SUBSCRIBE TO OUR FREE NEWSLETTER
Daily news & progressive opinion—funded by the people, not the corporations—delivered straight to your inbox.
5
#000000
#FFFFFF
5
#000000
#FFFFFF
opioid crisis
Trump-GOP Cuts Could Reverse Last Year's Historic Drop in Drug Overdose Deaths, Warn Experts
Cuts to Medicaid and prevention, harm reduction, and treatment programs "will equal more people dying," said one public health expert.
May 15, 2025
Federal public health officials on Thursday announced an unprecedented drop last year in drug overdose deaths, which have plagued the United States for decades and had been rising steadily over the past several years.
But experts warned that now is exactly the wrong time to "take our foot off the gas pedal," as the Republican Party and President Donald Trump are threatening to do with steep cuts to Medicaid and other federal programs.
The Centers for Disease Control and Prevention (CDC) reported that an estimated 80,391 people in the U.S. died of drug overdoses in 2024—a 27% drop, with about 30,000 fewer deaths than in 2023 and "more than 81 lives saved every day."
Synthetic opioids like fentanyl were still involved in most overdose deaths last year, but those deaths were down 37% between 2023-24.
"I would characterize this as a historically significant decrease in overdose deaths," Brandon Marshall, a Brown University School of Public Health epidemiologist, toldThe Washington Post. "We're really seeing decreases almost across the entire nation at this point."
Experts noted that numerous factors are likely behind the plunging fatal overdose numbers. The CDC said it has been able to strengthen overdose prevention capacities across the U.S. since Trump declared the opioid crisis a public health emergency in 2017 during his first term, making congressional support available.
As CNNreported, with new federal support, local policymakers in places like Mecklenburg County, North Carolina have been able to secure vending machines with naloxone, a medication that can rapidly reverse an opioid overdose; employ epidemiologists who focus on opioid trends to prevent deaths; and infrastructure that has helped public workers determine where to target their overdose prevention work.
But the CDC's National Center for Injury Prevention and Control, which funded those programs, was targeted by the so-called Department of Government Efficiency earlier this year as its Trump-appointed leader, billionaire tech CEO Elon Musk, sought to cut federal jobs. The center is also identified as a "duplicative, DEI, or simply unnecessary" program that should be cut in the White House's proposed budget.
"Any changes or impacts to those funding streams would mean that we either have to find other funding to support the team that works in that department, or we would have to lay them off. That would, of course, impact the work," Dr. Raynard Washington, director of the county health department, told CNN. "Experts work hand-in-hand with us on the strategies that we choose to implement on the ground, and then how we're evaluating what's working, and then how we share those best practices. That technical assistance is also just as invaluable as the actual grant dollars that we receive."
Medicaid cuts in the proposed budget, which would slash $880 billion in federal spending to secure tax cuts for the wealthiest Americans and corporations, could also reverse the historic progress made in 2024, as the healthcare program covers 47% of people with opioid use disorder and 64% of people who receive outpatient treatment.
Chad Sabora, a drug policy expert who helped spearhead the letter, told The Washington Post that cuts to Medicaid will leave people without medications they use to diminish the effects of opioid use disorder, like buprenorphine.
"It will equal more people dying," he told the Post.
On Monday, more than 320 faculty members from universities and other institutions wrote to Republican and Democratic Senate leaders to warn them that "dismantling the lifesaving work" of the CDC and other health agencies in the budget would have "dire consequences."
"At a time when the federal government should be boosting investments in behavioral health systems, service delivery, and public health surveillance programs, we are seeing drastic cuts to key agencies, including the Substance Abuse and Mental Health Services Administration (SAMHSA), the CDC, and the Health Resources and Services Administration (HRSA)," they said.
The 2026 fiscal year budget proposes over $1 billion in cuts to SAMHSA—a reduction of 16% of its funding—and $3.6 billion in cuts to the CDC, or nearly half if its funding.
The faculty members listed a number of programs that will be impacted those cuts, including:
- State and local health departments and behavioral health agencies;
- Evidence-based prevention programs like community-based naloxone distribution, peer outreach programs, drug-use related infectious disease prevention programs, and drug test strip programs, which help people determine whether a drug is laced with fentanyl;
- The National Survey on Drug Use and Health (SAMHSA), which is used extensively by policymakers, researchers, and health professionals and gives accurate population estimates of trends in alcohol, tobacco, and other drug use; and
- The Addiction Medicine Fellowship Program and Substance Use Disorder Treatment and Recovery Loan Repayment Program (HRSA), which will train the next generation of substance use care specialists across the country, with special programs dedicated to rural areas.
"Members of Congress, we urge you to protect these vital substance use and mental health services. Millions of Americans are depending on you," wrote the experts.
The White House signaled in the proposed budget that it doesn't support evidence-based harm reduction programs funded through SAMHSA grants, calling them "dangerous activities."
