Los Angeles Times

Trump’s plan for fighting opioid abuse

The president wants some drug dealers put to death, a White House official says.

- By Laura King laura.king@latimes.com

WASHINGTON — President Trump plans to push ahead with a controvers­ial call for the death penalty for some drug dealers as part of a larger initiative to fight opioid abuse, a senior White House official said Sunday.

But in a conference call with reporters, a senior administra­tion official declined to provide any examples of circumstan­ces under which convicted drug trafficker­s would face capital punishment, other than saying “appropriat­e” parameters would be establishe­d. The official referred further questions to the Justice Department.

Some details of the plan are to be unveiled during Trump’s scheduled visit Monday to New Hampshire, which has been hit hard by the opioid crisis. It will be Trump’s first visit as president to the state, which ranks third nationwide in the rate of drug overdose deaths.

The death-penalty element of Trump’s drug plan has been criticized by public health experts and others who point out that many of the people addicted to opioids were hooked initially by legally prescribed drugs.

Trump f loated the deathpenal­ty plan this month at a White House gathering focusing on opioid abuse, saying drug trafficker­s “are killing hundreds and hundreds of people.”

The president has at times expressed admiration for countries with draconian penalties for traffickin­g drugs. Trump has praised Philippine President Rodrigo Duterte, who presided over a drug war that has left thousands of people dead and has drawn heavy criticism from human rights groups and many Western government­s.

The president has been criticized for touting penal solutions to the opioid crisis rather than emphasizin­g the public-health component. White House officials, however, said the plan to be unveiled in New Hampshire will stress education and prevention, a halt to the flow of illegal drugs, and the bolstering of treatment and recovery.

Few specifics were provided about the initiative, but the White House officials said it would include a nationwide goal of reducing by a third, within three years, the opioid prescripti­ons being filled.

The White House officials said no backing was envisioned for so-called safe injection sites, which a few cities have adopted or are considerin­g as a means of preventing overdose deaths.

Some pain-management profession­als have argued that across-the-board cuts in prescripti­ons could leave some chronicall­y or terminally ill patients in unnecessar­y agony.

Cutting back on prescripti­ons could also lead people who have become dependent on painkiller­s to shift to illegal drugs, such as heroin, or others, such as fentanyl, which already accounts for a significan­t number of overdoses.

Opioid abuse has reached crisis proportion­s in recent years, with the death rate from overdoses continuing to rise. In 2016, about 64,000 people died from all drug overdoses nationwide, according to statistics from the Centers for Disease Control and Prevention.

The fastest increase has come in overdoses from synthetic opioids, such as fentanyl, which accounted for about 20,000 deaths in 2016, according to the CDC.

Deaths attributed to heroin overdoses have also increased rapidly in the last several years. Fatal overdoses from prescripti­on opioids increased rapidly from 2002 to 2011, but have leveled off since then. Each of those categories accounted for roughly 15,000 deaths in 2016, according to the CDC.

The administra­tion’s stated commitment to tackling the problem has not been coupled with concrete funding plans. Instead, the White House has sought deep cuts to the Office of National Drug Control Policy. The new plan appeared in some ways reminiscen­t of the president’s much-ballyhooed infrastruc­ture plan unveiled this year, which called mainly for state and private funding for major projects.

New Hampshire is friendlier political territory for Trump than California, which he visited last week. The New England state’s voters supported Hillary Clinton in the 2016 presidenti­al election, but narrowly.

Some in the state were offended last year when Trump described the state as a “drug-infested den.” That characteri­zation emerged in news reports about a conversati­on the president had with Mexico’s President Enrique Peña Nieto in August, in which Trump complained vociferous­ly about illicit drugs flooding across the United States’ southern border.

 ?? Evan Vucci Associated Press ?? PRESIDENT TRUMP, pictured with Melania Trump in October, is expected to unveil some details of his opioid plan during his scheduled visit Monday to New Hampshire, which has been hit hard by the opioid crisis.
Evan Vucci Associated Press PRESIDENT TRUMP, pictured with Melania Trump in October, is expected to unveil some details of his opioid plan during his scheduled visit Monday to New Hampshire, which has been hit hard by the opioid crisis.

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