How should the opioid settlements be spent? Those hit hardest often don’t have a say

abcnews.go.com:

People with substance use disorder are not getting a direct say on how most opioid settlement money is used

People with substance use disorder across the country are not getting a formal say in how most of the approximately $50 billion in opioid lawsuit settlement money is being used to stem the crisis, a new analysis found.

Some advocates say that is one factor in why portions of the money are going to efforts they don't consider to be proven ways to save lives from overdose, including equipment to scan jail inmates for contraband, drug-sniffing police dogs and systems to neutralize unneeded prescription medications.

In Jackson County, West Virginia, officials voted earlier this year to use more than $500,000 in settlement funds for a first-responder training center and a shooting range. They also allocated $35,000 to a quick response team that works with overdose survivors.

Josh George, who has been in recovery for three years after 23 years of drug use, primarily heroin, now runs a recovery group with his wife and other family members.

Some of the money could have gone to the county's only recovery house, he said.

“All these people were doing it on their own dime," George said, “trying to help these people.”

Over the past eight years, drugmakers, wholesalers, pharmacy chains and other companies have agreed to settlements to resolve thousands of lawsuits filed by state, local and Native American tribal governments claiming the companies’ practices contributed to the crisis.

Opioids have been a major problem in the U.S. since the late 1990s, with the deadliest stretch earlier this decade reaching more than 80,000 annually. The major causes have shifted from prescription pills to heroin to fentanyl and other