U.S. Public Health Agencies Aren’t ‘Following the Science,’ Officials Say: ‘People are getting bad advice and we can’t say anything.’

U.S. Public Health Agencies Aren’t ‘Following the Science,’ Officials Say

‘People are getting bad advice and we can’t say anything.’

https://www.commonsense.news/p/us-public-health-agencies-arent-following

The calls and text messages are relentless. On the other end are doctors and scientists at the top levels of the NIH, FDA and CDC. They are variously frustrated, exasperated and alarmed about the direction of the agencies to which they have devoted their careers.

“It’s like a horror movie I’m being forced to watch and I can’t close my eyes,” one senior FDA official lamented. “People are getting bad advice and we can’t say anything.”

That particular FDA doctor was referring to two recent developments inside the agency. First, how, with no solid clinical data, the agency authorized Covid vaccines for infants and toddlers, including those who already had Covid. And second, the fact that just months before, the FDA bypassed their external experts to authorize booster shots for young children.

That doctor is hardly alone.

At the NIH, doctors and scientists complain to us about low morale and lower staffing: The NIH’s Vaccine Research Center has had many of its senior scientists leave over the last year, including the director, deputy director and chief medical officer. “They have no leadership right now. Suddenly there’s an enormous number of jobs opening up at the highest level positions,” one NIH scientist told us. (The people who spoke to us would only agree to be quoted anonymously, citing fear of professional repercussions.) 

The CDC has experienced a similar exodus. “There’s been a large amount of turnover. Morale is low,” one high level official at the CDC told us. “Things have become so political, so what are we there for?” Another CDC scientist told us: “I used to be proud to tell people I work at the CDC. Now I’m embarrassed.”

Why are they embarrassed? In short, bad science. 

The longer answer: that the heads of their agencies are using weak or flawed data to make critically important public health decisions. That such decisions are being driven by what’s politically palatable to people in Washington or to the Biden administration. And that they have a myopic focus on one virus instead of overall health.

Nowhere has this problem been clearer—or the stakes higher—than on official public health policy regarding children and Covid. 

First, they demanded that young children be masked in schools. On this score, the agencies were wrong. Compelling studies later found schools that masked children had no different rates of transmission. And for social and linguistic development, children need to see the faces of others. 

Next came school closures. The agencies were wrong—and catastrophically so. Poor and minority children suffered learning loss with an 11-point drop in math scores alone and a 20% drop in math pass rates. There are dozens of statistics of this kind.

Then they ignored natural immunity. Wrong again. The vast majority of children have already had Covid, but this has made no difference in the blanket mandates for childhood vaccines. And now, by mandating vaccines and boosters for young healthy people, with no strong supporting data, these agencies are only further eroding public trust.

One CDC scientist told us about her shame and frustration about what happened to American children during the pandemic: “CDC failed to balance the risks of Covid with other risks that come from closing schools,” she said. “Learning loss, mental health exacerbations were obvious early on and those worsened as the guidance insisted on keeping schools virtual. CDC guidance worsened racial equity for generations to come. It failed this generation of children.”

An official at the FDA put it this way: “I can’t tell you how many people at the FDA have told me, ‘I don’t like any of this, but I just need to make it to my retirement.’”

Supreme Court Tells Cops To Stop Playing Doctor – BUT – will they listen – or – back to business as usual ?

Supreme Court Tells Cops To Stop Playing Doctor

https://www.acsh.org/news/2022/07/15/supreme-court-tells-cops-stop-playing-doctor-16434

A unanimous Supreme Court decision is a good first step for getting law enforcement out of prescription decisions. Drs. Jeffrey Singer and Josh Bloom in Reason Magazine.

No one witnessing a burglary in progress would call 911 and ask for a doctor. Likewise, it makes no sense for a doctor to consult a cop about prescribing medications. Yet in the past decade, law enforcement, driven by the Drug Enforcement Administration (DEA), has taken a large and inappropriate role in monitoring and dictating the amount and kind of pain medications doctors may prescribe. Once this threshold is crossed, doctors are subjected to tactics that would horrify anyone with even a passing knowledge of the Constitution. Fortunately, the U.S. Supreme Court unanimously decided such tactics are unacceptable.

