Declaration, no new money

WASHINGTON» In ringing and personal terms, President Donald Trump on Thursday pledged that “we will overcome addiction in America,” declaring opioid abuse a national 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 in various ways and to expand access to medical services in ru- ral areas. But it won’t bring new dollars to fight a scourge that kills nearly 100 people 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 society, affecting rural areas and cities, rich and poor and both the elderly and newborns.

“It is time to liberate our communities from this scourge of drug addiction,” he said. “We can be the generation that ends the opioid epidemic.”

Deaths have surged from opioids, which include some prescribed painkillers, heroin and synthetic drugs such as fentanyl, often sold on the nation’s streets.

Administration officials said they also would urge Congress, during end-of-the year budget negotiations, to add new cash to a public health emergency fund that Congress hasn’t replenished for years and contains just $57,000.

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 nonprofit 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.”

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.

It’s a path taken by previous presidents, including Richard Nixon, Ronald Reagan and George H.W. Bush, all of whom tried to rally the nation to confront drug abuse but fell short of solving the problem.