> And a society that burdens people with debt causing them to work every waking moment while avoiding costly things like health care, because they might miss a day of work or become even more indebted through the cost of said health care. People just pick up opioids so they can handle the pain and keep working two jobs.

In the bottom 10-15% of the society there is some truth to what you wrote. However are you sure you are comparing that with the same segment in your country?