The Supreme Court reined in overzealous prosecutors who arrested doctors for treating their patients as individuals rather than conforming to law enforcement’s accepted standards. In Ruan v. United States, the Court overturned a decision that would have sent board-certified pain management specialist Xiulu Ruan to prison for 21 years for not conforming to law enforcement’s arbitrary and misguided standards. Ruan was not allowed to introduce expert testimony to argue that his pain management decisions were reasonable and based upon clinical experience as well as his patients’ individual needs—a so-called good faith defense.

When the public hears opioids, most reflexively think of prescription pain pills. But the term opioids actually refers to a broad category of drugs, including illicit “street” fentanyl, now widely known as the most dangerous of them all. The Centers for Disease Control and Prevention (CDC) reported that 77,000 of the 105,000 drug overdose deaths in 2021 are opioid-related, 90 percent of which are due to illicit fentanyl. The rest are mostly due to heroin, cocaine, and methamphetamine.

Although fentanyl alone can easily be lethal, the overwhelming majority of overdose deaths are “polysubstance” deaths: opioids mixed with stimulants, sedatives, and alcohol. To wit, nearly 70 percent of the fentanyl deaths also involved mixtures of cocaine, methamphetamine, and heroin, while the number involving prescription pills was only 16 percent. In 2020, CDC data showed that a mere 7 percent of fatal overdoses involved prescription opioids alone.

Apparently, the Department of Justice didn’t get the memo. On June 29, just two days after the Supreme Court’s Ruan ruling, the DOJ announced the formation of the New England Prescription Opioid Strike Force, targeting doctors who law officers decide are “overprescribing” opioid pain medications.

There is a term for this: Cops practicing medicine.

The timing of this strike force is curious because the opioid prescribing rate has dropped precipitously—60 percent since its peak in 2011. Furthermore, in 2019, one of us co-authored a paper in the Journal of Pain Research which demonstrated that between 2002 and 2014, per-capita pain reliever prescriptions doubled while nonmedical use of and addiction to prescription pain relievers remained unchanged. The paper’s inescapable conclusion was that there is no correlation between the number of pain pill prescriptions and either nonmedical use of or addiction to these pills.

While in the past nonmedical drug users may have preferred “diverted” black market prescription pain pills (they’re safer than unknown street drugs peddled by dealers), by 2018, according to a DEA report, the supply of diverted prescription opioids amounted to “less than one percent of the total quantity of pills distributed to retail purchasers.” There is another term for this: Chasing the wrong suspect.

The country is not awash in pain pills—quite the opposite. 

It is now evident that cops practicing medicine has been disastrous, both for doctors terrified that a strike force might burst into their clinics, and longtime pain patients who have had their medications forcibly tapered or discontinued altogether. Millions of these patients have become “pain refugees.” Some, lacking other options, are forced to the street where the “medicine” they purchase is often counterfeit lookalike prescription pain pills laced with fentanyl. Worse still, suicide is becoming an increasingly common option.

Clinicians regularly debate the proper treatment of various conditions, whether hypertension, diabetes, or pain. Patients and clinical contexts vary; there is no one right way to treat any single medical condition. Lacking any medical background, the DEA and other law enforcement agents fail to appreciate this.

Fortunately, all nine Supreme Court justices did. The majority opinion stated, “the Government must prove beyond a reasonable doubt that the defendant knowingly or intentionally acted in an unauthorized manner.” The newly formed New England Prescription Opioid Strike Force should heed the Court’s instructions.

The Supreme Court’s decision is a good start. Lawmakers can build on it by requiring a warrant from the courts before police or the DEA go snooping through drug prescribing databases. Nineteen states already require this. If police officers find no evidence of a crime yet believe a practitioner’s prescribing patterns fall outside the norm, they should only be allowed to report it to a state licensing board for investigation and possible discipline.

