More stories

  • in

    What to Know About Buprenorphine, Which Could Help Fight Opioid Crisis?

    When President Trump announced plans to impose tariffs on Mexico and Canada, one of his stated rationales was to force those countries to curb the flow of fentanyl into the United States. In fiscal year 2024, United States Customs and Border Protection seized nearly 22,000 pounds of pills, powders and other products containing fentanyl, down from 27,000 pounds in the previous fiscal year. More than 105,000 people died from overdoses, three-quarters of them from fentanyl and other opioids, in 2023. It doesn’t take much illicit fentanyl — said to be about 50 times as powerful as heroin and 100 times as powerful as morphine — to cause a fatal overdose.In my article for the magazine, I note that one of the many tragedies of the opioid epidemic is that a proven treatment for opioid addiction, a drug called buprenorphine, has been available in the United States for more than two decades yet has been drastically underprescribed. Tens of thousands of lives might have been saved if it had been more widely used earlier. In his actions and rhetoric, Trump seems to emphasize the reduction of supply as the answer to the fentanyl crisis. But Mexico’s president, Claudia Sheinbaum, has pointed to American demand as a driver of the problem. Indeed, if enough opioid users in the United States ended up receiving buprenorphine and other effective medication-based treatments, perhaps that demand for illicit opioids like fentanyl could be reduced.Comparing buprenorphine and abstinence-based treatments for opioid-use disorder.A wealth of evidence suggests that a medication-based approach using buprenorphine — itself a type of opioid — is much more effective at preventing overdose deaths than abstinence-based approaches. (Methadone, a slightly more powerful opioid, is also effective as treatment.) That greater success stems in part from the fact that by engaging the same receptors stimulated by fentanyl and other illicit opioids, buprenorphine (and methadone) can greatly blunt cravings and withdrawal symptoms. Several studies indicate that people exiting abstinence-based programs actually face a greater danger of overdosing than they did when chronically using illicit opioids. After abstaining for a long period, former users lose their tolerance to opioids; doses that were previously fine can become deadly. This is one reason many addiction experts think that a medication like buprenorphine is more effective as a treatment for opioid-use disorder than stopping cold turkey. It greatly reduces the cravings and misery that could provoke a relapse.Where buprenorphine has reduced deaths.Although the United States government partly funded buprenorphine’s development as a treatment for opioid addiction, France was one of the first countries to most fully exploit its potential. In the 1990s, French health authorities began allowing all doctors to prescribe buprenorphine. By the early 2000s, overdose deaths there from heroin and other opioids had declined by nearly 80 percent. Other European countries, like Switzerland, that have made medication to treat opioid-use disorder easily accessible also have much lower overdose death rates than those seen in the United States.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

  • in

    Trump Picks Chad Chronister, a Florida Sheriff, as D.E.A. Administrator

    The announcement of Sheriff Chad Chronister came after President-elect Donald J. Trump said that he would impose tariffs that would stay in place until Canada, Mexico and China halted the flow of drugs and migrants.President-elect Donald J. Trump on Saturday chose Chad Chronister, a veteran Florida sheriff, to be his administration’s top drug enforcement official, tasking him with delivering on campaign promises to curb the flow of fentanyl and other illegal drugs into the country.Appointed sheriff of Hillsborough County in 2017 by Gov. Rick Scott, the Republican who is now a senator, and re-elected twice, Sheriff Chronister has served on state and regional law enforcement boards, including the Florida Statewide Drug Policy Advisory Council.“For over 32 years, Sheriff Chad Chronister has served the Hillsborough County Sheriff’s Office and received countless awards for keeping his community SAFE,” Mr. Trump wrote in a social media post announcing his choice.Mr. Trump repeatedly highlighted the opioid crisis during his campaign, framing it as a major national security threat. The president-elect has threatened to impose damaging tariffs on China, Mexico and Canada in an effort to curb migration and the trafficking of drugs, particularly fentanyl, across U.S. borders.As head of the Drug Enforcement Administration, Sheriff Chronister will play a central role in addressing the escalating tensions surrounding fentanyl being brought into the United States.In response to the announcement, Sheriff Chronister posted on social media, “It is the honor of a lifetime to be nominated” for the position by Mr. Trump. He added, “I am deeply humbled by this opportunity to serve our nation.”The D.E.A., an arm of the Justice Department, said in its fiscal year 2025 budget request that 2023 was the highest year for fentanyl seizures since the agency’s inception more than half a century ago. In addition, the agency confiscated more than 77 million fentanyl pills and nearly 12,000 pounds of fentanyl powder. The agency has more than 10,000 employees, with offices in the U.S. and in more than 60 different countries. It has a budget of more than $3 billion.For comparison, Sheriff Chronister’s department in Florida, one of the largest sheriff’s offices in the state, has a 2024 budget of about $600 million and oversees more than 3,500 employees.Sheriff Chronister’s father-in-law, Edward J. DeBartolo Jr., received a pardon from Mr. Trump in 2021. Mr. DeBartolo, a former owner of the N.F.L.’s San Francisco 49ers, pleaded guilty in 1998 to concealing an extortion plot. Though he avoided prison, he was fined $1 million and was suspended for a year by the N.F.L. More

