MEXICO CITY (AP) — Mexico’s president called anti-drug policies in the U.S. a failure Wednesday and proposed a ban on using fentanyl in medicine — even though little of the drug crosses from hospitals into the illegal market.

President Andrés Manuel López Obrador has grappled in recent days with the issue of fentanyl, which has become a major security concern. López Obrador has denied that Mexico produces fentanyl, which causes about 70,000 U.S. overdose deaths per year.

U.S. authorities estimate that most illegal fentanyl is produced in clandestine Mexican labs using Chinese precursor chemicals. Relatively little of the illegal market comes from diverting medicinal fentanyl used as anesthesia in surgeries and other procedures.

But López Obrador said he would ask doctors and experts whether all use of fentanyl by doctors could be ended, as well, to reduce illicit use.

“We are also going to ask that medical use be ended in the United States, as well,” López Obrador said.

There have been only scattered and isolated reports of glass flasks of medicinal fentanyl making it to the illegal market. Most illegal fentanyl is pressed by Mexican cartels into counterfeit pills made to look like other medications like Xanax, oxycodone or Percocet.

Many people who take those pills do not know they are taking fentanyl.

On Tuesday, Mexico’s Defense Department said soldiers found over 1.83 million such counterfeit fentanyl pills at a stash house in the border city of Tijuana.

The flood of illegal fentanyl has sparked calls in the United States to designate Mexican drug gangs as terrorist organizations, with some calls amid Republicans to use the U.S. military to crack down on the Mexican cartels.

López Obrador has rejected calls to crack down on the cartels.

“We are not going to be their servants,” he said of the United States. “We were elected by the people of Mexico to protect Mexicans.”

“We have to help one another, but not submit to anything, much less failed strategies,” he said, adding the U.S. Drug Enforcement Administration “has proved it can’t handle” the problem.

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