Until federal and state lawmakers stop cops from overseeing the practice of medicine, doctors will fear treating pain, and millions will suffer needlessly.

JEFFREY A. SINGER practices general surgery in Phoenix, Arizona, and is a senior fellow at the Cato Institute. (Singer is also an ACSH advisor)

JOSH BLOOM is the director of chemical and pharmaceutical science at the American Council on Science and Health.

Express Scripts Sued by AIDS Healthcare Foundation (AHF) Over ‘Claw Backs’

Express Scripts Sued by AIDS Healthcare Foundation (AHF) Over ‘Claw Backs’

https://www.aidshealth.org/2022/07/express-scripts-sued-by-ahf-over-claw-backs/

Sweeping federal lawsuit, asserting 14 claims of violations of law in nine U.S. states where AHF operates pharmacies, was filed in federal court in St. Louis, MO

 AHF asserts Express Scripts, a huge pharmacy benefits manager, manipulates loophole in Medicare “Star Ratings” system as purported justification for “clawing back” millions of dollars of Medicare benefits from AHF pharmacies, creating higher profits for Express Scripts at the expense of patients

LOS ANGELES (July 13, 2022) AIDS Healthcare Foundation (AHF), the largest global AIDS organization, which cares for over 100,000 individuals living with HIV or AIDS in the United States, filed a lawsuit in the U.S. District Court for the Eastern District of Missouri, Eastern Division, against Express Scripts, one of the three dominant U.S. pharmacy benefits managers (PBMs), and a subsidiary of Cigna, the $47-billion global health-insurance behemoth. The case, AIDS Healthcare Foundation v. Express Scripts, Inc. (Case No. 4:22-cv-00743), was filed yesterday.

AHF is the owner of the “AHF Pharmacy” chain of pharmacies, serving primarily people of limited economic means living with HIV/AIDS. Because Express Scripts manages pharmacy benefits for – and effectively controls access to – tens of millions of people with health insurance in the United States, Express Scripts has much greater bargaining power than much smaller community and specialty pharmacies like AHF’s (even in small chains).  Express Scripts offers AHF and other pharmacies essentially “take-it-or-leave-it” contracts with terms and conditions excessively favorable to Express Scripts and deleterious to AHF.  Pharmacies like AHF must accept these contracts or lose access to countless patients.

Specifically, AHF asserts that Express Scripts manipulates the Medicare “Star Ratings” system – which are used to score insurance plans – to give unfairly low “performance” scores to participating pharmacies, and that, as a result of these arbitrary low scores, the PBM then ‘claws back’ Medicare benefits from pharmacies—often months and years after the fact—actions that result in higher profits for Express Scripts at the expense of HIV/AIDS and other patients served by AHF and other independent and mom-and-pop pharmacies.

“AHF brought this civil action to recover many millions of dollars taken by Express Scripts, purportedly pursuant to unconscionable contracts with AHF yet in violation of those very contracts and the covenant of good faith and fair dealing implied in those contracts, among other violations of AHF’s rights,” said Andrew F. Kim, AHF’s lead counsel on the matter.

AHF asserts 14 counts of Express Scripts law violations in nine U.S. states where AHF operates pharmacies. Among the counts are “unfair” or “deceptive” trade or business practices in California, Florida, Louisiana, New York, and Washington state.  Five other counts assert violations of “any willing provider” laws in Georgia, Illinois, Louisiana, Mississippi, and South Carolina.

AHF is demanding a jury trial in the case, which was filed by AHF in-house counsel and Kim Riley Law.

 

Costco Pharmacist: did not not provided a concrete reason, other than pharmacists have the right to not dispense !


Hi Steve,

I came across your website and noticed you had your email listed. A pharmacist refused to fill a controlled substance for me after speaking with my physician from a nationally renowned clinic in the US. I was not provided a concrete reason, other than pharmacists have the right to not dispense. However, it is a legal script from a legal institution. I’m covered under ADA since I have PTSD and I was accused (loosely) of putting their business at risk due to addiction concerns. I’m not an addict, but my report has a lot of medications because it takes a lot of trial and error for mental health patients to find the correct medications. Anyway, it seemed like her personal opinion. I then contacted the Costco manager and they said I don’t have a right to her last name to file a formal complaint against her license. My husband called and corrected them and received her name. Any insight you have into this would be appreciated, such as is this an ADA violation? Can a pharmacist defend not filling a legal script? There are no other medication interactions.