  • in

    San Francisco Mayor-Elect Plans to Declare Fentanyl Emergency on Day 1

    Daniel Lurie is a man in a hurry.He said in his first speech as San Francisco’s mayor-elect on Friday that he would declare a state of emergency on fentanyl on his first day in office in January.In brief, clipped remarks, he said he intended to shut down the open-air fentanyl markets that had proliferated in the city’s Tenderloin and South of Market neighborhoods and had infuriated many residents.“We are going to get tough on those that are dealing drugs, and we are going to be compassionate, but tough, about the conditions of our streets, as well,” Mr. Lurie, 47, said at a gathering in Chinatown that lasted just a few minutes.Fentanyl, a cheap opioid, is responsible for most of the 3,300 drug deaths that have occurred in San Francisco since 2020, killing far more people in the city than Covid-19, homicides and car crashes combined.Mr. Lurie, a 47-year-old heir to the Levi Strauss fortune who has never held elected office, appealed to an electorate that was tired of rampant drug use and property crime in the city and was looking for a mayor who could revitalize the struggling downtown area. He was effective in getting his message out to voters, spending $8.6 million of his own money on his campaign and receiving another $1 million from his mother, the billionaire Mimi Haas.Mr. Lurie, a Democrat, addressed reporters the morning after Mayor London Breed, also a Democrat, called him to concede. He did not provide additional details about what his emergency declaration would do.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

  • in

    Trump Twists Harris’s Position on Fentanyl After She Called for a Border Crackdown

    When Vice President Kamala Harris visited the southern border on Friday, she called fentanyl a “scourge on our country” and said that as president she would “make it a top priority to disrupt the flow of fentanyl coming into the United States.”Ms. Harris pledged to give more resources to law enforcement officials on the front lines, including additional personnel and machines that can detect fentanyl in vehicles. And she said she would take aim at the “global fentanyl supply chain,” vowing to “double the resources for the Department of Justice to extradite and prosecute transnational criminal organizations and the cartels.”But that was not how her opponent, former President Donald J. Trump, characterized her position on Sunday at a rally in Erie, Pa., where he made a false accusation against Ms. Harris that seemed intended to play on the fears and traumas of voters in communities that have been ravaged by fentanyl.“She even wants to legalize fentanyl,” Mr. Trump said during a speech that stretched for 109 minutes. It was the second straight day that Mr. Trump had amplified the same false claim about Ms. Harris; he did so on Saturday in Wisconsin.The former president did not offer context for his remarks, but his campaign pointed to an American Civil Liberties Union questionnaire that Ms. Harris had filled out in 2019 during her unsuccessful candidacy for the Democratic presidential nomination.A question asking if Ms. Harris supported the decriminalization at the federal level of all drug possession for personal use appeared to be checked “yes.” Ms. Harris wrote that it was “long past time that we changed our outdated and discriminatory criminalization of marijuana” and said that she favored treating drug addiction as a public health issue, focusing on rehabilitation instead of incarceration.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

