Oct 10, 2018

Medicaid expansion isn't fueling the opioid crisis

Photo: Mark Wilson/Getty Images

A new study pours even more cold water — and there's already been a lot of cold water here — on the idea that the Medicaid expansion has fueled the opioid epidemic.

The details: The study, from the University of Pennsylvania’s Leonard Davis Institute of Health Economics, shows that the rate of overdose deaths in Medicaid expansion states is lower, not higher, than in non-expansion states.

  • It looks at three states that expanded Medicaid before the Affordable Care Act: Arizona, Maine and New York. (The authors say that’s because the opioid epidemic was already underway when the ACA’s Medicaid expansion began.)
  • It found that opioid deaths rose more slowly in those states than in nearby states that didn’t expand Medicaid, as well as in all non-expansion states.

The bottom line: A lot of the “Medicaid is bad for opioids” argument is built on the idea that Medicaid expansion gives people more access to opioids. But multiple studies have questioned that theory, and Medicaid expansion is also a critical avenue to expand treatment for addiction.

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Trump says he will campaign against Lisa Murkowski after her support for Mattis

Trump with Barr and Meadows outside St. John's Episcopal church in Washington, D.C. on June 1. Photo: Brendan Smialowski/AFP via Getty Images

President Trump tweeted on Thursday that he would endorse "any candidate" with a pulse who runs against Sen. Lisa Murkowski (R-Alaska).

Driving the news: Murkowski said on Thursday that she supported former defense secretary James Mattis' condemnation of Trump over his response to protests in the wake of George Floyd's killing. She described Mattis' statement as "true, honest, necessary and overdue," Politico's Andrew Desiderio reports.

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The president vs. the Pentagon

Trump visits Mattis and the Pentagon in 2018. Photo: Brendan Smialowski/AFP via Getty

Over the course of just a few hours, President Trump was rebuffed by the Secretary of Defense over his call for troops in the streets and accused by James Mattis, his former Pentagon chief, of trampling the Constitution for political gain.

Why it matters: Current and former leaders of the U.S. military are drawing a line over Trump's demand for a militarized response to the protests and unrest that have swept the country over the killing of George Floyd by police.

New York Times says Tom Cotton op-ed did not meet standards

Photo: Avalon/Universal Images Group via Getty Images)

A New York Times spokesperson said in a statement Thursday that the paper will be changing its editorial board processes after a Wednesday op-ed by Sen. Tom Cotton (R-Ark.), which called for President Trump to "send in the troops" in order to quell violent protests, failed to meet its standards.

Why it matters: The shift comes after Times employees began a coordinated movement on social media on Wednesday and Thursday that argued that publishing the op-ed put black staff in danger. Cotton wrote that Trump should invoke the Insurrection Act in order to deploy the U.S. military against rioters that have overwhelmed police forces in cities across the country.