TREATMENT TAKES SECOND FIDDLE — Democrats and Republicans have found common ground this election cycle: America has a fentanyl problem , and it’s drug traffickers’ fault, POLITICO’s Carmen Paun reports. Former President Donald Trump and the GOP have slammed Democrats for what they see as lax border policies allowing fentanyl to surge into the country. Vice President Kamala Harris and Democrats have countered that they’ve cracked down on traffickers and want tighter border enforcement, saying Trump killed a deal addressing the border in Congress. The consensus reflects the resonance of border control among voters — most of the country’s illicit fentanyl comes from Mexico — and a hardening of the nation’s attitude toward addiction. Politicians from Trump and Harris on down the ballot say they’ll crack down. “It’s one of those things that people don’t want in their community,” said Rep. Jahana Hayes, a Democrat running for a fourth term representing a district including Hartford, Connecticut, suburbs and rural areas to their west, of illicit drugs. “They want a tough-on-crime stance on it.” The other side: That view worries public health experts and treatment advocates, who see a backsliding toward the law enforcement focus that once looked futile. They fear it bodes ill for additional efforts from Washington to expand addiction care. “We’ve seen bipartisan efforts to expand access to treatment … I wish they would talk about that more,” said Maritza Perez Medina, federal affairs director at Drug Policy Action, an advocacy group that opposes the law enforcement-first approach. Looking back: Six years ago, the sentiment in Washington about drug use was more empathetic: A bipartisan majority in Congress passed the SUPPORT Act, adding billions earmarked for treatment and recovery, which then-President Trump signed. But after it passed, fatal drug overdoses driven by illicit fentanyl skyrocketed, hitting a record 111,451 in the 12 months ending in August 2023 before starting to recede. Homelessness, sometimes tied to drug addiction, also spiked. When the SUPPORT Act came up for renewal last year, Congress wasn’t as motivated. The Democratic Senate hasn’t voted on a bill, while a House-passed measure from the chamber’s GOP majority offers few new initiatives and no new money. That attitude has been similar in the states — even deep blue ones. Oregon, where voters legalized drugs for personal use in 2020, reimposed criminal penalties this year. Polls indicate California voters, frustrated, too, by homelessness and crime, are likely to boost penalties for drug users by ballot initiative next month. On the campaign trail: Trump isn’t talking about the SUPPORT Act, one of his most consequential legislative successes. Harris isn’t talking about treatment policies from the Biden-Harris administration that some public health specialists credit with reducing overdose death rates after years of increases. Instead, Trump used his first anti-Harris ad this summer to blame her for the more than 250,000 deaths from fentanyl during the Biden-Harris administration. Harris responded by touting her prosecution of drug traffickers when she was California’s attorney general and a promise to strengthen the border. WELCOME TO MONDAY PULSE. We hope you got to enjoy fall in the DMV area this weekend. Send your tips, scoops and feedback to bleonard@politico.com and ccirruzzo@politico.com and follow along @_BenLeonard_ and @ChelseaCirruzzo.
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