Sign up for our daily briefing

Make your busy days simpler with Axios AM/PM. Catch up on what's new and why it matters in just 5 minutes.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Catch up on the day's biggest business stories

Subscribe to Axios Closer for insights into the day’s business news and trends and why they matter

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Stay on top of the latest market trends

Subscribe to Axios Markets for the latest market trends and economic insights. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Sports news worthy of your time

Binge on the stats and stories that drive the sports world with Axios Sports. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Tech news worthy of your time

Get our smart take on technology from the Valley and D.C. with Axios Login. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Get the inside stories

Get an insider's guide to the new White House with Axios Sneak Peek. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Denver news?

Get a daily digest of the most important stories affecting your hometown with Axios Denver

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Des Moines news?

Get a daily digest of the most important stories affecting your hometown with Axios Des Moines

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Twin Cities news?

Get a daily digest of the most important stories affecting your hometown with Axios Twin Cities

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Tampa Bay news?

Get a daily digest of the most important stories affecting your hometown with Axios Tampa Bay

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Charlotte news?

Get a daily digest of the most important stories affecting your hometown with Axios Charlotte

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Sign up for Axios NW Arkansas

Stay up-to-date on the most important and interesting stories affecting NW Arkansas, authored by local reporters

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Sen. Jeanne Shaheen discusses the opioid crisis on the Axios stage. Photo: Chuck Kennedy for Axios

The big picture: Thursday morning, Axios' Health Care Editor Sam Baker hosted a 4-part conversation on the future of pain management including policy changes, investment in new research and expanded access to non-opioid choices.

Representative David B. McKinley, West Virginia
Rep. David B. McKinley in conversation with Axios' Sam Baker. Photo: Chuck Kennedy for Axios

Rep. David B. McKinley (R-Wv.) discussed the impact of opioid addiction on his constituents and his frustration that the pharmaceutical industry was not being held accountable for their role in the unfolding crisis.

  • On drug makers: "When you have 200-300 pills per person for a person living in Mingo, WV, come on...They had to have known that was an excessive amount."
  • On the slow pace of legislative progress: "The frustration I have is 7 months into the 116th Congress under Pelosi, we've only had one hearing (about the opioid crisis)."

Drawing direct comparisons to European countries, he highlighted their significantly lower opioid-related overdose rates and willingness to use non-opioid courses of pain management.

  • On the need for sustained commitment: "We can't just throw money at [the opioid crisis] and expect it to go away."
Senator Jeanne Shaheen, New Hampshire

Sen. Jeanne Shaheen (D-Nh.) agreed with Rep. McKinley on the need for holding the pharmaceutical industry accountable, and the interconnections between opioid addiction and other substances.

  • On the need for a flexible approach: "What we've got to do is refocus Congress on the fact that we have not overcome this epidemic...It's evolved in a way where our approach needs to change. Our programs have to be flexible enough to address the other problems [with other substances] we're seeing."
  • On the stigma around addiction: "This is not a moral failing...this is a physical condition and we need to treat it that way."

She underscored the importance of the Affordable Care Act in maintaining current treatment programs.

  • "If [the ACA] goes away, there's no affordable alternative to treatment."
Dr. Marian Sherman, Director of Clinical Operations, Acute Pain Service Faculty, George Washington University Hospital
Dr. Marian Sherman discusses a variety of pain therapies on the Axios stage. Photo: Chuck Kennedy for Axios

Anesthesiologist and Director of Clinical Operations of Acute Pain Service Faculty at George Washington University Hospital, Dr. Marian Sherman unpacked the role of opioids in a medical setting and focused on the dangers of using it as a monotherapy.

  • On layering other types of medications: "We're using different types of medications to target different types of pain...We begin with acetaminophen and drugs like Ibuprofen and Motrin before thinking about layering on opioids."
  • On the importance of short-course therapies: "We need to educate surgeons and other prescription writers to ensure that patients are only on a short course of opioids...Opioids as a monotherapy is not a good choice medically and clinically."
Admiral Brett Giroir, Health and Senior Adviser, Opioid Policy, U.S. Department of Health and Human Services
Admiral Brett Giroir answers a question about progress being made in addressing the opioid crisis. Photo: Chuck Kennedy for Axios

Admiral Brett Giroir, Health and Senior Adviser on Opioid Policy at the U.S. Department of Health and Human Services, focused on the evolution of the opioid crisis and the progress being made thus far.

On the relationship between opioid addiction and fentanyl: "Prescription opioid deaths are down...and we're starting to get control over fentanyl overdoses as well. If we can treat opioid use, then we can impact the fentanyl crisis."

On making the system work for everyone: "We need to transition to a sustainable framework of care...[An important component of that] is to understand how to better reimburse people for treatment."

On the social determinants of health: "We have to deal with the underlying issues that make us all prone to this...Prescribing opioids is not an ideal solution, but we have to deal with people who have chronic, unremitting pain to deal with their quality of life."

Thank you Voices for Non-Opioid Choices for sponsoring this event.

Go deeper

CCP releases two jailed Canadians after Huawei CFO deal with DOJ

Photo: Sheldon Cooper/SOPA Images/LightRocket via Getty Images

Two Canadians imprisoned by the Chinese government for over 1,000 days have been released and are expected to arrive in Canada on Saturday, Prime Minister Justin Trudeau said Friday.

Why it matters: Their release comes hours after Huawei Technologies CFO Meng Wanzhou reached a deal with the U.S. Department of Justice that resolves the criminal charges against her and could pave the way for her to return to China.

Updated 19 hours ago - Politics & Policy

Arizona GOP's private recount of 2020 election confirms Biden's win

Contractors working on behalf of the GOP examine and recount 2020 ballots at Arizona Veterans Memorial Coliseum in Phoenix in May. Photo: Courtney Pedroza/Getty Images

In an odd coda to the 2020 election, private contractors conducting a GOP-commissioned recount in Arizona confirmed President Biden’s win in Maricopa County.

Why it matters: The unofficial, party-driven recount has been heavily covered on cable news as part of former President Trump's continued effort to sow doubt about the election result.

Del Rio bridge camp empty following Haitian migrant surge

A boy bathes himself in a jug of water inside a migrant camp at the U.S.-Mexico border on Sept. 21 in Del Rio, Texas. Photo: John Moore/Getty Images

The last migrants camping under the Del Rio International Bridge, which connects Texas and Mexico, departed on Friday, Homeland Security Secretary Alejandro Mayorkas announced during a White House press briefing.

Driving the news: Thousands of migrants, mostly from Haiti, had arrived to the makeshift camp after crossing the southern border seeking asylum. Roughly 1,800 migrants will now head to U.S. Customs and Border Protection processing centers.

You’ve caught up. Now what?

Sign up for Mike Allen’s daily Axios AM and PM newsletters to get smarter, faster on the news that matters.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!