Every fatal opioid overdose means our system has failed to provide treatment. A patient of mine — I’ll call him John — overdosed and almost died last year. After missing a visit in our addiction treatment clinic, he was brought in to the emergency department after being found nonresponsive in his car. John’s close call could have been avoided. When he had first come to our clinic months before, worn-down from years of addiction to heroin and prescription opiates, he was ready to change his life and get treatment.