Aug 15, 2018

The big picture: America's drug problem

Illustration: Sarah Grillo/Axios

Drug overdoses killed a record 72,000 Americans last year, driven by a surge in synthetic opioids.

The big picture: "The dominant factor is the changing drug supply," epidemiologist Brandon Marshall told the N.Y. Times' Margot Sanger-Katz. The synthetic opioid fentanyl is increasingly found mixed with other drugs, and its potency is a factor in the uptick in overdoses.

Between the lines:

  • States are turning to medical marijuana as an opioid substitute, including efforts in New York, Pennsylvania and Illinois.
  • Police are shifting their focus to help addicts, including carrying overdose reversers in cruisers and allowing users to turn in their drugs without facing arrest.
  • National efforts to curb the crisis will take time: “Because of the forces of stigma, the population is reluctant to seek care. I wouldn’t expect a rapid downturn; I would expect a slow, smooth downturn," professor Dan Ciccarone told the Times.

The bottom line: Ending this epidemic is a bipartisan issue, and the supply of prescription opioids is falling nationwide. But our fellow Americans are dying, and we can't look away.

Go deeper: The congressional districts with the most opioids per person

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These swing voters don't like Trump’s environmental rollbacks

Illustration: Sarah Grillo/Axios

Swing voters in four battleground states decisively oppose President Trump’s sweeping rollbacks of environmental regulations — but it’s unlikely to sway their votes.

Why it matters: It’s voters living in states like these, including Florida and Pennsylvania, who fill pivotal roles electing America’s presidents, so we should listen.

Focus group: What some Florida swing voters think of Bloomberg

Illustration: Aïda Amer/Axios. Photo: Chesnot/Getty Contributor

PORT ST. LUCIE, Fla. — Some swing voters here are unbothered by the way Michael Bloomberg is spending heaps of his own money to help him win the race — but they're split over whether they'd actually vote for the New York billionaire over President Trump.

Why it matters: Bloomberg is the only Democrat who was even slightly intriguing to these voters. They're happy with Trump and don't feel like they recognize the current Democratic Party relative to when they voted for Barack Obama.

In photos: India welcomes president with massive "Namaste Trump" rally

First Lady Melania Trump, President Trump and India's Prime Minister Narendra Modi attend the "Namaste Trump" rally at Sardar Patel Stadium in Motera, on the outskirts of Ahmedabad, on Monday. Photo: Mandel Ngan/AFP via Getty Images

President Trump told a massive crowd at a rally in Ahmedabad, northwest India, Monday he hopes to reach a trade deal with his ""true friend" Prime Minister Narendra Modi during his two-day visit to the country "except he's a very tough negotiator."

Why it matters: The countries are forging deeper ties, particularly in the military dimension, as India’s location, size and economic growth making it the "obvious counterweight to China" for American policymakers, per Axios' Dave Lawler and Zachary Basu. Modi demonstrated the importance of the visit with a "Namaste Trump" rally at a packed 110,000-capacity Sardar Patel Stadium in Ahmedabad — the world's largest cricket venue.

Go deeperArrowUpdated 2 hours ago - World