Evolution of the U.S. Overdose Crisis: Understanding Chinas Role in the Production and Supply of Synthetic Opioids

Abstract

Today, I will briefly describe our countrys ongoing opioid overdose crisis. Understanding recent developments and the shifting supply of opioids is critical to policy design. I will then describe the emergence of synthetic opioids, which have complicated many of our drug policy efforts. Given the topic of this hearing, I focus most of my testimony on Chinas role as a source of synthetic psychoactives and chemical precursors, describing what we know about the manufacture and export of potent opioids, such as fentanyl, to the United States. Although most of these substances appear to come from China, many dimensions of this problem remain unclear. That said, Chinas export-led economic strategy and lack of regulatory oversight have created favorable conditions for the production and exportation of synthetic opioids and related chemicals. I conclude with some policy options going forward, aimed at the new challenges posed by these substances.

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Document Details

Document Type
Technical Report
Publication Date
Sep 06, 2018
Accession Number
AD1084766

Entities

People

  • Bryce Pardo

Organizations

  • RAND Corporation

Tags

DTIC Thesaurus Topics

  • Chemical Industry
  • Commerce
  • Congress
  • Department Of State
  • Diseases And Disorders
  • Drug Abuse
  • Drug Addiction
  • Drug Trafficking
  • Governments
  • Interagency Coordination
  • Law
  • Medical Personnel
  • National Governments
  • Opioids
  • Public Health
  • Public Policy
  • United States

Readers

  • Computational Modeling and Simulation
  • East Asian Political and Security Studies within the Soviet Union
  • Neurotrauma and Rehabilitation Medicine.