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Home Politics & Law

Conflating the Migrant and Overdose Crises

It's ineffective to close the Mexican border.

Daily Remedy by Daily Remedy
December 11, 2023
in Politics & Law
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Conflating the Migrant and Overdose Crises

Greg Bulla

In recent years, the United States has been grappling with a devastating overdose crisis fueled by the influx of synthetic opioids, particularly fentanyl. As politicians advocate for closing the Mexican border as a solution, it is crucial to critically examine the potential consequences of such a measure.

Despite the rhetoric surrounding prohibition and the belief that closing the border will curb the flow of fentanyl, this approach is ineffective and may exacerbate the overdose crisis. By exploring the role of legal crossings, the influence of cartels, and the unregulated supply of drugs, we can better understand the complexities of the issue at hand.

Prohibition has long been touted as a solution to drug-related issues, but history has shown that it often leads to unintended consequences; Closing the Mexican border in an attempt to halt the influx of fentanyl falls into this same fallacy. Prohibition only drives the drug trade underground, making it more difficult to regulate and control. Instead of addressing the root causes of drug addiction and focusing on harm reduction strategies, closing the border perpetuates a cycle of criminalization and punishment.

Closing the Mexican border would not only impact illegal drug trafficking but also hinder legal border crossings. The border between the United States and Mexico is a vital channel for trade and travel, with millions of people crossing each year for legitimate purposes. Disrupting this flow would have severe economic consequences and strain diplomatic relations. Moreover, it is important to note that the majority of fentanyl seizures occur at legal ports of entry, highlighting the need for enhanced screening and detection methods rather than closing the border entirely.

The fentanyl crisis is deeply intertwined with the operations of drug cartels. These criminal organizations thrive in the black market, exploiting the demand for illicit substances. Closing the Mexican border would not eliminate the cartels; instead, it would push them to adapt and find alternative routes for drug trafficking. History has shown that when one route is closed, cartels quickly find new avenues to continue their operations. Therefore, a comprehensive approach that targets the root causes of cartel influence and disrupts their networks is necessary to combat the fentanyl crisis effectively.

Closing the Mexican border does not address the underlying issue of the unregulated supply of drugs. Fentanyl, along with other synthetic opioids, can be easily manufactured in clandestine laboratories. The Drug Enforcement Administration (DEA) plays a crucial role in identifying and dismantling these operations. Their ineptitude provides justification against prohibition. Instead of solely focusing on border closures, resources should be allocated to intelligence gathering, international cooperation, and disrupting the production and distribution networks of synthetic opioids. But that does little to sway the actual demand in the United States for illicit substances of abuse.

Closing the Mexican border may inadvertently lead to the emergence of even more dangerous substances. As law enforcement intensifies efforts to intercept fentanyl, drug traffickers may turn to alternative substances such as xylazine and carfentanil. These substances are even more potent and pose a greater risk to public health. By closing the border, we risk pushing the drug trade further into the shadows, making it harder to detect and prevent the circulation of these deadly substances.

There will always be a demand for substances of abuse. Addiction is as American as apple pie. But we shouldn’t criminalize these individuals or restrict access to regulated, safe drug supplies that can be taken with medical oversight. Indeed, we should treat these individuals as patients and offer the medical resources needed to overcome their conditions. It’s not such a far off notion. In fact, prior to initiating this foolhardy war on drugs, offering limited amounts of illicit substances as medication in a controlled environment was the common course of action. Yet the policy changes in recent decades have stigmatized those we once considered patients. Now their only source of clinical care comes from unregulated drugs found on the streets.

While the rhetoric surrounding closing the Mexican border as a solution to the fentanyl influx may seem appealing, it is essential to critically analyze the potential consequences. Prohibition and border closures have historically proven ineffective in curbing drug-related issues. Instead, a comprehensive approach that addresses the root causes of addiction, enhances screening and detection methods at legal crossings, targets cartels, and disrupts the unregulated supply of drugs is necessary. By focusing on harm reduction strategies and evidence-based policies, we can work towards mitigating the overdose crisis and protecting the well-being of American citizens.

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Daily Remedy

Dr. Jay K Joshi serves as the editor-in-chief of Daily Remedy. He is a serial entrepreneur and sought after thought-leader for matters related to healthcare innovation and medical jurisprudence. He has published articles on a variety of healthcare topics in both peer-reviewed journals and trade publications. His legal writings include amicus curiae briefs prepared for prominent federal healthcare cases.

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summary

An in-depth exploration of drug pricing, including key databases like NADAC, WAC, and ASP, and how they influence the pharmaceutical supply chain, policy, and patient advocacy. The episode also introduces MedPricer's innovative pricing intelligence platform, offering valuable insights for healthcare professionals, policymakers, and patients.

Chapters

00:00 Understanding Drug Pricing Dynamics
03:52 Exploring the Drug Pricing Database
10:07 Patient Advocacy and Drug Pricing
13:56 Market Intelligence in Drug Pricing
How NADAC, WAC, and ASP Shape Drug CostsDaily Remedy
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Policy Shift in Peptide Regulation

Clinical Reads

FDA Evaluation of Certain Bulk Drug Substances in Compounding: Clinical Interpretation

FDA Evaluation of Certain Bulk Drug Substances in Compounding: Clinical Interpretation

by Daily Remedy
April 19, 2026
0

Clinicians increasingly encounter patients using or requesting peptide-based therapies sourced through compounding pharmacies. The U.S. Food and Drug Administration has identified a subset of bulk drug substances, including certain peptides, that may present significant safety risks when used in compounded formulations. The clinical question is whether these regulatory signals reflect meaningful patient-level risk and how they should influence prescribing behavior. This matters because compounded peptides often sit outside traditional approval pathways, creating uncertainty around quality, dosing consistency, and safety. Understanding...

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