tv Charleston A.M.E. Church Shooting Part 3 CSPAN December 25, 2015 6:05am-7:01am EST
>> voted by a clear majority -- 397, yes. no's to the left. syria andng isis and the election of a new party leader, jeremy corbyn. u.k. politics, sunday night at night easter right here on c-span. sunday night on q and a, tyler about the second volume of mr. pearson's diaries which gives an insider's take on washington dc from 1960 to 1969. >> it was just remarkable all the things he did and sometimes
>> good morning, everyone. i would like to start the next panel, which is informing people's understanding of gun dangers and outcomes. i am professor and chair of the department of public health sciences at the medical university of south carolina, which is one of the cosponsors of this event. i would like to remind folks about something that happened in 1985. in 1985, the nobel peace prize was won by the international physicians for the prevention of nuclear war. and the u.s. facility at physicians for social responsibility. physicians have historically had a major role in addressing social issues, and being the community leader. so you think about your -- the doctor when you are a little kid in terms of his role in the community. physicians can play important roles in wellness, prevention, and education.
and so today's topic on this panel is what is the role of the physician and community leadership, as well as interventions in the office that can help inform the issues of gun violence? so, how can physicians be part of the prescription? so today's panel, we have two national groups represented as well as to local physicians. -- two local positions. also in the office are representatives from the university of south carolina and also local physician organizations. the process will be we will have 5 to 7 minutes for each panelist, then hopefully 30 to 40 minutes to have open dialogue about questions in this area. so, dr. robert ball is a seventh generation charleston physician
and a college of charleston graduate. he has been a public health officer. and he was also a public health officer. and currently, he is an adjunct professor. the second panelist is dr. wanda filer, a board-certified family medicine physician and president of the american academy of family physicians. she is a public health advocate and founder of the strategic health institute. she combines the arenas of public policy, public health education, advocacy, and the -- and the media for change. and we also have a local physician, dr. richard hagerty, a charleston physician recently spearheaded a group of local physicians to organize the
group, gun sense south carolina. and finally dr. wayne riley is , the president of american college of physicians. the nation's largest specialty organization. he is a professor of medicine at vanderbilt university school of medicine and professor of health care management at the owen graduate school of management at vanderbilt university. with those introductions, i would like to have dr. riley head us off with some comments. >> good morning. honored to be here on hollow ground to talk about the physician role in reducing firearm violence. there was a time in this country where we didn't think we could cure polio and prevent its
crippling effects on both young and old. there was also a time of this country where we didn't think we could prevent needless deaths and injuries and disability from automobile accidents. there was a time in our country not too long ago where we didn't think we would ever be able to prevent the spread of hiv and aids. friends, these three examples really underscore how we as physicians think about firearm violence. and i think it is pretty significant that you have three organizations who are participating in this very special event that represents almost half -- more than half -- of the physicians in the united states of america. and that is because we feel strongly that the similar approaches we have made and progress in other issues that affect the american public are relevant to the discussion about preventing firearms violence
today. now, those of us who have been called to the profession of medicine, and brenda, we get our calling, too, as physicians to serve the human body, and we respect and pay homage to those of you who have been called to minister to the spirit, but those of us who have been called to minister, if you will, to the human body, we think we have a duty. a duty to not only cure disease, but to prevent disease. -- disease, deaths, and disability. again as we think about this , through the prism of our calling to improve the health of not only the patient in our exam room at that time on that day, but of our communities from coast to coast, this issue is
vitally important that physicians and patients have dialogue over firearm violence. and i want to salute the american bar association. we approached the bar association because we were getting frustrated with the lack of correct dialogue around firearms. we were frustrated with the intellectual sophistry that opponents of common sense measures to stem the firearm violence were engaged in. and we hear it all the time on some of the shows and channels that i'm sure you are familiar with. but this is a public health problem colleagues, make no mistake about it. don't listen to some of the sophistry that comes out of some quarters and some organizations. we have had a war on poverty. we have had a war on cancer.