Thank you,

Pharmacists have a few very valid clinical reasons for postponing the filling of a Rx. Level one Drug to Drug interaction, drug -disease contraindication, dose potentially lethal. . until the prescriber was contacted and my concerns were validated and the prescriber confirmed that is what he/she wanted or the med was changed..   If the prescriber told me to dispense as written… I would document the conversation and have a conversation with the pt of my concerns and ask if they wanted me to fill it.. If they wanted me to fill it, I would advise them of what side effects that they should be on the look out for.  If the Rx was forged or altered… I tried my best to get the person a free ride downtown..  and when that happened I typically would get a 12-18 month respite of anyone trying to pass a forged Rx on me.

Somewhere along the line, Pharmacists seem to have forgotten that refusing the filling a Rx is permissible for ANY VALID CLINICAL REASON.  Personal opinions, biases or phobias are not clinical reasons.

One of the basics of the practice of medicine is starting, changing, stopping a pt’s therapy..  IMO, a Pharmacist refusing to fill a Rx without some valid clinical reason… is in a pretty fuzzy area, no trying to resolve or adjudicate any clinical or therapeutic concerns with the prescriber… is shirking their professional responsibilities.

In reality, all addictions typically have a substantial underlying mental health issues… most all undiagnosed and untreated… and the addict is mostly self medicating to silence the demons in their head and/or monkeys on their back that they did not know they were there and their drug(s) of choice silenced them… and they end up going down a pretty rough path.  So, from what you said, it would appear that Costco does not want to fill prescriptions for people dealing with mental health issues ?

At one time, I was Pharmacist in charge of the 2nd largest out pt mental health company in the country, in house pharmacy.  I may have a better understanding of mental health issues than the average pharmacist.

IMO, you were profiled and discriminated against because of your necessary medication, and was probably a violation of ADA and Civil Rights Act… but… getting any bureaucratic entity that should enforce those laws… won’t do so on a single incident. Will claim they don’t have the resources to pursue your issue.

My suggestion is to take your Rx business to a local independent pharmacy, where you will be dealing with the Pharmacist/owner.  I had my own independent pharmacy for 20 yrs and rubbed elbow with these pharmacist at state & national association meetings.. The mindset is 180 degrees from your typical  employee chain pharmacist…  They are there to take care of all pts, not pass judgement on pts.  Here is a link to find some independent pharmacy by zip code & radius https://ncpa.org/pharmacy-locator

I am sorry that I can’t give you a path to take to get a resolution, You can file a complaint with the state pharmacy board.  If you go down that path, file a complaint against the Pharmacist and there is a PIC (Pharmacist in charge) that is legally responsible to the board of pharmacy for the legal operation of the Rx dept as well as Costco…that has a pharmacy permit with the board of pharmacy, but you will probably only get back a statement that “we can’t force a pharmacist to fill a Rx”… which is true.. but .. if they wanted they could call the Pharmacist before a board meeting to explain their professional decision making process, but I doubt if they will…

A Case for Cigarettes Causing a Cornucopia of Diseases Outside the Lungs, Heart

A Case for Cigarettes Causing a Cornucopia of Diseases Outside the Lungs, Heart

— Does smoking have a causal role in epilepsy, IBD, rheumatoid arthritis, and more?

https://www.medpagetoday.com/pulmonology/smoking/99698

Mendelian randomization studies appeared to bring researchers closer to establishing a causal association between smoking and a wider range of diseases.

Genetic variation in smoking liability, subject to genetic alleles being randomly passed between generations, was associated with a staggering amount of conditions — many going beyond the lung and cardiovascular diseases traditionally linked to cigarette smoking.

