My first husband died from using the prescribed amount of fentanyl after having back surgery and being overseen by a doctor. He was 32 years old. This drug isn't safe even when used under a doctor's care. It should be illegal (except possibly for severe cancer patients who are dying anyway.) There does not need to be much, if any, manufactured. It is a complete moral failing and an absolute evil that this drug is prescribed and that enough is made that it can make it on to the streets. I don't know anything about the drug trade or how fentanyl gets into people's hands. I haven't been able to read too much about it as it is still painful even 15 years later. But I do know that too many people have died from that poison and it needs to end. Thank you for writing about it.