Opioid commission members pessimistic that Trump, Congress will act
As early as this week, President Donald Trump is set to declare the opioid crisis a national emergency. Trump telegraphed this when he recently told reporters that he would soon have a major announcement on the massive opioid problem, and people inside the White House are now leaking word that this announcement will herald an all-hands-on-deck push to combat the epidemic.
But members of Trumps own handpicked commission to combat the epidemic arent nearly as confident, Im told. They are increasingly worried that the Trump administration will not actually follow through with a robust response, even if he does go before the cameras and declare the crisis a national emergency, and they are increasingly annoyed by the efforts of people inside the administration who are resistant to such a response, one member of the commission says.
In a surprisingly blunt interview with me, Patrick Kennedy, the former congressman from Rhode Island who is a member of the Presidents Commission on Combating Drug Addiction and the Opioid Crisis, candidly described the mood on the commission as one racked by pessimism about the presidents willingness and ability to follow through with a response that matches the scale of the human disaster that has unfolded.
The commission is set to release a final report of recommendations for combating the crisis on Nov. 1, and the worry is that it wont be adopted, Kennedy tells me.
This apparently includes the head of Trumps commission: New Jersey Gov. Chris Christie, R, whom Trump picked for the role. Kennedy told me that Christie has confided to him that he thinks failure on the opioid crisis could deal a debilitating blow to Trumps presidency.
Christie doesnt mince words, Kennedy said. He said, If he doesnt recognize this as the issue of our time, his presidency is over. Kennedy added that Christie, an early supporter of the president, said he had conveyed a variety of this sentiment to Trump himself.
In August, the commission which was created by Trump via executive order in March released a preliminary report urging the president to declare the opioid crisis a national emergency, arguing that this would empower your cabinet to take bold steps and would force Congress to focus on funding a serious response to the epidemic. Such a declaration could also give the executive branch more flexibility to direct appropriated funds toward combating the crisis.
Since then, it has been unclear whether Trump would actually go through with the declaration that is, until last week, when he suddenly vowed that he would be doing just that. Politico reported that this blindsided members of the Trump administration, who are scrambling to figure out how a response commensurate with that declaration would be implemented. Politico also quoted unnamed officials saying that some in the administration, such as budget chief Mick Mulvaney, are wary that a declaration of national emergency could lock the administration into supporting overly large public expenditures to combat it.
Kennedy confirmed this to me on the record and went even further, claiming that these differences had resulted in tensions between Christie and administration officials such as Mulvaney. The tension is between the Mulvaney crowd, who is ideological about the numbers, and the Christie crowd, whose fidelity is towards the reality of whats most practical, Kennedy said, adding that there are internal arguments underway that he defined this way: Can we do this on the cheap, or are we going to be serious about saving lives?
The key distinction to understand here is this: While it is certainly desirable for Trump to declare a national emergency, it is not clear how meaningful that will prove in substantive terms, even if he does it. Axios reports that the administration is preparing a massive public relations effort that will include unspecified requests for funds and a public role for Melania Trump.
But while such a general vow of seriousness will be welcome, what matters is the follow through. Visiting rehab centers . . . been there, done that, Kennedy said, by way of illustrating the difference between photo ops and an actual response.
This is where the recommendations of the presidents commission come in. Kennedy tells me that the commission members are converging on a fairly robust set of recommendations that include expanded health insurance coverage, training and deploying health-care workers to fill the requests of states for help, and additional subsidies to fund addiction treatment.
It will be on the administration to determine how to implement such a set of responses and what it might cost, but Kennedy says commission members worry that the administration will try to lowball that cost. To implement the recommendations that well offer, it will require hundreds of billions of dollars, Kennedy says.
Vox recently published a good rundown on what experts think will be needed to combat the crisis. A combination of tactics is called for, including both prevention (such as strengthened federal oversight to reduce the amount of opioids flooding the market and prescriptions handed out to patients) and medicinal treatment for addiction (such as ...
