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In the age of Donald Trump, as TomDispatch regulars Mattea Kramer and Sean Fogler suggest today, among the endlessly unfolding tariffs (including ones likely to make crucial medicines for Americans desperately more expensive and possibly unaffordable for many people) and the staggering, ever deeper cuts to community healthcare, social services, and mental-health research that they describe, it's hard to imagine that depression isn't increasingly going to be part of all too many American lives, including my own.
I mean, a secretary of "health" who is likely to make mincemeat of the vaccines that have for so long ensured that American life is so much safer -- how (in)appropriate! And yes, Donald Trump's tariffs are going to play havoc with our world in ways we undoubtedly hardly understand, though given his love for "hamberders," I have a feeling that fast food may remain in our world, tariff- and tax-free.
Let's face it, "our" (and I do indeed have to put that in quotation marks) president (and should I put that in quotes, as well?) is less than three months into his second term in office, so who knows what hell he can bring to pass in the seemingly endless months and years left to him? Mental health? By 2028, it, too, may have to be encircled in quotation marks. In the meantime, let Kramer and Fogler tally up the damages so far to our collective mental health and offer some positive surprises on this nation and mental health while they're at it. Tom
This Mental Health Awareness Month
Funding Slashed While Surprising New Research Shows Bipartisan Support for Expanded Services
By Mattea Kramer and Sean Fogler
The United States has been in the throes of a mental health and overdose crisis so severe it has spanned five presidential administrations and been classified as an official state of emergency in three of them. No one knows exactly how this emergency will play out during the current Trumpian cocktail of uncertainty, fear, and cuts to social services, but charts of the recent turbulence of the stock market suggest a relevant visual: imagine the nervous systems of millions of already struggling Americans, along with millions more who are being pushed to the limits of what they can handle, all experiencing deep emotional crashes, briefly recovering, only to collapse again into new lows. And while it might be tempting to think that many of us aren't affected by the present gut-wrenching emotional tumult because we appear fine and don't seem to care about what's happening to the more desperate among us, our recent research suggests that people do care -- including, perhaps, those you'd least expect to do so.
Last year brought a widely reported piece of news in mental health. Overdose fatalities in the United States declined substantially, a notable but qualified victory. As overdose deaths fell 9% from 2021 to 2023 for white Americans, such deaths increased 12% for people of other races, according to a Reuters analysis of data from the Centers for Disease Control and Prevention. Street drugs continue to kill more than 84,000 people in the United States annually and overdoses remain the leading cause of death among Americans ages 18 to 44.
In other words, many young Americans and people of all ages attempt to numb difficult, even unbearable feelings, and sometimes that numbing is fatal. Depending on who you are, your preferred numbing agent might be wine, work, prescription pills, social media, street drugs, or something else entirely. But in the second age of Donald Trump, as well as long before him, all too many of us have been grappling with profound pain, whether from a sense of hopelessness about the future, oppression, trauma, grief, job loss, or general financial strain in ever more economically difficult times. Those among us who are not U.S. citizens are increasingly seized with the fear of being deported due to false, unknown, or unsubstantiated allegations and without due process. In addition to sowing terror, this has also been exacerbating an already widespread sense of loneliness, as people stay inside for fear of being detained.
Another source of despair is the urgent overseas humanitarian crisis over which non-citizens and legal permanent residents are now being seized, shackled, and imprisoned or disappeared for expressing moral protest. One (but not both) of the authors of this article has the protection of U.S. citizenship, although experts now question whether even citizenship will continue to provide protection, and so, for safety's sake, we're not naming that crisis or the widely shared sense of grief and powerlessness as men, women, and heartbreaking numbers of children die there. Students and people in all walks of life continue to take to the streets in protest, including the one of us who is a citizen.
Indeed, in such a devastating moment, in all corners of American society, people are in ever greater need of mental health services, just as funding for them is being slashed. May is Mental Health Awareness Month and so a ripe moment to take stock of the damage being done and to report that there appears to be surprising agreement among people with divergent political beliefs that it's time to expand services for those who are struggling.
Dismantled?
In late January, the Trump White House issued a vague memo that put a temporary freeze on the disbursement of federal financial assistance. By early February, NBC News had reported that some health clinics were closing their doors. Then, in March, the Trump administration announced the cancellation of more than $11 billion in funding to deal with addiction, mental health, and related issues. A federal judge subsequently halted that cancellation of funds, saying such a sudden termination caused "direct and irreparable harm to public health." The Trump administration requested a stay of the order, with plans to appeal.
By mid-April, around the same time that Elon Musk's DOGE took over responsibility for posting federal grant opportunities for the public, Reuters published an extensive investigation on the subject. It drew on interviews with dozens of experts to conclude that funding cuts and associated layoffs were "dismantling the carefully constructed health infrastructure that drove the number of overdose deaths down by tens of thousands last year."
In Philadelphia, where one of the authors of this article resides, the Inquirer reported that a forensic research lab that tests the nation's illicit drug supply for new and harmful substances hadn't received crucial funds from the federal government. That, in turn, meant the furloughing of staff and a growing backlog of untested samples. If you've followed news about the evolving nature of illicit and counterfeit drugs, you know that novel and dangerous molecules are continually turning up in unexpected places, whether the veterinary sedative xylazine or the more potent medetomidine found in batches of fentanyl, or as deadly levels of nitazenes in seemingly innocuous pills. Slowing or halting drug-testing is a dangerous proposition.
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