By Vanda Felbab-Brown

This paper explores policy options for responding to the supply of heroin and synthetic opioids from Mexico to the United States. Forced eradication of opium poppy has been the dominant response to illicit crop cultivation in Mexico for decades. Forced eradication appears to deliver fast results in suppressing poppy cultivation, but the suppression is not sustainable even in the short term. Farmers find a variety of ways to adapt and replant after eradication. Moreover, eradication undermines public safety and rule of law efforts in Mexico, both of high interest to the United States….Unless security and rule of law in Mexico significantly improve, the licensing of opium poppy in Mexico for medical purposes is unlikely to reduce the supply of heroin to the United States. Mexico faces multiple feasibility obstacles for getting international approval for licensing its poppy cultivation for medical purposes, including, currently, the inability to prevent opium diversion to illegal supply and lack of existing demand for its medical opioids. In seeking to establish such demand, Mexico should avoid setting off its own version of medical opioid addiction.

Washington, DC: The Brookings Institution,2020. 28p.