The Freeman

Trump readies opioid plan

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Bhumibol's death one year ago aged 88, a watershed moment that removed the nation's only unifying figure during decades of political upheaval and economic change.

Many Thais have worn mourning attire for a year as tributes to the monarch dominate every aspect of life.

Public grieving is encouraged by the ultraroyal­ist junta that grabbed power in 2014.

WASHINGTON — President Donald Trump’s longawaite­d declaratio­n that the opioid epidemic is a national emergency finally arrives this week, but some advocates are worried that it won't be backed with the money and commitment to make much difference.

Trump is expected to make the formal declaratio­n and deliver a major speech on the topic Thursday, more than two months after he first announced that would be his plan.

There is concern the White House actions will be empty talk without a long-term commitment to paying for more addiction treatment: An emergency declaratio­n would lack punch without money, said Andrew Kessler, who represents substance abuse treatment providers as a lobbyist in Washington.

"If there's no new money to expand our treatment infrastruc­ture, I don't know what the punch is going to be," Kessler said. He acknowledg­ed that declaring a national emergency "would put it in the national spotlight. Create buzz. Create talk." But with news coverage of the opioid crisis already saturating front pages and newscasts, he said, "I don't know how much more buzz we can generate."

Some health advocates also are concerned that devoting more public health resources to opioids could pull attention and resources from other health problems such as cancer, diabetes and heart disease. What's needed, they say, are new funding streams and a willingnes­s to work hand-in-hand with states and local government­s.

"An emergency declaratio­n without significan­t new funds will likely be unsuccessf­ul. The problem is enormous and requires a similar investment in a comprehens­ive strategy that includes primary prevention," said Becky Salay, director of government relations at Trust for America's Health, a Washington-based public health research and advocacy organizati­on.

The idea of declaring a national emergency was first raised in an interim report prepared by an opioid commission chaired by New Jersey Gov. Chris Christie and convened by the president earlier this year.

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