Epilepsy, type 2 diabetes, and several circulatory system diseases, digestive diseases, musculoskeletal system diseases, eye diseases, and cancers were traced back to smoking in a meta-analysis performed by Susanna Larsson, PhD, epidemiologist at Uppsala University in Sweden, and Stephen Burgess, PhD, biostatistician at the University of Cambridge in England. Their report was published in eBioMedicine.

Smoking’s strongest associations were to conditions including abdominal aortic aneurysm, peripheral artery disease, chronic and acute pancreatitis, periodontitis, and subarachnoid hemorrhage.

Larsson and Burgess noted that the findings support prior observational studies and concluded that their study “provided genetic evidence to support that smoking is a causal risk factor for a wide range of diseases.”

Some diseases, like epilepsy, have less clear mechanisms that could relate them to a person’s genetic liability for smoking initiation and lifetime smoking.

Yet for some conditions like inflammatory bowel disease (IBD) and rheumatoid arthritis, a plausible mechanism may be systemic inflammation caused by burning cigarettes and the reactive oxygen species generated, according to Larsson and Burgess, who suggested that smoking may also be causing endothelial dysfunction and thrombogenesis by microbial composition and immune response.

The association between smoking and eye diseases, such as age-related macular degeneration and age-related cataracts, are also not fully understood. However, the authors suggest that these too may be related to oxidative stress and reactive oxygen species that can damage eye tissue.

According to Larsson and Burgess, reducing smoking initiation should be “a key public health priority.”

Many studies have documented the risks of cigarette smoke exposure, even when secondhand. Last year, a study of French women found that those who were exposed to smoky rooms as children were more likely to develop rheumatoid arthritis.

Furthermore, ex-smokers remain at higher risk of fair or poor health depending on the duration of their old smoking habits.

The present meta-analysis included 29 published Mendelian randomization studies and 123 separate analyses conducted from publicly available genome-wide association studies.

“An important strength of Mendelian randomization studies is that common biases inherent in observational studies, including confounding and reverse causation, are diminished because the exposure (e.g., smoking) of interest is proxied by genetic variants that are usually unrelated to other risk factors and are not changed by the development of disease,” the investigators explained.

Nevertheless, they acknowledged that their results were based on several statistical assumptions and were subject to potential competing risk bias.

Pharmacists care about pts: the chains they work for – NOT SO MUCH !!

 

VT BOP threaten to REVOKE the pharmacy license of ALL 32 WALGREEN PHARMACIES IN THE STATE

It is a sad era:

I remember when I told my father who I wanted to work for! I had just started college and my pride in this company was too big for others to understand! I had never worked for them before! And yet, I could not see myself be anywhere else!

I did not pursue any other employers! I did not want to!

I wanted to be a community pharmacist at this chain! And I had made up my mind!

There was pride in the values I thought I was following ! My commitment pushed me to work harder and harder! To sacrifice more and more!

I think a lot of pharmacists, technicians and students can relate!

Fast forward now, you see answers like these to recruitment emails , flowing around social media. This is not mine by the way. I believe I have blacklisted from Walgreens and CVS Health system entirely! I am not good enough for them. Lol.

But this type of answers has been more and more common especially in the last two years! Pharmacists, Technicians and Students are completely fed up with the lies, the greed, the manipulative values, the oppressive system of those companies !

They don’t even bother to say simply “ thank you for the consideration . But I must decline”. No, they are telling exactly what needs to be told with the hope that those major chain pharmacies will heed to the comments and bring some type of changes!

And yet nothing! More lies, more greed, more bullying, more profit over care! They don’t care!
But what they have failed to realize is that the sense of pride in working for them has gone! The sense of commitment is gone! The sense of attachment is gone! While they may have money, they don’t have the care, the love, the support and definitely not the respect of our profession and the public!

Basically, we no longer care for them! Their ship can burn and it won’t matter! As a profession that deeply cares , this is a bad spot for those employers! If we stop caring, they will eventually pay a very heavy price and unfortunately our patients will!
Now we hear of pharmacies being closed for a whole week… patient care is suffering and it is NOT the Pharmacy Personnel fault.

