The opioid crisis has profoundly impacted West Virginia, where over 780 million doses of opioids were distributed between 2007 and 2012, leading to 1,728 fatal overdoses. The crisis has resulted in severe socioeconomic consequences, including 84% of children in foster care due to parental substance use disorders and an annual economic loss of $8.8 billion, surpassing 12% of the state's GDP. The document argues for treatment and prevention as more cost-effective alternatives to criminal justice responses.