I agree that substance abuse is no more than a form of self medicating underlying issues and I fear this will never change as long as we focus on the issue as Trump’s “Opioid Crisis.” We need to focus on a solution and that would be improving our mental health care system here in America (as I cannot speak for other countries.) No one wakes up one day and randomly decides they’re going to become addicted to heroin but once they are addicted there’s limited resources to aid them in their recovery.