we need to have a war on firearms. and firearm violence. and so it is from that perspective that we join that only with the aba, but 52 other medical organizations to call for some very common sense measures to decrease firearm violence. now, as a physician, i can't stop deaths. i can forestall it, but i can never stop deaths. i may be able to treat a disease and cure it for that moment, but i know ultimately that i cannot stop death. that is the same way we have to look at firearm violence. the common sense thinks that we are advancing -- things that we are advancing, we know we are not going to stop every mass shooting, or we are going to stop every intimate partner violence situation, but we know
from looking at the way we have dealt with those other health problems of the public that we can make a difference. as my colleague, dr. gold, said, 100% is not the goal. it's to decrease the high numbers of firearm related deaths and injury in this country so that folks can have healthy and productive lives in safer communities. -- and safer communities. now, our common sense approaches are very simple. i am from louisiana, originally. i come from a part of the country very much like this where hunting and gun ownership is embraced. but do you really need an assault style weapon to shoot a deer? if you do, you need to take up golf as your hobby. [laughter] if you need an assault style weapon to hunt, you really do need to find another hobby.
so again those types of weapons , there should be a ban on. we are very clear that there is no civilian rationale for anyone to have an assult-style weapon like what was used in san bernardino. secondly, we also feel there is no reason to have extended ammunition clips available for guns. god knows that is what happened downstairs in this building. the young man had an extended clip of bullets that he was able to discharge in a very short period of time that wreaked havoc on the lives in this community. there is no reason to have expanded magazines. we call for more vigorous, robust background checks. common sense does not infringe
upon the second amendment at all. and i think we have heard evidence that if mr. roof had had a robust background check, he probably would not have been able to purchase that gun for his birthday. that money was given to him by someone in his family. we want more research. professor webster is terrific. he is the best in the business. but the place that needs to do the research on gun violence as -- is the centers for disease control and prevention. and there is a congressional block against funding research on gun violence that must and -- end. so we call for that to end. so, again, some of this may come as a surprise to you. why are the doctors of the nation concerned about firearms? i would submit from you, it is
our responsibility as physicians because we care not only about the patient in front of us at that moment, but we care deeply about this community and communities from san bernardino to sandy hook to wisconsin to chattanooga to lafayette, louisiana. you mean the places where we have had issues. the places where we have had issues. but more importantly, the inner-city violence that affects my hometown of new orleans, inner-city chicago, here in south carolina, the black on black crime that is taking away future generations who can contribute to our nation. again, that is the prism by which we look at this as the nation's physicians. that this has to be approached in the same way we went after a
seatbelts, cancer, polio, other epidemics. this we can do, colleagues, and we feel very strongly that we have to play a role in advancing very common sense approaches. again, i underscore not to eliminate, but to markedly decrease gun violence in this great country. thank you. [applause] >> i would like to remind you that there are cards to pass around. if you have questions, please write those down, and we will take questions. dr. wanda filer. >> good morning. ladies and gentlemen i am a , family physician. when i trained in family medicine, i trained in family and community medicine. a lot of times we talk about the care of the patient. in family medicine, in primary care, we take care of newborns, we take care of senior citizens of every body, shape, size, and color in between, and we are passionate about the care we
give to the community. i represent 120,900 family physicians. we do one out of five u.s. offices. a lot of times, our patients are children. a lot of times, they are children in rural america where no one else is available to see them. they are often children of lower socioeconomic means. we have five sites. i got involved in the issue of violence 25 years ago. when an entire family of my patients were murdered. i had just seen the baby in the newborn nursery. i talked to mom about breast-feeding, i talked to her about car seats, i spoke to her about immunizations. all those things that i as a physican have been trained to talk about. but physicians for a long time
were not trained around violence. i am here to tell you that that is changing, and changing fast. but when valerie decided that she was going out one night and her husband, paul, killed their two children, killed her mother, killed his two-year-old nephew, and then waited for her to come home and killed her, that for me was a transition point. it was a point for me to say what could i have done differently? how could i make a difference in the lives of these patients? how can i make a difference in the lives of my community? and as surely as i stand here i , will tell you because of screening -- as i stand here, i will tell you because of screening people, talking to them about safety, talking to the children i take care of and the teenagers all over this country and something called anticipatory guidance, i know for a fact that i have saved lives. i know it.
