Strengthening the American Shield: Strategic Partnerships as the New Front Line of Global Diplomacy

Illustration of professionals collaborating in a modern, technology-enabled environment around a large digital globe displaying the Americas, with regional flags and city skylines in the background

Strengthening the American Shield: Strategic Partnerships as the New Front Line of Global Diplomacy

By John Clarke, Senior Advisor, Global Strategy & Programs, Bizzell US | June 24, 2026

In my twenty years as a U.S. diplomat and geopolitical security advisor for the Fortune 500 and global elite, I learned that influence is a currency best spent through presence and partnership. Whether navigating the complexities of the Colombian Civil War or managing high-stakes evacuations from Lebanon and Ukraine, I found that the ability to speak local languages was only half the battle; the other half was understanding culture, what incentivized and motivated leaders and institutions for self-improvement, what influenced society, and how this related to good and bad actors. Today, we are witnessing a collapse of the traditional “government-only” model of foreign influence. From the kinetic volatility involving Iran to the predatory expansionism of China and Russia, and the global power competition to secure natural resources to expand technological expansion and productivity; American resilience is no longer a solo act. It is the result of a “force multiplier” effect where public policy and private enterprise are seamlessly integrated to secure our national interests and foes use their own instruments of power revolving around technology, supply chains, access to critical minerals, and private enterprise to advance their sovereign, conduct gray zone warfare, and engage in global power competitions

The global landscape is currently marred by systemic “trust gaps” and “infrastructure gaps” that represent a standing invitation for adversarial influence. When the United States fails to occupy these spaces with agility, our competitors fill the vacuum with models of extractive gain that prioritize short-term leverage over long-term stability. This instability in the Western Hemisphere—manifested through energy insecurity, lack of preparedness for natural disasters, human smuggling, illicit and counterfeit goods and narcotics trafficking, as well as food shortages, and youth unemployment—does not stop at the border. It ripples through the hemisphere, including the entire United States affecting our domestic interests, impacting everything from the integrity of our immigration system to the public health, public safety, community cohesiveness challenges, and increased demands for housing, schooling, and employment. Moreover, risks to supply chains and access to critical minerals which can lead to increased costs for U.S. companies and U.S. consumers.

These gaps require more than just diplomatic cables; they require rapid innovation and operational efficiency that only the private sector can provide. However, stakeholders and policymakers have the role of building the mechanisms and architecture, dispersing the seed capital, and creating the incentives improve security, resilience, and economic security for the US and the Americas region. My transition from the Department of State to strategic consulting was an expansion of my toolkit, having managed tactical operations for global milestones like the NFL Super Bowl and Davos, and led security professionals providing predictive analysis for the Fortune 500. Most recently, serving as a lead security and crisis advisor for a $600 million USAID portfolio taught me that the private sector’s ability to scale solutions is our most underutilized diplomatic asset. Moreover, I learned that security is the baseline for fomenting economic opportunity, and sustainable influence is built through investment in people and increases the resilience of the communities where we operate.

Bizzell US operates where traditional bureaucracy often reaches its limits. In resource-constrained and conflict-affected environments, we serve as a mission-driven force multiplier to protect American interests and local lives simultaneously. In the Democratic Republic of the Congo (DRC), Bizzell supported the CDC’s Ebola and COVID-19 response in the volatile North Kivu and Ituri provinces. Beyond providing surge technical capacity, we took a lead role in the Field Epidemiology Training Program (FETP). By training a “Corps of Disease Detectives,” we didn’t just respond to a crisis; we built a sustainable, locally anchored health security system. Our ability to reach “inaccessible areas” and provide real-time epidemiological data allowed the U.S. government to make actionable policy decisions in environments too high-risk for direct federal deployment.

In Northern Haiti, I advise a 65-acre school and farm that provides education and food for 250 children while employing 40 residents. This project serves as a microcosm for the partnership model: it replaces dependency with economic opportunity. By creating a scalable model of agricultural and educational resilience, we demonstrate to the region that the American partnership is the “partner of choice”. This stands in stark contrast to the “debt-trap diplomacy” of adversaries who invest in infrastructure not as a philanthropic endeavor, but as a strategic maneuver to secure long-term influence.

