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Mayor Steve Williams of Huntington, West Virginia speaks with Axios' Mike Allen. Photo: Lawrence Jackson for Axios

Wednesday morning, Axios' Mike Allen hosted a series of conversations on health care's biggest challenges, focusing on the opioid epidemic and pain crisis in the U.S.

The big picture from Axios' Bob Herman, Policymakers want to find other ways to treat pain — given the destruction that addictive opioid pills have caused — and many companies sit on the other side of the table selling opioid alternatives, with the hope of getting higher government pay.

Dr. Vanila Singh, Chief Medical Officer, Office of the Assistant Secretary for Health
Dr. Vanila Singh in conversation with Axios' Mike Allen. Photo: Lawrence Jackson for Axios

Dr. Singh, who serves as the Chairperson for the Pain Management Inter-Agency Task Force, emphasized that many Americans are affected by pain, "50 million people in the U.S. are affected by chronic daily pain — that's a staggering number."

She shared that stigma is the greatest barrier to care. "Patients fell a sense of weakness, like they've somehow failed their family."

Dr. Singh's pain task force is focusing on ensuring non-opioid pain management measures get coverage — a priority at HHS.

Mayor Steve Williams, Huntington, West Virginia

Mayor Williams of Huntington, a town raked by opioid addiction, told Mike Allen that opioids are only one part of a larger addiction epidemic — what he believes to be the greatest existential threat facing the U.S.

He called for dedicated research and funding for the addiction epidemic, "We have no problem creating institutes to fight cancer or Alzheimer's — we need to have truly aggressive academic research into fighting addiction."

Mayor Steve Williams in conversation with Axios' Mike Allen. Photo: Lawrence Jackson for Axios

Mayor Williams highlighted the success of his new SAMHSA-funded quick response team. "We've found that the quick response team enables us to get 30% of individuals we speak to into treatment and that overdoes are down 40% year over year."

Senator Joe Manchin, West Virginia
Senator Joe Manchin talks health care with Axios' Mike Allen. Photo: Lawrence Jackson for Axios

Senator Manchin, Founder of the Senate Caucus on Prescription Drug Abuse, shared details of his 'penny tax' proposal with Mike Allen. "Pay me one penny per milligram of opioids you produce, and I'll take that money and direct it to treatment centers."

He said that pharmaceutical companies may believe they're putting out pills to provide a health remedy, when in reality it's solely for business.

When asked broadly about health care in the U.S., Senator Manchin said about ACA implementation: "We gave people the most valued gift in the world — a healthcare card — and never gave them any instruction on how to use it."

Senator Bill Cassidy, Louisiana

Senator Cassidy, Founder of the Greater Baton Rouge Community Clinic, a resource that provides care for the working uninsured, focused the conversation on patients, and their lack of choice. He is currently working on 8-10 bipartisan bills to give power back to the patient: "One solution is price transparency."

Senator Bill Cassidy and Mike Allen. Photo: Lawrence Jackson for Axios

Cassidy called for nuance in the way we discuss the opioid epidemic.

The addict. The chronic, but stable patient. And the person who is hooked because of an over-prescription. Those are the three types of situations we have to address separately.

He did highlight the work Congress has done, noting that the number of prescriptions for opioids is going down. He hopes for bipartisan support in addressing the illicit drugs that are filling the gap that fewer opioid prescriptions created.

Thank you Eli Lilly for sponsoring this event.

Go deeper

1 hour ago - Health

CDC: It's time for "universal face mask use"

Photo: Paul Hennessy/SOPA Images/LightRocket via Getty

The CDC is urging “universal face mask use” for the first time since the coronavirus pandemic began, citing recent case spikes as the U.S. has entered a phase of “high-level transmission” before winter officially begins.

Why it matters: Daily COVID-related deaths across the U.S. hit a new record on Wednesday. Face coverings have been shown to increase protection of the wearer and those around them, despite some Americans' reluctance to use them.

3 hours ago - World

Saudi Arabia and Qatar near deal to end standoff, sources say

Qatar's prime minister (R) attends the 2019 Gulf Cooperation Council summit in Saudi Arabia. Photo: Fayez Nureldine/AFP via Getty

Saudi Arabia and Qatar are close to a deal to end the diplomatic crisis in the Gulf following U.S.-mediated reconciliation talks this week, sources familiar with the talks tell me.

Why it matters: Restoring relations between Saudi Arabia and Qatar would bring a sense of stability back to the Gulf after a 3.5 year standoff. It could also notch a last-minute achievement for the Trump administration before Jan. 20.

House passes bill to decriminalize marijuana

Rep. Earl Blumenauer (D-Ore.), a longtime marijuana legalization advocate and co-sponsor of the bill. Photo: Pete Marovich For The Washington Post via Getty Images

The House on Friday voted 228-164 in favor of the Marijuana Opportunity Reinvestment and Expungement (MORE) Act, marking the first time a congressional chamber has voted in favor of decriminalizing marijuana at the federal level.

Why it matters: The Washington Post describes the bill as a "landmark retreat in the nation’s decades-long war on drugs," which has disproportionately affected people of color.