Frederick and Tara Burton are seen in the kitchen of their home in Austin, Indiana July 17, 2015. Since Indiana opened its first state-run needle exchange last spring, Burton, 25, has made weekly visits to turn over needles she used to shoot Opana, a prescription painkiller, up her track-marked arm. The one story clinic, in rural Scot County, Indiana marks a sea change in states where conservative lawmakers had staunchly opposed old needles-for-new exchanges. Photo taken July 17, 2015. REUTERS/Aaron P. Bernstein