Stimulant Users Are Caught in Fatal ‘Fourth Wave’ of Opioid Epidemic
The migration of fentanyl into illicit stimulants such as cocaine is especially dangerous for people who are not regular opioid users. That’s because they have a low tolerance for opioids, putting them at greater risk of an overdose. They also often don’t take precautions — such as not using alone and carrying the opioid reversal medication naloxone — so they’re unprepared if they overdose.
More Patients Are Losing Their Doctors — And Trust in the Primary Care System
A shortage of primary care providers is driving more people to seek routine care in emergency settings. In Rhode Island, safety-net clinics are under pressure as clinicians retire or burn out, and patients say it’s harder to find care as they lose connections to familiar doctors.
