The opioid epidemic is a serious public health crisis in the U.S., and new tools and treatments to deal with chronic pain are urgently needed. Unfortunately, where public health officials see a crisis, advocates of “integrating” quackery with science-based medicine see an opportunity. In this case, promoters of pseudomedicine are taking advantage of the opioid crisis to persuade state Medicaid systems to pay for quackery like acupuncture.