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4 - The Effect of Policy and Governmental Regulations on the Opioid Epidemic

from Part I - The Origins of Addiction

Published online by Cambridge University Press:  07 October 2023

Ethan O. Bryson
Affiliation:
Icahn School of Medicine at Mount Sinai, New York
Christine E. Boxhorn
Affiliation:
Medical College of Wisconsin, Milwaukee
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Summary

The effect of individual governmental drug policies and regulations has, in many cases, been the main driving force behind the direction the opioid epidemic has taken in the United States and many countries around the world. Unfortunately these policies have sometimes had dramatically different effects than were initially intended. Changes in policy which allowed for increased availability of opioid medications had the unintended consequence of widespread opioid addiction and overdose deaths. Policies which aimed to crack down on the diversion of these medications from legitimate medical use resulted in the spike in heroin use as those people who were now addicted to opioids had to turn elsewhere. As demand for heroin surged, so too did manufacturing and sales, and as law enforcement targeted illicit heroin trafficking, cartels turned to the more potent and easier to hide synthetic opioids such as fentanyl and carfentanil. It seems that every governmental policy change or new regulation intended to stop the opioid epidemic is met with a creative solution by the people profiting to keep the opioid trade open.

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