The Center for Disease Control reports that over 48,000 Americans died from synthetic opioid (or fentanyl) overdoses in 2024. That number dwarfed the number of people who died from psychostimulants like methamphetamine at 29,000. As well as cocaine at 22,000, and other naturally occuring drugs at 8,000. 

Fentanyl and similar substances have changed the game in drug policy, driving greater lethality and creating geopolitical rifts, as China exports precursors to the drug and Mexican cartels smuggle it across the border. Responsible drug policy is complicated and contentious. Here to explain the conservative approach to this area is Paul Larkin, Senior Legal Research Fellow here at the Heritage Foundation. 

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More by Paul Larkin: https://www.heritage.org/staff/paul-j-larkin

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