

Final 12 months, greater than 100,000 People died of drug overdoses. Advocates and relations marked the tragic toll with cardboard grave markers on the garden of the U.S. Capitol on Sept. 23.
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Final 12 months, greater than 100,000 People died of drug overdoses. Advocates and relations marked the tragic toll with cardboard grave markers on the garden of the U.S. Capitol on Sept. 23.
Aneri Pattani/KFF Well being Information
Opioid settlement money is just not inherently political. It isn’t the results of a regulation handed by Congress nor an edit to the state price range. It isn’t taxpayer cash. Reasonably, it is coming from well being care firms that had been sued for fueling the opioid disaster with prescription painkillers.
However like most {dollars} meant to deal with public well being crises, settlement money has nonetheless changed into a political challenge.
Gubernatorial candidates in a number of states are clashing over who will get bragging rights for the funds — which complete greater than $50 billion and are being distributed to state and native governments over practically twenty years.
Among the many candidates are attorneys normal who pursued the lawsuits that produced the payouts. They usually’re desperate to remind the general public who introduced residence the windfall.
“Scoring cash in your constituency virtually all the time performs nicely,” says Stephen Voss, an affiliate professor of political science on the College of Kentucky. It “is much more compelling and unifying a political argument than taking a place on one thing like abortion,” for which you threat alienating somebody it doesn’t matter what you say.
In Kentucky, Legal professional Common Daniel Cameron, the Republican candidate for governor, desires sole credit score for the a whole lot of tens of millions of {dollars} his state is receiving to struggle the opioid epidemic. In a publish on X, previously Twitter, he wrote that his opponent, former legal professional normal and present Democratic Gov. Andy Beshear, “filed lots of lawsuits throughout his time [in] workplace, however on this race, there is just one one that has truly delivered {dollars} to struggle the opioid epidemic, and it is not him.”
Nonetheless, Beshear filed 9 opioid lawsuits throughout his tenure as legal professional normal, a number of of which led to the present payouts. At a January press convention, Beshear defended his function: “That is the place these {dollars} are coming from — circumstances that I filed, and I personally argued lots of them in court docket.”
Polls point out that Beshear leads Cameron forward of the Nov. 7 election.
Christine Minhee, founding father of OpioidSettlementTracker.com, who’s intently following how attorneys normal deal with the cash nationwide, mentioned voters probably do not know that the opioid settlements are nationwide offers crafted by a coalition of attorneys normal and personal legal professionals. So when one candidate claims credit score for the cash, constituents could imagine “he is the only real hero in all of this.”

Path of Reality is the title of the occasion in Washington, D.C. in September. It goals to push elected officers to take extra motion to deal with the nation’s overdose epidemic.
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Path of Reality is the title of the occasion in Washington, D.C. in September. It goals to push elected officers to take extra motion to deal with the nation’s overdose epidemic.
Aneri Pattani/KFF Well being Information
Candidates in different states are touting their settlement credentials, too. North Carolina Legal professional Common Josh Stein, a Democrat, lists securing opioid settlement funds on the high of the “accomplishments” part of his 2024 gubernatorial marketing campaign web site.
West Virginia Legal professional Common Patrick Morrissey, a Republican gubernatorial candidate for 2024, has repeatedly boasted of securing the “highest per capita settlements within the nation” in information conferences and on social media and his marketing campaign web site.
In Louisiana, Legal professional Common Jeff Landry, a Republican who was just lately elected governor, ran on a tough-on-crime platform, with endorsements from Louisiana sheriffs and prosecutors. As legal professional normal, he led negotiations on dividing opioid settlement funds inside the state, leading to an settlement to ship 80% to parish governments and 20% to sheriffs’ departments — the most important direct allocation to regulation enforcement within the nation.
It is a frequent joke that AG stands for “aspiring governor,” and officers in that function typically use massive authorized circumstances to advance their political careers. Analysis exhibits that attorneys normal who take part in multistate litigation — like that which led to the opioid settlements and the tobacco settlement earlier than it — are extra prone to run for governor or senator.
However for some advocates and folks personally affected by the opioid epidemic, this injection of politics raises considerations about how settlement {dollars} are being spent, who’s making the selections, and whether or not the cash will really tackle the general public well being disaster. Final 12 months, greater than 100,000 People died of drug overdoses.
Common folks “do not actually care in regards to the bragging rights as a lot as they care in regards to the potential to make use of that funding to enhance and save lives,” says Shameka Parrish-Wright, director of VOCAL-KY, an advocacy group that champions investments in housing and well being care.

VOCAL-KY director Shameka Parrish-Wright, foreground, at a protest outdoors the Drug Enforcement Administration constructing in Arlington, Virginia, in June.
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VOCAL-KY director Shameka Parrish-Wright, foreground, at a protest outdoors the Drug Enforcement Administration constructing in Arlington, Virginia, in June.
Aneri Pattani/KFF Well being Information
“What I see in my state is lots of press conferences and information items,” says Parrish-Wright, a Democrat who’s energetic in native politics. “However what performs out does not get to the folks” — particularly these deeply affected by habit.
For instance, when Beshear celebrated a lower within the state’s overdose deaths, his announcement ignored the growing deaths amongst Black Kentuckians, Parrish-Wright says.
And when Cameron’s appointee to the state’s opioid abatement advisory fee introduced that $42 million of settlement funds had been being thought of to analysis ibogaine — a psychedelic drug that has proven potential to deal with habit — Parrish-Wright’s first thought was “most poor folks cannot afford that.” To acquire it, folks typically must journey overseas.
The ibogaine announcement induced further controversy. It is an experimental drug, and, if authorized, the $42 million allocation could be the single-largest funding from the fee, which is housed in Cameron’s company. The Every day Beast reported {that a} billionaire Republican donor backing Cameron’s gubernatorial marketing campaign stands to reap huge earnings from the drug’s growth.
Neither Cameron’s workplace nor his marketing campaign responded to requests for remark.
Beshear’s workplace declined an interview request however referred KFF Well being Information to his earlier public statements, wherein he criticized the potential funding in ibogaine. He has instructed Cameron — whose marketing campaign has emphasised help for police — is just not placing his cash the place his mouth is.
“In the event you solely present $1 million to regulation enforcement and $42 [million] to pharma, it does not appear to be you are backing the blue. It looks as if you are backing Huge Pharma,” Beshear mentioned at a Might information convention.
He additionally mentioned his two appointees to the fee had been caught off guard by the general public announcement on ibogaine, regardless of their function overseeing settlement funds.
Minhee, founding father of OpioidSettlementTracker.com, says she’s involved that mixing politics with settlement funds might end in ineffective investments nationwide.
“If a few of this cash goes to be politicized to advance careers of attorneys normal who help the conflict on medicine, then that’s actually utilizing monies gained by dying to feed into extra dying,” she says.
Parrish-Wright, of VOCAL-KY, says she worries that candidates — and a few voters — will overlook in regards to the significance of the cash as soon as ballots are solid.
“We can’t let it fade after the election cycle,” she says.
Her resolution relies upon partially on politics. She’s on the poll herself Nov. 7, for a seat on Louisville’s Metro Council. If she wins, she says, she intends to maintain the settlement within the public dialog.
KFF Well being Information, previously often called Kaiser Well being Information (KHN), is a nationwide newsroom that produces in-depth journalism about well being points and is without doubt one of the core working packages at KFF — the unbiased supply for well being coverage analysis, polling, and journalism.