those are the people that don't end up in my newspaper, they don't end up on tv, but they do end up coming back into my office and giving me a hug. they do end up coming back and saying, hey, i am ok today, but i just needed to talk. that is what we as physicians are here to do. this is a public health crisis. now, on my personal and professional journey to learn and teach about violence -- and i now use my role as president of the american academy of family physicians for a little bit of a pulpit to my own members to educate them about something i would like you all to know about. because i believe that charles -- charleston and by extension south carolina and this country, are at in inflection point. we have an opportunity now to say it is a new day and take the tragedies that happened downstairs, the tragedies that
happened to the family i care about and change the trajectory , of this country, change the trajectory of the city. and the future. so i'm going to ask each of you -- and this may be painful for some of you -- to take a very private quiz. i am going to ask you 10 questions. i want you to score yourselves. but as you are doing this, i want you to think about your coworkers, the people you love, the people in your families. you do not need to share your number, but i want you to tally up in your head. this is called the adverse childhood experiences study. this is what i lecture about when i go around the country and lecture to my colleagues. i am going to ask you to give yourself one point and we will have 10 questions. the first question -- while you were growing up, and your first 18 years of life, to a. or other adult in the household often or very often swear at
you, insult you, put you down, or humiliate you, or act in a way that made you feel afraid ?hat you may be physically hurt if so, one point. questioned two, did a parent push, graph, slap, or throw something at you? have you ever been hurt so hard that you had marks or were injured? answer to that, another point. three, did a person touch or follow you in a sexual way, or attempt to have , or vaginal have you ever felt that your
family did not support each other? another point. five, did you often feel like you have not had enough to eat, your parents were too drunk or high to take care of your take you to the doctor? another point. your parents ever separated or divorced? another point. what your mother or stepmother often pushed, grabbed, or had something thrown at her, kicked, bitten, or hit with a fist. ? threatened with a gun or knife? another point. did you live with anyone who was a problem drinker or alcoholic russian mark another point. mentallysehold member ill or 10 suicide? another point. 10, question, question
did a household member go to prison? another point. i am going to ask you to tally of your own points, and what we know from the adverse childhood experience, if your score is six or higher, your life expectancy just dropped 20 years. your likelihood of getting chronic heart disease just went up eightfold. your likelihood of using 1800%.ces is up you are more lengthy to be pregnant teenager of the father of a pregnant teenager. you are more lengthy to be a perpetrator and a victim. what weto think about are doing in our communities, and our families of origin. help to be support each other and lord these scores? this has implications not only to the violence in our
communities, but chronic disease, teen pregnancies, substance abuse, all the different issues we see in american health care. possibly, this is the determinant of how the children aref strengthened before age 18 of their future trajectory. we as a community can come together and chained to that path. how do we make sure our families have the resources they need, and tha good policies are in placet? i asked children all the time, do you have a gun in your home? inyou know as a physician florida, i am not allowed to ask that upheld in court? if you buckle your car seat. if you have a gun in your home, it is very important that i have a chance to talk to you about safety, about how we keep those children safe.
i talked about a child when you go to your friend caught house, what happens if your friend pulls out a gun? i have had friends who have died at a friend's home because a gun was pulled out. this needs to stop. i think her dr. riley and i say , other physicians are here to help you. dr. durham is in the back. we are here to help you and be partners in this work. god bless you and god speed. [applause] thank you dr. filer. it is an honor and privilege to be here with you. to paraphrase our governor, it is a great day and charleston, s.c. when lawyers and [laughter] doctors worked together on public health issues. [laughter] become charles that has
a shining example of all of the positives that can result in gun violence. my greatest sympathies to the people at mother emmanuel and my greatest admiration to their standing up and doing the right thing. can identify with dr. webster's comparing gun violence to an infectious disease epidemic. with a defined incubation. , getting shorter and -- ter where many americans as a physician, we must first teach. the m ologies the word doctor comes from the latin -- comes from a latin word. we all must become teachers in gun violence.
