While Chicagos figures present a stark contrast between that of the rest of the state, the reality is not as severe as the numbers portray. The citys claims did increase at a faster rate than the state of Illinois, but, based on population, the citys proportion of opioid-related claims is much smaller than the states. The contrast between urban and rural abuse rates on display in Illinois mimic the trends in other parts of the nations, like New York. Chicago represents just over 20 percent of the states population, but only 14 percent of its insurance claims relating to opioid abuse. Similarly, New York City comprises some 43 percent of the states population, but only 13 percent of its opioid claims. The rise in opioid use is directly correlated with the uptick in heroin abuse in the U.S. Patients get prescribed opioids for long-term pain management, and their prescriptions become more and more expensive over time. To cut costs, patients switch to a much cheaper option available without a prescription: heroin. Heroin use in the U.S. has risen five-fold over the past decade , with dependence rates more than tripling during that same period.
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