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Osche's take is right: disaster declaration is imperfect

All it takes is one discerning eye to find flaws, even in the most carefully-crafted and seemingly comprehensive of statements.

So it is with Wednesday’s disaster emergency declaration by Gov. Tom Wolf, and the take of Butler CountyCommissioner Leslie Osche.

While others were simply praising the announcement, deriding it as a “no duh” moment, or withholding opinions until the declaration’s effects become more clear, Osche’s take was swift and sharp: It’s a positive step with troubling omissions.

Wolf’s declaration is a positive step first because it is a strong reaffirmation of what everyone should already know. Pennsylvania is in the midst of a years-long crisis of addiction and overdose deaths.

The governor was also correct when he said Wednesday that the state hasn’t done enough to fight back.

“We are still losing far too many Pennsylvanians,” Wolf said, in an address where he also revealed that preliminary numbers suggest that 5,260 residents here died in 2017 from drug overdoses.

That’s up from 4,642 overdose deaths in 2016, according to the Centers for Disease Control and Prevention.

But talk, as they say, is cheap. What we need now is action — and Wolf delivered a lot of that on Wednesday as well.

The diaster declaration enables state agencies to waive regulations and enacts other changes that should help get addicts into treatment more quickly. It also changes the way numerous state agencies collaborate on the opioid crisis, and broadens access to the state’s Prescription Drug Monitoring Program.

But there were some disappointing omissions on Wednesday as well — a fact pointed out by Osche.

Osche said Wednesday she was struck by the lack of any initiatives focused on increasing collaboration between municipalities and state police, as well as the lack of any moves aimed at helping ambulance services deal with the financial pressures associated with the years-long spike in overdose calls.

“There are still some really critical issues, and we’re not sure that we’re going to see anything different here at the local level,” Osche said.

Ambulance companies here and across Pennsylvania have been sounding alarms for years and warning that the state’s reimbursement system was costing their organizations — most of which are nonprofit — money and stability.

This issue has several prongs — the federal government’s outdated Medicaid reimbursement rates, which haven’t been adjusted since 2004, and the opioid epidemic, which results in “treat no transport” runs for which ambulance services usually aren’t reimbursed at all.

For example, in 2015 Butler Ambulance reported that about 1,000 of the 8,000 calls to which it responded resulted in unreimbursed costs.

When a single ambulance run costs, at minimum, several hundred dollars, it’s easy to see how quickly these expenses can skyrocket.

The result is financial pressure on the very people and organizations that Pennsylvanians count on to save their friends and loved ones from drug overdoses. And they are very, very busy with that job. In 2016 first responders revived nearly 6,000 overdose victims using naloxone. The total for 2017 is likely to be even higher — and the accompanying financial pressure greater still.

There’s no doubt that Wolf’s announcement Wednesday was a step forward in the state’s fight against opioids.

But Osche is right to point out the omission of measures that could help buttress first-responders. Hopefully someone at the state level is listening, and appreciates Osche’s keen eye as much as we do.

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