Honestly, it looks like a bunch of manure and balderdash. (But I expect nothing less from the BBC.) Opioid death is not evenly distributed through the US, impacts West Virginia the hardest, as well as D.C. and impacts white males the most. But the real cause of the problem is ... wait for it ... because it involves the nation that the loyal puppet of Winnie the Pooh loves from his/her UK home ...
The Opioid Epidemic: Costs, Causes, and Efforts to Fight ItBetween 1999 and 2010 the rate of opioid prescriptions in the United States quadrupled, culminating with enough pharmaceutical opioids in circulation for every American to have their own prescription bottle.[9] The addictive nature and historic over-prescription of opiates are at the root of the epidemic.[10] Of equal and perhaps more immediate concern, however, is the alarming growth in the number of deaths related to non-prescription fentanyl, heroin, and synthetic opioids, which now represent over half of all fatal opioid overdoses.[11]
Fentanyl—which can be mostly sourced to China, often with final manufacturing and packaging occurring in the United States[12]—is 100 times more powerful than morphine and 50 times stronger than heroin, roughly 94 percent of which enters the United States from Mexico.[13] Potency and low manufacturing costs have led to an increased street presence of fentanyl. Unaware of the strength of their narcotic, unsuspecting users are overdosing on fentanyl-laced heroin and synthetic opioids at an alarming rate.
The number of fentanyl-related deaths in the United States rose by 92 percent last year and is expected to fuel increased opioid overdoses in the years to come.[14] In fact, four out of every five heroin users started their addiction by abusing prescription opioids and transitioned to illegal substances because the prescription drugs were “far more expensive and harder to obtain” than illegal opioids.[15],[16]
A true student of history will note the beautiful symmetric irony here, especially with the Opium wars between the UK and China in the 19th century. Of course today "Britain" doesn't rule the waves, the US does, so the long term strategy to become the only super power on the planet involves crushing the eggs of the US, not the UK, but it's still wonderful irony.