Can We Save Lives While Cutting Funding? A Tough Conversation at the Top

Episode 223

On this episode of Grieving Out Loud, we’re having an important one-on-one conversation with a key figure from President Trump’s administration—someone deeply involved in shaping how our country responds to the addiction and mental health crisis.

Right now, more than 48 million Americans are living with substance use disorder. Yet, the administration is proposing a $56 million cut to a federal grant that helps communities and first responders access naloxone—the life-saving medication that can reverse opioid overdoses.

And that’s just one piece of the puzzle. The so-called “Big, Beautiful Bill” also includes Medicaid cuts that could dramatically affect addiction prevention and treatment across the country. Add to that a major overhaul of several federal programs that support substance use treatment, and there’s a lot at stake.

On this episode, we sit down with Art Kleinschmidt, head of the Substance Abuse and Mental Health Services Administration. And we’re asking the tough questions.

Listen to Dr. Kleinschmidt’s previous episode of Grieving Out Loud here.