Adams Sibley, a researcher at the University of North Carolina, told CNN that "now is the time to double down on efforts to educate and recruit folks into harm reduction and treatment, whatever their version of safer use looks like."
With fellow researcher Nabarun Dasgupta, Sibley tracked gradual declines in overdose deaths in cities and states over the past three years, before the national shift was seen in 2024.
They identified shifts in the population of drug users, with a growing number of people in the at-risk population taking advantage of newly funded treatment options—or having already died of overdoses—as one contributing factor to the plunging overdose death numbers last year, as well as a change in the supply of drugs available.
"The general dissatisfaction with the illicit opioid supply right now is surprisingly high," Dasgupta told CNN, pointing to the animal sedative xylazine, also known as "tranq."
Many users have reached an "inflection point" with their substance use disorders, said Sibley and Dasgupta, and policymakers must ensure the treatment and prevention programs funded by the CDC, SAMHSA, and other agencies are still there for them.
"The one thing that substance use treatment providers and people who use drugs alike will tell you is that people are ready when they're ready, and there are a lot of people ready right now," Sibley said.
Daniel Ciccarone, a researcher at the University of California, San Francisco, cautioned that even with last year's significant decrease, "we're still at very high levels of overdose."
"We need steady pressure," he told CNN. "To the degree that we stop paying attention... we will see a reversal."
Keep ReadingShow Less
How Trump Promotes Grotesque Corporate Lawlessness
Dropping corporate cases en masse, as the Trump administration is doing, portends a return to recklessness and greed that fueled corporate catastrophes like Wall Street’s 2008 financial crisis.
May 08, 2025
“Corporations First.” That’s the slogan that would truthfully describe the Trump administration’s approach to law enforcement, not “America First.”
A new investigation by my organization shows that the Trump administration is dropping investigations and enforcement actions against corporations that showered money on Trump’s inauguration earlier this year.
Seventy-one big businesses, which were facing at least 102 ongoing federal enforcement actions at the time of Trump’s inauguration, collectively gave a whopping $57 million to the Trump-Vance inaugural fund, we found. And many may now be collecting special favors.
Time will tell whether the payments by other big corporate inauguration donors—like Amazon, Apple, Boeing, FedEx, Goldman Sachs, Google, Johnson & Johnson, Nvidia, and Pilgrim’s Pride—will see enforcement go away, too.
Trump’s inaugural haul from corporations facing investigations and lawsuits alone is comparable to the total amount raised for the inaugurations of former Presidents Barack Obama in 2009 ($53 million) and Joe Biden in 2021 ($62 million). And it’s just a third of the record-breaking $239 million Trump collected overall, $153 million of which came from corporate donors.
Regardless of president or party, private funding for the presidential inauguration poses a serious threat of corrupt influence buying by corporations and the wealthy. Unlike the vast majority of Americans, they can ingratiate themselves to an incoming administration with six- and seven-figure checks.
Donations by for-profit corporations are particularly suspect—corporations’ purpose, after all, is to amass wealth for private investors, an agenda that frequently pits them against laws and regulations that protect consumers, workers, and the broader public interest.
We may not know exactly what favors corporations might seek. But it’s reasonable to assume that getting rid of penalties or investigations for ripping off consumers, exploiting workers, polluting our environment, and engaging in illegal and unfair business practices would be high on the list.
Public Citizen has compiled a list of more than 500 enforcement actions against corporations that the Trump administration inherited from the Biden administration. During President Trump’s first 100 days alone, federal agencies halted or dropped at least 126 of these enforcement actions.
These include actions against 15 corporate inauguration donors whose cases were dismissed or withdrawn, plus six whose cases were halted. These 21 corporations collectively donated $18 million to the inaugural fund.
These include companies accused of violating consumer financial protections, such Bank of America, Capital One, JPMorgan, and Walmart; some crypto businesses accused of violating securities laws, such as Coinbase, Crypto.com, Kraken, and Ripple; private prison corporations that allegedly mistreated inmates, like CoreCivic and GEO Group; and businesses accused of engaging in illegal bribery schemes in foreign countries, including Cognizant, Pfizer, and Toyota.
Time will tell whether the payments by other big corporate inauguration donors—like Amazon, Apple, Boeing, FedEx, Goldman Sachs, Google, Johnson & Johnson, Nvidia, and Pilgrim’s Pride—will see enforcement go away, too.
To be fair, some cases against corporate inauguration donors do appear to be proceeding unhindered. The antitrust cases against Google and Meta are proceeding, the FTC’s case against Uber for deceptive billing practices has been filed, and Gilead Pharmaceuticals is being required to pay $202 million to settle allegations of paying illegal kickbacks to doctors.
These signs of ongoing enforcement are a good thing. But among the more than 100 cases being dropped and halted, they’re exceptional. Because of the mass firings of federal workers at enforcement agencies, they likely represent the conclusion of past enforcement efforts, not the continuation of an ongoing trend.
