“Absolutely the worst drug I’ve ever seen”: Risk,governance,and the construction of the illicit fentanyl “crisis”

Abstract

In this article, we analyze 1027 articles published in four newspapers in order to trace the construction of the fentanyl “crisis” across social contexts. Our analysis reveals that Chinese producers and Mexican cartels were censured for bringing this deadly substance into Canada and the United States as the number of fentanyl-related deaths and overdoses increased. Indeed, news media construct this “illicit” form of fentanyl as foreign and risky. We contend that this coverage diverts attention away from the consequences of the neoliberal policies that contribute to opioid use and plays an important role in stoking feelings of insecurity that justify a disconcertingly wide range of governing practices that aim to secure the homeland against external threats, advance the state’s interests abroad, and discipline larger swaths of the population at home.

Keywords

Drug scare fentanyl insecurity media xenophobia

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References

Achenbach

Wagner

Bernstein

(2017) Trump says opioid crisis is a national emergency, pledges more money and attention. Washington Post, 10 August.

Ahmed

(2016) Drug that killed Prince is making Mexican cartels richer, U.S. says. New York Times, 9 June.

Alexandrescu

(2014) Mephedrone, assassin of youth: The rhetoric of fear in contemporary drug scares. Crime Media Culture 10(1): 23–37.

Ayres

Jewkes

(2012) The haunting spectacle of crystal meth: A media-created mythology? Crime Media Culture 8(3): 315–332.

Baker

(2017) When opioid addicts find an ally in blue. New York Times, 12 June. Available at: https://www.nytimes.com/2017/06/12/nyregion/when-opioid-addicts-find-an-ally-in-blue.html (accessed 2 August 2018).

Bell

Salmon

(2009) Pain, physical dependence and pseudoaddiction: Redefining addiction for “nice” people? International Journal of Drug Policy 20(2): 170–178.

Berlanga

(2016) Want to make ethical purchases? Stop buying illegal drugs. New York Times, 27 September. Available at: https://www.nytimes.com/2016/09/27/opinion/want-to-make-ethical-purchases-stop-buying-illegal-drugs.html (accessed 2 August 2018).

Bernstein

(2017a) Half a million Medicare recipients were prescribed too many opioid drugs last year. Washington Post, 13 July.

Bernstein

(2017b) Steps the U.S. government should take right now against the opioid epidemic. Washington Post, 12 October.

10.

Best

(1990) Threatened Children: Rhetoric and Concern about Child-Victims. Chicago, IL: University of Chicago Press.

11.

Bever

(2016) Woman overdoses in a gas station bathroom with a crying 4-year-old nearby, police say. Washington Post, 6 December.

12.

Bever

Holley

(2016) Mother captured in “heartbreaking” overdose video charged with child endangerment. Washington Post, 30 November.

13.

Bonilla-Silva

(2015) The structure of racism in color-blind, “post-racial” America. American Behavioral Scientist 59(11): 1358–1376.

14.

Bosworth

Bowling

Lee

(2008) Globalization, ethnicity and racism: An introduction. Theoretical Criminology 12(3): 263–273.

15.

Bourgois

(1998) The moral economies of homeless heroin addicts: Confronting ethnography, HIV risk, and everyday violence in San Francisco shooting encampments. Substance Use & Misuse 33(11): 2323–2351.

16.

Bourgois

(2000) Disciplining addictions: The bio-politics of methadone and heroin in the United States. Culture, Medicine and Psychiatry 24(2): 165–195.

17.

Boyd

Carter

(2010) Methamphetamine discourse: Media, law, and policy. Canadian Journal of Communications 35(2): 219–237.

18.

Boyle

(2017) Two people die every day in Ontario of opioid-related causes, research shows. Toronto Star, 20 April.

19.

Braun

Clarke

(2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3(2): 77–101.

20.

Burton

(2016) Enlisting Beijing to help stop fentanyl exports won’t be easy. The Globe and Mail, 6 December. Available at: https://www.theglobeandmail.com/opinion/enlisting-beijing-to-help-stop-fentanyl-exports-wont-be-easy/article33207872/ (accessed 23 June 2018).

21.

Canadian Centre on Substance Use and Addiction (2017) Joint statement of action to address the opioid crisis: A collective response. Health Canada.

22.

Carroll

Marshal

BDL

Rich

, et al. (2017) Exposure to fentanyl-contaminated heroin and overdose risk among illicit opioid users in Rhode Island: A mixed-methods study. International Journal of Drug Policy 46: 136–145.

