" Cocaine and methamphetamine—the popular drugs through the 1980s and 1990s—are damaging drugs, but people don’t often fatally overdose on them. Heroin, which people do overdose on, hadn’t been a sustained problem since the 1970s. Drug overdoses in Ohio had remained pretty constant for decades. "

― Sam Quinones , Dreamland: The True Tale of America's Opiate Epidemic