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title: Opioid Crisis Plan Draws Mixed Praise From Experts
description: Experts on the opioid crisis say President Trump's declaration of a public health emergency is a good first step, but not enough on its own.
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# President Trump Revealed His Plan to Deal With the Opioid Crisis. Here’s What Experts Think

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<!-- video src="https://cdn.jwplayer.com/manifests/vlPhWRGH.m3u8" -->
## Video: Donald Trump Declares Opioid Crisis a Public Health Emergency

[Watch (HLS stream): Donald Trump Declares Opioid Crisis a Public Health Emergency](https://cdn.jwplayer.com/manifests/vlPhWRGH.m3u8) (2:07)

![Donald Trump Declares Opioid Crisis a Public Health Emergency](https://cdn.jwplayer.com/v2/media/vlPhWRGH/poster.jpg?width=720)

_Published 2017-10-26. In an address at the White House, President Trump directed the Department of Health and Human Services to declare the national opioid crisis a public health emergency._


by 

[Maya Rhodan](https://time.com/author/maya-rhodan/)


## Maya Rhodan


Oct 26, 2017 7:04 PM UTC

by 

[Maya Rhodan](https://time.com/author/maya-rhodan/)


## Maya Rhodan


Oct 26, 2017 7:04 PM UTC

President Trump declared the opioid crisis a public health emergency on Thursday, which he said marks a critical step toward combating the epidemic, which [claimed over 30,000 lives in 2015](https://www.cdc.gov/drugoverdose/index.html).

The president’s declaration does a couple of things: it gives patients in rural area access to medically-assisted opioid treatment via telemedicine, it give states the freedom to hire more substance abuse counselors and it allows for existing funding for displaced workers and those with HIV/AIDS to be shifted to help the addicted.

The president has said for weeks that he would declare the opioid epidemic a national emergency, but the declaration on Thursday is not that. A [public health emergency](https://www.phe.gov/Preparedness/legal/Pages/phedeclaration.aspx) has to be renewed every 90 days. White House officials reportedly said declaring a public health emergency was a better choice because it gives the Health and Human Services Secretary freedom to waive some regulations. It also frees up access to the Public Health Emergency Fund, but that account holds a mere $57,000\. Trump is not requesting additional funding for the opioid crisis in Thursday’s announcement.

Grant Smith, the deputy director of the Drug Policy Alliance’s office of national affairs, said the Thursday announcement is an “important step in the right direction” but predicted there would be a lot of disappointment in the health community if there are no funds attached.

Andrew Kolodny, MD**,** co-director of the [Opioid Policy Research Collaborative](http://heller.brandeis.edu/opioid-policy/team/index.html) at Brandeis University’s Heller School for Social Policy and Management, says the White House’s Thursday announcement is not a plan to properly address the crisis.


“Everything that was mentioned today sounds helpful, but mentioning a few helpful items is not a plan,” he says. An appropriation of $60 billion over the next ten years would be more appropriate, he says: “We’ll know that \[Trump\] is serious about the opioid crisis if his announcement this afternoon includes an appropriation request.” 

The White House has said it wants to see Congress include more funding for the crisis including in year-end spending bills. Democratic Sen. Bob Casey of Pennsylvania also [introduced a bill](http://www.timesleader.com/news/local/680075/casey-leads-legislation-to-invest-45b-to-address-opioid-crisis) this week that would provide $45 billion for opioid abuse prevention, surveillance and treatment over 10 years. The same amount was included in a Republican proposal to [repeal the Affordable Care Act](https://www.thedailybeast.com/the-latest-obamacare-repeal-bill-doesnt-include-opioid-funding-once-deemed-critical) earlier this year.

 The Trump Administration has been working to show the it is taking the opioid crisis seriously. Shortly after taking office, Trump formed a Commission on Combatting Drug Addiction and the Opioid Crisis. In August, the group recommended a national emergency declaration. It argued doing so would have given the President more authority to free up funds and “force Congress to focus on funding and empowering the Executive Branch even further to deal with this loss of life.” The report also called for expanded access to medically-assisted treatment and improvements in data collection and drug monitoring. The Commission will release a final report next week.


On Thursday, the President listed a number of steps the Administration is taking to address the crisis on all fronts. Trump called opioids “truly evil” during a speech at the White House. The Department of Justice recently announced a first-ever indictment against Chinese manufacturers of fentanyl and other opiates. The Administration is aggressively pursuing more indictments, the president said. The Food and Drug Administration has also requested that the drug Opana ER be pulled from the market because of the potential for abuse.

The president said the Administration is also looking for non-addictive alternatives to pain killers that can replace opioids on the market. Trump also said it is also launching an anti-drug ad campaign targeted at young people and touted his border wall as a potential blockade for drugs. “We want the next generation of Americans to know the blessings of a drug-free life,” Trump said.


Dr. Richard D. Blondell, professor and vice chair for addiction medicine in the University of Buffalo’s Department of Family Medicine, says Trump said a lot of the right things in the speech on Thursday though it was light on specifics. “The proof will be in the pudding,” he says.

Blondell says: “It’s like a bunch of kids drowning in a river — we need to go up stream and find out why they’re drowning in the first place. We need to do something so that doctors stop prescribing people into addiction.”

 Dr. Lisa A. Marsch, the director, Center for Technology and Behavioral Health at Dartmouth College, says the attention the White House is putting on issue is helpful for broader efforts to inform the greater public about the perils of addiction. But, she says, resources are key.

“When you think of an emergency, if you had a fire burning you’d allocate resources to get the fire out,” she says. “We can’t just assume this is just going to solve itself without having a really focused, concerted, and intensive effort to resolve it.”


## Transcript

Effective today, my administration, is officially declaring the opioid crisis a national public health emergency under federal law. And why I am directing all executive agencies to use every appropriate emergency authority to fight the opioid crisis. I learnt myself I had a brother Fred, great guy, best looking guy, best personality, much better than mine. [ LAUGH ] But he had a problem, he had a problem with alcohol, and he would tell me, don't drink. Don't drink. He was substantially older and I listened to him and I respect it, but he would constantly tell me, don't drink. He'd also add, don't smoke.

But he would say it over and over and over again. And to this day I've never had a drink. And I have no longing for it. I have no interest in it. To this day I've never had a cigarette. Don't worry those are only two of my good things. I don't want to tell you about the bad things. [ LAUGH ] There's plenty of bad things, too. But he really helped me, I had somebody that guided me. And he had a very, very, very tough life because of alcohol, believe me. Very very, tough tough life. He was a strong guy, but it was a tough, tough thing that he was going through, but I learned because of Fred, I learned And that's what I think is so important.

This was an idea that I had where if we can teach young people not to take drugs, just not to take them, when I see friends of mine that are having difficulty with not having that drink at dinner, where it's literally almost impossible for them to stop I say to myself, I can't even understand it. Why would that be difficult? But we understand why it is difficult. The fact is, if we can teach young people and people generally not to start, it's really, really easy not to take them. And I think that's going to end up being a most important thing.

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