It all lies with companies! But would they change their ways?

Probably not! And we will continue to send emails like this!

a close up of text on a white background

VT BOP threaten to REVOKE the pharmacy license of ALL 32 WALGREEN PHARMACIES IN THE STATE

https://www.mychamplainvalley.com/news/local-news/vt-regulators-file-pharmacy-licensing-charges-against-walgreens/

The Vermont Office of Professional Regulation is asking the state Board of Pharmacy to punish Walgreens locations in the Green Mountain State. Should the pharmacy board do so, the punishment could lead to the pharmacies’ state licenses being revoked.

The regulation office has filed seven charges against the pharmacy chain over a series of alleged violations. Those allegations include insufficient staffing to meet the pharmacies’ workload, unplanned closures without allowing patients to get prescriptions filled elsewhere and over-scheduling of vaccine appointments.

The filing documents show that with 32 locations,

Walgreens is the largest owner and operator of pharmacies in the Green Mountain State. More than 25% of all licensed retail pharmacies in Vermont are Walgreens establishments.

How many “balls” can the Rx dept staff juggle – without harming pts ?

Minnesota seeks $1.25 million fine against CVS Caremark over steering patients to CVS pharmacies owned by its parent company

Minnesota seeks $1.25 million fine against CVS Caremark over pharmacy rules

https://m.startribune.com/minnesota-seeks-1-25-million-fine-against-cvs-caremark-over-pharmacy-rules/600168840/

Minnesota is threatening a $1.25 million fine against CVS Caremark, alleging it wrongly steered patients to CVS pharmacies owned by its parent company.

Caremark is a Rhode Island-based pharmacy benefit manager that structures how and where health plan enrollees can use their coverage to obtain medications.

The Minnesota Department of Commerce’s allegations focus on one of Caremark’s programs, called Maintenance Choice, which managed pharmacy choices for about 72,000 state residents using maintenance medicines last year.

Maintenance medications are those used to treat ongoing health problems, such as high cholesterol, asthma, diabetes and heart disease.

After filling their first three maintenance prescriptions, patients were required to use a CVS retail or mail-order pharmacy in which the pharmaceutical benefit manager (PBM) has an ownership interest, the Commerce Department said Thursday in a news release.

In some cases, patients “have needed to drive 20 to 130 miles,” the department said, to reach a CVS location rather than refilling medicines a much closer pharmacy.

“A PBM cannot require or incentivize a covered member to use a pharmacy it owns unless certain other conditions are met, such as providing the same incentives at non-owned pharmacies,” the news release said, “or imposing the same limits at its owned pharmacies as at its non-owned pharmacies.”

Phil Blando, a CVS Health spokesman, on Friday said the company is committed to complying with all laws and regulations that apply to its business as well as clients’ health benefit plans.

“While we maintain that federal laws governing ERISA plans preempt state laws and that the plan designs chosen by our Minnesota client plans are lawful, we are working cooperatively with the Minnesota Department of Commerce on this matter,” Blando said in a statement.

The Commerce Department has initiated a contested case against the company and is trying to stop practices that the department claims are a violation of the Minnesota Pharmacy Benefit Manager Licensure and Regulation Act. A prehearing conference is scheduled for May 31.

The civil money penalty is the largest the Commerce Department has sought thus far under state regulations for PBMs passed by the Legislature in 2019.

Pharmaceutical benefit managers structure the pharmacy portion of health plan benefits. They create networks of pharmacies where patients can get the best deals on medicines while negotiating prices with manufacturers. They also create “formularies” that specify patient copays for different drugs.

Owned by CVS Health, Caremark is one of the nation’s three largest PBMs alongside UnitedHealth Group’s Optum Rx and Express Scripts, which is owned by Cigna. Independent pharmacies have argued that PBM rules make it difficult for them to stay in business.

“This case demonstrates the importance of regulating PBMs in order to protect Minnesotans’ access to the critically important health care that pharmacies provide,” Commerce Commissioner Grace Arnold said in a statement. “The practices uncovered in this case show a corporation placing priority on its own profits rather than serving people.”

