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			 America's opioid epidemic, especially damaging in rural areas where 
			Trump is popular, has been a focus for the Republican president. 
 On Tuesday, the government charged drug distributor Rochester Drug 
			Co-operative Inc and company executives for their role in fueling 
			the epidemic. The company agreed to pay $20 million and enter a 
			deferred prosecution agreement to resolve charges it turned a blind 
			eye to thousands of suspicious orders for opioid pain killers.
 
 "We are holding big Pharma accountable," Trump said at the Rx Drug 
			Abuse and Heroin Summit in Atlanta.
 
 Deaths from opioid overdose in the United States jumped 17 percent 
			in 2017 from a year earlier to more than 49,000 according to the 
			Centers for Disease Control and Prevention.
 
			
			 
			
 Deaths from potent synthetic opioids like fentanyl surged 45 percent 
			in that time, according to the CDC.
 
 Hundreds of lawsuits by state and local governments accuse 
			drugmakers such as Purdue Pharma of deceptively marketing opioids, 
			and distributors such as AmerisourceBergen Corp, Cardinal Health Inc 
			and McKesson Corp of ignoring that they were being diverted for 
			improper uses.
 
 Trump said he convinced Chinese President Xi Jinping in a December 
			meeting in Argentina to designate fentanyl as a controlled 
			substance.
 
 China last month listed all fentanyl-related substances as 
			controlled narcotics after criticism from Trump, though its 
			government blamed U.S. culture for abuse of the drug and said the 
			amount of fentanyl going from China into the United States was 
			"extremely limited."
 
			
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			"Almost all fentanyl comes from China," Trump said on Wednesday. 
			"They are going to make it a major crime." 
			Little has come of Trump's earlier calls for executing drug dealers. 
			But the administration has taken some action to address the crisis 
			on other fronts.
 Trump declared the opioid crisis a public health emergency in 
			October 2017. Last week, U.S. health officials said they will spend 
			$350 million in four states to study ways to best deal with the 
			opioid crisis on the local level, with a goal of reducing opioid-related 
			overdose deaths by 40 percent over three years in selected 
			communities in those states.
 
 The Democratic National Committee said in a statement before Trump's 
			remarks that his proposed Medicaid cuts and efforts to overturn the 
			Affordable Care Act, popularly known as Obamacare, could make the 
			opioid problem worse.
 
 Trump has used the crisis to support his call for building a wall on 
			the border with Mexico, saying it would help keep out heroin and 
			other illegal drugs and curb the crisis.
 
 (Reporting by Roberta Rampton; Writing by Caroline Stauffer; Editing 
			by Kevin Drawbaugh, David Gregorio and Bill Berkrot)
 
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