Tag Archives: Hillary Clinton

Opiates & the Senate Health Care Bill

When the Senate’s health-care bill died this week, it was worth noting the few who led the revolt.

Most were senators from states hardest hit by our epidemic of opiate addiction:

Maine (Susan Collins), West Virginia (Shelly Moore Capito), Utah (Mike Lee), Ohio (Rob Portman).

“I didn’t come to Washington to hurt people,” Shelly Moore Capito said.

Let’s leave aside how the bill would have done away with basic health care for millions of working folks and provided a tax cut for wealthy people.

One of the biggest problems with it, I think, was that it would have reversed Medicaid expansion and that meant taking away coverage for drug rehabilitation from hundreds of thousands of people, maybe millions of them.

I could not understand how that was a good idea.

It was also interesting to see how, as the debate progressed through the spring to now, a lot of people began to realize what they were losing.

In so many areas where Donald Trump did best in November’s election, areas he promised to make great again, there is a documented need for massive investment in more drug rehabilitation capacity, not less. That is not an opinion. What exists is saturated. Getting into rehab takes weeks, months. Many addicts have no resources of their own with which to seek treatment.

I wrote in another post that opiate addiction was the crucial element in Trump’s victories in several states that were in turn essential to his capturing the presidency.

Eight months later, the Senate’s health-care carnival emphasized my belief that this issue is one of the most potent political forces of our time.

In the spring of 2015, shortly after Dreamland was released, I received a call from Hillary Clinton’s campaign advisor for health issues. Hillary was feeling the ferocity of parents in Iowa and New Hampshire from all walks of life, horrified at their children’s addiction and not knowing where to turn. This surprised the candidate, her advisor told me.

I spoke with her for about ninety minutes. I told her that I thought this was the great silent issue in America today and whoever truly owned it, embraced it, treated it as a thing of the heart, would have a good chance of getting votes from unexpected places, but that this probably would not be felt in opinion polls ahead of time. Mrs. Clinton did some of that, but never enough, and in the end she wrote a position paper and that amounted to most of her campaign’s attention to opiate addiction. I might be wrong, but she didn’t seem to understand the latent power of the issue. Least she didn’t act on it. That was a huge mistake.

Politicians would do well to better understand the deep well of pain and anxiety surrounding, and thus the political power within, this issue. It’s not something expressed easily in polls. People aren’t likely to admit to a pollster on a phone that a loved one is an addict.

But it’s there and dims the view of the future of so many people, the prospects of so many towns and counties, the economies of so many regions, and thus is of paramount importance to them. Right up there with jobs – connected inextricably with jobs, in fact. In so many depressed areas, huge numbers of folks can’t pass an employer’s drug test.

Nor does it take many addicts for that foreboding to spread. A few cases in a small town, I think, are all that’s needed. People see it hit almost anyone and seemingly at random – like a plague – including families who before had no connection to the drug world or the criminal justice system. Soon everyone’s view of the future turns negative.

On top of that, today we have the increasing nationwide notoriety of the issue as compared with just two years ago. An awakening has taken place in those short years – a reckoning and a truth-telling when before there was subterfuge and fabrication.

Overall, this is healthy – for the families now telling the truth and for the country, I think.

But one effect is that the knowledge, and thus dread, has spread to even families untouched by addiction.

In that room where 13 of them put that bill together, Senate Republicans didn’t seem to understand that.

That was a huge mistake.

Because in the small towns or suburbs where folks live, they now know the high school’s quarterback has landed in jail again, and that their pastor’s daughter died from an overdose and that it wasn’t a heart attack after all.


Filed under Dreamland, Drugs, The Heroin Heartland

Hillary Clinton, Heroin, and the Time to be Heard

Three weeks ago, Hillary Clinton’s health-policy advisor called me to discuss the opiate epidemic, its causes and what could be done about it.feed-image-1

The advisor said she was reading my book, Dreamland, and that Mrs. Clinton had read my NY Times op-ed column of April 19 about the issue.

The advisor told me Mrs. Clinton had been hearing a lot of very passionate comments from parents with addicted children as she campaigned in Iowa and New Hampshire.

We spent an hour on the phone, talking about policy, about pain pills, pill mills, Mexican heroin trafficking, and about the quiet surrounding this epidemic that had allowed it to spread.

So I’m glad to see that Mrs. Clinton is now coming up with policy proposals to address it, one of which is to begin talking about it and end the stigma and silence surrounding addiction.

This epidemic is neither a red nor a blue issue. Thus I hope candidates from both parties will respond as well. I’ll be happy to chat with them, if they want to call.

I’d hope, moreover, they would focus not only on heroin, but on the broader problem of overprescribing of opiate painkillers, which so often provide the gateway to heroin. (Pain pills have their legitimate role in medicine, but too often are massively and unnecessarily prescribed.)

But there’s another important point in this. I believe parents of addicted children need to use this approaching presidential campaign as a way of magnifying their voices.

As a longtime journalist, I know that the most poignant stories are the ones that can have the most impact. Sadly, many parents up to now have kept silent, ashamed or simply worn out by their children’s addiction.

That is changing. More are stepping forward, as Mrs. Clinton was hearing on the campaign. Some are mentioning heroin overdose as a cause of death in their children’s obituaries – an act of enormous, and necessary, courage.

But these stories are still not being heard the way they need to be.

During past drug scourges, public violence aroused public ire. The crack years, for example, saw drive-by shootings and carjackings. I was a crime reporter during those years and saw this first hand.

None of that public violence has happened during this epidemic. So the job of arousing public attention falls almost entirely to parents.

I believe this presidential campaign offers an opportunity to be heard, to magnify voices. Make opiate abuse (pain pills and heroin) and overprescribing a point of presidential debate.

To do that, parents in particular need to step forward and tell their stories the way no one else can.

Photo: Hillary For President website


Filed under Uncategorized