Researchers Find a Link Between Trump Voters and Opioid Use

The president is essentially ignoring a drug crisis that’s hurting his supporters.

Stuart Ritchie/Getty Images

Facts matter: Sign up for the free Mother Jones Daily newsletter. Support our nonprofit reporting. Subscribe to our print magazine.

A study published on Friday by scientists at the University of Texas and the University of Toronto points to a connection between Trump country and the nation’s opioid crisis.

The report, published in the Journal of the American Medical Association, gathered data at the county level showing a correlation between Trump voters and the drug epidemic. “Support for the Republican candidate in the 2016 election is a marker for physical conditions, economic circumstances, and cultural forces associated with opioid use,” the authors say.

The study identified factors that contribute to high levels of opioid abuse in areas like Appalachia and the Rust Belt. These include income inequality, unemployment, poor education, and lack of access to healthcare. But the “commonly used socioeconomic indicators do not totally capture” all the forces driving the epidemic or explain why it is so concentrated in particular areas, they note.

The JAMA study relied on Medicare prescription data from nearly 4 million Americans across most counties in the country. The researchers looked at how many people in each county were given opioid prescriptions lasting 90 days or longer, and checked those numbers against vote counts from the 2016 election. In nearly 700 counties with opioid prescription rates that were significantly higher than the average county rate, according to the study, voters backed Trump at a 21 percent higher rate than in counties with significantly lower rates of opioid use.

The Centers for Disease Control has reported that in 2016 at least 42,000 people died of opioid overdoses in the US (which may be a low estimate). About 40 percent of these deaths involved prescriptions.

Keith Humphreys, a public health and drug policy expert at Stanford, says that the results support the theory that Trump did well in what researcher Kathleen Frydl has referred to as the “Oxy Electorate,” a portion of the population that Humphreys says “is stricken not only with opioid overprescribing, but also heavy drinking, social isolation, and declining job prospects.”

Trump has taken little substantive action to address the nation’s opioid epidemic. In fact, his administration’s efforts to undermine Obamacare have the potential to seriously harm this afflicted part of his base.

“The question I am left with,” Humphreys says, “is how can the government help addicted people who live in places where the dominant politics center on hatred of the government.”

REAL QUICK, REAL URGENT

Minority rule, corruption, disinformation, attacks on those who dare tell the truth: There is a direct line from what's happening in Russia and Ukraine to what's happening here at home. And that's what MoJo's Monika Bauerlein writes about in "Their Fight Is Our Fight" to unpack the information war we find ourselves in and share a few examples to show why the power of independent, reader-supported journalism is such a threat to authoritarians.

Corrupt leaders the world over can (and will) try to shut down the truth, but when the truth has millions of people on its side, you can't keep it down for good. And there's no more powerful or urgent argument for your support of Mother Jones' journalism right now than that. We need to raise about $450,000 to hit our online fundraising budget in these next few months, so please read more from Monika and pitch in if you can.

payment methods

REAL QUICK, REAL URGENT

Minority rule, corruption, disinformation, attacks on those who dare tell the truth: There is a direct line from what's happening in Russia and Ukraine to what's happening here at home. And that's what MoJo's Monika Bauerlein writes about in "Their Fight Is Our Fight" to unpack the information war we find ourselves in and share a few examples to show why the power of independent, reader-supported journalism is such a threat to authoritarians.

Corrupt leaders the world over can (and will) try to shut down the truth, but when the truth has millions of people on its side, you can't keep it down for good. And there's no more powerful or urgent argument for your support of Mother Jones' journalism right now than that. We need to raise about $450,000 to hit our online fundraising budget in these next few months, so please read more from Monika and pitch in if you can.

payment methods

We Recommend

Latest

Sign up for our free newsletter

Subscribe to the Mother Jones Daily to have our top stories delivered directly to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate