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The opioid crisis is draining America's workforce

A pack of cigarettes sits on top of a Buffalo Wild Wings application on the kitchen table in front of Mike Harsanyi. ...

Posted: Feb 22, 2018 12:26 PM
Updated: Feb 22, 2018 12:26 PM

A pack of cigarettes sits on top of a Buffalo Wild Wings application on the kitchen table in front of Mike Harsanyi. After six years struggling with heroin addiction and two spells in prison, Harsanyi has been living in a sober house in Maryland for five months and he's looking for steady employment.

"The job search has not been going good," said Harsanyi, a baby-faced 27-year-old with tattoos poking out of his collar. "I think when you're a drug addict in sobriety with a felony on your record, they look at you different, like you're going to rob their store."

Jobs are plentiful in Maryland's Anne Arundel County, which boasts an unemployment rate of 3.1%. But after doing time for an armed robbery committed while he was high in 2015, Harsanyi has so far been turned down for jobs at Valvoline and Jiffy Lube, and is only able to pick up occasional work as a tile setter for another recovering addict he met through his 12-Step program.

Harsanyi's experience isn't just hard on him. The opioid crisis is turning into a real problem for employers, who are having trouble finding workers in the midst of one of the tightest labor markets in decades.

There are nearly 6 million job openings in the U.S. and the unemployment rate, at 4.1%, is at a 17-year low. But the share of people working or looking for work still hasn't recovered from before the recession. Part of the problem: The rise in abuse of prescription painkillers, partially responsible for the 64,000 drug overdose deaths in 2016, has incapacitated thousands of working-age people whom employers would otherwise be eager to hire.

And it's concerning officials at the highest levels of government. "Curbing the opioid crisis is of critical importance for ensuring a stable or growing employment rate among prime-age workers," wrote President Trump's Council of Economic Advisors, in its annual economic report.

Related: How the opioid crisis is crippling America's labor force

Last fall, Princeton economist Alan Krueger found that the increase in prescribing rates can account for between 20% and 25% of the approximately five-point drop in labor force participation that occurred between 1999 and 2015.

"Other countries had severe recessions worse, in many cases, than the U.S.," Krueger said. "Yet they don't face nearly the type of opioid crisis that the U.S. is facing. So I think this is at the moment a uniquely American problem."

A map in Krueger's study showing the intersection of opioid prescription rates and declines in labor force participation colors in large dark swaths over much of Appalachia and the Rust Belt. Those economically depressed places have become synonymous with the narrative of opioid addiction as a disease of the downtrodden, fueled by joblessness and despair.

But the map also has dark spots in economically healthier areas, like coastal Washington state, northwest Arkansas and central Maryland, where unemployment rates are low and businesses increasingly complain that they can't find enough workers.

Recent research by University of Virginia economist Christopher Ruhm suggests that while joblessness may have created fertile conditions for opioid addiction, the epidemic's spread was fueled more by the availability of prescription drugs. Overprescribing has stricken communities on every rung of the economic ladder, and it's now becoming a particular problem for places with more jobs than able-bodied workers.

"It's coming out of areas where there's a lot of money," said Angel Traynor, who started a sober house for women in Annapolis, Maryland, in 2012 and now runs three of them. Many drug users can work for a while, but things usually fall apart when their habit becomes too expensive, which brings on crippling withdrawal spells. "Towards the end of anybody's addiction, they're not capable of holding a job," Traynor said.

Related: Ohio blames drugmakers for fueling opioid crisis

Maryland saw a 70% increase in opioid-related deaths in 2016, when 1,856 people died. Although local law enforcement agencies often track overdoses, few governments have comprehensive data on the number of people in treatment for addiction at any one time. Anecdotal evidence, however, suggests that population has grown quickly.

As a result, some employers that typically screen drug users out through testing are starting to become less picky, according to Central Maryland Chamber of Commerce president Raj Kudchadka.

"There's definitely a direct impact on the business ecosystem," said Kudchadka, who has noticed changes primarily in the restaurant and retail sectors. "People have expressed fear about screening, because it might impact their ability to fill positions."

Deena Bradbury, co-owner of neighborhood favorite Grump's Cafe in Annapolis, said it would be hard to fully staff her two locations if she hired based on drug test results. One of her largest sources of labor are nearby sober houses, where residents are required to find a job, and usually don't have a vehicle to travel far afield.

Bradbury will hire the people who list those telltale addresses on their applications, but she has to take extra precautions.

"Once we realized that there was a lot of folks with this set of circumstances, we changed how we dealt with it," said Bradbury. For example, she makes sure that recovering addicts are honest about any past criminal records, and doesn't assign more than one at a time to the same shift, to make sure they don't negatively influence each other.