The U.S. private sector offers a superior alternative through the Four Pillars of American Competitive Advantage:

  • Innovation as a Strategic Asset: Leveraging world-class entrepreneurship in AI and biotech to solve local challenges before they become global crises.
  • Scalability through Interoperability: Utilizing private-sector networks to expand local successes rapidly across entire regions.
  • Sustainability over Extraction: Focusing on long-term human development as the primary driver of regional stability.
  • Democratic Transparency as a Moat: Building trust through ethical data practices and transparency to create a “trust advantage” that competitors cannot replicate.

The future of American leadership will be forged in the field, where industry leaders, non-profits, and government agencies collaborate and align their vision to meet the speed of modern threats. This is increasingly relevant to the Americas region when countries like Brazil are estimated to have nearly 25% of global rare earth mineral and millions of U.S. citizens have family ties throughout the region. The US remains a beacon on the hill, where permanent residents and citizens send billions in remittances to countries throughout the region. In short, the fate of U.S. security, global health, economic prowess, governance, and stability and the fuel and resources which will allow us to expand is inextricably linked to the economy, capital, health, and physical security of the entire hemisphere.

As the largest economy and country by population in the Americas, the US has the opportunity and capability to lead, but as geopolitics shift time is of the essence. As the legendary former Brazilian soccer captain Pelé once said, “No individual can win a game by himself”. In the arena of global diplomacy, the era of the lone-wolf superpower is over. Architecting a unified national and regional front is no longer a strategic preference, it is essential for our national survival. When we align our public priorities with our private-sector capabilities, we do more than just protect the American Shield; we ensure a stable, prosperous, and secure US and Americas region for generations to come.

Bizzell Responds to the Opioid Crisis

Bizzell Responds to the Opioid Crisis

Credits: This series was produced by Todd “Akiva” Mandell, M.D., Senior Associate, Addiction Medicine at Bizzell US.
Production team: Kwame Phillips, Edward White, Nicholas Cornelison.

Bizzell unveils an approach to combating substance use disorders. Our 5-step guide prioritizes swift 911 assistance and encourages carrying naloxone for effective action. Frontline testimonials highlight the urgency of treatment initiation, while Dr. Edward Boyer shares an anecdote illustrating the life-saving potential of fentanyl test strips. Partnering with the National Institute of Drug Abuse Clinical Trials Network Dissemination Initiative, Bizzell delivers evidence-based resources to clinicians. Led by Dr. Anton C. Bizzell, MD, President & CEO, we’re dedicated to addressing substance use disorders, offering tangible solutions for a healthier future.

A Message About the Opioid Crisis

From Anton C. Bizzell, M.D.

Bizzell, President & Chief Executive Officer

Transcript

[Anton C. Bizzell] The opioid crisis in
the United States, driven largely by illicitly obtained synthetic
opioids such as fentanyl, is impacting communities and
families across the country and is far from being over.
From December 1999 to June 2023,
opioid related overdose deaths increased 100 and threefold.
Hardly a day goes by when there
isn’t a news item about a family losing a loved one on illicit
fentanyl seizure. A recent fentanyl seizure by
California police of 4.2 kilos was enough to potentially kill
2.1 million people. Significant spikes in the US
overdose crisis are linked to poly substance use of synthetic
compounds such as xylazine, a veterinary tranquilizer.
Xylazine extends the duration of
action of fentanyl but does not respond to naloxone.
If an overdose occurs, it is
also associated with an increased risk of soft tissue
infections. Fentanyl impacts minorities at
an alarming rate, with overdose rates among non Hispanic blacks
suffering the highest mortality due to synthetic opioids other
than methadone. A new CDC report shows that more
black Americans died from fentanyl overdoses than any
other drug in 2021 and at a far higher rate than whites or
Hispanics. As a minority owned business,
Bizzell is committed to providing solutions to address
the current opioid crisis. At Bizzell US, all employees are
required to watch a brief training on a five step response
to an opioid overdose and are encouraged to carry naloxone
with them to stress the wide-ranging impact of the
opioid epidemic or frontline providers. Bizzell has created a
testimonial video with descriptions of the difficulties
and heart breaks of managing the opioid crisis as well as the
importance of treatment initiation in emergency
departments. An additional story about
fentanyl test strips comes from an emergency department
physician. As his daughter was heading off
to college. He taught her how to use
fentanyl test strips just in case. His foresight saved many lives
at a campus party because of this knowledge.
Bizzell US is proud to have created a variety of tools and
resources for public use in conjunction with the National
Institute on Drug Abuse Clinical Trials Network Dissemination
Initiative, bringing research based information to clinicians
on a variety of topics related to substance use disorders.
I invite you to take the time to
review all of these important resources. There is hope. With dedicated
professionals across the United States and around the world,
Bizzell is working to help turn around the opioid crisis which
effects all of us. Please join us in our efforts by
getting trained in how to recognize and manage an opioid
overdose and carry naloxone with you so you can be a first
responder. Also, please encourage anyone
you know who is using opioids to seek treatment.
Thank you.

