The tragic opioid epidemic continues to rage in the U.S. Roughly 76 percent of U.S. drug overdose deaths, more than 70,000 people in 2023, are linked to opioids, including heroin and illicit fentanyl. The bill for that calamity—dire enough to justify a global trade war with Canada, Mexico and China—is falling increasingly on a federal health coverage program that now faces the chopping block.