Why can’t America contain the fentanyl crisis?

Why can’t America contain the fentanyl crisis?

Author: BBC World Service May 19, 2023 Duration: 49:01

Fentanyl, a synthetic opioid which is up to 50 times more powerful than heroin, is now the main driver of drug overdose deaths in America. The US Drug Enforcement Administration says 67% of the 107,375 US deaths from drug overdoses or poisonings in 2021 were linked to fentanyl or similar opioids. US authorities blame Mexican drug gangs for supplying fentanyl to users across the US. Mexico's President Andrés Manuel López Obrador says his country has proof that illegal shipments of the powerful opioid drug fentanyl are arriving from China; while China's foreign ministry has denied that there is illegal trafficking of fentanyl between China and Mexico. The US government is deploying law enforcement to crack down on fentanyl dealers and also taking steps to prevent and treat substance use and the harms it produces. But why is it still struggling to contain the fentanyl epidemic? Would stronger US cooperation with Chinese and Mexican authorities make a difference? What should President Joe Biden's administration do going forward to tackle the fentanyl crisis?

Shaun Ley is joined by:

Regina LaBelle, who served as acting director in the Office of National Drug Control Policy (ONDCP) in the White House when Joe Biden became president in 2021. She now directs the Addiction and Public Policy Initiative at the O'Neill Institute at Georgetown University Law Center in Washington DC.

Vanda Felbab-Brown, Director of the Initiative on Nonstate Armed Actors and a Senior Fellow at the Brookings Institution, a nonpartisan think tank based in Washington.

Uttam Dhillon served during Donald Trump’s presidency as acting head of the US Drug Enforcement Administration, the DEA, from 2018 to 2020. He now works for law firm Michael Best and Friedrich and its consultancy, which provides advice on drug policy to clients including healthcare companies. Uttam is on the board or advises several companies involved in tackling the opioid crisis.

Also featuring: Dr Rahul Gupta, President Joe Biden's 'Drug Czar' as Director for the US Office of National Drug Control Policy

Gustavo Mohar, head of Mexico´s national security intelligence agency from 2007 to 2011

Belgian Justice Minister Vincent Van Quickenborne

FILE PHOTO: Plastic bags of Fentanyl are displayed on a table at the U.S. Customs and Border Protection area at the International Mail Facility at O'Hare International Airport in Chicago, Illinois, U.S. November 29, 2017. REUTERS/Joshua Lott/File Photo

Produced by Ellen Otzen and Imogen Wallace


Each week, The Real Story from the BBC World Service moves beyond the headlines to examine a single, pressing issue shaping our world. Instead of rapid-fire updates, this podcast dedicates its time to deep, thoughtful conversation. You’ll hear directly from the people involved-policymakers, analysts, journalists, and those directly affected-as they unpack the complexities of a major event or trend. The discussions are rigorous and nuanced, focusing on the underlying forces, historical context, and potential consequences that simpler reports often miss. It’s a space for genuine debate where differing perspectives collide, providing a clearer picture of why a story matters. For anyone seeking to understand the deeper narratives behind the news, this podcast offers essential context and insight, transforming a familiar topic into a richer, more complete understanding. Tune in for a thorough analysis that challenges assumptions and connects the dots on global affairs.
Author: Language: English Episodes: 50

The Real Story
Podcast Episodes
Is Biden too old to run in 2024? [not-audio_url] [/not-audio_url]

Duration: 49:05
The top brass of the Democrat party in the US have all rallied behind Joe Biden with their eyes on the 2024 presidential election. But they have a problem. Repeated polls suggest support for the incumbent president is st…
Ukraine’s offensive: Too slow to triumph? [not-audio_url] [/not-audio_url]

Duration: 49:08
America's top general has warned that Ukraine’s counter offensive is running out of time. Speaking to the BBC, Mark Milley admitted the offensive had gone more slowly than expected. With just one month of fighting before…
Iran, a year on from the death of Mahsa Amini [not-audio_url] [/not-audio_url]

Duration: 49:02
The death of 22-year-old Mahsa Amini after she was detained by Iran's so-called ‘morality police’ - enforcers of Iran’s Islamic dress code - sparked widespread anti-government protests across the country. Thousands of mo…
Why is it still so hard for whistleblowers? [not-audio_url] [/not-audio_url]

Duration: 49:06
Lucy Letby worked on a neonatal unit in England. Dr Stephen Brearey - the lead consultant on the unit - raised concerns in October 2015. Whilst no one knew she was killing some of the babies in her care, Dr Brearey hoped…
Ecuador's spiralling drug violence [not-audio_url] [/not-audio_url]

Duration: 48:54
Ecuador has until recently been a relatively peaceful country. But in the course of a few years it has become a place dominated by violence and drug trafficking. After Colombia struck a peace deal in 2016, Ecuador’s role…
How should the world engage with the Taliban? [not-audio_url] [/not-audio_url]

Duration: 48:51
Two years ago the Taliban swept into Kabul and took control of Afghanistan, almost exactly twenty years after they were ousted by the US-led invasion after 9/11. The West has since deployed sanctions to put pressure on t…
China, US and the fight for Taiwan [not-audio_url] [/not-audio_url]

Duration: 49:03
China has released a new documentary about its army’s preparations to attack Taiwan - the film includes interviews with Chinese soldiers who swear they'll give up their lives if needed in a potential invasion of the isla…
The coup in Niger: Why does it matter? [not-audio_url] [/not-audio_url]

Duration: 48:59
Soldiers in the West African country of Niger announced a coup on national TV last week, saying they had dissolved the constitution, suspended all institutions and closed all borders. The coup was widely condemned, inclu…
How close are we to ending Alzheimer's? [not-audio_url] [/not-audio_url]

Duration: 48:39
A new drug, Donanemab, has been hailed as a turning point in the fight against Alzheimer's after a global trial confirms it slows cognitive decline.One trial was shown to have “significantly slowed” the progression of th…
Surviving extreme heat [not-audio_url] [/not-audio_url]

Duration: 48:42
Heatwaves are growing in frequency and intensity around the world due to climate change. Extreme heat is now gripping three continents - Europe, the US and Asia - and there is more to come. Temperatures are breaking reco…