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Public Health On Call

1039 - Spending Down Billions in Opioid Settlement Money: The Debatable, The Inventive, and The Innovative

Public Health On Call

The Johns Hopkins Bloomberg School of Public Health

News, Health & Fitness, Medicine

4.6 • 644 Ratings

🗓️ 21 April 2026

⏱️ 19 minutes

🧾️ Download transcript

Summary

About this episode:

A collaboration between the Johns Hopkins Bloomberg School of Public Health, KFF Health News, and Shatterproof is tracking how communities across the country are spending opioid settlement funds. In this episode: Abigail Winiker of the Bloomberg Overdose Prevention Initiative details the good, bad, and the ugly of the expenditures the team has tracked, from EMS-delivered harm reduction methods to punitive law enforcement investments to... D.A.R.E magicians?

Guest:

Abigail Winiker, PhD, MSPH, is an assistant scientist at the Johns Hopkins Bloomberg School of Public Health and the program director of the Bloomberg Overdose Prevention Initiative.

Host:

Lindsay Smith Rogers, MA, is the producer of the Public Health On Call podcast, an editor for Expert Insights, and the director of content strategy for the Johns Hopkins Bloomberg School of Public Health.

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Transcript information:

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Transcript

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0:00.0

Welcome to Public Health On Call, a podcast from the Johns Hopkins Bloomberg School of Public Health,

0:05.9

where we bring evidence, experience, and perspective to make sense of today's leading health challenges.

0:16.3

If you have questions or ideas for us, please send an email to public health question at jh.

0:21.6

Jh.edu.

0:23.8

That's public health question at jhhu.edu for future podcast episodes.

0:31.6

It's Lindsay Smith Rogers.

0:33.6

Today, how the billions of dollars in opioid settlement funds are being spent.

0:38.7

Abby Winnecker is an assistant scientist and professor in the Department of Health Policy and Management at the Bloomberg School of Public Health and the Program Director for the Bloomberg Overdose Prevention Initiative.

0:49.4

She talks with me about a project to track these funding spend downs and about some of the expenditures she's

0:55.2

seen from the eyebrow raising to the truly innovative. Let's listen. Abby Winneger, thank you so much for

1:01.5

joining us on Public Health On Call. How are you? I am doing well. Thank you. Thanks so much for

1:05.6

having me. It's a pleasure to be here. So today we're going to talk about opioid settlement funds,

1:10.6

but to start us off,

1:11.8

would you give us a little bit of an introduction about you and your work? Absolutely. So I am faculty

1:18.3

at the Johns Hopkins Bloomberg School of Public Health, and I am the program director for the

1:23.8

Bloomberg overdose prevention initiative. So we are an effort to support overdose prevention,

1:31.0

research and interventions across the country. And part of that work spans some policy oversight

1:37.2

related to the opioid settlement funds, which I know we're going to talk a lot more about.

1:42.4

And so tell us about the opioid settlement funds.

1:45.2

This is money that is being paid out.

1:47.7

How much are we talking about?

1:48.8

Who is it going to?

...

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