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Carmall Casey, right, is embraced by Maxine Piper, a longtime friend and a source of support through Casey's addiction to opioids and battle with chronic pain, at her home in Black River, Tasmania, Australia, Tuesday, July 23, 2019. Casey doesn't know what she'll do when the pain returns. But she says she will never return to opioids. "I'm not going back," she says and begins to weep. "I'm not." (AP Photo/David Goldman)

Carmall Casey, right, is embraced by Maxine Piper, a longtime friend and a source of support through Casey's addiction to opioids and battle with chronic pain, at her home in Black River, Tasmania, Australia, Tuesday, July 23, 2019. Casey doesn't know what she'll do when the pain returns. But she says she will never return to opioids. "I'm not going back," she says and begins to weep. "I'm not." (AP Photo/David Goldman)

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