Responding to an Overdose

This 5–step response to a possible opioid overdose, which encourages using 911 for immediate assistance and recommends that everyone carry naloxone is a quick and accessible resource.

Transcript

[Maia Brown] If you come across someone with
an opiate overdose, I’d like to share with you how you can help
in five easy steps.

Step one. Check for signs of
opiate overdose. Remember that these patients
have pinpoint pupils and decreased respiratory drive,
meaning they’re breathing less than 5 times a minute or not at all. You may also see signs of drug
use on scene, like pills on the ground or an IV needle sticking
out of their arm.

Step two. Call 911 so we can
come and help you.

Step three. If you have
naloxone, go ahead and give it. You will not hurt the patient by
trying to give this medication.

Step four. Help the patient with
their breathing. If they’re not already on their
back, roll them onto their back and put them in a sniffing
position so that they have a nice open airway. Remember that naloxone can cause
patients to vomit, in which case roll them onto their side into
the recovery position.

Step 5. Continue to monitor the patient
and look for any changes in how they present to you and wait for
help to arrive. That’s all there is to it. Thank you for being willing to
help.

Personal Testimonials

Testimonials from front line community providers stress the wide-ranging impact of the opioid crisis. Each clip describes the difficulties and heartbreaks of managing the crisis while offering hope and stressing the importance of treatment initiation in Emergency Departments.

Transcript

[Ben Savitch] I worked for many years in inner
city hospitals in Chicago, and I remember distinctly one shift
many years ago where I was working in the overnight shift
and in the morning I looked up from my computer station and I
saw that our emergency department was overwhelmed with
people that were there due to opioid overdoses. Many of these individuals had
received Narcan in the field by EMS and additional doses in the
emergency department. And that was really a
recognition point for me that we were immersed in this epidemic. And certainly the issue has
persisted and extends across our entire country.

[Angadpreet “Preet” Sidhu] My community
has been disproportionately affected by the opiate crisis. Earlier this year, New York City
Health and Hygiene released their 2021 data on overdose
deaths. One particular statistic was
breakdown by neighborhood. Metropolitan Serves East Harlem,
which ranked #5 in neighborhoods with overdose deaths in all of
New York City for 100,000 residents #6 on the list was
Harlem neighborhood served by my hospital, Harlem Hospital.

[Alan Grow] They asked that any members of
the community that know of anybody struggling with
addiction to any sort of drug or alcohol, please get them help. The most important thing is
getting these people help, realizing that the stuff that
they’re doing is not only bad for them, but it’s going to harm
somebody else.

[Kavita Babu] I think it’s a real testament
to emergency medicine how much our care of patients with a opioid
use disorder has changed in my more than 20 years in practice. When I started, we would simply
give patients a handout advising them not to use drugs, but now
we’re able to send them out of our emergency departments with
things like buprenorphine, naloxone or Suboxone, meloxone
or Narcan, as well as harm reduction supplies and won’t
hand offs to treatment programs. Prescribing buprenorphine is one
of my favorite parts of my practice. Now that there’s no X waiver
required, we’re able to bring this safe and effective
treatment to our patients in a way that decreases their
mortality, all causes and opioid related by up to 50%. Getting Narcan into the right
folks hands. We know that one in seven kids
is going to be used in a reversal to save the life. Ultimately, I’m hoping that
emergency medicine can continue its trajectory towards a stigma
free environment for these patients. Patients with OUD and all of our
patients are worth saving. Thank you for being a lifesaver.