  • in

    Oregon Is Recriminalizing Drugs, Dealing Setback to Reform Movement

    Oregon removed criminal penalties for possessing street drugs in 2020. But amid soaring overdose deaths, state lawmakers have voted to bring back some restrictions.Three years ago, when Oregon voters approved a pioneering plan to decriminalize hard drugs, advocates looking to halt the jailing of drug users believed they were on the edge of a revolution that would soon sweep across the country.But even as the state’s landmark law took effect in 2021, the scourge of fentanyl was taking hold. Overdoses soared as the state stumbled in its efforts to fund enhanced treatment programs. And while many other downtowns emerged from the dark days of the pandemic, Portland continued to struggle, with scenes of drugs and despair.Lately, even some of the liberal politicians who had embraced a new approach to drugs have supported an end to the experiment. On Friday, a bill that will reimpose criminal penalties for possession of some drugs won final passage in the State Legislature and was headed next to Gov. Tina Kotek, who has expressed alarm about open drug use and helped broker a plan to ban such activity.“It’s clear that we must do something to try and adjust what’s going on out in our communities,” State Senator Chris Gorsek, a Democrat who had supported decriminalization, said in an interview. Soon after, senators took the floor, with some sharing stories of how addictions and overdoses had impacted their own loved ones. They passed the measure by a 21-8 margin. The abrupt rollback is a devastating turn for decriminalization proponents who say the large number of overdose deaths stems from a confluence of factors and failures largely unrelated to the law. They have warned against returning to a “war on drugs” strategy and have urged the Legislature to instead invest in affordable housing and drug treatment options.The Joint Interim Committee on Addiction and Community Safety Response discussing the effects of and changes to Measure 110 at the Oregon State Capitol in Salem last month.Jordan Gale for The New York TimesWe are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

