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The difference is negligible. The widespread opiate crisis in the US isn't because of street drugs and militant cartels and gangs. It's because of over prescribing of opiates by doctors overworked in understaffed hospitals, or because it's the only med insurance will cover. The end result is the same, both are corrupt private organizations that have taken power from their respective governments through flexing violence and money. And if you don't think major corporations can't be violent, just ask any number of whistleblowers who are 6 feet under.