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Monday, Feb 13 2017

Full Issue

As White America Comes Out Of Shadows On Opioid Abuse, People Of Color Remain Hidden

More and more, white Americans are putting faces to the opioid epidemic through explicit obituaries, interviews and letters to lawmakers. However, blacks, Latinos, Asians, and Native Americans are noticeably absent, which represents a larger trend with the crisis itself. Meanwhile, the Affordable Care Act helped expand treatment for substance abuse, and some worry what will happen if the law is dismantled.

There鈥檚 a new honesty these days聽about drug abuse. In obituaries, media interviews, and letters to lawmakers, families that have lost loved ones to overdoses are naming the drugs that killed them. As more and more people emerge from the shadows to put a face on the nation鈥檚 opioid epidemic, however, faces of color are notably absent. In part that reflects the makeup of the epidemic itself: While deaths among white Americans have soared, those among blacks and Latinos have stayed relatively steady. (Samuel, 2/13)

Chad Diaz began using heroin when he was 12. Now 36 and newly covered by Medicaid under the Affordable Care Act, he is on Suboxone, a substitute opioid that eases withdrawal symptoms and cravings, and he is slowly pulling himself together. 鈥淭his is the best my life has gone in many, many years,鈥 Mr. Diaz, a big man wearing camouflage, said as he sat in a community health center here. If Congress and President Trump succeed in dismantling the Affordable Care Act, he will have no insurance to pay for his medication or counseling, and he fears he will slide back to heroin. (Seelye and Goodnough, 2/10)

In other news on the epidemic聽鈥

Frank Guinta, a聽former New Hampshire lawmaker聽who helped create聽an opioid crisis task force in Congress, has discussed serving as President Donald Trump鈥檚 鈥渄rug czar鈥 with Trump鈥檚 team, according to several individuals familiar with the discussions. Since the election, Guinta has spoken with top Trump aides about聽serving as director of the Office of National Drug Control Policy 鈥 a position colloquially known as the nation鈥檚 鈥渄rug czar鈥濃 聽multiple individuals, speaking on condition of anonymity,聽told STAT this week. (Scott, 2/10)

New Jersey Gov. Chris Christie has staked his final year as governor on tackling the state鈥檚 addiction crisis, but efforts under way in the state show how difficult that task is. Citing long waiting lists at many treatment centers, Mr. Christie wants to increase the availability of both inpatient and outpatient treatment programs. The governor has urged the state legislature to pass laws limiting the quantity of opioids doctors can prescribe and mandating insurance coverage for addiction treatment. (King, 2/11)

As the opioid epidemic escalated three years ago into a statewide public health emergency, Taunton boldly came forward and confronted the problem in a public way. A key moment came in February 2014, when Massachusetts Senator Edward J. Markey and the White House drug czar held a press conference about the crisis at a city fire station. As if to underscore the situation鈥檚 urgency, firefighters were dispatched to a reported overdose during the session. Despite the city鈥檚 direct approach, the number of people killed every year by opioids has grown over the past three years. (Crimaldi, 2/10)

Teaching students of all ages social and emotional learning is a crucial step toward combating Ohio's drug addiction crisis, Attorney General Mike DeWine suggests. The Ohio Joint Study Committee on Drug Use Prevention Education issued 15 recommendations Friday for schools across the state. These include requiring schools to report how they are teaching students to resist drug abuse. (Tenbarge, 2/10)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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