evidence: In 2017, around 70,200 Americans died from drug overdose. 28,466 deaths were associated with synthetic opioids such as fentanyl and fentanyl analogs, 15,482 were associated with heroin use, 17,029 with prescription opioids (including methadone), 13,942 with cocaine use, and 10,333 with psychostimulants (including methamphetamine).[90] In 2021, there was an increase in overdose deaths; more than 106,000 drug-related overdoses occurred, including deaths caused by both illegal and prescribed opioids. Of this, 70,601 deaths were caused by synthetic opioids primarily fentanyl. Additionally, 32,537 overdose deaths involved stimulants like cocaine or psychostimulants with abuse potential (primarily methamphetamine).[91] [...] In 2016, federal legislation loosened the de minimis exemption, which permitted parcels under $800 in value to enter the country duty-free with minimal inspection. The change in the de minimis eligibility led to the rapid growth in parcels coming from China, including those containing fentanyl.[139] Deaths from fentanyl in 2016 increased by 540 percent across the United States since 2015.[140] This accounts for almost "all the increase in drug overdose deaths from 2015 to 2016", according to a study published in the Journal of the American Medical Association.[76] Readily available fentanyl killed 70,000 people in 2021 alone.[20]