Benjamin Wallace-Wells writes about the roles of the drug trade, particularly fentanyl, and immigration from Mexico in Donald Trump’s 2024 Presidential-election win.
Like many accounts of illegal activity, these stories, which tend to be sourced from law enforcement, are memorable in a tabloid-noir way, and probably directionally true, but also hard to verify. In the case of fentanyl, they have had a particular resonance for U.S. politicians, who are seeking to make sense of the country’s political turmoil, which might seem out of step with its broadly stable and prosperous society.
Arteaga and Barone found that the social harms of the opioid epidemic were substantially exacerbated in the high-cancer regions—what was bad everywhere was worse where OxyContin had first been pushed. By 2012, people in the targeted areas were using opioids at rates fifty per cent higher than those in comparable areas, and dying from these drugs twice as much; in 2020, the populations in these marketing hot zones were about ten per cent more likely to apply for food stamps and social security.
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