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Illustration: Sarah Grillo/Axios

More than 70% of residential treatment programs in the U.S. don’t offer the medical standard of care for opioid addiction, a new report published in JAMA shows.

The big picture: Many facilities pushed clinically irrelevant therapies or outright discouraged widely accepted medication-based therapies.

By the numbers: Researchers called 368 programs posing as uninsured heroin users asking for care options.

  • Just 29% of facilities offered maintenance treatment with buprenorphine, while more than 20% discouraged the drug's use. 31% offered medication-assisted treatment, but only for short term "detox."
  • 92% offered some kind of 12-step programming. Many also offered group therapy.
  • Many also offered yoga, animal therapy or massage — therapies with little to no basis in evidence.

Go deeper

Ex-DHS official says Trump offered pardons to immigration officials who broke the law

Miles Taylor, the former chief of staff of the Department of Homeland Security, claimed in a political ad released Tuesday that President Trump offered to "pardon U.S. government officials for breaking the law to implement his immigration policies."

Why it matters: Taylor, who quit the Trump administration in 2019 and endorsed Joe Biden last week, is one of a number of Republicans seeking to stop the president's re-election. Trump denied that he offered pardons to immigration officials when the allegations were first reported by the Washington Post and New York Times in August 2019.

Updated 18 mins ago - Politics & Policy

Facebook paying up to $14M to settle employment discrimination claims

Photo: T.J. Kirkpatrick/Bloomberg via Getty Images

Facebook has agreed to pay up to $14.25 million to settle allegations that it discriminated against American workers by reserving positions for temporary visa holders, the Justice Department announced on Tuesday.

Why it matters: The settlement represents the largest civil penalty and monetary award that the Civil Rights Division has recovered in the 35-year history of the Immigration and Nationality Act's anti-discrimination provision.

Updated 2 hours ago - World

Mapping repression in China's Xinjiang region

Data: © Mapbox, © OpenStreetMap; Map: Will Chase/Axios

A sweeping new report released today by an Australian research organization reveals new details about how the Chinese Communist Party — and specifically who within the party — is carrying out its campaign of repression in Xinjiang.

Why it matters: Uncovering the actual offices and individuals implementing the Chinese government's genocide and forced labor policies in Xinjiang can bring accountability and help international companies delink supply chains in compliance with U.S. and EU forced labor laws.