I wrap up my discussion of the drug crisis. I begin with discussing the fact that the US appears to be unique in the rate at which overdose deaths are increasing. This is not quite true, but there are some peculiarities which make the US a nice juicy target if you were interested in selling opioids, and other drugs, this goes both for legal and illegal drugs. Given the scale of the problem we've discovered a lot of things that don't work, and a one big thing that made the problem worse (the pandemic). But we don't have a lot of good ideas for how to fix it. Nevertheless I offer up some ideas.