(Bloomberg View) -- President Donald Trump’s initial bombasticcomments about North Korea last week overshadowed the event he washolding to highlight his administration’s efforts to fight opioid addiction.

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Unfortunately, there wasn’t much to overshadow.

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Trump failed to mention, much less embrace, any of therecommendations contained in a new report from his Commission onCombating Drug Addiction and the Opioid Crisis.

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The commission, led by New Jersey Governor Chris Christie, hasproduced some useful but too-small ideas for improving access totreatment, educating doctors, sharing data among states, andblocking the illegal drug trade.

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The one proposal that Trump later embraced -- declaring anational emergency -- will matter only if it is followed up withbold actions and the funding to support them.

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The commission’s assertion that the declaration will “awakenevery American” to the scourge of addiction gets it backwards.Americans have been crying out for leadership. It’s Washington thathas been asleep.

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One of the most effective steps the federal government couldtake went unmentioned: treating addicts who end up behind bars. Each year,about one-third of heroin users spend time locked up, yet federalprisons do not offer medication-assisted addiction treatment.

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There are humanitarian reasons to provide addicts with methadoneor buprenorphine, which can wean people off far more powerful anddeadly opiates, like heroin and fentanyl.

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The withdrawal experience -- which can include vomiting,diarrhea, anxiety, insomnia and seizures -- is hellish, andoccasionally deadly.

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But the best reason to provide treatment is that going coldturkey rarely cures the addiction. Ex-offenders are prone to resumeusing, often at levels their bodies can no longer tolerate.Overdoses are tragically common.

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Imprisonment offers one of the best opportunities to treatopioid addiction. Programs have shown encouraging results wherethey have been tried -- including in New York City, where inmatesare connected to clinics after their release and report to them athigh rates.

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The program has also helped reduce recidivism. Similarlypositive results have been seen in Australia. Yet only a few dozenof America’s more than 5,000 local jails and state prisons offeraddiction treatment.

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Failing to do so also undermines recoveries for many people intreatment. It’s estimated that about 10 percent of Americansreceiving methadone treatment are locked up each year.

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Some states and local jails have begun offering inmates a newdrug, Vivitrol, upon their release. It blocks opioids fromdelivering a high, but only for one month, and then ex-offendersmust continue taking it on their own. There is good reason to beskeptical about its effectiveness in preventing relapses.

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Many politicians and law enforcement officials who have embracedVivitrol remain hung up on mistaken ideas: that withdrawal willcure addiction, that physical suffering will “teach them a lesson,”that jails should be drug-free zones, or that dispensing milderopiates in prison rewards criminals.

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Vivitrol may prove to be effective for some.

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But until the evidence is in, methadone treatment forincarcerated addicts should become the norm, rather than theexception.

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The national emergency cannot be addressed without going insideprison walls.

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Copyright 2018 Bloomberg. All rightsreserved. This material may not be published, broadcast, rewritten,or redistributed.

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