[Angadpreet “Preet” Sidhu] What needs to be
done more is to break down the stigma of medication to opiate, of
medications for opiate use disorders such as Suboxone. Narcan saves lives, but also
Suboxone saves lives as well.

Fentanyl Strips Save Lives

Dr. Edward Boyer provides a personal anecdote on how the use of fentanyl test strips saved many lives at a college campus party.

Transcript

[Edward W. Boyer] Hello everyone. My name is Ed Boyer
and I have a fentanyl story. So I’m an ER doc and a medical
toxicologist. So my area of sub specialization
is overdoses, poisonings, drug interactions and that sort of
thing. I also have a certain amount of
experience and background in the drug abuse world as well. Now, my daughter was going to
college at Syracuse University and I wanted to make sure that
she went off prepared. And one of the things that I did
was I got 5 fentanyl test strips from one of our harm reduction
colleagues at Ohio State. And I gave them to her. And my message was, I’m not
condoning. I’m not expecting you to use. I don’t expect you to
experiment. But if you ever wind up in a
situation where somebody gives you something and there’s a
temptation to use it, I want you to be safe by testing it with
these test strips. She goes off to college and time
passes, and she actually does well in college. So I’m pretty confident about
how things are going. And then in April of last year,
I got a text at like 2:00 in the morning from my daughter. And it said, essentially you
saved 300 people last night. One of the fraternities had
bought some pills and they gave them around to a whole bunch of
students. And when they got back to the
dorm, some of my daughter’s friends, “friends” wanted to use
them. So they used the fentanyl test
strips. They all contain fentanyl. You know, like, I I, I don’t
know exactly how accurate it is. I don’t know what reporting
happened, you know, the Panhellenic Council heard about
it afterward. But it highlights how the easy
availability of fentanyl test strips can save lives. And it also speaks to how a
broader based public health effort is necessary to help
minimize the the impact of, you know, like adulteration of all
sorts of substances with fentanyl.

Resources and Education

Bizzell US is proud to have created a variety of tools and resources for public use in conjunction with the National Institute of Drug Abuse Clinical Trials Network Dissemination Initiative, bringing researched based information to clinicians on a variety of topics related to substance use disorders. The links provided focus on the resources created specifically to address the opioid crisis.

Reducing the Risk of Fentanyl in the U.S. Video

We can work to decrease overdose deaths by increasing awareness of the dangers of illicitly manufactured fentanyl, learning how to discuss treatment options, and demonstrating how to respond to an overdose.

https://nida.nih.gov/videos/reducing-risks-fentanyl-in-us

NIDA CTN Slide 5

Reducing the Risk of Fentanyl in the U.S. Factsheets

Use these infographics, available in English and Spanish, to educate patients, families and communities about the dangers of illicitly manufactured fentanyl. Share the steps for recognizing and reversing overdose using naloxone.

English
https://nida.nih.gov/research-topics/trends-statistics/infographics/what-fentanyl

Spanish
https://nida.nih.gov/es/areas-de-investigacion/trends-statistics/infographics/que-es-el-fentanilo

NIDA CTN Slide 6

Overdose Prevention Education for Clinicians Treating Patients with Opioid Use Disorder Video

This brief video offers strategies for overdose prevention through identification of an individual’s risk factors, stressing the importance of treatment adherence, safety planning, and overdose rescue preparation.

https://nida.nih.gov/videos/overdose-prevention-education-clinicians-treating-patients-opioid-use-disorder

NIDA CTN Slide 8

Overdose Prevention Education for Clinicians Treating Patients with Opioids for Chronic Pain

Treating patients with opioids for chronic pain includes the risk of development of opioid use disorder and overdose. This brief video offers strategies for avoiding onset of opioid use disorder as well as overdose prevention through identification of individual risk, safety planning and overdose rescue preparation.

https://nida.nih.gov/videos/overdose-prevention-education-clinicians-treating-patients-opioids-chronic-pain

NIDA CTN Slide 9

The Case for Buprenorphine Initiation in the Emergency Department: Why, When, and How?

