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Besides alcohol, substances like marijuana and cocaine are also common among active duty service members currently in the military, however, due to the fact that testing positive to a random drug test could lead to a dishonorable discharge, many military members develop problems associated with alcohol or prescription painkillers, commonly prescribed due to injuries from combat or carrying and operating heavy equipment. For instance, during the years of 2001 to 2009, the number of painkillers prescribed to the military more than quadrupled, causing a subsequent rise in opioid use disorders as well. In 2017, one in four active-duty members of the United States military received a prescription for opioids.