Bipartisan commission makes 76 recommendations to confront crisis that has caused 1m overdose deaths since 1999
calls for a major shift in policy to combat rising fatal overdoses, with much greater focus on reducing demand through public health measures.
The social and psychological impact has been devastating, but economic costs are also high: drug overdoses cost the US economy about $1tn annually, the commission estimated. Amid inadequate prevention and drug treatment services, gangs have adapted fentanyl to American tastes by creating pills which for many are less stigmatised than snorting, injecting and smoking. It is of the “highest concern”, according to the commission, that most users are not at least initially seeking fentanyl, rather that it is laced into heroin and brand-name pills like Vicodin and Oxycontin, driving overdoses.
Many vendors use online platforms including social media to connect with buyers including Mexican traffickers, then use encrypted telecoms systems.
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