Three months after declaring the opioid crisis a national emergency , President Trump declared during his first State of the Union that the United States would beat the epidemic by getting “much tougher on drug dealers and pushers.” Such combative rhetoric draws attention away from the real narrative behind America’s biggest drug epidemic: bad government policy catering to special interests. The Rise and Fall of OxyContin Prior to the 1990s, doctors generally viewed opioids as a last resort due to their addictive properties . Two medical perspectives shifted . First, a 1992 federal report concluded that fear of opioid addiction prevented too many patients from receiving the pain relief they needed. Around the same time, medical professionals began to accept chronic pain as a legitimate reason for treatment, with or without the presence of other symptoms. The resulting medical paradigm shift led to a spike in the demand for painkillers, and pharmaceutical companies raced to ...