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Earlier this week, the Department of Justice announced a new rule to "improve the Drug Enforcement Administration's ability to combat the national opioid crisis."

The rule states that "the Attorney General, through the Drug Enforcement Administration (DEA), has issued and administers regulations setting aggregate production quotas for each basic class of controlled substances in schedules I and II, manufacturing quotas for individual manufacturers, and procurement quotas for manufacturers to produce other controlled substances or to convert the substances into dosage form."

In essence, the DOJ is giving the DEA enhanced power to limit the volume of prescription opioids produced by any given manufacturer.

They're going after "big pharma" — the source of prescription pain killers.

At the time the new rule was first introduced in April, Attorney General Jeff Sessions said, "If DEA believes that a company's opioids are being diverted for misuse, then they will reduce the amount of opioids that company can make."

I'm not usually really big on increasing federal regulations in the commercial space, but in this instance, I applaud the effort.

It remains to be seen, however, whether the effort will be effective.

We shall soon see what we shall see.

Staggering Numbers

According to the National Institute on Drug Abuse (NIDA), more than 115 people die by overdose on opioids — prescription pain relievers, heroin, and synthetic opioids such as fentanyl — every day in America.

That's roughly the equivalent of one (mostly-full) 737 airliner auguring into the earth every day.

Also according to the NIDA, more than 33,000 Americans died as a result of an opioid overdose in 2015 alone.

That's close to the number of American military combat deaths suffered during the entire Korean War.

In 2016, more than 42,000 people in the U.S. died from opioid overdoses — more than any other year on record, according the Centers for Disease Control and Prevention.

Oh, and all of the abovementioned numbers do not include the non-fatal overdoses that are mitigated with the application of naloxone (Narcan) — more on naloxone in a minute.

The financial impact of the opioid crisis is also significant.

According to a 2016 report (analyzing 2013 data), the "total economic burden is estimated to be $78.5 billion. Over one third of this amount is due to increased health care and substance abuse treatment costs ($28.9 billion)."

The report said further that "approximately one quarter of the cost is borne by the public sector in health care, substance abuse treatment, and criminal justice costs."

That data was from five years ago.

It boggles the mind to contemplate what the economic costs are today.

Clearly, something has to be done.

Caught In the Middle

As is the case in many matters — from homelessness to domestic violence to immigration enforcement — the opioid crisis has American police officers caught between a rock and a hard place.

Officers across the country have begrudgingly become drug counselors and medical workers — jobs for which they are not sufficiently trained to be truly effective, nor did they sign up for.

I've heard stories from many officers who are rightfully frustrated with the number of times they've returned to the same scene — to find the same subject overdosing — and administering naloxone (Narcan).

Sometimes it's the same scene and the same subject several times a day!

Some officers have told me privately — not for attribution, of course — that they sometimes wish they could "slow roll it" to those calls and allow Darwin to rule the day.

They quickly add that they don't delay, no matter what the call, and answer the call to preserve life — but that the thought is definitely there.

Some tell me they wish they didn't have to carry naloxone at all — but for officer safety reasons they have a life-saving dose or two on their duty belt.

Countless officers are resigned to powerlessly stand by and watch matters get worse.

Opioids don't just kill drug addicts — opioids are killing officer morale as well.

Between Supply and Demand

Some politicians advocate for "forced rehabilitation" for chronic opioid addicts in jail, but the fact is that only someone willing and eager to get clean will ever actually stay clean for any appreciable length of time.

Some people promote "outreach programs" to prevent at-risk youth from ever getting involved in opioid abuse in the first place, but more often than not, when a kid wants to get high, they will probably find a way to get high.

So, if addressing the demand side of the equation isn't working (and it isn't), and with the jury still out on the DOJ's recently announced effort to work the supply side of the problem, what's left for law enforcement to do?

I'd like to see more law enforcement intervention in the distribution element of the equation — the conduit that connects the supply side with the demand side.

In addition to doing more to target the illegal sale of heroin — increased street-level drug interdiction coupled with a willingness among prosecutors to double-down on their efforts to put dealers behind bars — I'd like to see more doctors losing their licenses for wantonly over-prescribing opioids.

It's no secret that doctors across the country are writing countless "scripts" for pain killers — which is very lucrative for them — when other pain-killing alternatives would work just as well (if not better).

Nearly every state — if not every state — has laws on the books that penalize doctors who are found to be over-prescribing opioids.

The trouble is, those laws are woefully under-enforced — there simply are not enough resources to go after the bad docs, and even when police do, those doctors tend to get the best legal counsel money can buy and end up walking.

Perhaps the American Medical Association can do a better job of policing their own.

Perhaps that's wishful thinking.

Perhaps… but I can't think of anything significantly better to wish for to end this crisis.

Author

Doug Wyllie
Doug Wyllie

Web Editor

Doug Wyllie has authored more than 1,000 articles and tactical tips aimed at ensuring that police officers are safer and more successful on the streets. Doug is a Western Publishing Association “Maggie Award” winner for Best Regularly Featured Digital Edition Column. He is a member of International Law Enforcement Educators and Trainers Association (ILEETA), an Associate Member of the California Peace Officers’ Association (CPOA), and a member of the Public Safety Writers Association (PSWA).

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Doug Wyllie has authored more than 1,000 articles and tactical tips aimed at ensuring that police officers are safer and more successful on the streets. Doug is a Western Publishing Association “Maggie Award” winner for Best Regularly Featured Digital Edition Column. He is a member of International Law Enforcement Educators and Trainers Association (ILEETA), an Associate Member of the California Peace Officers’ Association (CPOA), and a member of the Public Safety Writers Association (PSWA).

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