America’s ten-year-old fentanyl epidemic is still getting worse

IT IS TESTIMONY to the intractable nature of America’s fentanyl epidemic that officials measure progress not in falling numbers of deaths, but in a slowing rate of growth. After a decade of horrifying ascent, the administration of President Joe Biden points out, the yearly number of fatal overdoses appears at last to be slowing to a gentle climb (see chart 1). The figure for 2022 was just 5% higher than that of 2021. That still leaves fentanyl and other synthetic opioids like it killing some 75,000 people a year—more than double the figure of 2019. But in the fight against the deadliest narcotic in American history, that is what passes for success.