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Art Schut, the head of Arapahoe House, another Denver rehab clinic, tells me that many of the heroin addicts he sees now are well-off young people of college age who get into heroin via OxyContin or similar pills. "Most of them are middle or upper-middle class, and the pathway is prescription drugs. Prescription drugs are pure, they're medicine, we think they're good for us. It's a pretty easy step," he says. Nationwide, two-thirds of America's heroin addicts started off by abusing prescription painkillers.