he must increase public education and awareness. discuss it openly. from a doctor who has had marvelous editorials, thinking of this epidemic as an infection that can be diagnosed, treated, and perhaps cured, i feel more hopeful than i have in a long time. in looking at this crowd, i too feel very hopeful. on the flipside, violence begets violence. something that is not an original quote. secondly, in addition to the vigilance that physicians must pay close attention to regarding their patients, we must also stress the mental health aspects, even though we know there are sometimes disconnects and mental health and gun violence. one recommendation that is under consideration is to t-mobile emuzzleans -- d
physicians. florida being the most striking example which is now u.s. court of appeals. there are four other states, south carolina rejected such an amendment to muzzle positions. we must expand allowable aaiteria -- we heard about hip a to report mentally unstable patients to law enforcement or to proper authorities and to discuss openly guns and gun safety to other patients. -- with their patients. , we must work with our legal community and law enforcement to expand background checks to "universal." we cannot stop private sale. the deranged psychopath that
pops up from time to time. the background checks can be legally expanded as we have heard and still protect our second amendment rights. this include lengthening the .aiting period -- th this includes limiting assault rifle sales. dozen to onel a person at one time. limiting the amount of rounds in clip.o who should consider what san francisco has done. san francisco has just posted it last gun shop due to the city passing ordinances that now require gun sales that may be videotaped and kept for at least a year for safety and stricter record-keeping. the last 10 shop in san francisco has just closed. hallelujah. action, what prompted in large part by the medical community there.
points that were published sunday, november 8, there are 200 copies in the vestibule, one for each of you. the universal background check, the education through in day-to-day's -- in yesterday's newspaper, underscored many of the points that these two doctors had written an article february -- do we have copies of that? we can get copies of that. lastly, we heard reference to -- the center for
disease control can and has done -- they are reporting the numerators, the numbers of firearmilled by homicide, suicide, but they can only report the numbers. that is pure and simple epidemiology. the cdc has been abandoned by researchonal law to do on what causes people to seek -- people who do mass shootings. representative dickey, repot -- retired republican of arkansas, just prior to the horrific massacre in san bernardino, sent a letter to congress. law, that hethat cosponsored, be repealed. that law arrived in congress on wednesday.
it's what happened wednesday afternoon? san bernardino. can talk to our legislatures enough, then we can have such congressional action on a federal level to allow and provide funding or the cdc to do research on route costs analysis. root case analysis. in south carolina and many states, there are many laws that when a bar or bartenders sells excess alcohol to anyone, and being under due to the influence, commit public harm, auto accident with etc., notr death, only is that individual responsible, but the bartender is held both criminally and civilly responsible. we have heard them in a soda -- in a civil case,
had to pay $6 million to the two wounded police officers. bars and do this for bartenders, why can't we passed similar laws that hold gun sellers accountable? i think we should. thehing, a quote from reverend dr. martin luther king -- we must learn to live together as brothers and sisters, or else perished as fools. [applause] becky very much. [applause] -- thank you very much. >> richard duke hagerty. >> thank you, i really appreciate this opportunity to be with this panel. i am a plastic surgeon by training. most of my time, we spend time on how people look. this is really different. things that really different in charleston six months ago.
that is what brings me here today to introduce you to our group called gun sense. i want everyone to be educated about this. it was started by a very who is 100young lady pounds soaking wet. do after, what can we this tragic event. that is how this event started. that was macon. gathered and- we spent a lot of time thinking about doing this out of awareness and not to be reactive. speaking with a mission as to address the public health issue of gun violence by educating citizens building awareness, and supporting nonpartisan legislation. that is our mission statement. obviously, we are galvanized by emmanuelened here at
ame church. we are an independent grassroots organization working to reduce gun violence and we had a goal of reducing it by one half. we still support the second amendment right of citizens to lawfully own guns. i own two shotguns and a rifle myself. things do change. the common refrain i hear from a lot of my fellow doctors is this is complicated. yes, it is complicated. are he talks-- we about the california-missouri experience. transactions gun to have all commercial sales of guns have background checks. doing that one event alone, which over 85% of americans, you
can reduce gun violence by half. -- gun violence deaths by half. that is doable. is this a democracy? why aren't people listening to us? thats is whate gunn is about. we need your help to stand up with usse so that we can change that. know what the common problems are. we have been talking about that all morning. the -- basically, we have a two prong approach, one is community awareness, and education, and gary is doing stand up sunday, and this is an effort that you will hear a lot more about about getting january to stand up in again to make people aware of what the problem is and what we can do about it.
do a lot ofg to other community outreach programs. working on specific points on how we can address and educate our legislators. do,what i am asking you to this is an opportunity, local, right here in charleston, started right here, all locally , and not very well funded yet, we need your help. we need you to join us. we need you to stand up, admit what the problem is, and take responsibility that this is all of our problem, and we all need to join in in a proactive, nonemotional way to see what we can do to make this better. so, thank you. [applause] i don't know about you, i
thought this was a wonderful group of presenters, right? absolutely [applause] absolutely riveting. some physicians can be part of the prescription for this. several questions. positions should -- physicians during and take screening include a history of violence and cause and effect? >> yes, i agree that in concept. we teach medical students and young doctors to ask a whole number of things. i am sure all of you have run all of the gauntlet of questions we ask you. that is very purposeful. we do that so we, as physicians, did you know you as the patient.
