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The majority of Medicare opioid prescriptions originate with family practiceand internal medicine providers.  I show that the average number of Medicare opium prescriptions by theseproviders vary strongly by state and that 54% of the variance is accounted forby the state median household income. I also show that there is a very similarrelationship in opioid claims per capita and per Medicare recipient.  In all cases Alabama is the state with the most claims and Hawaii is thestate with the least claims.

The Opium for the Poor Is Opium. Medicare Providers in States with Low Income Prescribe High Levels of Opiates