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 concludes that heroin use went up in the 1980s.
Evidence
One fact: heroin-related ER visits grew by more than 25%.
Evaluate
Notice the leap. The author measures one thing (ER visits) and concludes about a different thing (overall heroin usage). That only works if ER visits move in lockstep with total heroin use.
If you're not sure that's the gap, think about what could have caused ER visits to grow without usage growing. Maybe the same number of users went to the ER more often. Maybe hospitals got better at logging heroin-related visits. Maybe a particularly bad batch of heroin caused more overdoses without more users.
To plug the gap on a Sufficient Assumption question, you need an answer strong enough to guarantee that more ER visits = more usage. The cleanest way is to assert that ER visits are proportional to usage levels.
Goal
Pick the answer that says ER visits and heroin usage move in proportion.
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