The number of hospital emergency room visits by heroin users grew by more than 25 percent during the 1980s. Clearly, then, rose in that decade.
What this question is testing
Conclusion
The author looks at a 25% rise in ER visits by heroin users and concludes heroin use went up.
Evidence
That single ER-visit statistic.
Evaluate
Here's the gap. ER visits by heroin users could go up for two different reasons: more heroin users overall, OR the same number of users running into more medical trouble per person. The author assumed the first explanation. The question asks for an alternative that explains the rise without needing more heroin users.
Think of it like restaurant ER visits. If "diners go to the ER" doubles, it could mean more people are eating out — or it could mean food poisoning got worse. Same data, two very different stories.
Goal
Find an answer that gives a reason ER visits per heroin user went up — i.e., why the same heroin users would end up in the ER more often.
Reading along? Open the full official question in LawHub — we show a fragment here and keep the reasoning in our own words.