Listen and learn from nationally recognized experts in these 15-minute podcasts about the importance and effectiveness of starting buprenorphine treatment for opioid use disorder (OUD) in emergency departments.

https://www.mycme.com/pages/buprenorphine-initiation-in-the-emergency-department

NIDA CTN Slide 11

Opioid Use Disorder in Emergency Departments

Learn best practices for patient-centered approaches to addressing opioid use disorder in the emergency department.

NIDA CTN Slide 12

Dr. David Sleet Co-Authors Report on Global Burden of Cardiovascular Diseases

Dr. David Sleet Co-Authors Report on Global Burden of Cardiovascular Diseases

A new report highlights the persistent challenge of cardiovascular disease (CVD) worldwide. Despite the possibility of a world without CVD, millions of people’s lives are still lost prematurely to heart disease each year.

Dr. David Sleet, Bizzell Senior Associate, Injury Prevention, co-authored “Global Burden of Cardiovascular Diseases and Risk Factors, 1990–2022” published in the Journal of the American College of Cardiology. The report covers health estimates from 1990 to 2022, analyzing the impact of cardiovascular conditions and risk factors across 21 global regions. The findings underscore the urgent need for countries to implement public-health strategies aimed at preventing cardiovascular diseases, emphasizing global action in disseminating information and implementing health programs, particularly in hard-to-reach countries.

Dr. Sleet stated that, “We must collectively address the high burden of CVD mortality in Asia, Europe, Africa, and the Middle East.” Dr. Sleet added, “The leading causes—high blood pressure, high cholesterol, dietary risks, and air pollution—highlight the critical areas where targeted intervention can make a significant impact on cardiovascular health worldwide.”

About Bizzell

Bizzell is a consulting, strategy, investment, & technology firm headquartered in New Carrollton, Maryland. Bizzell is a partner of choice by federal, state, and local government agencies, and private organizations. With a strong emphasis on innovation and impact, Bizzell transforms small ideas into powerful catalysts that drive change across markets worldwide. Learn more at www.BizzellUS.com.

Dr. David Sleet Co-Authors Report on Reducing Homelessness at Canadian Emergency Departments

Dr. David Sleet Co-Authors Report on Reducing Homelessness at Canadian Emergency Departments

A novel Canadian program (The Bridge Healing program) aims to break the cycle of homelessness and prevent unsustainable, repeated “social admits” of homeless individuals to emergency departments (EDs).

Dr. David Sleet, Bizzell Senior Associate, Injury Prevention, co-authored “Bridge Healing: A Pilot Project of a New Model to Prevent Repeat “Social Admit” Visits to the Emergency Department and Help Break the Cycle of Homelessness in Canada,” published in the International Journal of Environmental Research and Public Health. The article describes the program designed to provide healthcare services that act as transitional housing for homeless individuals who would not normally receive any other housing assistance.

Dr. Sleet stated that, “the project design facilitates reintegrating residents into the community, preventing poor health outcomes and unnecessary costs to the healthcare system. Multiple stakeholders have endorsed the model and grassroots community-level organizations have financially supported it.”

Significant successes included the establishment of relationships with government agencies to facilitate the acquisition of permanent housing. The study found that collaborating with income support services that cover basic needs allowed staff to focus on acquiring permanent housing, thus minimizing reliance on EDs.

“We hope that our research eases the burden on local emergency departments and increases the resources so desperately needed by individuals working to exit the cycle of homelessness and housing insecurity,” added Dr. Sleet.

About Bizzell

Bizzell is a strategy, consulting, and technology firm with a mission to improve lives and accelerate change. We develop innovative solutions to some of the most critical issues of our time such as health care services equity, global health, workforce innovation, and other urgent needs facing the world. Learn more about how we develop data-driven, research-informed, innovative solutions to complex, real-world challenges.

Learn more at www.BizzellUS.com.

About BHARC

The Behavioral Health Advancement Resource Center (BHARC) is an authoritative source for behavioral health information, insights, technical assistance, training, and innovative tools. BHARC is a mechanism to share evidence-based behavioral health interventions and best practices. The BHARC Advisory Council consists of experts in substance use, mental health, clinical trials, pharmaceuticals, and healthcare standards and quality. Learn more about the Behavioral Health Advancement Resource Center at BHARC.org.