The Washington PostDemocracy Dies in Darkness

Trump sees ‘carnage’ from America’s drug boom. But major cities are getting safer.

January 28, 2018 at 4:51 p.m. EST
A U.S. Customs and Border Protection officer checks under a truck during a secondary inspection at the Otay Mesa Port of Entry in San Diego in May. (David Maung/Bloomberg)

The use of illegal narcotics in the United States has varied over the years, but by many accounts — including the president's — the nation has never been so high on drugs.

Seizures of methamphetamine and heroin at the Mexican border have surged. Cocaine use is spiking again. The opioid epidemic has pushed overdose deaths past 60,000 per year, a record.