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The analysis was never associated with Trump; it was associated with people and communities that eventually decided to vote for Trump. Most of these people were, presumably, extant for most of the past 20 years when the opioid crisis was developing.
WTF are you talking about? Of course it was associated with Trump. Did you read the study?
Objective To explore the overlap between the geographic distribution of US counties with high opioid use and the vote for the Republican candidate in the 2016 presidential election.