23.

Casteneda

(2018) Is forcing people with substance use disorder into drug treatment a good idea? US News, 19 July. Available at: https://health.usnews.com/health-care/patient-advice/articles/2018-07-19/is-forcing-people-with-substance-use-disorder-into-drug-treatment-a-good-idea (accessed 3 January 2019).

24.

Chase

Fife

(2018) U.S. lawmakers call for investigation into Huawei’s university partnerships. The Globe and Mail, 20 June.

25.

Chavez

(2017) Nafta’s renegotiation risks national security. New York Times, 20 November. Available at: https://www.nytimes.com/2017/11/20/opinion/nafta-national-security-mexico.html (accessed 2 August 2018).

26.

Cooper

Bell

Russell

(2018) Fentanyl: Making a killing. Global News, 1 December. Available at: https://globalnews.ca/news/4658188/fentanyl-china-canada-diplomatic-tensions/ (accessed 2 January 2019).

27.

Cunningham

(2017) The Health 202: Skyrocketing fentanyl seizures illustrates its growing contribution to opioid crisis. Washington Post, 6 December.

28.

Dale

Ballingall

(2018) Trump says he’ll punish “the people of Canada” because of Trudeau’s news conference. Toronto Star, 12 June. Available at: https://www.thestar.com/news/world/2018/06/12/we-just-shook-hands-trump-confused-by-trudeaus-pushed-around-comment-after-g7-summit.html (accessed 1 August 2018).

29.

Deutsch

(2016) Fentanyl outpaces heroin as the deadliest drug on Long Island. New York Times, 28 December.

30.

Dhillon

(2015) Increase in fentanyl-related deaths prompt calls for “antidote”. The Globe and Mail, 14 August. Available at: https://www.theglobeandmail.com/news/british-columbia/increase-in-fentanyl-related-deaths-prompt-calls-for-antidote/article25977565/ (accessed 3 July 2018).

31.

Dickerson

Jordan

Nixon

(2018) “I want her back”: Some migrant families reunite, but other parents grow desperate. New York Times, 12 July.

32.

Dodwell

(2018) Keep calm and relax: China’s tech progress is only a national security challenge if we make it so South China Morning Post, 10 August.

33.

Doyle

(2006) How not to think about crime in the media. Canadian Journal of Criminology and Criminal Justice 48(6): 867–885.

34.

Elliott

(2014) Debating safe injecting sites in Vancouver’s inner city: Advocacy, conservatism and neoliberalism. Contemporary Drug Problems 41(1): 5–40.

35.

Farrugia

Fraser

Dwyer

(2017) Assembling the social and political dimensions of take-home naloxone. Contemporary Drug Problems 44(3): 163–175.

36.

Faulkner-Gurstein

(2017) The social logic of naloxone: Peer administration, harm reduction, and the transformation of social policy. Social Science & Medicine 180(1): 20–27.

37.

Fischer

Turnbull

Poland

, et al. (2004) Drug use, risk and urban order: Examining supervised injection sites (SISs) as “governmentality”. International Journal of Drug Policy 15(5): 357–365.

38.

Fischer

Vojtila

Rehm

(2018) The “fentanyl epidemic” in Canada: Some cautionary observations focusing on opioid-related mortality. Preventive Medicine 107: 109–113.

39.

Flagg

(2018) The myth of the criminal immigrant. New York Times, 30 March.

40.

Foderaro

(2017) With arrest of top Suffolk prosecutor, focus shifts to race to replace him. New York Times, 3 November.

41.

Forrest

(2015a) Vancouver police launch campaign to make public aware of fentanyl risk. The Globe and Mail, 2 March.

42.

Forrest

(2015b) Vancouver police target fentanyl distributors in major bust. The Globe and Mail, 3 March.

43.

Forsyth

AJM

(2001) A design for strife: Alcopops, licit drug—familiar scare story. International Journal of Drug Policy 12: 59–80.

44.

Foucault

(1997) Ethics: Subjectivity and Truth. The Essential Works of Michel Foucault 1954–1984. Volume One. New York: The New Press.

45.

Frydl

(2013) The Drug Wars in America, 1940–1973. New York: Cambridge University Press.

46.

Gallant

(2013) Addicts turn to fentanyl … and it’s killing them. Toronto Star, 1 August, GT1.

47.

Giovannetti

(2015) Alberta officials sound alarm over spike in fentanyl deaths. The Globe and Mail, 8 November.

