The United States is dealing with a major public health crisis. 

Over the last decade, heroin-related overdose deaths have nearly quadrupled. The epicenter of this epidemic is New Hampshire, with the highest rate of young adults abusing opioids in the country. 

The state is also second to last in the nation on spending for substance abuse programs. 

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Unless New Hampshire residents are able to pay thousands of dollars up front for programs, they’re on months-long waiting lists to get in, leaving them vulnerable to fatal overdoses.

VICE News goes to one state facility that is readily providing substance abuse treatment — the New Hampshire Department of Corrections.