The coronavirus pandemic might have several interesting side effects, including a rise in tele-work or distance education , and a noted decrease in greenhouse gas emissions . One that hasn't received much attention so far is its effect on the pre-existing U.S. opioid epidemic . Many possible effects of COVID-19 on patients with opioid use disorders are negative ones. But colleagues in opioid treatment programs have noticed a marked increase in the number of people seeing help for opioid use disorders since the coronavirus pandemic began. There could be several reasons for this shift. First, it may be more difficult for people to get opioids during social distancing and with stay-at-home orders in effect. The largest single source of opioids in the U.S. is still prescription medication , and non-urgent medical care is limited at the moment. Telehealth visits are often available, but perhaps patients find it more difficult to ask their healthcare providers for opioids when ...