In the State of the Union Address, Trump vowed a renewed assault on the opiod problem and really it is the Mexican Heroin trade. In fairness though this integrates naturally with his assault on illegal immigrant gangs causing problems in the USA.
True reform will mean adopting the approach of Portugal. However, the first rule is to win the war at hand first before you start a second war. His War with the Deep State is in full swing but secret. External wars are of a scale to be called sideshows and while important are not too demanding. We have at least another year of the current dispensation while the worst elements of the immigration crisis is resolved.
This reform may well be launched going into this second term once he is elected. In the nonce he is able to arm twist the states profiting from marijuana..
Stop Calling It an Opioid Crisis