48.

Goode

(2008) Moral panics and disproportionality: The case of LSD use in the sixties. Deviant Behaviour 29(6): 533–543.

49.

Government of Canada (2017) Actions on opioids: 2016 and 2017. Available at: https://www.canada.ca/content/dam/hc-sc/documents/services/publications/healthy-living/actions-opioids-2016-2017/Opioids-Response-Report-EN-FINAL.pdf (accessed 2 January 2019).

50.

Gray

(2017) Toronto health officials recommend prescribing heroin to opioid addicts. The Globe and Mail, 13 March.

51.

Hernández

(2017) Selling opioids in this rural Maryland county could get you a murder charge. Washington Post, 9 August.

52.

Hicks

(2017) Hogan: Limit opioid prescriptions to 7 days, boost penalty for dealers whose drugs cause fatal overdoses. Washington Post, 24 January.

53.

Horwitz

(2017) Justice Department to prosecute traffickers of any fentanyl-related substance. Washington Post, 9 November.

54.

Howlett

(2016a) Surge in overdoses prompt fears fentanyl use is rising in Ontario. The Globe and Mail, 2 February. Available at: https://www.theglobeandmail.com/news/national/surge-in-overdoses-prompt-fears-fentanyl-use-is-rising-in-ontario/article28530648/ (accessed 23 June 2018).

55.

Howlett

(2016b) Ottawa tables bill to crack down on illegal shipment of opioids. The Globe and Mail, 12 December.

56.

Howlett

Church

(2015) Canada urged to create national system to track opioid-related deaths. The Globe and Mail, 30 November.

57.

Howlett

Giovannetti

VanderKlippe

, et al. (2016) How Canada got addicted to fentanyl. The Globe and Mail, 9 April, F1.

58.

Hughes

Lancaster

Spicer

(2011) How do Australian news media depict illicit drug issues? An analysis of print media reporting across and between illicit drugs, 2003–2008. International Journal of Drug Policy 22: 285–291.

59.

Hunter

(2015) Officials blame tainted bad batch of drugs for fatal overdose in Victoria. The Globe and Mail, 28 December.

60.

Ingraham

(2016) Heroin deaths surpass gun homicides for the first time. Washington Post, 9 December, A21.

61.

Jenkins

(1999) Synthetic Panics: The Symbolic Politics of Designer Drugs. New York: New York University Press.

62.

Karamouzian

Dohoo

Forsting

, et al. (2018) Evaluation of a fentanyl drug checking service for clients of a supervised injection facility, Vancouver, Canada. Harm Reduction Journal 15(1): 46.

63.

Kinetz

Butler

(2016) Getting high on a chemical weapon. Toronto Star, 8 October, A19.

64.

King

(2014) OxyContin in Ontario: The multiple materialities of prescription painkillers. International Journal of Drug Policy 25(3): 486–493.

65.

Koester

Mueller

Raville

, et al. (2017) Why are some people who have received overdose education and naloxone reticent to call Emergency Medical Services in the event of overdose? International Journal of Drug Policy 48: 115–124.

66.

Krieger

Goedel

Buxton

, et al. (2018) Use of rapid fentanyl test strips among young adults who use drugs. International Journal of Drug Policy 61: 52–58.

67.

Lewis

(2017) President Trump’s claim that a wall will “stop much of the drugs from pouring into this country”. Washington Post, 13 September.

68.

Lewis

Ockerman

Achenbach

, et al. (2017) “It’s manufactured death”. Washington Post, 16 August, A01.

69.

Linnemann

(2016) Meth Wars: Police, Media, Power. New York: New York University Press.

70.

Linnemann

Wall

(2013) “This is your face on meth”: The punitive spectacle of “white trash” in the rural war on drugs. Theoretical Criminology 17(3): 315–334.

71.

Linnemann

Hanson

Williams

(2013) “With scenes of blood and pain”: Crime control and the punitive imagination of the Meth Project. British Journal of Criminology 53(4): 605–623.

72.

Long

(2018) US deporting more long-term residents. Human Rights Watch, 21 April. Available at: https://www.hrw.org/news/2018/04/21/us-deporting-more-long-term-residents (accessed 30 July 2018).

73.

McCaul

(2016) It’s too easy to get dangerous drugs through the mail. Washington Post, 5 August.

74.

MacCharles

(2017) Health minister rejects calls for broader decriminalization of illicit drugs. Toronto Star, 5 April.

75.

