In the late '90s I frequented a needle exchange in NYC and carried a card that provided I not be arrested for possession of paraphernalia. One day after getting back from a spin dry rehab I stopped by and the place was vacant, but there was a 30 yard dumpster out front. The 30 yard is the biggest size you see at construction or demolition sites. Being street level with nothing to lose I climbed up to see what was in the can, maybe there would be stuff I could sell for drugs. It was maybe five feet deep with legal size manila file folders containing a few pages each of medical info, collected by the now vacant program. Every folder represented a dead junkie. I suspect there are many atrocities that seem new but have gone on for decades or centuries, only new due to newly being considered news. Though being able to buy kilos of fentanyl from China without any medical license does seem to have worsened the Russian roulette game. Maybe like going from six empty chambers to four.