.
West Virginia favored Trump by more than 2:1 in the 2016 election, but Trump's policies would particularly hurt the state. Its residents depend heavily on Medicaid to treat opioid addiction.