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In Delaware, overdose deaths are up more than 50 percent in a few years, from 229 in 2015 to 345 in 2017. The state has added new funding almost every year since 2014 for substance abuse or mental health, and has added residential treatment, sober living beds, outpatient treatment and recovery response centers. Democratic Gov. Jay Carney is requesting .3 million in new funding for the upcoming budget year for 20 additional sober living beds and emergency room consultations.

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Patients receiving treatment for opioid misuse and other substance abuse disorders at U.S. health centers more than tripled from 2010 to 2016, from about 98,000 to about 421,000, according to data collected by the National Association of Community Health Centers.

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While Elehwany and other rural health advocates say the grants and loans will be helpful, they say it wont solve the most dire health care challenges in rural areas, such as doctor shortages and low reimbursement rates.

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