McGinley

(2017) FDA to step up targeting of fentanyl, other synthetic opioids at postal facilities. Washington Post, 4 August. Available at: https://www.washingtonpost.com/news/to-your-health/wp/2017/08/04/fda-to-step-up-fentanyl-targeting-at-postal-facilities/?utm_term=.060272a1b223 (accessed 2 August 2018).

76.

McGinty

Kennedy-Hendricks

Baller

, et al. (2016) Criminal activity or treatable health condition? News media framing of opioid analgesic abuse in the United States, 1998–2012. Psychiatric Services 67(4): 405–411.

77.

McKenna

(2018) Canada’s trade talks with China need to target fentanyl. The Globe and Mail, 10 December, B1.

78.

McKinley

Jr (2014) U.S. authorities step in to charge 2 after deaths from extra-lethal heroin. New York Times, 20 June, 20.

79.

McLean

(2017) From “junkies” to “soccer moms”: Newspaper representations of overdose, 1988–2014. Critical Criminology 25(3): 411–432.

80.

McLean

(2018) Good Samaritans vs. predatory peddlers: Problematizing the war on overdose in the United States. Journal of Crime and Justice 41(1): 1–13.

81.

Manning

(2006) There’s no glamour in glue: News and the symbolic framing of substance misuse. Crime Media Culture 2(1): 49–66.

82.

Meier

(2012) Doctors petition for limits on painkillers. New York Times, 26 July, 2.

83.

Miroff

(2017) Mexican traffickers making NYC a fentanyl hub. Washington Post, 14 November, A01.

84.

Moore

(2004) Governing street-based injecting drug users: A critique of heroin overdose prevention in Australia. Social Science & Medicine 59(7): 1547–1557.

85.

Moore

Fraser

(2006) Putting at risk what we know: Reflecting on the drug-using subject in harm reduction and its political implications. Social Science & Medicine 62(12): 3035–3047.

86.

Murakawa

(2011) TOOTHLESS: The methamphetamine “epidemic,” “meth mouth,” and the racial construction of drug scares. Du Bois Review 8(1): 219–228.

87.

Neocleous

(2011) “A brighter and nicer new life”: Security as pacification. Social & Legal Studies 20(2): 191–208.

88.

Neocleous

(2016) The Universal Adversary: Security, Capital and “the Enemies of All Mankind”. New York: Routledge.

89.

Netherland

Hansen

(2016) The war on drugs that wasn’t: Wasted whiteness, “dirty doctors,” and race in media coverage of prescription opioid misuse. Culture, Medicine, and Psychiatry 40(4): 664–686.

90.

New York Times (2016) Drug deaths reach white America. New York Times, 25 January, 20.

91.

New York Times (2017) America’s 8-step program for opioid addiction. New York Times, 30 September.

92.

Noto

Pinsky

Mastronoianni

FDC

(2006) Drug in Brazilian print media: An exploratory survey of newspaper and magazine stories in the year 2000. Substance Use & Misuse 41(9): 1263–1276.

93.

Omi

Winant

(2009) Thinking through race and racism. Contemporary Sociology 38(2): 121–125.

94.

Peiper

Clarke

Vincent

, et al. (2019) Fentanyl test strips as an opioid overdose prevention strategy: Findings from a syringe program in the Southeastern United States. International Journal of Drug Policy 63: 122–128. DOI: 10.1016/j.drugpo.2018.08.007.

95.

Phillips

(2017) Whoops: Trump made a few mistakes by calling New Hampshire a “drug-infested den”. Washington Post, 3 August. Available at: https://www.washingtonpost.com/news/the-fix/wp/2017/08/03/whoops-trump-made-a-few-mistakes-by-calling-new-hampshire-a-drug-infested-den/?noredirect=on&utm_term=.ed819bf2d5de (accessed 2 August 2018).

96.

Picard

(2016a) Petty bureaucracy should not be allowed to block access to anti-overdose drug. The Globe and Mail, 24 March. Available at: https://www.theglobeandmail.com/news/politics/globe-politics-insider/petty-bureaucracy-should-not-be-allowed-to-block-access-to-anti-overdose-drug/article29381998/ (accessed 23 June 2018).

97.

Picard

(2016b) The real “drug crisis” is our failed public response to use and abuse. The Globe and Mail, 10 April. Available at: https://www.theglobeandmail.com/news/national/the-real-drug-crisis-is-our-failed-public-response-to-use-and-abuse/article29579173/ (accessed 28 June 2018).

98.

