Sen. Joe Manchin (D-W.V.) is condemning the Food and Drug Administration’s (FDA) recent decision to approve the use of OxyContin to treat children as young as 11 years old.

In a letter to the FDA’s acting Commissioner Stephen Ostroff, Manchin said he’s “disgusted,” and the agency should be “ashamed of itself for this reckless act.”

“I have pleaded with your agency since I became a senator almost five years ago to cease the flood of painkillers that is killing so many people in my state and around the country,” he wrote. “Instead, you continue to ignore the agency’s purpose and show allegiances with everyone but the people you are charged to protect.”

Manchin said there are 2.1 million Americans abusing or dependent on opioids and 44 people die every day as a result of prescription opioid overdose.

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