Senators Introduce Bruce’s Law to Help Combat Deadly Fentanyl Epidemic: launch a public education and awareness campaign

I see with almost every seizures of illegal drugs – typically illegal Fentanyl – just how many MILLIONS OF PEOPLE THAT THE NUMBER OF TABLETS, KILOGRAMS that was in the seizure could kill.  So should anyone arrested in possession of illegal drugs, be charged with attempted murder of the number of murders that the authorities claim those illegal drugs could have caused.  Maybe these people should just have a “quick trial” … found guilty and quickly executed.  I would bet that the supply of drug mules and street sellers of illegal drugs would quickly DRY UP. As the number of drug mules and street dealers drys up, so would the number of people ODing from illegal Fentanyl and other illegal drugs.

Senators Introduce Bruce’s Law to Help Combat Deadly Fentanyl Epidemic

https://www.feinstein.senate.gov/public/index.cfm/press-releases?ID=AFAA4F65-5BBF-48E7-B4A1-989A3478252C

Washington–Senator Dianne Feinstein (D-Calif.) joined Senators Lisa Murkowski (R-Alaska), Dan Sullivan (R-Alaska) and Maggie Hassan (D-N.H.) today to introduce Bruce’s Law, which aims to bolster federal prevention and education efforts surrounding the dangers of drugs laced with fentanyl, an incredibly powerful and deadly synthetic opioid. 

Bruce’s Law is named after a native of California and Alaska, Robert “Bruce” Snodgrass, who passed away from a fentanyl overdose in 2021. The bill also authorizes new Community-Based Coalition Enhancement grants to help educate young people about the risks of street drugs laced with fentanyl. This would allow Drug-Free Communities Coalitions to access new funding focused on fentanyl to try to curb its use. 

“Fentanyl kills more Americans than any other drug, and it takes only a small amount to cause to a fatal overdose. As more fentanyl is being mixed into illicit drugs, it’s important that all Americans are aware of the prevalence of fentanyl and the danger it poses,” said Senator Feinstein. “This bill will help expand awareness campaigns and create a more coordinated federal interagency effort to reduce overdose deaths.”

“We cannot stand idly by and allow the fentanyl epidemic to wreak havoc on individuals, families, and communities across our state,” Senator Murkowski said. “The passing of Bruce Snodgrass was heartbreaking and all too familiar. I continue to read headline after headline in our local press – and directly from Alaskans who are impacted – about the fentanyl crisis intensifying. We also know that we’re not alone, that this is a national crisis, and that we need to do more. We have an opportunity to help change that through this legislation. I thank advocates like Sandy Snodgrass and all of the individuals who helped us craft this bill, and urge my colleagues to swiftly take up and pass it.”  

“On October 26, 2021, my 22-year-old son, Bruce, died by fentanyl poisoning in Anchorage, Alaska. Since that day, I have learned that the amount of fentanyl that it takes to kill you can sit on the tip of a pencil. Since that day, I have learned that drug overdose, largely due to fentanyl poisoning, is the leading cause of death for Americans aged 18-45. Since that day, I have learned that all illicit drugs in this country need to be suspected of being poisoned by fentanyl. Since that day, I have learned that Bruce was one of nearly 108,000 Americans that died of a drug overdose in 2021, with the majority of deaths due to fentanyl poisoning. Since that day, I have learned that the CDC reports to date in 2022, an American dies every 5 minutes of a drug overdose. Since that day, my sole purpose has been, and will continue to be, to raise awareness and provide education to stem the death toll that fentanyl poisoning is wreaking in our country. Today, I ask all members of Congress to stand with Senator Murkowski, Senator Feinstein, Senator Sullivan and Senator Hassan in support of Bruce’s Law, and to join us in raising awareness and providing education to as many Americans as we can reach, as quickly as we can reach them. Time is not on our side!” said Sandy Snodgrass, Bruce’s Mom. 

