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Drug overdose death rate, term by term

Every term lined up from its inauguration. Context is everything: compare the start of a term with the trend it inherited and with what was happening in the world (recessions, pandemics), all of which are on the full drug overdose death rate chart.

Highlight up to three terms
−10−50+5+10+15Inauguration12345678Years in officeGeorge W. BushBush ’01–’09Barack ObamaObama ’09–’17Donald Trump (1st term)Trump ’17–’21Joe BidenBiden ’21–’25Donald Trump (2nd term)Trump ’25– (so far)

Change since the last full year before inauguration, so every term starts at zero. Second terms continue past year 4.

Of the 4 completed terms with data, the drug overdose death rate rose fastest under Donald Trump (1st term), at +2.13 per 100k/yr against +1.68 per 100k/yr in the four years before, and fell fastest under Joe Biden, at −1.30 per 100k/yr against +2.13 per 100k/yr in the four years before. So far under Donald Trump (2nd term), it has gone from 23.1 per 100k in 2024 to 20.8 per 100k in 12 mo. to Jun 2025.

Numbers

PresidentDuring term4 years before
Donald Trump (2nd term)23.1 per 100k → 20.8 per 100k
−4.62 per 100k/yr · through Jun 2025
−1.30 per 100k/yr
Joe Biden28.3 per 100k → 23.1 per 100k
−1.30 per 100k/yr
+2.13 per 100k/yr
Donald Trump (1st term)19.8 per 100k → 28.3 per 100k
+2.13 per 100k/yr
+1.68 per 100k/yr
Barack Obama11.9 per 100k → 19.8 per 100k
+0.99 per 100k/yr
+0.63 per 100k/yr
George W. Bush6.2 per 100k → 11.9 per 100k
+0.71 per 100k/yr
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Bill Clintonno datano data
George H. W. Bushno datano data
Ronald Reaganno datano data
Jimmy Carterno datano data