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U.S. federal investigators recently discovered a sophisticated tunnel fifty-five feet underground between Mexico and California—among the largest ever to be found—with electricity, a rail system, ventilation, reinforced walls, and a complex hydraulic lift system.
White House “drug czar” Sara Carter estimates that it was used to transport narcotics worth hundreds of millions of dollars. This is just one among the over two hundred tunnels of varying sizes and sophistication that have been discovered in the last four decades, with many more likely still undetected.
As Director of the Office of National Drug Control Policy (ONDCP), Carter is fighting to end the narcotic epidemic killing Americans, seize cartel finances, and make a drug-free life the new norm in America.
Deaths from illicit narcotics in America have been rising for decades and reached an all-time high in 2022, with 112,000 Americans dying in a single year. Since the Trump administration took office, that number has dropped significantly to about 68,000 for the 12-month period ending in November 2025. But Americans of all ages are still dying.
In this episode, Carter breaks down the complex pipelines creating this epidemic and how the Trump administration has been going on the offensive to attack both the supply and demand sides of this crisis.
How exactly do illicit narcotics and precursor chemicals make their way into the United States? How have America’s enemies weaponized these deadly drugs? And how can we begin to comprehend the truly devastating human cost—the many young lives that were abruptly cut short and the families left behind?
Carter says she always thinks to herself: “This could be my child.” On the evening of our interview, she told us she would be heading to meet an Angel family who recently lost their son, a recent law graduate, to a line of fentanyl-laced cocaine.
“His parents had all the hopes in the world for him. … He went to a party after law school in Miami and made a huge mistake. He did a line of cocaine that had fentanyl in it, seized, had a heart attack, and died in an instant in the party,” she says.
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