America’s drug overdose crisis is out of control. Washington, despite a bipartisan desire to combat it, is finding its addiction-fighting programs are failing.
In 2018, Republicans, Democrats and then-President Donald Trump united around legislation that threw $20 billion into treatment, prevention and recovery. But five years later, the SUPPORT Act has lapsed and the number of Americans dying from overdoses has grown more than 60 percent, driven by illicit fentanyl. The battle has turned into a slog.
Even though 105,000 Americans died last year, Congress is showing little urgency about reupping the law since it expired on Sept. 30. That’s not because of partisan division, but a realization that there are no quick fixes a new law could bring to bear.
Aiming to expand access to treatment, Congress in December eliminated the waiver and training requirements physicians needed to prescribe buprenorphine, which helps patients stop taking fentanyl. The Drug Enforcement Administration recently extended eased pandemic rules for prescribing it via telemedicine through the end of 2024.
A bipartisan group of representatives focused on mental health and substance use has proposed more than 70 bills this Congress to fight the overdose crisis, but none of them has inspired the kind of urgency lawmakers showed five years ago when they packaged bills into one landmark package: the SUPPORT Act.
The law’s expiration on Oct. 1 means states are no longer required to cover all of the FDA-approved treatments for opioid use disorder through Medicaid but public health advocates don’t expect any state to drop that coverage.
That’s not because of a lack of capitalism. There’s a good chance that they don’t have those cheap medications because of capitalism. It’s seen as not a worthwhile endeavor to sell to them, so they never get the opportunity to provide them.
There’s also authoritarian regimes. Which are not necessarily in opposition of capitalism, the capitalists just happen to control the government instead.
The problem is, that’s an inevitability in a system where success is measured in bank accounts and profitability ledgers. You can have an economic system without capitalism, but you can’t have capitalism without excessive profit seeking.