  • in

    For Election Workers, Fentanyl-Laced Letters Signal a Challenging Year

    As overheated rhetoric and threats rise, people are leaving election jobs in record numbers.For the people who run elections at thousands of local offices nationwide, 2024 was never going to be an easy year. But the recent anonymous mailing of powder-filled envelopes to election offices in five states offers new hints of how hard it could be.The letters, sent to offices in Washington State, Oregon, Nevada, California and Georgia this month, are under investigation by the U.S. Postal Inspection Service and the F.B.I. Several of them appear to have been laced with fentanyl; at least two contained a vague message calling to “end elections now.” The letters are a public indicator of what some election officials say is a fresh rise in threats to their safety and the functioning of the election system. And they presage the pressure-cooker environment that election officials will face next year in a contest for the White House that could chart the future course of American democracy.“The system is going to be tested in every possible way, whether it’s voter registration, applications for ballots, poll workers, the mail, drop boxes, election results websites,” said Tammy Patrick, chief executive for programs at the National Association of Election Officials. “Every way in which our elections are administered is going to be tested somewhere, at some time, during 2024.”Ms. Patrick and other experts said they were confident that those staffing the next election would weather those stresses, just as poll workers soldiered through a 2020 vote at the height of a global pandemic that all but rewrote the playbook for national elections.But they did not minimize the challenges. Instead, they said, in some crucial ways — such as the escalation of violent political rhetoric, and the increasing number of seasoned election officials who are throwing in the towel — the coming election year will impose greater strains than in any of the past.Temporary employees at the Maricopa County Tabulation and Election Center in Phoenix processed mail-in ballots last year.Ilana Panich-Linsman for The New York TimesBy several measures, an unprecedented number of top election officials have retired or quit since 2020, many in response to rising threats and partisan interference in their jobs.Turnover in election jobs doubled over the past year, according to an annual survey released last week by the Elections & Voting Information Center at Reed College in Portland, Ore. Nearly one-third of election officials said that they knew someone who had left an election post, at least in part because of fears over safety.Another recent report by Issue One, a pro-democracy advocacy group, said that 40 percent of chief election administrators in 11 Western states — in all, more than 160 officials, typically in county positions — had retired or quit since 2020.“They feel unsafe,” said Aaron Ockerman, executive director of the Ohio Association of Elections Officials. “They have great amounts of stress. They don’t feel respected by the state or the public. So they find other employment.”A certain number of departures is normal, and in many cases, experienced subordinates can take over the tasks.But departures can create collateral damage: Promoting an insider to a top elections job leaves a vacancy to be filled at a time when it is increasingly difficult to recruit newcomers to a profession that is only becoming more stressful. Experts also worry that the aura of nastiness and even danger attached to election work will drive away volunteers, many of them older Americans, who are essential to elections in all states except the handful in which residents largely vote by mail.Each election requires many hundreds of thousands of volunteers to staff polls. At a recent meeting of election administrators, roughly half were “really worried” about recruiting enough help for next year’s elections, said David J. Becker, executive director of the Center for Election Innovation and Research, a nonprofit in Washington, D.C.Experts worry that threats to election workers could drive away volunteers, many of whom are older Americans.Anna Watts for The New York TimesLike Ms. Patrick, of the election officials association, Mr. Becker said he expected that any election-season staffing problems next year would be localized, not widespread. He noted, for example, that groups that are new to recruiting poll workers, such as sports teams, universities and private businesses, are helping to find volunteers.One wild card is the extent to which threats to election workers and other attempts to disrupt the vote will ramp up as the presidential-year political atmosphere kicks in.Harassment and threats against election officials were widely reported in the months after former President Donald J. Trump began to claim falsely that fraud had cost him a victory in the 2020 election. But election officials say that the threats have not stopped since then.In June, the downtown office of Paul López, the Denver clerk and recorder, was attacked overnight with a fusillade of bullets, pockmarking the building’s facade and a ballot drop box and bursting through a window into an office cubicle. And from mid-July to mid-August, the Maricopa County elections office in Phoenix recorded 140 violent threats, including one warning that officials would be “tied and dragged by a car,” Reuters reported.The challenges go beyond threats to demands that can make the requirements of the job feel limitless.In the last year, for example, election offices nationwide have been bombarded with requests, usually from election skeptics and allies of Mr. Trump, for millions of pages of public records relating to voter rolls and internal election operations. Similarly, offices in some states were hit this year with challenges to the legitimacy of thousands of voter registrations.In both cases, the ostensible purpose was to serve as a check on the integrity of the ballot. The practical effect — and sometimes the intent, experts say — has been to disrupt election preparations and, in some cases, to make it harder for some people to vote.“It’s impacting thousands of election officers,” Ms. Patrick said. “It isn’t the case that those who are driving the narrative are numerous. But we know there are large numbers of people listening to them and reiterating what they hear.”Election offices nationwide have been bombarded with requests for millions of pages of public records relating to voter rolls and internal election operations.Rebecca Noble for The New York TimesSome of the language is beyond the bounds of normal political discourse.Mr. Trump, in a speech in New Hampshire this month used language more in keeping with fascism than democracy when he threatened to “root out the communists, Marxists, fascists and the radical left thugs that live like vermin within the confines of our country, that lie and steal and cheat on elections.”Such toxic language has an effect, said Rachel Kleinfeld, an expert on political violence and the rule of law at the Carnegie Endowment for International Peace in Washington, D.C.“There is a very clear link between the rhetoric of politicians and other leaders who both dehumanize and posit another group as a threat to incidents of political violence,” she said. “Trump himself seems to have a particular knack for this.”“What’s distressing,” Ms. Kleinfeld added, “is not just that election officials are quite worried by these threats, but that they’re not dissipating” in what should have been a quiet period between national elections.Ms. Patrick said she was distressed as well. “I feel like we’re in a very tenuous time, but there are bright lights to see,” she said. “In 2022, we had candidates who lost and conceded admirably and civilly. This month, we saw people continuing to serve as poll workers and people raising their hands to run for office on platforms of truth and legitimacy. As long as we have people who are willing to believe in facts, we’ll get through this.” More

