Brian Mann

I asked what she'd need to move beyond this life, beyond addiction. Horvath says her first goal is a safe place to live.

I asked what she'd need to move beyond this life, beyond addiction. Horvath says her first goal is a safe place to live.

I asked what she'd need to move beyond this life, beyond addiction. Horvath says her first goal is a safe place to live.

Addiction care experts say getting people off the street into homes is often a crucial step. But there are so many needs here, it can feel overwhelming. Kayla McLeod says there has been progress building a network of services and support that didn't exist a decade ago.

Addiction care experts say getting people off the street into homes is often a crucial step. But there are so many needs here, it can feel overwhelming. Kayla McLeod says there has been progress building a network of services and support that didn't exist a decade ago.

Addiction care experts say getting people off the street into homes is often a crucial step. But there are so many needs here, it can feel overwhelming. Kayla McLeod says there has been progress building a network of services and support that didn't exist a decade ago.

We pass a mobile healthcare team and a food pantry. There's a special police unit trained in addiction response and a group from a university dispensing buprenorphine, a medication that reduces fentanyl cravings. I meet Scout Gilson working at a syringe exchange run by a group called Prevention Point.

We pass a mobile healthcare team and a food pantry. There's a special police unit trained in addiction response and a group from a university dispensing buprenorphine, a medication that reduces fentanyl cravings. I meet Scout Gilson working at a syringe exchange run by a group called Prevention Point.

We pass a mobile healthcare team and a food pantry. There's a special police unit trained in addiction response and a group from a university dispensing buprenorphine, a medication that reduces fentanyl cravings. I meet Scout Gilson working at a syringe exchange run by a group called Prevention Point.

Gilson, who's in long-term recovery, says she knows firsthand how complicated the health impacts of drug use can be, from mental health challenges to lingering skin wounds.

Gilson, who's in long-term recovery, says she knows firsthand how complicated the health impacts of drug use can be, from mental health challenges to lingering skin wounds.

Gilson, who's in long-term recovery, says she knows firsthand how complicated the health impacts of drug use can be, from mental health challenges to lingering skin wounds.

But Gilson thinks deeper healing that moves people beyond survival is possible with the right help.

But Gilson thinks deeper healing that moves people beyond survival is possible with the right help.

But Gilson thinks deeper healing that moves people beyond survival is possible with the right help.

In my time in Philadelphia, I see examples of this hopeful work, and I meet people like Gilson who've managed to rebuild their lives. But the need is clearly growing here in Kensington and around the U.S. One question is whether there will be money to pay for these services.

In my time in Philadelphia, I see examples of this hopeful work, and I meet people like Gilson who've managed to rebuild their lives. But the need is clearly growing here in Kensington and around the U.S. One question is whether there will be money to pay for these services.

In my time in Philadelphia, I see examples of this hopeful work, and I meet people like Gilson who've managed to rebuild their lives. But the need is clearly growing here in Kensington and around the U.S. One question is whether there will be money to pay for these services.

So far, the Trump administration has focused largely on keeping fentanyl out of the U.S., not on programs that help people recover. Some Republicans in Congress are still talking about budget cuts that could affect Medicaid. That's the federal program that funds most addiction treatment in the U.S.

So far, the Trump administration has focused largely on keeping fentanyl out of the U.S., not on programs that help people recover. Some Republicans in Congress are still talking about budget cuts that could affect Medicaid. That's the federal program that funds most addiction treatment in the U.S.