Fentanyl and Other Synthetic Opioids

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America's Opioid Crisis: Adopting an Ecosystem Approach

The opioid crisis is metastasizing throughout society, reaching across public health and public safety, but also education, employment, and the child welfare system. Without profound change and new approaches to the crisis, hundreds of thousands of people could die in the coming years.

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Violence in Schools, Neurodiversity and National Security, Drug Cartels: RAND Weekly Recap

This weekly recap focuses on preventing school violence, dealing with drug cartels, the benefits of a neurodivergent national security workforce, and more.

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Opioids in America, Silicon Valley Bank, Semiconductors: RAND Weekly Recap

This weekly recap focuses on addressing America's illicit opioids problem, Silicon Valley Bank’s demise, Taiwan’s semiconductor dominance, and more.

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Illegal Opioids Are Hurting Too Many of Us. We Need a New Approach

To save and improve lives, policymakers will need to take a holistic approach to the opioid crisis. People who use opioids and their families should be at the heart of this new response.

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Synthetic Opioids, Ukrainian Grain, the Metaverse: RAND Weekly Recap

This weekly recap focuses on countering the illegal flow of synthetic opioids, freeing up Ukrainian grain to prevent famine, the importance of defining the metaverse, and more.

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Synthetic Opioids Are an Everything Problem

Illegally manufactured synthetic opioids have accelerated the opioid crisis. These drugs have created new challenges across a wide range of policy areas. That's why this crisis warrants new strategies and a comprehensive response.

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Fentanyl Makes an Already Dangerous Drug Market Deadlier Than Ever

Failure to recognize and respond to how rapidly illegal drug markets have changed with the arrival of illegally manufactured synthetic opioids will continue to put many Americans at risk of exposure to fentanyl, endangering the lives of hundreds of thousands more for years to come.

Bryce Pardo, David Luckey

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A Greater Focus On Harm Reduction Will Save Lives

For decades, elected officials brushed off harm reduction as a viable option for reducing the harms of drug use over concerns of enabling drug consumption. But now, these strategies are front and center, spoken aloud, from the largest podium in the land, and during prime time. What caused this historic about-face?

Bryce Pardo, David Luckey

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A New Approach to Fighting Synthetic Opioids: Q&A with David Luckey and Jayme Fuglesten

The opioid crisis isn't just about drug policy or law. It involves national security, homeland security, intelligence, diplomacy, supply chain issues, and cryptocurrency. Drawing on RAND's expertise across all those areas, the Commission on Combating Synthetic Opioid Trafficking delivered a plan, a call to action about what it's going to take to save lives.

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A New and More Dangerous Drug Market Requires a New Approach

Synthetic opioids are likely to increasingly reach illegal drug markets. Failure to recognize and respond to how rapidly drug markets have changed with the arrival of illegally manufactured synthetic opioids will continue to put many at risk of exposure to fentanyl, endangering the lives of hundreds of thousands more Americans for years to come.

Bryce Pardo, David Luckey

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Australia Contained COVID-19 Early On. Can It Do the Same with Synthetic Opioids?

Australia is at risk of a fentanyl problem, but it is better prepared than North America. If the country can make the same kind of concerted effort it did to keep COVID-19 at bay, that could save thousands of lives.

Bryce Pardo, Shann Corbett, et al.

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Want to Know If a New Drug Crisis Is Growing? Check the Wastewater

Few people foresaw how quickly fentanyl would displace heroin, doubling or tripling opioid overdose deaths in some pockets of the United States from 2013 to 2017. But we could have been warned—if only we'd checked our wastewater.

Bryce Pardo, Debra Knopman

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Fentanyl: The Most Dangerous Illegal Drug in America

America's fentanyl crisis is unlike previous drug epidemics and is likely to get worse. Deaths involving fentanyl and other synthetic opioids have surged from around 3,000 in 2013 to more than 30,000 in 2018. Solving the problem requires innovative approaches and unprecedented resources.

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What Will the Opioid Crisis Look Like in Five Years?

Evidence suggests that once a synthetic opioid like fentanyl becomes dominant in a drug market, it stays that way. With that in mind, the United States should prepare for these drugs as a lasting phenomenon.

Jirka Taylor, Peter Reuter

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Synthetic Opioid Crisis Still Growing, Often Among Unwitting Users

Although opioid prescriptions in the U.S. have fallen, opioid overdose deaths remain at historic levels. The continued spread of fentanyl and other illicitly manufactured synthetic opioids suggests the problem could still get worse.

Bryce Pardo, Beau Kilmer @BeauKilmer

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Tackle Fentanyl like a Poisoning Outbreak, Not a Drug Epidemic

America's fentanyl problem is far deadlier than past crises with other illegal drugs. New ideas, be they public policies, technologies or law enforcement strategies, are desperately needed. Continuing to treat fentanyl just like previous drug epidemics will likely be insufficient and may condemn thousands more to early deaths.

Bryce Pardo, Jonathan P. Caulkins, et al.

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China's Ban on Fentanyl Drugs Won't Likely Stem America's Opioid Crisis

Given China's recent decision to ban the unauthorized manufacture of fentanyl, authorities there appear to recognize a growing problem. But China cannot solve the U.S. opioid problem. The United States could do more to reduce demand for opioids as well as drug users' exposure to these powerful drugs.

Bryce Pardo, Beau Kilmer @BeauKilmer