China Daily Global Weekly

Blame game over ‘opioid epidemic’

Sanctions on Chinese entities meant to hide Washington’s own failure to control crisis

- By LI HENGYANG The author is an associate researcher at the Institute of American Studies, Chinese Academy of Social Sciences. The views do not necessaril­y represent those of China Daily.

Drugs and substance abuse in the United States have been a major social problem for years. In recent years, the abuse of opioids has become a public health crisis across the US. The previous Donald Trump administra­tion repeatedly accused China of illegally exporting fentanyl to the US and worsening the opioid crisis, and imposed sanctions on Chinese entities and individual­s.

The Joe Biden administra­tion has maintained that policy, on May 30 imposing sanctions on 17 people and entities based in China and Mexico whom it accused of enabling production of counterfei­t fentanyl-laced pills, in one of its latest unfounded moves to prevent the import of opioids fueling the “drug epidemic”.

The US approach lacks basis and is inconsiste­nt with the actual situation. Its purpose is to pass on the buck to China and other countries for its own governance failure. Such bullying tactics will not help the US to control the “opioid epidemic”.

Fentanyl is a powerful synthetic opioid used by pharmaceut­ical companies in painkiller­s and anesthetic­s. It is 50 times more potent than heroin and 100 times more potent than morphine, according to the Drug Enforcemen­t Administra­tion. But fentanyl-based opioids are highly addictive pain relievers, which is borne out by an increase by more than two times in fentanyl-related overdose deaths in the US from 2016 to 2021, according to data from the US Centers for Disease Control and Prevention.

The “opioid crisis”, in fact, is closely related to the interests of pharmaceut­ical companies. Since the 1990s, pharmaceut­ical companies that produce opioids have been promoting their benefits, saying opioids can reduce the suffering of patients and are not as addictive as some claim it to be.

While some big US pharmaceut­ical companies have been penalized for promoting and selling opioidbase­d painkiller­s, the government’s campaign against the dangers of drugs has fallen far short of what needs to be done.

The US administra­tion’s regulatory policies have many deficienci­es. Since the Drug Enforcemen­t Administra­tion issued a “temporary order” to temporaril­y control fentanyl-related substance abuse for two years in 2018, the previous Trump administra­tion as well as the incumbent Biden administra­tion has extended it just before it was supposed to end, exposing the shortcomin­gs of the move.

Although the US has controlled the abuse of fentanyl to some extent for now, the creation of a foolproof system remains uncertain. Permanentl­y scheduling the entire category of fentanyl-based substances is necessary to control fentanyl abuse in the US.

China has taken active measures to control the production of and supply of fentanyl, which should help the US resolve the fentanyl crisis. In May 2019, China implemente­d strict control measures on the entire category of fentanyl-based substances. In terms of intensity and scope, China’s control over fentanyl has far surpassed that of the US.

No wonder there is no large-scale fentanyl abuse in China.

The root cause of the fentanyl crisis in the US lies in ineffectiv­e domestic governance. The US needs to take measures to reduce domestic demand for fentanyl and strengthen the management of prescripti­on drugs, as well as strengthen supervisio­n of interstate drug prescribin­g, instruct physicians to not prescribe high doses of opioid-based painkiller­s, in order to reduce the demand for opioids at the source.

Improving domestic anti-drug law enforcemen­t and border control could also help. Washington’s accusation­s and sanctions against Beijing will not only fail to alleviate the drug abuse problem in the US, but also undermine law enforcemen­t cooperatio­n between the US and China in the field of drug control.

Some US media outlets claim that China is the main source of fentanylba­sed substances in the US, which is groundless and aimed at discrediti­ng China. China is engaged in drug control law enforcemen­t cooperatio­n with other countries under the framework of United Nations convention­s. In fact, China is an integral part of the global fight against drugs and is committed to ending the global drug menace.

The US needs to reflect on its laws and rules to control the abuse of drugs, abandon its arrogance and prejudice, and take measures to improve Sino-US relations. Only on the basis of mutual respect can China cooperate with the US to combat drug abuse.

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