https://www.nytimes.com/2017/10/26/us/politics/trump-opioid-crisis.html?smid=pl-share
This is something that I wish had been taking more seriously, as it has destroyed countless lives. This was the one thing that I thought Trump was actually doing well, but now I am having second thoughts.
President Trump on Thursday directed the Department of Health and Human Services to declare the opioid crisis a public health emergency, taking long-anticipated action to address a rapidly escalating epidemic of drug use.
His directive does not on its own release any additional funds to deal with a drug crisis that claimed more than 59,000 lives in 2016, and the president did not request any, although his aides said he would soon do so. And he made little mention of the need for the rapid and costly expansion of medical treatment that public health specialists, including some in his own administration, argue is crucial to addressing the epidemic.
The designation of a public health crisis, formally made by Eric D. Hargan, the acting health secretary, would allow for some grant money to be used to combat opioid abuse, permit the hiring of specialists to tackle the crisis, and expand the use of telemedicine services to treat people in rural areas ravaged by opioid use, where doctors are often in short supply.
Mr. Trump said his plan would include a requirement that federally employed prescribers be trained in safe practices for opioid prescriptions, and a new federal initiative to develop nonaddictive painkillers, as well as intensified efforts to block shipments of fentanyl, a cheap and extremely potent synthetic opioid manufactured in China, into the United States.
Andrew Kolodny, the co-director of opioid policy research at the Heller School for Social Policy and Management at Brandeis University, said that no emergency declaration would do much to alleviate the impact of opioids without a substantial commitment of federal money and a clear strategy for overhauling the way the country treats addiction.
"What we need is for the president to seek an appropriation from Congress, I believe in the billions, so that we can rapidly expand access for effective outpatient opioid addiction treatments," Dr. Kolodny said in an interview. "Until those treatments are easier to access than heroin or fentanyl, overdose deaths will remain at record-high levels."
As president, he appointed an opioid commission in March, installing Gov. Chris Christie of New Jersey, a rival for the Republican nomination who had championed the issue during the 2016 race, as chairman.
In July, the commission recommended that the president declare a national emergency — either under the Stafford Act, which would have allowed the allocation of Federal Emergency Management Agency funds, or the Public Health Service Act, the option Mr. Trump chose.
Administration officials argued that a national emergency declaration was not necessary or helpful in the case of the opioid crisis, and that the powers associated with a public health emergency were better suited to address the issue. They said the White House would soon send Congress a request for money to combat opioids, with the goal of including it in a year-end spending package.
Among the questions left unanswered by the president's announcement is whether the Department of Health and Human Services will use its authority under the public health declaration to negotiate lower prices for naloxone, a drug that quickly counteracts the effects of opioid overdoses. Lawmakers and public health and anti-addiction organizations have argued that such a measure is crucial to expand access to the drug.
This is something that I wish had been taking more seriously, as it has destroyed countless lives. This was the one thing that I thought Trump was actually doing well, but now I am having second thoughts.