A meek federal response has led to innovative state solutions
DURING THE past two decades opioids have become one of America’s worst public-health problems. The magnitude of abuse—spanning prescription painkillers, heroin and synthetics such as fentanyl—is staggering. In 2016 11m Americans mis-used prescription opioids, and 2.1m adults reported that they were addicted. In the year to September 2018 opioid overdoses killed 48,000 people.
On April 24th Donald Trump will make a speech to a group of health professionals and policymakers detailing his administration’s efforts to fight the “scourge” of opioid abuse. To his credit, Mr Trump did much to draw attention to the opioid epidemic when he was a presidential candidate. But in October 2017 the president meekly declared the epidemic a “national public-health emergency”, rather than invoking a formal “national emergency” as he had promised on the campaign trail .
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