  • in

    Letters With Suspicious Substances Sent to Election Offices Spur Alarm

    Letters, some apparently containing fentanyl or other substances, were sent to local election offices in Georgia, Oregon and Washington State.Local election offices in at least three states were sent letters containing fentanyl or other suspicious-looking substances, the authorities said on Thursday. The letters come at a time when election offices are seeing a growing array of threats and aggressive behavior that has followed baseless charges of election fraud in recent years.The letters targeted election offices in Fulton County, Ga., which includes much of Atlanta; Lane County, Ore., which includes Eugene; and King, Spokane, Pierce and Skagit Counties in Washington. At least two of the mailings were reported to include messages, but beyond an apparent call to stop the election sent to the Pierce County Elections office in Tacoma, their nature was unclear.The Pierce County mailing included a white powder later identified as baking soda. A preliminary analysis of letters sent to King and Spokane Counties in Washington identified the presence of fentanyl, law enforcement authorities said. The letter sent to Fulton County was identified and flagged as a possible threat but had not yet been delivered, said Brad Raffensperger, the Georgia secretary of state.Fentanyl can be fatal if ingested even in small doses, but in general, experts say, skin contact such as might occur when opening a letter poses little risk. None of the affected election offices reported injuries to employees.The F.B.I. and the U.S. Postal Service are investigating the letters, most of which arrived in Wednesday’s mail. In Washington State, they arrived only days after at least two synagogues in Seattle, the largest city in King County, received packages containing white crystalline or powdery substances.Officials in the affected states called the mailings threats to the democratic process. Mr. Raffensperger called on candidates for political office to denounce them.“This is domestic terrorism and needs to be condemned by anyone who holds elected office and wants to hold elected office,” he said. “If they don’t condemn this, then they’re not worthy of the office they’re running for.” He said his own son died five and a half years ago of a fentanyl overdose.While the mailings drew national attention, intimidation and threats of violence against election officials have become commonplace since former President Donald J. Trump and other Republican officeholders began raising baseless claims of widespread fraud in the 2020 presidential election.The Fulton County Department of Registration and Elections, singled out early by Mr. Trump and others claiming fraud, has been a frequent target, but hardly the only one. It was not clear whether the mailing to Atlanta had any connection to the racketeering trial playing out in Fulton County court. But election offices nationwide have tightened security, screening visitors and sometimes even installing bulletproof glass, in recent years.Jena Griswold, the Colorado secretary of state, said on Thursday that she had received more than 60 death threats since she was named as a defendant in September in a lawsuit challenging Mr. Trump’s right to appear on the 2024 presidential ballot. Threats against officials statewide are common enough that her office has established a process for detecting them.“We’re seeing a high threat environment toward election workers,” said Ms. Griswold, a Democrat. In Oregon, “the very charged interactions with patrons, voting or not, the aggressive pursuits of staff — we’re starting to see that here as well,” said Devon Ashbridge, the spokeswoman for the Lane County Elections office. “This has been a frankly frightening situation.”Nationally, the tide of threatening behavior toward election workers is a factor in the growing number of people leaving the profession and the difficulty in recruiting replacements.“We do see trends in retirements, but this is on a much grander scale than we’ve ever seen before,” said Tammy Patrick, the chief executive officer for programs at the National Association of Election Officials.The Justice Department has filed criminal charges involving election-related threats against at least 14 people since it formed a task force on the issue in June 2021. Ms. Griswold and others say, however, that both the federal and state responses have fallen short of what is needed.And they say they worry that the supercharged atmosphere surrounding the coming presidential election will only make matters worse.Election workers are “our neighbors, our grandparents, Republicans, Democrats together,” Ms. Griswold said. “They didn’t sign up for a really hostile environment for participating in American democracy.” More

  • in

    Could the Next Republican President Take Us to War With Mexico?

