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A man injects a shot of heroin near a heroin encampmentin the Kensington neighborhood of Philadelphia, Pennsylvania, on April 14, 2017. In North Philadelphia, railroad gulch as it is known, is ground zero in Philadelphia's opioid epidemic. At the camp, and throughout the nearby area, a user can buy a bag of high-grade heroin at a low price and even pay to have another person inject them if for any reason they are unable to inject themselves. For several individuals, the addiction process was a slow one that started with a doctor's prescription for pain pills after an accident or surgery, and by the time the medication was finished, a dependency was born. After seeking black-market pills to feed their addiction, the simple economics of heroin won out: the price of a single pill could fetch anywhere between 2 and 10 bags of heroin, a savings that's hard to ignore when an insurance company is no longer underwriting the cost. / AFP PHOTO / DOMINICK REUTER (Photo credit should read DOMINICK REUTER/AFP via Getty Images)

A man injects a shot of heroin near a heroin encampmentin the Kensington neighborhood of Philadelphia, Pennsylvania, on April 14, 2017.


In North Philadelphia, railroad gulch as it is known, is ground zero in Philadelphia's opioid epidemic. At the camp, and throughout the nearby area, a user can buy a bag of high-grade heroin at a low price and even pay to have another person inject them if for any reason they are unable to inject themselves. For several individuals, the addiction process was a slow one that started with a doctor's prescription for pain pills after an accident or surgery, and by the time the medication was finished, a dependency was born. After seeking black-market pills to feed their addiction, the simple economics of heroin won out: the price of a single pill could fetch anywhere between 2 and 10 bags of heroin, a savings that's hard to ignore when an insurance company is no longer underwriting the cost.

 / AFP PHOTO / DOMINICK REUTER        (Photo credit should read DOMINICK REUTER/AFP via Getty Images)