Related: Walmart is giving away free opioid disposal kits

It doesn't always work out. Some employees relapse and disappear. But those who stay, Bradbury said, can be even better workers than those who've never popped a pill in their lives. "I think they tend to put forth more effort," Bradbury said. "They don't feel like a job is owed them. They tend to earn it."

Such tolerance is not an option for all employers. Jobs that involve working with children typically bar people with criminal records. Construction companies, too, are less likely to take the risk of hiring someone who might come to work high and make a fatal mistake while on a ladder or using heavy equipment. In Annapolis, where a lot of construction work happens on government property, those rules are more commonly enforced.

But people in the treatment community emphasize that getting former addicts back to work is an essential part of recovery, and want more employers to give them a chance. For Mike Harsanyi, it's another reason to stay on the wagon.

"When you're not thinking about yourself, and you're thinking about your job, and wanting to do better, and getting money, you just forget about you and your problems," he said. "I really feel that addicts and alcoholics, once you get sober and once you get an opportunity, you flourish. But getting that opportunity is the problem."

Indiana Coronavirus Cases

Data is updated nightly.

Cases: 708779

Reported Deaths: 13226
CountyCasesDeaths
Marion966191721
Lake51761946
Allen39224672
Hamilton34549405
St. Joseph34157541
Elkhart27356432
Vanderburgh22081394
Tippecanoe21853212
Porter17935299
Johnson17544374
Hendricks16822310
Clark12697190
Madison12353337
Vigo12219244
Monroe11469166
LaPorte11162204
Delaware10366184
Howard9664211
Kosciusko9134114
Hancock7990139
Bartholomew7893155
Warrick7691155
Floyd7563176
Wayne6906198
Grant6844171
Boone6556100
Morgan6405138
Dubois6085117
Marshall5786108
Dearborn570376
Cass5685102
Henry5579101
Noble542683
Jackson493569
Shelby479495
Lawrence4342118
Gibson429089
Harrison428570
Clinton419753
Montgomery418086
DeKalb411184
Whitley380239
Huntington379880
Miami372865
Knox366689
Steuben365757
Putnam353160
Jasper350946
Wabash347878
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Ripley334668
Jefferson313180
White308454
Daviess289499
Wells286481
Decatur279092
Fayette277262
Greene270785
Posey268833
Scott261153
LaGrange253670
Clay253544
Randolph235680
Washington231031
Spencer228031
Jennings225047
Fountain208845
Sullivan207942
Starke204752
Owen192356
Fulton192039
Jay186429
Carroll185920
Perry180736
Orange177853
Rush170724
Vermillion166043
Franklin165635
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Parke144616
Blackford133831
Pike130334
Pulaski113845
Newton104234
Brown100140
Crawford97614
Benton97113
Martin82915
Warren79715
Switzerland7698
Union69910
Ohio55811
Unassigned0408

Ohio Coronavirus Cases

Data is updated nightly.

Cases: 1054807

Reported Deaths: 18991
CountyCasesDeaths
Franklin1225191356
Cuyahoga1074592069
Hamilton783261168
Montgomery50176996
Summit45557909
Lucas40298765
Butler37768570
Stark31513895
Lorain24246473
Warren23910293
Mahoning20946583
Lake20067362
Clermont19459229
Delaware18085130
Licking16149207
Fairfield15757197
Trumbull15627460
Medina14922259
Greene14706236
Clark13660293
Wood12806185
Portage12431196
Allen11352229
Richland11067198
Miami10548214
Muskingum8717127
Wayne8594209
Columbiana8569226
Pickaway8439121
Marion8390135
Tuscarawas8387240
Erie7600154
Hancock6730123
Ross6707146
Geauga6553146
Ashtabula6530165
Scioto6295101
Belmont5634158
Union558447
Lawrence5470102
Jefferson5343147
Huron5314114
Darke5273121
Sandusky5189120
Seneca5139120
Washington5087107
Athens503856
Auglaize476284
Mercer471984
Shelby456590
Knox4397108
Madison423959
Putnam421799
Ashland413488
Fulton410567
Defiance404296
Crawford3883101
Brown386955
Logan374476
Preble371098
Clinton362160
Ottawa357978
Highland347459
Williams328674
Champaign321557
Jackson308551
Guernsey307549
Perry290549
Fayette278048
Morrow275939
Hardin264764
Henry264366
Coshocton259857
Holmes253499
Van Wert239262
Pike233831
Gallia233446
Adams229152
Wyandot227553
Hocking209759
Carroll189447
Paulding168838
Meigs141738
Noble132937
Monroe128941
Morgan106823
Harrison105636
Vinton81614
Unassigned02
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