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.