West Virginia spends enormous sums on Medicaid-funded drug treatment, yet overdose deaths remain the highest in America. Addiction-driven homelessness is rising and our workforce participation is the lowest in the nation. Last year alone, the state spent more than $240 million on Suboxone and methadone-based programs. A system this expensive should not produce results this poor. It is time the state of West Virginia demanded accountability. And yes, there will be pushback from the industry. The truth is unavoidable: our treatment system is failing, and we are paying for failure. Taxpayers are totally fed up!

The core problem is structural. Our Medicaid model pays for services, not results. Providers get reimbursed whether a patient gets better or not. Repeat relapses often mean more billa

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