we don't just want to know you as the diabetic. we want to know you as the 54-year-old teacher with three kids and six grandchildren who likes to play bingo and shop in antique stores. we want to know because talk to you as a person. that is where the spiral discussion converges with that. we want to know if you have firearms in your home. if you do, are they safely locked up come out of the way of the six grandchildren? yes, there is a proper role in of thetext physician-patient relationship to have a safe conversation about firearms. all the medical organizations are fighting back furiously against the state's statute and other states trying to prohibit me as a physician from asking that simple
question. that is, in our view, a violation of our first amendment right for people who are trying contortrt themselves -- themselves of their position of the second amendment. >> there are more than 4000 federally funded qualified organizations in the country. how can this front of many american public issues be properly utilized in this public health issue of gun violence? this network is untapped. >> amen, amen, amen. [laughter] office, iw, in my would estimate across the five sites that people speak 20 languages. we had a very diverse country. i have to learn how to help people navigate in a culturally appropriate way.
i think that expertise that is world ist of that huge. there are cultural differences treat disease, how we do prevention, our attitudes, our conversations we have. that is one to be true around the issues of changing the culture around gun violence. i think that the expertise and the experience -- that is going to come down to making sure that when you -- when the work is done in charleston, the representatives are at the table. art are to have community panels and get back and say how are we doing? entree a another way to the people into the community. these are patients, people who know the problems first hand of what is going on across multiple cultures all over this country. so, i think your local
organizations, but also the associations -- there is a huge opportunity to bring them into that conversation, and by doing so, to diversify the conversation, and that is very needed to sustain culture change. more about the a study and along with that, a scores been related to further violence and gun violence? -- ido not know that the do not know the specifics around gun violence. the study is about 25 years old now. it started with 27,000, mostly middle-class, predominantly, at least some college education patients that were in the kaiser permanente system in california. what they did was they give these people a questionnaire that i gave you. they started with eight questions. it is been expanded to 10.
those people self-reported those numbers. what they found is that they went back to look at the medical , 17,000 people self-reported what went on in her childhood. look at their medical records and follow those folks and continue to follow those folks .or 25 years the chronic disease rates, lupus, rheumatoid arthritis, chronic heart disease, but also sexual assault, domestic violence victimization, perpetration, at the same time, this issue of how the are treat our children, has huge implications for the health and well-being of this nation. -- i had this conversation with law enforcement infrequently, and i met with all of our chiefs of police in my county to have this conversation. i did this presentation in
carlisle, and they are seeing the issue and recruits. of that, that some of our recruits went through as children. there is a conversation to be had here about how we do a better job protecting the children of this community. dr. webster, do you have anything to add to that in terms of the a scores as dr. webster here? >> he is not here, maybe we can ask him later. >> he had to leave to mark certainly -- he had to leave? maybe that can inform this whole issue of how does violence exposure to violence through your childhood related to risk-relator violence. which lead to the question, how
can we help remove the congressional ban on cdc research? i don't know if our panel can answer that. doctors, lawyers, and legislators have to work together. he has some excellent legislators in south carolina who have already posed bills before our state legislature. we need to do that at a federal level, too. and right every congress and e-mail them -- e-mail addresses are readily available on the website. cut and paste the same e-mail and change the name to dear mr. so and so. banthem to repeal the cdc on gun research -- gun violence research. if enough of us spoke up and tried to educate and enlighten our congressman and senators, then they would respond.
