‘We cannot allow this to continue’
Trump declares opioids a public health emergency
In ringing and personal terms, U.S. President Donald Trump on Thursday pledged to “overcome addiction in America,” declaring the opioid crisis a nationwide public health emergency and announcing new steps to combat what he described as the worst drug crisis in U.S. history.
Trump’s declaration, which will be effective for 90 days and can be renewed, will allow the government to redirect resources, including toward expanded access to medical services in rural areas. But it won’t bring new dollars to fight a scourge that kills nearly 100 Americans a day.
“As Americans we cannot allow this to continue,” Trump said in a speech at the White House, where he bemoaned an epidemic he said had spared no segment of American society, affecting rural areas and cities, the rich and the poor and both the elderly and newborns.
Officials said they also would urge Congress, during end-ofthe year budget negotiations, to add new cash to a public health emergency fund that Congress hasn’t replenished for years. The Public Health Emergency Fund currently contains just $57,000, according to the Department of Health and Human Services, a negligible amount. Officials would not disclose how much they were seeking.
But critics said Thursday’s words weren’t enough.
“How can you say it’s an emergency if we’re not going to put a new nickel in it?” said Dr. Joseph Parks, medical director of the non-profit National Council for Behavioral Health, which advocates for addiction treatment providers. “As far as moving the money around,” he added, “that’s like robbing Peter to pay Paul.”
Democratic House leader Nancy Pelosi called the new declaration “words without the money.”
Trump’s audience Thursday included parents who have lost children to drug overdoses, people who have struggled with addiction, and first responders whose have used overdose reversal drugs to save lives.
Trump also spoke personally about his own family’s experience with addiction: His older brother, Fred Jr., died after struggling with alcoholism. It’s the reason the president does not drink.
Trump described his brother as a “great guy, best looking guy,” with a personality “much better than mine.”
“But he had a problem, he had a problem with alcohol,” the president said. “I learned because of Fred.”
Trump said he hoped a massive advertising campaign, which sounded reminiscent of the 1980s “Just Say No” campaign, might have a similar impact.
“If we can teach young people, and people generally, not to start, it’s really, really easy not to take ‘em,” he said.
As a presidential candidate, Trump had pledged to make fighting addiction a priority.
“When I won the New Hampshire primary, I promised the people of New Hampshire that I would stop drugs from pouring into your communities. I am now doubling down on that promise, and can guarantee you we will not only stop the drugs from pouring in, but we will help all of those people so seriously addicted get the assistance they need to unchain themselves,” Trump told a crowd in Maine weeks before last November’s election.
Once in office, Trump assembled a commission, led by Gov. Chris Christie of New Jersey, to study the problem. The commission’s interim report argued an emergency declaration would free additional money and resources, but some in Trump’s administration disagreed.
Christie, in a statement, said Trump was taking “bold action” that shows “an unprecedented commitment to fighting this epidemic and placing the weight of the presidency behind saving lives across the country.”
Officials said the administration had considered a bolder emergency declaration, under the Stafford Act, which is typically used for natural disasters like hurricanes. But they decided that measure was better suited to more shortterm, location-specific crises than the opioid problem. Drug overdoses of all kinds kill an estimated 142 Americans every day.