“I want to thank Senator Murkowski and Senator Feinstein for their efforts in creating federal legislation regarding the Fentanyl Crisis. This highly lethal synthetic opioid is a scourge plaguing Alaska, as well as nationwide. We know that in a national survey, 59% of youth aged 13-24 hadn’t heard of fentanyl and only 37% believed that fentanyl was dangerous. During 2020-2021, EMS in Alaska responded to 58 suspected overdoses among people aged 0-19 years. Youth need to know opioids ‘hack and whack’ the brain. Opioids ‘rewire’ the circuits in the brain to assign ‘supreme’ value and use of opioids versus health, family, school and work. I believe our youth will make better and healthier choices if they have the necessary information about substances, especially with the acute danger of fentanyl. I strongly urge that ‘upstream primary prevention and drug education’ be an important strategy in Bruce’s Law. This prevention and drug education needs to be current, accurate and honest. Finally, regarding fentanyl, it is not an overdose, which infers too much. But a poisoning, because it only takes 2 mg, which can fit on the end of a pencil! I am in full support of Bruce’s Law to saves lives. We have to cut the flow off into the river of addiction and overdoses. We cannot wait any longer,” said Michael Carson, Vice President & Recovery Specialist at MyHouse of Mat-Su and Chair of Mat-Su Opioid Task Force.

“I’m writing this with a broken heart, an utterly devastated soul, a comment no mother should ever have to write. With tears in my eyes and pleading in my heart I am begging you to do everything within your power to put a stop to this senseless murder of our American children. I fully support the education and resources that Bruce’s Law will bring to our young Americans. You see, I lost my son, Taegge D. Lee on July 15, 2021 to fentanyl poisoning, in other words he was murdered. He was 21 years old, he went to bed and never woke up. We never got to say goodbye, never got a last hug or to tell him just how much we love him and how proud we were of him. Taegge was not a junkie! He was working at an air service in Alaska, had his own home and was saving money for another trip. He was a productive member of society, he was not a thief, he was not lazy, he was a lover of art, poetry, music and nature. He traveled the world with his last adventure taking him to Bali by himself. Sadly, that was his last trip. Please pass Bruce’s Law so no other family has to suffer this extreme loss,” said Julie Bouchard of Palmer, Alaska, Taegge’s Mom. 

Summary of Bruce’s Law: 

  • Authorizes the Department of Health and Human Services (HHS) to launch a public education and awareness campaign focused on the dangers of drugs that could be contaminated with fentanyl, drug prevention and detection of early warning signs of addiction among youth. 
  • Authorizes the Secretary of HHS to establish a Federal Interagency Working Group on Fentanyl Contamination of illegal drugs, which would:
    • Consult with experts, including family members, youth, and individuals working toward recovery, to help develop opportunities to improve responses to the incidence of drug overdose by fentanyl-contaminated drugs. 
    • Study all federal efforts to prevent and minimize drug overdose by fentanyl-contaminated drugs, and make suggestions to better educate school-aged children and youth on the dangers of drugs contaminated by fentanyl. 
  • Authorizes new Community-Based Coalition Enhancement Grants to educate young people on the risks of drugs contaminated with fentanyl. 

Background: 

Last summer, the Drug Enforcement Administration (DEA) issued its first Public Safety Alert in six years, warning Americans about the availability of fake prescription pills containing fentanyl and methamphetamine.  DEA’s alert comes in the wake of a significant rise in overdoses and deaths being caused by counterfeit drugs being mass-produced by criminal drug networks that contain fentanyl.  

DEA also documented a dramatic increase in its seizures of pills containing illicit fentanyl over the past two years. The agency seized more than 9.5 million counterfeit pills in every state during 2021—more counterfeit pills than were seized in 2019 and 2020 combined. According to DEA, “a deadly dose of fentanyl is small enough to fit on the tip of a pencil.” 

Illicit fentanyl is powerful, easily made and easy to transport, making it a popular and profitable narcotic for drug traffickers. Many school-aged children and youth are not aware that the illegal drugs they are using – including heroin, cocaine, methamphetamine, or benzodiazepines – are now statistically likely to contain a deadly dose of fentanyl.