    As president, Donald Trump reportedly floated the idea of shooting “missiles into Mexico to destroy the drug labs.” When his defense secretary, Mark Esper, raised various objections, he recalls that Mr. Trump responded by saying the bombing could be done “quietly”: “No one would know it was us.”Well, word got out and the craze caught on. Now many professed rebel Republicans, such as Representatives Mike Waltz and Marjorie Taylor Greene, along with several old G.O.P. war horses, like Senator Lindsey Graham, want to bomb Mexico. Gov. Ron DeSantis of Florida said he would send special forces into Mexico on “Day 1” of his presidency, targeting drug cartels and fentanyl labs. In May, Representative Michael McCaul, another Republican, introduced a bill pushing for fentanyl to be listed as a chemical weapon, like sarin gas, under the Chemical Weapons Convention. This move targeted Mexican cartels and Chinese companies, which are accused of providing the ingredients to the cartels to manufacture fentanyl.Of course, the United States is already fighting, and has been for half a century, a highly militarized drug war — in the Andes, Central America and, yes, Mexico — a war as ineffective as it has been cruel. Hitting fentanyl labs won’t do anything to slow the bootlegged versions of the drug into the United States but could further destabilize northern Mexico and the borderlands, worsening the migrant refugee crisis.Addiction to fentanyl, a drug that is 50 times stronger than heroin, affects red and blue states alike, from West Virginia to Maine, with overdoses annually killing tens of thousands of Americans. It’s a bipartisan crisis. Yet in our topsy-turvy culture wars, there’s a belief that fentanyl is targeting the Republican base. J.D. Vance rose to national fame in 2016 with a book that blamed the white rural poor’s cultural pathologies for their health crises, including drug addiction. In 2022, during his successful run for Ohio’s Senate seat, Mr. Vance, speaking with a right-wing conspiracy theorist, said that “if you wanted to kill a bunch of MAGA voters in the middle of the heartland, how better than to target them and their kids with this deadly fentanyl?” Mr. Vance’s poll numbers shot up after that, and other Republicans in close House and Senate races took up the issue, linking fentanyl deaths to Democratic policies on border security and crime and calling for military action against Mexico.The Mexican government is in fact cooperating with the United States to limit the export of the drug, recently passing legislation limiting the import of chemicals required for its production and stepping up prosecution of fentanyl producers. And even some of the cartels have reportedly spread the message to their foot soldiers, telling them to stop producing the drug or face the consequences. Still, in a show of Trumpian excess, Mexico is depicted as the root of all our problems. Bombing Sinaloa in 2024 is what building a border wall was in 2016: political theatrics.The United States is no novice when it comes to bombing Mexico. “A little more grape,” or ammunition, Gen. Zachary Taylor supposedly ordered as his men fired their cannons on Mexican troops. That was during America’s 1846-48 war on Mexico, which also included the assault on Veracruz, killing hundreds. Washington took more than half of Mexico’s territory during that conflict.Conservative politicians have used Mexico to gin up fears of an enemy to the south ever since the Mexican American War, which made Zachary Taylor a national hero. Library of Congress Prints and Photographs DivisionReactionaries have fixated on the border for over a century, since before the Civil War, when Mexico provided asylum for runaway slaves. Over the years, newspapers and politicians have regularly demanded that Mexico be punished for any number of sins, from failing to protect property rights to providing refuge for escaped slaves, Indian raiders, cattle rustlers, bootleggers, smugglers, drug fiends, political radicals, draft dodgers and Japanese and German agents. There was a touch of evil about Mexico, as Orson Welles titled his 1958 film set on the borderlands.Long before the Russian Revolution, hostility directed at the Mexican Revolution, which started in 1910, gave rise to a new, more militant, ideological conservatism. U.S. oilmen invested in Mexico blamed Jews for financing the revolution and raised money from U.S. Catholics to fund counterrevolutionaries, some of whom were fascists. From 1910 to 1920, private vigilante groups like the K.K.K., local police departments and the Texas Rangers conducted a reign of terror across the border states that killed several thousand ethnic Mexicans, some of whom were trying to organize a union or trying to vote.Trumpism’s ginned-up racism against Mexicans flows from this history. It remains to be seen whether calls to bomb Mexico’s fentanyl labs will play well in the coming election cycle. Yet the rhetoric itself is a dangerous escalation of an old idea: that international narcotics production, trafficking and consumption can be deterred through military means.Today’s Republican renegades say they represent a break from the “globalist” bipartisan consensus that governed the country through the Cold War and the decades that followed. But aside from some opposition to military aid to Ukraine, Republicans largely toe the line when it comes to the use of military force abroad. Few Republican dissidents dare question the establishment consensus on ongoing military aid to Israel, especially in light of its current siege of Gaza. In this sense, calls to bomb Mexico are a distraction, blowing smoke to hide the fact that the G.O.P. offers nothing new. Republicans certainly aren’t the peace party, as some of Mr. Trump’s isolationist backers would have us believe. All they offer is a shriller war party.