opioid epidemic

New report puts $500 billion price tag on opioid crisis

Nearly all of the focus on the opioid crisis gripping the nation has been on the human toll, with 14 Floridians a day dying from drug-related causes and twice that number experiencing non-fatal overdoses.

But the opioid epidemic has a whopping fiscal cost as well, according to a new report by the White House Council of Economic Advisers released this morning.

The report found that previous estimates of the economic costs associated with opioids “greatly understate” the true amount because they don’t include the economic impact of fatalities.

The report found that the economic impact of the opioid crisis was more than $500 billion in 2015, a six-fold increase over previous estimates.

Over 50,000 Americans died of drug overdoses in 2015, and 63 percent of those deaths involved opioids, according to the report.

“The problem is worsening at an alarming pace, with opioid-involved deaths doubling in the past ten years and quadrupling in the past sixteen,” the council wrote.

The new figure quantifies the costs of opioid-related deaths by relying on the “value of a statistical life,” figures usually used when evaluating “fatality-risk reduction” benefits of policies or proposals.

The numbers in the report, however, are certain to be questioned. The use of VSL is controversial. And the council adjusted the numbers of deaths in its total to reflect the under-reporting of opioid-related deaths by 14 percent, based on a 2014 study.

The authors of the report offered an explanation for why their estimates were so much higher than prior analyses.

The council relied on VSL and included heroin-related deaths as well as prescription drug deaths. The White House report also used the upward adjustment for under-reported deaths. And the opioid problem has worsened, the authors noted.

The report was aimed at giving policymakers the “economic analysis needed to review and assess” potential solutions to the opioid epidemic, the council wrote.

“A better understanding of the economic causes contributing to the crisis is crucial for evaluating the success of various interventions to combat it,” the report reads.

And the CEA concluded by pointing the finger at drug companies for contributing to the use of street drugs by hiking prices.

“Supply-side interventions that raise the economic costs of supplying legal prescriptions of opioids may have unintended consequences depending on the extent of demand side substitution induced towards illicit opioids,”  the report concluded.

 

Nation’s deputy AG blames opioid crisis on docs and big pharma

Gov. Rick Scott’s boasted about the $53 million in his budget proposal targeted toward the state’s opioid epidemic.

But more than half of that money — $27 million — is from a federal grant.

It’s the second year of the “State Targeted Response to the Opioid Crisis” grant in Florida, which the feds recently approved, according to a state Department of Children and Families deputy secretary who spoke at a House committee meeting last week.

Like Scott, his pal President Donald Trump and his administration have targeted the opioid crisis as public health crisis.

Here’s an excerpt from a speech U.S. Deputy Attorney General Rod Rosenstein made at the 50 State Summit on Public Safety in Washington, D.C., this morning. (Maybe his boss, AG Jeff Sessions, was tied up nearby testifying before a House panel).

We are also facing the challenges resulting from the unprecedented opioid crisis.  The news is full of heartbreaking stories of parents burying their teenage children, of Neonatal Intensive Care Units overflowing with opioid-addicted babies, of EMS workers racing from one drug overdose to another, and of medical examiners running short of resources to handle the somber extra business.

The overdose numbers are astounding.  In 1990, there were 8,000 deaths. The rate was relatively constant as a proportion of the American population for decades.  Then it increased approximately 700 percent over the next 26 years.

In 2016, more than 64,000 Americans died of drug overdoses.  On average, that means during this speech – another American will have died from a drug overdose.  This is unacceptable.

Opioids are driving this increase in overdose deaths.  The opioid problem began several years ago when doctors — aided by pharmaceutical companies and pharmacies — began overprescribing and diverting powerful prescription opioids.

In some instances, the doctors were untrained and unaware of the addictive nature of the drugs they were prescribing.  In other instances, the doctors were little more than drug dealers with advanced degrees. They operated “pill mills” where medical care was nonexistent, cash was king, and prescription opioids flowed freely.

Our newest challenge is fentanyl, a synthetic drug produced primarily in China. It is up to 50 times more potent than heroin.  It is so powerful that a quantity equal to a few grains of table salt can kill a person.

Chinese chemists try to stay a step ahead of law enforcement by making chemical analogues of fentanyl, such as carfentanil. It is 100 times more potent than fentanyl and 10,000 times more potent than morphine. In fact, carfentanil is intended as an elephant tranquilizer. It is manufactured in Chinese laboratories, shipped to the United States or Mexico, mixed with heroin, and then sold to addicts who are often unaware of what they are ingesting. Just last week, the DEA announced its intent to emergency schedule these fentanyl analogues.  This is a major step in cracking down on these deadly drugs.

The President recently declared that the opioid crisis a “public health emergency.”  The declaration will redirect federal resources to help fund treatment efforts.

At the Department of Justice, we use every tool at our disposal to stop the rise in violence and to end the drug crisis.

Bondi, other AGs target drug industry in opioid probe

Florida Attorney General Pam Bondi and other attorneys general are targeting drug manufacturers and distributors as well as the insurance industry, in an effort to address the nation’s opioid epidemic.

Drug overdose is the leading cause of accidental death in the country, with 52,404 fatal overdoses reported in 2015, according to the American Society of Addiction Medicine. Opioid addiction drove the epidemic with 20,101 overdose deaths related to prescription pain relievers and 12,990 deaths related to heroin.

Florida, where overdose deaths have spiked over the past two years, is one of the epicenters of the opioid crisis, fueled in part by the widespread use of fentanyl, a deadly painkiller sometimes mixed with heroin.

Bondi and a group of attorneys general are demanding documents and information from pharmaceutical manufacturers and distributors related to their opioid business.

The information requests are part of an effort by 41 states to crack down on the opioid crisis.

Bondi, who was appointed by President Donald Trump to serve on the White House’s Opioid and Drug Abuse Commission, has made prescription drug abuse one of her top priorities since she took office in 2011.

“Florida citizens continue to become addicted to opioids and die daily—meanwhile, prescription drug manufacturers, distributors and the medical profession all point fingers at each other as the cause of this national crisis,” Bondi said in a press release issued Tuesday. “This far-reaching multistate investigation is designed to get the answers we need as quickly as possible. The industry must do the right thing. If they do not, we are prepared to litigate.”

On Monday, Bondi joined a separate group of attorneys general who want insurers to make it easier for patients to receive alternative pain management treatments.

JJR asks Bondi to investigate opioid manufacturers

State Sen. Jose Javier Rodriguez, a Miami Democrat who’s running to replace veteran Congresswoman Ileana Ros-Lehtinen, is asking Florida Attorney General Pam Bondi to launch an investigation into pharmaceutical companies that manufacture opioids to determine whether their drugs have played a role in what some describe as an opioid epidemic.

 

Officials in several other states — including Ohio, Illinois, New York, West Virginia, California and Mississippi — have filed lawsuits against the drug manufacturers, including one based in Florida.

More than 25,000 people in the U.S. died after overdosing on opioids like fentanyl, oxycodone and hydrocodone, according to the Centers for Disease Control and Prevention.

Read Rodriguez’s letter here.