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That distinction rewires the system: Primary care becomes the control plane Maintenance eclipses induction as the economic core Payers shift from episodic math to lifetime value Competition moves from discounting to retention Scale becomes structural, not aspirational This is the same inflection statins triggered in the 1990s

McKay J, Ho S, Jane M, Pal S

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Early intervention, particularly among youth, is critical to preventing overdoses, avoiding serious long-term health consequences, and reducing the risk of decades-long addiction. The budget cuts will also reduce funding for programs that provide the overdose reversal medication Narcan (naloxone) to first responders, which could jeopardize recent progress in combating the opioid crisis, he adds

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