(As if to illustrate the point, as Republicans shout about Mexico, the Biden administration has quietly struck a deal with Ecuador that will allow the United States to deploy troops to the country and patrol the waters off its coast, the Washington Examiner recently reported.)Even bombing another country in the name of fighting drugs is hardly innovative. In 1989, George H.W. Bush used the U.S. military to act on the federal indictment of Manuel Noriega, Panama’s ruler, for drug trafficking. In Operation Just Cause, the United States dropped hundreds of bombs on Panama City, including on one of its poorest neighborhoods, El Chorrillo, setting homes ablaze and killing an unknown number of its residents.Bombing another country in the name of fighting drugs is hardly innovative. As early as 1989, the United States was dropping hundreds of bombs on Panama, leaving burned cars and destroyed buildings in their wake.Steve Starr/Corbis, via Getty ImagesFor all their posturing on how they represent a break with the past, today’s bomb-happy Republicans are merely calling for an expansion of policies already in place. Republicans have introduced legislation in the House and Senate that would in effect bind the war on drugs to the war on terrorism and give the president authority to strike deep into Mexico. Mr. Graham also says he wants “a Plan Mexico more lethal than Plan Colombia.”Calls to inflict on Mexico something more lethal than Plan Colombia should chill the soul. Initiated by Bill Clinton in 1999, Plan Colombia and its successor strategies funneled roughly $12 billion into Colombia, mostly to security forces who were charged with eliminating cocaine production at its source. Their campaign included, yes, the aerial bombing of cocaine labs.Conflict in Colombia is a longstanding phenomenon, but Plan Colombia helped kick off a wave of terror that killed tens of thousands of civilians and drove millions from their homes. The Colombian military murdered thousands of civilians and falsely reported them as guerrillas, as a way of boosting its body count to keep the funds flowing. Massacre followed massacre, often committed by the Colombian military working in tandem with paramilitaries. At the end of last year, Colombia had the fourth-largest population that was internally displaced because of conflict and violence, behind only Syria, Ukraine and the Democratic Republic of Congo.For what? More Colombian acreage was planted with coca in 2022 than in 1999, a year before the start of Plan Colombia. Colombia remains the world’s largest cocaine producer.Even after years of attempts to fumigate and destroy cocaine plantations in Colombia, the country remains the world’s largest cocaine producer. Olga Castano/Getty ImagesPlan Colombia did weaken Colombian drug producers and disrupt transportation routes. But it also incentivized Central American and Mexican gangs and cartels to get in the game. Drug-related violence that had largely been confined to the Andes blasted up through the Central American isthmus into Mexico.Then in 2006, with support from the Bush administration, Mexico’s new president, Felipe Calderón, did what today’s Republican would-be bombardiers want Mexico to do: declare war on the cartels. Again, the result was catastrophic. Estimates vary, but by the end of Mr. Calderón’s six-year term, about 60,000 Mexicans had been killed in drug-war-related violence. By 2011, an estimated 230,000 people had been displaced, and about half of them crossed the border into the United States. Tens of thousands of Mexicans, including social activists, were disappeared, or had gone missing. The cartels, meanwhile, grew more profitable and powerful.In the wake of this failure, the current Mexican government, led by Andrés Manuel López Obrador, has de-escalated the conflict to focus more on policing and prosecution. Other Latin American leaders, across the political spectrum, want to call off the war on drugs altogether and begin advancing decriminalization and treating excess drug use as a social problem.If the drug war is escalated, it would lead to more corruption, more deaths and more refugees desperate to cross into the United States. Jose Luis Gonzalez/ReutersFor now, calls to bomb Mexico are mostly primary-season bluster. But if a Republican were to win the White House in 2024, he or she would be under pressure to make good on the promise to launch military strikes on Mexico. Those efforts are not just bound to fail; they also could even make matters worse. Fentanyl labs are hardly complicated operations — with a couple of plastic drums and a pill press, one cook in a hazmat suit can turn out thousands of doses in a day. Trying to eliminate them with drones and missiles would be as effective as bombing bodegas in the Bronx. Hit one lab and five more pop up, perhaps in more populated areas.Further militarizing Mexico’s drug war would lead to more corruption, more deaths, more refugees desperate to cross the border. And those displaced, if Republicans had their way and Mexican cartels were classified as terrorist organizations, would have a better shot at claiming asylum, since they would be fleeing a formally designated war zone.With each escalation of the drug war, its horrors have inched closer to the United States. Now war mongering threatens to destroy the fragile movement among U.S. policymakers toward a more humane approach to drug use, that possession and use of drugs shouldn’t bring draconian prison sentences and that addiction should be treated as an illness, rooted in class inequality. Republican calls to go hard against narcotics below the border can’t but rebound above it, leading back to a callous public policy that treats addicts as enemies. As Martin Luther King Jr. once said of another war, the bombs we drop there explode here.Greg Grandin (@GregGrandin) is a professor of history at Yale and the author of seven books, most recently, “The End of the Myth: From the Frontier to the Border Wall in the Mind of America,” which won the 2020 Pulitzer Prize for general nonfiction.The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips. And here’s our email: letters@nytimes.com.Follow The New York Times Opinion section on Facebook, Twitter (@NYTopinion) and Instagram. More