that is a positive. this week,e is, just u.s. senate rejected an expanded background check amendment to a larger bill on another matter. piggybacking that amendment. again,ty is going to be brought to the senate floor in a different forum. >> another question with regard to the role of physicians. of these incidents, especially the mass killing incidents and also where there is family violence, is that there are folks who are murdered, but yet at the same time, there is a group of folks .ho are the victims and survive didn't it is the issue of post-traumatic stress. -- then there is the issue of posttraumatic stress. every dayll of this getting exposed to this information have a little bit of post-traumatic stress that impacts us all -- our well-being
and thinking about things and a function. even myself, when i get upset about what is happening, i almost freeze. saysay, god, how can we do -- how can we do something about it? what is the role of physicians in the process of recovery from the gun violence, and including the community of mother emmanuel church? aware, through some the families, that of the nine are having a tough time as one would expect. -- they are againencing ptsd all over just as a result of what happened in san bernardino. anytime there is another one of , those folks have to be
live it. msnbc, wall-to-wall coverage. it is very painful. as physicians, when we have ts who have signs and symptoms of posttraumatic stress syndrome, we try to get them to talk about it and we encourage them to talk about it, not only with us as their physician, but with their family members, their rabbi,al advisors, their ir imams,,or, ther whatever. that is very therapeutic. that is something we underestimate in terms of how, i think the nation is sort of having ptsd over all of this as all, as a country, we are little bit traumatized.
sometime, that traumatization can lead to, like i said, being frozen in place. let that happen for a little love, but you have to go back to work. littlethat happen for a while, but you have to go back to work. i liken this to having to push a boulder of a hill. to move we are going this boulder. if you think about the things that have occurred in our lifetime, i would have never expected nelson mandela walked out of prison in my lifetime. and for barack obama to become president. things can happen, friends, we just have to keep it up. it is also political pressure. we have to harness our political , andure to move this physicians are not bashful about using our political pressure either. packed, -- they have pact, too. we have a
to keepld ask you all that many of my patients, work across generations. i will take care of many generations in the same family. the families here in charleston and the extended families -- this is the first year. this is a holiday season. the first thanksgiving, christmas, first hanukkah -- it is so raw right now. it is incumbent in all of you to reach out. next year, don't forget it. and the year after that. at. you are their network, their extended family. having this meeting, just showing that you care about --
just showing you care by showing up. that sends a message to the damlies that you give a that these people will need to hear from you. don't underestimaten. everyone sent along to hug your pastor. we are doing a lot of hard work as well. [laughter] >> i am a believer in hugs, so -- >> >> hugs are good. one final question, can positions request removal of weapons of? >> many give you an anecdote about that. i have had the wonderful honor of serving as a president of a medical school, and we had a suicidal student that was brought to my attention. she visited one of our counselors and told them she was struggling academically and felt like she wanted to hurt herself and that she slept with a pistol under her pillow every night.
so, we got her into a situation relaxed, was calm and and said, can be go get the pistol? it was brought back to campus and locked in a safe. then she got admitted to a psychiatric facility for intervention. she was gone about a month. one day, she showed up at my office, she wanted her gun back. and so this sent my staff scurrying. madam president, my general , and i said we had a medical student who had a problem in the lobby and she wants her gun back. tosaid, legally, we have give it back. i said i'm going to overrule you and say i am not getting it back. i was beinglater,
sued -- she sued me for withholding her gun. i said i would gladly go back to court. the judge said this woman is suing you because you refused to give her her gun. scenario and he took about 10 minutes in chambers. he came back out and said, i will render a verdict. i am going to rule in the plaintiff's -- i'm going to will for the woman. but i am going to order the gun .estroyed i said i would write the check now. we have time for one more question? you have anything to say about the next steps. i want to thank the panel and thank you all for your quick --
great questions. [applause] sunday night on c-span, the bbc's reviews the year in parliament came back at issues including the u.k.'s future membership in the european union, combating isis and syria, and the election of a new party leader, jeremy corbyn. u.k. politics, sunday night, only on c-span. with congress on holiday recess, the c-span network features a full lineup of primetime programming aired monday night at 8 p.m. eastern on c-span, laura logan, sebastian younger, and other journalists who have risked their lives covering events in the middle east. activists on many issues because of. -- speak out. thursday at 8 p.m. eastern, a look back at the year in congress. on new year's day, friday night
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shirley, author of last act, the final years and emergency legacy of ronald reagan. washington journal live every morning on c-span. you can join a conversation with your calls and comments on facebook and twitter. >> host: good morning, and merry christmas. it's the "washington journal" program live on this december 25th. we have two guests joining us later today. but first, we want to get your of the on this idea american dream, and if it's still attainable today. a recent poll shows that about half of those responding said that it's not attainable and that poll later, but first, wept to ask -- we you about this idea of the american dream and if it this day and d in age. if you think it can be, tell us 202-748-8000. if you think it can't