Bloomberg Businessweek

Where County Lines Mean Life and Death

Two Ohio counties have divergent approaches to the opioid epidemic

In southwest Ohio, people die from drug overdoses at more than double the national rate. In the future, whether people survive could hinge on the county they’re in.

The sheriff in Butler County this summer declared that his officers wouldn’t carry medication to reverse overdoses. In Middletown, a city of 49,000 that straddles the county line, Dan Picard, a council member frustrated by the costs of battling the opioid epidemic, went further, suggesting ambulance crews shouldn’t

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