Governors Meet to Discuss Opioid Epidemic in Rural America

Democrats and Republicans are working together to combat America’s opioid epidemic.

Agriculture Secretary Tom Vilsack met with Democratic Virginia Gov. Terry McAuliffe and Republican Tennessee Gov. Bill Haslam at a June 30 town hall meeting to discuss solutions to the growing drug abuse problem in Appalachia.

The town hall included discussions on Medicaid expansion as well as solutions to opioid abuse. Both governors see benefits in additional treatment, prescription monitoring, drug-related education and new economic prospects.

They also spoke in depth about the benefit of drug courts. Haslam believes alternatives to incarceration can have a lasting impact on addiction recovery.

“I’m a big believer in drug courts, and we’ve put a lot of money into dramatically expanding the amount of drug courts so judges had alternatives when somebody came before them beyond just sentencing,” Haslam told WJHL-TV.

Haslam and McAuliffe have witnessed the tragedies caused by opioid abuse. In Virginia, 980 people died of drug overdose in 2014, nearly 130 more than in the previous year, per the Centers for Disease Control and Prevention.

In Tennessee, 1,269 people died of drug overdose in 2014 — more than Utah, Vermont and New Hampshire combined.

Other states in the region face similar problems. Drug overdose deaths in other Appalachian states in 2014 include:

  • Kentucky: 1,077
  • Alabama: 723
  • West Virginia: 627

“It’s everybody’s problem,” McAuliffe told the Associated Press.

Vilsack, a former Iowa governor, knows the consequences of substance abuse all too well. His mother battled addictions to alcohol and prescription pills when he was a child.

“I may not have every experience that families dealing with this today have, but I’ve had many of them,” he told Time. “And I can certainly understand it from the perspective of a child.”

President Obama tapped Vilsack to lead the fight against opioid abuse in rural communities. Vilsack is tasked with raising awareness and forging creative partnerships to defeat the opioid epidemic in the region.

Drug Abuse Linked to Decline of Coal Industry

Unemployment may contribute to Appalachia’s drug problem.

The region’s coal industry, a major source of jobs, is diminishing. Appalachian residents blame Obama’s plan of limiting air pollution and investing more in sustainable jobs for rapid unemployment.

The U.S. Energy Information Administration reported a decline in coal production by 28 percent in May compared to the same time last year. The agency forecasts a 17 percent decline in 2016, marking the largest decrease since 1949.

Declining production contributes to joblessness. West Virginia has the fourth-worst unemployment rate in the country, according to the U.S. Department of Labor. Pennsylvania, South Carolina and Mississippi have high rates as well.

“If we can get the jobs here, I think it can reduce a lot of this drug addiction,” McAuliffe said.

Vilsack says the stigma of addiction in small towns keeps people from seeking help. Many are embarrassed to admit the problem to family members or neighbors. This leads to worsening symptoms and possible death.

Congress Passes Opioid Bills

The Senate in April passed the Comprehensive Addiction and Recovery Act (S. 524) to reduce opioid abuse. The House passed its own bill, the Comprehensive Opioid Abuse Reduction Act (H.R. 5046), a month later.

Both bills authorize grants to aid:

  • First responder training for the administration of opioid overdose reversal
  • Treatment alternatives to incarceration
  • Investigative activities to fight illegal opioid distribution
  • Prescription drug monitoring programs for state applicants
  • Prescription drug take-back activities
  • Youth and juvenile substance abuse programs
  • Comprehensive opioid abuse response plans

The key differences lie in funding. The House bill authorized $103 million in grants, while the Senate bill offered $77 million.

Congress negotiated a single, compromise bill that satisfied both parties but it fell short of the $1.1 billion Obama requested to combat the epidemic.

Vilsack maintained that both bills lacked adequate cash. He said additional funds would create more treatment centers and train hundreds of psychologists and physicians in drug treatment.

Obama’s proposal would cover much ground. Over two years, Vilsack says funds would allocate up to $17 million to Virginia, $24 million to Tennessee, $10 million to West Virginia and $18 million to Kentucky.

Obama is expected to sign the compromise bill into law this summer. In the meantime, Vilsack will take his opioid conference tour to Missouri next month.



Medical Disclaimer: DrugRehab.com aims to improve the quality of life for people struggling with a substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare provider.

View Sources

  • Bagalman, E. & Sacco, L.N. (2016, May 23). The Comprehensive Addiction and Recovery Act of 2016 (S.524): Comparison of Senate and House-Passed Versions. Retrieved from https://www.fas.org/sgp/crs/misc/R44493.pdf
  • Center for Disease Control and Prevention. (2016, May 2). State Data. Retrieved from http://www.cdc.gov/drugoverdose/data/statedeaths.html
  • Harris, G. (2016, July 6). Congress Splits Over Bill Aimed at Nation’s Opioid Epidemic. Retrieved from http://www.nytimes.com/2016/07/07/us/politics/congress-to-hash-out-final-bill-aimed-at-opioid-epidemic.html
  • Mattise, J. (2016, June 30). Vilsack, McAuliffe, Haslam convene on drug abuse issue. Retrieved from http://www.bigstory.ap.org/article/29e785f3d47d419ea7012eaa53f9cffd/vilsack-mcauliffe-haslam-convene-drug-abuse-issue
  • Rhodan, M. (2016, February 8). Meet the Man Leading the Fight Against Opioids. Retrieved from http://time.com/4211759/white-house-opioids-tom-vilsack/
  • Soto, J. (2016, June 30). Haslam and McAuliffe attend opioid town hall meeting. Retrieved from http://wjhl.com/2016/06/30/haslam-and-mcauliffe-attend-opioid-town-hall-meeting/
  • U.S. Energy Information Administration. (2016, June 7). Short-Term Energy Outlook. Retrieved from https://www.eia.gov/forecasts/steo/report/coal.cfm
  • United States Department of Labor. (2016, June 17). Unemployment Rates for States. Retrieved from http://www.bls.gov/web/laus/laumstrk.htm

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