Medicaid Cuts & Opioid Deaths: Projected Spike
Addiction Experts Grow Restive as They Wait for kennedy to Take Action
By [Author Name]
The fight against the overdose epidemic, a crisis that has claimed hundreds of thousands of lives, is facing a new potential threat: proposed cuts to Medicaid. Addiction experts are growing increasingly concerned that these cuts, if enacted, could unravel the recent progress made in reducing drug deaths and leave vulnerable populations without essential treatment.
The projection comes amid a period of relative good news for the overdose epidemic: Drug deaths have steadily declined for the last year and a half, appearing to recede to pre-Covid-19 levels. However, the Centers for Disease Control and Prevention reports that about 78,000 americans died in the 12-month period ending in February. While this represents a decline from the running 12-month death toll in late 2023, which exceeded 110,000, the number remains alarmingly high.
Medicaid is the nation’s largest funder of addiction treatment, and experts argue that deep cuts to the programme risk backtracking on the recent progress. A study by Linas and his coauthors highlighted the potential impact, estimating that the Trump tax law’s impact could lead to a meaningful increase in overdose deaths.
“Those are the peopel who we can point to, the knowable population that are going to be more at risk for overdose,” said Regina LaBelle, a former high-ranking Obama management drug policy official and professor of addiction policy at Georgetown University. “What happens with the vast majority of people with a substance use disorder who don’t get any type of treatment and are likely to lose coverage? The 1,000 is a conservative estimate based on who’s getting the medications.”
LaBelle called the estimate “the tip of the iceberg,” suggesting it focuses only on those whose deaths can be most directly tied to a loss of insurance coverage and ensuing loss of medication access.
The findings are consistent with the addiction medicine community’s consensus that people taking methadone or buprenorphine are vastly less likely to experience a fatal overdose. Despite their effectiveness, though, these life-saving medications remain highly stigmatized and underused, with only about one-fifth of Americans with opioid use disorder receiving them.
The concern among addiction experts is palpable. They are waiting for a clear commitment and action from political leaders to protect and expand access to evidence-based treatment, ensuring that the hard-won progress against the overdose crisis is not reversed.**
STAT’s coverage of chronic health issues is supported by a grant from Bloomberg Philanthropies. Our financial supporters are not involved in any decisions about our journalism.*
