Thomas Insel

Cracking the Code of Addiction and Mental Health

Lynn Goldman, Thomas Insel, Gary Mendell, Richard Pops, Garen Staglin, Nora Volkow

A panel of experts from NIDA and public health organizations identifies the opioid crisis as a preventable epidemic driven by systemic healthcare failures, including aggressive pharmaceutical marketing and inadequate medical training, which have caused mortality rates among white non-Hispanic Americans to rise for the first time in history. To address this, the group advocates for mandating CDC prescribing limits, expanding access to proven medication-assisted treatments, and shifting workplace cultures to reduce stigma, emphasizing that the primary obstacle remains the implementation of existing evidence-based protocols rather than a lack of scientific knowledge. Despite these proposed solutions facing significant barriers such as insurance coverage gaps and reimbursement policies that delay care, the consensus holds that coordinated policy changes could reduce new addiction rates by half and reverse decades of escalating overdose deaths.