STAT July 11, 2024
Richard A. 'Red' Lawhern

A key part of the federal government’s narrative about the epidemic of addiction and overdose deaths in the U.S. has been that it is driven by doctors and other clinicians overprescribing opioid painkillers. That story line is false — and was never true.

The Centers for Disease Control and Prevention has traditionally relied on death certificate data compiled by the National Center for Health Statistics for its data on overdose deaths, organized as Underlying Cause of Death data using codes from the International Classification of Diseases.

In 2018, however, the CDC and the U.S. Bureau of Vital Statistics were forced to admit that they had been misattributing deaths involving illegal street fentanyl to deaths caused by “prescription” drugs. When this...

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