Picard

(2017) Opioid crisis: Listen to the big-city mayors. The Globe and Mail, 29 May.

99.

Popper

(2017) Opioid dealers embrace the “dark web” to send deadly drugs by mail. New York Times, 10 June.

100.

Prime Minister of Canada (2015) Diversity is Canada’s strength, address, London, UK. Available at: https://pm.gc.ca/eng/news/2015/11/26/diversity-canadas-strength (accessed 30 July 2018).

101.

Reinarman

Levine

(1989) Crack in context: Politics and media in the making of a drug scare. Contemporary Drug Problems 16(4): 535–577.

102.

Reiss

(2014) We Sell Drugs: The Alchemy of U.S. Empire. Oakland, CA: University of California Press.

103.

Roe

(2005) Harm reduction as paradigm: Is better than bad good enough? The origins of harm reduction. Critical Public Health 15(3): 243–250.

104.

Schmidt

(2017) “Trump Troubadour,” who attended 45 Trump rallies to honor his late son, feels “betrayed” because of health care. Washington Post, 24 March.

105.

Seelye

(2016) Heroin epidemic is yielding to a deadlier cousin: Fentanyl. New York Times, 26 March.

106.

Statistics Canada (2018) Drug overdose crisis: Socioeconomic characteristics of those dying of illicit drug overdoses in British Columbia, 2011 to 2016. The Daily, 13 November. Available at: https://www150.statcan.gc.ca/n1/daily-quotidien/181113/dq181113a-eng.htm (accessed 18 December 2018).

107.

SUPPORT for Patients and Communities Act (2018) Available at: https://www.congress.gov/bill/115th-congress/house-bill/6/text (accessed 2 January 2019).

108.

Surette

(2015) Media, Crime, and Criminal Justice: Images, Realities, and Policies. Stamford, CT: Cengage Learning.

109.

Svrluga

(2014) Heroin deaths spike in Maryland. Washington Post, 28 June.

110.

Taylor

(2008) Outside the outsiders: Media representations of drug use. Journal of Community and Criminal Justice 55(4): 369–387.

111.

Tesler

(2013) The return of old-fashioned racism to white Americans’ partisan preferences in the early Obama era. Journal of Politics 75(1): 110–123.

112.

Tyndall

(2016) Prevention of overdoses saves lives and must not be illegal. The Globe and Mail, 15 December, S1.

113.

Ubelacker

(2015) Oxycodone deaths drop in Ontario over three years. Toronto Star, 28 July, A6.

114.

Valverde

(2006) Law and Order: Images, Meanings, Myths. New Brunswick, NJ: Rutgers University Press.

115.

Ward

(2015) The slow violence of state organized race crime. Theoretical Criminology 19(3): 299–314.

116.

Wee

S-L

Hernandez

(2017) Despite Trump’s pleas, China’s online opioid bazaar is booming. New York Times, 8 November. Available at: https://www.nytimes.com/2017/11/08/world/asia/china-opioid-trump.html (accessed 2 July 2018).

117.

Weeks

(2014a) Solving the painkiller crisis: It’s in the hands of doctors. The Globe and Mail, 3 October.

118.

Weeks

(2014b) Reality check: Chronic pain sufferers deserve better than opioids. The Globe and Mail, 19 October.

119.

Wente

(2016) The middle-class drug epidemic that grew. The Globe and Mail, 11 April. Available at: https://www.theglobeandmail.com/opinion/the-middle-class-drug-epidemic-that-grew/article29591013/ (accessed 23 June 2018).

120.

Whelan

Asbridge

Haydt

(2011) Representations of OxyContin in North American newspapers and medical journals. Pain Research & Management: The Journal of the Canadian Pain Society 16(4): 252–258.

121.

Woo

(2015) Fentanyl-related deaths soar across Canada, report says. The Globe and Mail, 11 August, S1.

122.

Woo

(2016) Clark calls for agreement with China to cut flow of fentanyl into B.C. The Globe and Mail, 17 November.

123.

Woo

(2017a) Canada’s mayors call for speedy approval of proposals to address overdose crisis. The Globe and Mail, 25 May.

124.

Woo

(2017b) Inner peace and inner turmoil. The Globe and Mail, 30 December, A8.

125.

Woo

(2017) Two inmates in Quebec among alleged leaders of opioid ring. The Globe and Mail, 17 October.

126.

Zezima

(2016) Cruz, Trump want to secure the border to keep out heroin. But will it work? Washington Post, 12 February.