The surge in fentanyl-related deaths, reaching up to 270,000, has redirected the focus of the US presidential race. The crisis has prompted a profound discussion on drug policies and public health measures, capturing widespread attention. Government responses and potential strategies have become pivotal points of discourse as they aim to tackle this critical issue. The pervasive nature of fentanyl's role in the elections reflects the urgent need for a comprehensive approach to address this pressing crisis.