I'm not saying its a sole reason, but its a big reason that no one talks about and it may explain PHARMACEUTICAL abuse.Even in the 60's and 70's, whites made up the majority of heroin users in the country. I'm sure the latent racism of white doctors played a role, just not as large a role as the article suggests. The vast majority of the new heroin users were white kids who took prescription recreationally . The argument that they were innocently hooked because of a bad ankle sprain is specious because it masks white abuse of drugs and frames it as a mistake due to prescription happy doctors and not due to personal choice. Secondly, heroin use is now heavily stigmatized in the black community because of the 60's and 70's, plenty of people lost family members to the needle. This had a chilling effect on would be new black users. Had plenty of family members tell me they'd rather I smoke weed than ever fukk with "heron." Anecdotal but still. Racist assumptions about black pain tolerance held by white doctors is a piece of why black people may have avoided this wave, but it seems to be an incomplete explanation as to why most heroin users nowadays are white. Plenty of pill mills out here who will gladly write a script to anyone who will pay for a fake pain assessment.
Specifically with respect to the modern crisis, we are seeing in relation to pharmaceuticals. This is different from street drug use. Which has declined generally.
PILLS alone would easily be explained by this.
Yeah, culture matters in terms of black history, but I think you're not appreciating the impact that the under-prescription of opioids to black patients may have ended up saving lives.
Think about it. Doctors have been saying for years they need to reduce many of these prescriptions. Whats not to say they saw blacks as additionally already being undeserving of the prescriptions on top of controlled efforts to reduce access to the pills.