With
considerable fanfare, President Donald Trump announced last week that
he had directed the Department of Health and Human Services to
declare the opioid epidemic a public health emergency.
He
called it a public health emergency, he stopped short of declaring it
a national emergency, because that would have required the
expenditure of ample money to begin to address the epidemic that took
some 59,000 lives last year and ruined untold numbers more. It is
happening every year and there is no end in sight, especially because
drugs are becoming more potent and cheaper to obtain.
As usual, the
declaration that the country will address and conquer whatever
problem is at hand, Trump, said, “We are going to overcome
addiction in America.” Also as usual, the tenor of his remarks
at the White House indicate that he feels that he is the one, and
perhaps the only one, who can beat the nation’s monstrous drug
problem. His statements recall those of First Lady Nancy Reagan,
when she urged America to “just say no” to drugs three
decades ago. Trump’s declaration of a drug emergency will
amount to more of the same and will accomplish as much as Nancy’s
effort did. If her silly slogan had worked, there would not be a
crisis now.
Because
there is no money in the budget to address the opioid epidemic as it
should be addressed, Trump’s words ring hollow and, to be sure,
he will not make much of an effort to see that there is money for the
fight against addiction. The epidemic is certainly taking its toll
on all Americans, but especially, on young people, those who should
be preparing to take on the governance of the nation at all levels,
from the town board to Congress, to the presidency.
In
addition to his saying it would be “really, really easy”
to not start taking drugs, he also indicated that he took his
brother’s advice not to take to drink. His brother, Fred, was
an alcoholic and, if Trump actually took the advice of his brother
and avoided strong drink, it may be the only example of his taking
anyone’s advice on anything. Rather, he seemed to want to show
that he can do just about anything better than just about anyone
else. But he doesn’t know what he is talking about, for the
opioid problem (all drug problems, for that matter) are societal in
nature and need to be addressed at that level. Slogans will not do
the job.
It's
time for the country to take a deeper look at what might be causing
the current opioid epidemic and its sister drug epidemics of all
kinds. It’s time for a look at the problem from a different
perspective.
Many
years ago, there was a conversation about the railroad yards in the
City of Albany, New York State’s capital. A longtime union
leader whose family had connections to the railroads was standing
outside the area of the yards and recollecting the time of his
childhood, when the railroads were still hauling most of the
industrial goods of the nation and the West Albany yards were filled
with working men (still mostly men at that time).
On
the opposite side of the street from every gate was a bar where the
workers cashed their checks on payday and had a few beers after work
every day. The work was taxing physically, injuries were frequent,
and they learned to work through their pain, because their pay
usually was the only income for their families. And, this was true
across the country, wherever there were heavy industries, hard
physical work, and injuries were to be expected. They learned to
work through the pain from their injuries, big and small.
Through
the years, it appeared to some that beer and other drinks were a form
of self-medication. The simplest treatment for chronic aches and
pains was a few beers and, eventually, for many, they took to
stronger drink and that became another problem, personal and
societal. There were waves of social efforts to curb the alcohol
addiction, from more than a century ago, to this day. But none of it
seemed to solve the problem and, eventually, it became as much a law
enforcement problem as a public health problem.
Alarm
bells are going off today in the time of drug addiction because it
not only shatters the lives of millions of Americans, one of the
penalties is instant death, especially from the use of heroin laced
with fentanyl and from drugs out of home medicine cabinets. It is a
societal problem and it must be treated as a problem of the entire
society, which means that governments at all levels need to address
the problem broadly. If the “opioid epidemic” is to be
addressed as a societal problem, all the elements of a society that
are lacking need to be addressed at once: well-paying jobs, good
housing, quality education for all, full health care for all, a clean
environment, and all the things that make for a decent standard of
living. And, probably one of the most important, an end to perpetual
war and its destructive forces around the world and at home.
All
the elements of a just society have been eliminated, starved, or left
to wither in place. Departments of government that provide for the
people have been eliminated or worse, Trump has put individuals in
place whose intent is to destroy the efficacy of the agency, such as
the Environmental Protection Agency. His Republican majorities in
Congress have put forth a health care plan that leaves tens of
millions of Americans without health care. The number of agencies
that have been so affected by Trump and the Republicans is great, and
most of them exist to provide what society needs to live decently.
More
and more money from the federal budget has been allocated to the
military and defense budgets, such that there is little money left to
provide for the people’s programs. There is no indication that
there will be a change in the near future. Money will continue to be
drained away for war and tax cuts for the wealthy. Those on the
front lines of the “drug war” feel that Trump’s
declaration of an emergency is a good first step, but his action
(really, just his words) will not result in a commitment of the funds
needed to address the nation’s drug problem. He and his
Republicans, who he doesn’t even appear to like, will not be
deterred from their goal of an even larger military and even more
destructive weapons systems and a big tax cut for corporations and
the already obscenely rich.
It
isn’t any wonder that the nation is crying for help and is
trying to self-medicate through drugs and other distractions that
numb the pain. This is the time for the U.S.A. to address the
problem of drug abuse and the deaths that accompany it as a problem
of the whole society, not just those who don’t see any future
for themselves or their children. The need now is to look for a
solution to the drug epidemic in the context of the society that
exists and to begin to make that society one that gives people young
and old a reason to face every day with resolve and sense of purpose.
This will not happen if the opioid epidemic is treated as an
individual problem and if each individual is treated in isolation
from the rest of society.
The
half-hearted and insincere utterances of a president who seems to be
detached from everything about which he should be concerned will not
solve the problem, especially since he has hedged his pronouncements
about drug abuse and is likely not to try very hard to find the money
to solve the problem. There must be a few among the majority in
Congress and even in his own administration who know that the
solution lies in a complete realignment of societal priorities. That
kind of change is not likely to see the light of day, much less be
acted upon, for their priorities remain: Untold profits for Corporate
America, tax cuts for the rich, and a military so strong and so
expensive that the rest of society cannot survive.
In
an earlier time, beer might have solved some of the pain for
industrial workers everywhere, but the self-medication of so many
millions through use of opioids or other drugs today will never ease
the pain of a society in decline. This is, indeed, an emergency, but
the current policies and the politicians in charge are not the answer
to this profound crisis.
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