Carri Casteel and Jennifer Brockman, Iowa View contributors Published 9:20 a.m. CT Feb. 16, 2020 The national opioid epidemic is already here, and it's likely to get worse before it gets better. While the opioid crisis has not reached the levels in Iowa that it has in some other states, it’s still causing significant health problems. The opioid crisis in Iowa continues as a public health menace, killing hundreds of people a year and causing untold economic damage.