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African News Herald > Blog > Health > STAT’s 3 to Watch: Addiction policy questions for 2025
Health

STAT’s 3 to Watch: Addiction policy questions for 2025

ANH Team
Last updated: January 1, 2025 6:07 am
ANH Team
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However, many experts in addiction medicine argue that 12-step programs alone are not sufficient for treating opioid addiction, which often requires a combination of counseling, medication, and support services. Methadone and buprenorphine are both recommended by the Centers for Disease Control and Prevention as first-line treatments for opioid use disorder, along with counseling and behavioral therapies. 

It remains to be seen how Kennedy will approach these medications if confirmed as head of the Department of Health and Human Services. His past statements and actions suggest a focus on abstinence-based recovery, which may not align with the evidence-based recommendations of addiction medicine specialists. 

Will Kennedy and Trump continue to support naloxone access? 

Naloxone, also known by the brand name Narcan, is a medication used to rapidly reverse opioid overdose. It has been credited with saving thousands of lives each year, and its widespread distribution has been a key component of the public health response to the opioid crisis. 

Under the Trump administration, naloxone access was expanded through various initiatives, including making it available without a prescription and providing funding for state and local programs to distribute the medication. Kennedy has also expressed support for naloxone access, calling it a “lifesaving tool” in combating the overdose epidemic. 

However, some critics argue that focusing on naloxone access alone is not enough to address the underlying issues of addiction and overdose. They point to the need for comprehensive harm reduction strategies, increased access to treatment, and addressing the root causes of substance use. 

As the new administration takes office and sets its priorities for addressing the opioid crisis, the role of naloxone in the broader strategy remains to be seen. Will Kennedy and Trump continue to support and expand naloxone access, or will they shift their focus to other interventions? Only time will tell. 

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In conclusion, the new year and new presidential administration bring with them the potential for significant changes in the U.S. response to the opioid crisis. With overdose deaths still at alarming levels and public attitudes shifting towards a more punitive approach to drug use, the future of drug policy, addiction treatment, and harm reduction remains uncertain. The decisions made by Trump, Kennedy, and other policymakers in the coming years will shape the trajectory of the addiction and overdose epidemic in the United States. 

Narcotics Anonymous, a 12-step offshoot focused on opioids, has historically opposed the use of medications for addiction treatment. However, the landscape is shifting as the Drug Enforcement Administration (DEA) considers allowing buprenorphine to be prescribed via telehealth.

During the Covid-19 pandemic, emergency rules were put in place that allowed doctors and health providers to initiate buprenorphine prescriptions via telehealth, without the need for an in-person examination. This change was welcomed by many addiction treatment providers and advocates, who saw it as a way to improve access to treatment for those struggling with opioid addiction.

Buprenorphine is a medication that is rarely used recreationally and has a low risk of overdose. Despite this, the DEA has been hesitant to make the temporary rules permanent, and the latest extension is set to expire at the end of 2025. The decision on whether to allow buprenorphine to be prescribed via telehealth now rests with the DEA, which is likely to take a more law enforcement-focused approach under the current administration.

The debate over telehealth prescribing of buprenorphine highlights the complexities of addressing the opioid crisis. While some believe that telehealth can improve access to treatment and reduce barriers to care, others are concerned about the potential for misuse of medications. As the DEA considers its final decision on this matter, it is important to weigh the benefits of telehealth prescribing against the risks and ensure that individuals struggling with opioid addiction have access to the care they need.

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