Dropping corporate cases en masse, as the Trump administration is doing, is a greenlight for corporate lawlessness. It portends a return to recklessness and greed that fueled corporate catastrophes like Wall Street’s 2008 financial crisis, the Oxycontin-fueled opioid crisis, BP’s oil spill disaster, and Boeing’s deadly 737 Max crashes.
It is the definition of “corporations first.”
Keep ReadingShow Less
We Don’t Throw People Away: Why I Support a Harm Reduction Approach in LA
We have a moral responsibility to set an example for the rest of the nation: one that’s rooted in compassion, humanity, and data-driven approaches.
May 07, 2025
If you were drowning, I wouldn’t ask how you got there before throwing you a lifeline.
I wouldn’t tell you to swim harder.
I wouldn’t tell you to make better choices, I wouldn’t hope you sink, and I wouldn’t put you in a cage.
If you were drowning, I would reach for you, pull you up, and do everything in my power to keep you alive.
That’s what harm reduction is: keeping people alive.
We don’t criminalize someone for losing a limb to the effects of diabetes. We don’t arrest them for not taking their insulin or for struggling to manage their blood sugar. We surround them with medical care, support systems, and resources to help them live healthier lives.
The first step isn’t forcing someone into a system they aren’t ready for. The first step is keeping them alive long enough to say yes.
Problematic substance use—a chronic, relapsing disease—is no different. And harm reduction is one of the many courses of medical action we’re taking to address this in MacArthur Park, Los Angeles, where the opioid crisis and homelessness collide in painful, visible ways.
I understand the frustration. I hear the anger. Lock them up, people say—oblivious to the harrowing truth that this crisis is made profoundly worse in our jails.
I want a healthy, accessible, thriving MacArthur Park just as much as my neighbors; a MacArthur Park where hardworking families aren’t forced to live amid trauma and visible substance use. But let me be clear: I don’t throw people away—and I don’t invest in failed solutions.
People don’t wake up one day and decide to become homeless or addicted. They end up there because they’ve been failed by an economic system that keeps people in poverty, by a housing system that makes rent impossible to afford, by a criminal justice system that treats problematic substance use like a crime instead of a disease, by a political system that chronically underfunds mental health, and by a for-profit healthcare system that allowed big pharmaceutical companies to manufacture the opioid epidemic and knowingly steal thousands of lives in exchange for billions of dollars.
We’ve spent over a trillion dollars on the failed War on Drugs, and the availability and potency of illicit drugs have only increased—along with our prison population.
It’s time for a different approach.
Decades of research have shown that harm reduction strategies provide significant public health benefits, including preventing deaths from overdoses and preventing transmission of infectious diseases. That’s why our office partnered with the LA County Department of Health Services and Homeless Healthcare Los Angeles (HHCLA) to deploy an overdose response team in the park seven days a week. Every day, they provide wound care, hygiene kits, naloxone, methadone, and harm reduction tools to people experiencing problematic substance use. They clean up biohazardous waste, picking up and safely disposing of left-behind needles and pipes that put our families in danger. They do the work that Recreation and Parks and LAPD can’t while reducing call volume to emergency responders, and we are all safer for it.
Since launching in late 2024, this team has collected over 14,000 hazardous items and distributed more than 3,600 naloxone kits—totaling over 11,000 doses of life-saving medication—and saved 52 lives. Those 52 people have names and faces and stories and hopes and dreams. They are someone’s child, someone’s friend, someone who now has a shot at accepting treatment, because we know that recovery isn’t a straight path—it takes multiple touchpoints. The first step isn’t forcing someone into a system they aren’t ready for. The first step is keeping them alive long enough to say yes.
I also want to be clear about what our office can and cannot do. The City Council cannot make arrests. What we can do is invest in solutions. We can choose to fund the strategies that actually reduce harm, that save lives, that address the root causes of these crises. Or, we can choose to push people out of sight and throw them away.
The fight for humanity goes far beyond MacArthur Park. We see it happening across the country. We see it in how President Donald Trump treats immigrants like pawns, willing to let families suffer for cheap political points. We see it in how he attacks the LGBTQ+ community, stripping away protections and treatment, denying their very existence. We see marginalized communities degraded and vilified and sacrificed at the altar of power, and we see misinformation peddled at every turn to satiate a hungry, desperate base. It is easy to dehumanize. It is easy to discard people. It is easy to think of human lives as inconvenient. But we have to resist that urge. We are better than that in Los Angeles. We have a moral responsibility to set an example for the rest of the nation: one that’s rooted in compassion, humanity, and data-driven approaches. And since my very first day in office, that’s what I’ve always done, no matter how uphill the battle may be.
MacArthur Park is struggling. Yes, we are frustrated, scared, and sometimes, angry. But I refuse to abandon the people suffering in front of us.
We don’t throw people away. We fight for them.
Keep ReadingShow Less
Most Popular