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tv   Issue Spotlight on Opioid Addiction in the U.S.  CSPAN  May 10, 2016 2:26am-5:28am EDT

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senate and keep the house in with the white house. i would rather take a few elbows being thrown then the director of the fbi interviewing your top aides and the democrat nominee. mr. allen: take us behind the scenes. tuesday night, you were home in milwaukee. you spent the night in your bed, which you rarely do. tell us what happened when you tweeted that donald trump was the presidential nominee. saferiebus: i think it is to say, at some point, he will be the presumptive nominee. let me tell you where we were. we planned a fundraiser in the walkie. obviously, those are family members to me and have been helping me ever since i have been chairman of the wisconsin
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party. pfister,ne into the which you have been to. i heard some rumors about potential of ted cruz dropping out in the afternoon. i did not go out of my way to confirm any of that or make any phone calls. times youthere are actually don't want to be in the information loop on things like that. once you are in the other, if something leaks, then you are one of the people in the loop. we will find out soon enough. i did call my chief of staff and said, what about if ted cruz actually drops out tonight? what do you think of that? we talked a little bit. i don't know. i don't think it is going to happen. so we went to the fundraiser. sure enough, the cell phone starts ringing. is one thing. when you get 15 in a row and you
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do not want to look down at your phone when you talk to people, but you pick it up and you realize, ok, i guess the rumor was true. went back to the house in kenosha, which was nice. that was it. made some phone calls and talked to donald trump a couple of times. i think he did a nice job and was very gracious in his speech that night. we need more of that. gracious,idential and i am hoping that we are going to see more of that. mr. allen: does crooked hillary count as presidential? mr. priebus: i think she does have a history of being crooked. she has a lot to answer for. heroes families of dead to answer for. has secretary of state to answer for. she has a lot of material for us to use.
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mr. allen: what is it like behind the scenes? far more gracious and personable then i think you see at rallies. i have never had a problem behind the scenes. i have never had a situation where something was said that was not followed through. all my directions have been extremely positive, which may be stuff.rigged so out of place for me compared what was being said personally behind the scenes. is allen:
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does -- does that bother you that there is one donald trump behind the scenes and a different one in front of the camera? priebus: day when i spoke to is the one that i got used to during the general election. that is the type of approach i've been dealing with for six years. mr. allen: but the next morning he is on television -- priebus: i am sure it is going to take some time to get out of general election mode and into primary mode. the roles could be used to nominate someone other than donald trump. my personal view is, it is highly doubt full.
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the rnc is basically a caretaker at that administrates a convention. if --g is impossible but like i said and i've said this many time. highly unlikely. a senator from nebraska had a face put -- a senator from nebraska had a tweet the other night with #saying we could do better, give us more choices. any chance of a third 20 --
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third-party run? mr. priebus: i don't think so. i think it is a guaranteed to elect hillary clinton. i think people are going to understand the supreme court is too important to let differences of opinions and choices -- that ien: people i said talked to said there's no way. iebus: i think the smart thing for donald trump to do would be to release five or 10 names of people he would hold from. to say, here are 10 people i think would make great supreme court justices and work with people to come up with the list. would be helpful in
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recalibrating some people's minds in, ok, what is this about. i think we will get there. did, but i doyou not think too many people andght that tuesday wednesday would be the end of ted cruz and john kasich. people and iome would say in paul ryan's case, he probably has 30 more days. there was a meeting plan to next week, by the way, something the media is not talking about but there was a plan to start having meetings on capitol hill and paul ryan and leadership were planning that meeting with donald trump so in their minds, they are thinking, we have another month to get comfortable than a live the son you have got cameras in your face saying what he inc.? just beingl is
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honest with how he feels and i think he is going to get there, he wants to get there, he just wants some time to work through it. mr. allen: politico is reporting that meeting was the go-ahead. do you expect speaker ryan to be there? mr. preibus: look, i am being honest. he says he is not. yet but he wants to get there. : how quickly did donald trump call you? mr. primus: i had talked to him all -- priebus: i had talked to him all day. mr. allen: but donald trump called you within minutes. prettys: uh -- you're
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good. furious, it was like, what do i need to do? i said, listen. my view is just relax and be gracious and i will talk to paul and we will try to work on this. get overlyof don't pumped quickly. i know paul really well and i know he is being honest and i so i am he deals comfortable with the idea that it will take some time in some cases for people to work through differences and so we talked they are very
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comfortable with sitting down with donald trump and may be at my office. it may be somewhere else but we're going to have that meeting and start the process of the unifying. mr. allen: he would have to change some of his like deportation. it would take some changing positions. primus: -- priebus: i am in agreement on the ban coming in. i have already said it's not something we believe in. our party is the open door. the party of freedom and equality and it always will remain such.
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things -- e some mr. allen: what you be able to convince mr. trump? mr. primus: it has only been three days so we are not there yet stop -- priebus: it has only been three days so far. i am going to work hard to make sure that some of the issues we have gone through will be understood and i am confident given my experience so far with him that he is going to have an open mind to some of these issues. allen: do you agree with
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those who have said they have seen too much demagoguery on both sides of the aisle? do you think there is way too much demagoguery? riebus: there is way too much of it. i think there is 20 of it. i think as a result of what people have been served up in thisountry. people feel cheated. they feel they are not bringing enough money home. they feel the government is too big. sometimes getou the result that you build to and i think that is sort of what has happened across the country. allen: what is the biggest thing you have learned about republican-based riemer he goers? priebus: something not
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talked about, we have great turnout. 70% higher among republicans, 30% lower among democrats. reactionund states like we have not seen in 20 years. in the first quarter of this year at the rnc we raised more money than in any quarter in history of the rnc. so we were raising more money in the first quarter that we raised -- the and we raised and 2012. the new press, that is ok do it you have to do. focused on the trauma, which i get. people are interested in the drama not the mechanics. mechanically because of all of the enthusiasm and an hour party and 17 serious candidates, you have a result that i think has built us into a machine that is going to be able to compete very well in november.
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mr. allen: what is the biggest thing you have learned about the press during the primaries? mr. priebus: i think not a lot of it breaks through so if you have done a really great job it is still very difficult to break through because there is so much. i also believe that in too many cases, it is all about click-based. it is all about the headlines. i am not worried about the copy, i am worried about the headline. because often the headline does not match the reality. take the group of articles about the rnc in april. all of you who wrote about it, i think not you well but the people watching this, i oh them
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an apology because it is ridiculous. it is that kind of stuff where you are bogged down with organization with click bait and people's answers are inaccurate and of course, it was all in a can. there's no rules cited. allen: it said in some articles you were prepared. like to thank c-span viewers and live stream viewers and do you agree with donald hillary willating be easy? mr. priebus: i did not know he he said, will stop -- folks i have not even started i did not know-
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he said that. said, i have not even started yet, it is going to be easy and on. mr. priebus: i did not think trump in this fashion would've taken out 16 other candidates. he certainly defied the odds. i think raising the money, building the ground game, having the data, targeting voters, the truth is, our party is a very big term party so we have a hard time winning presidential elections. that is not new. it was 1:30 a.m. our still very popular president, we had a very difficult time putting it away. we know what happened in 2000. 1996 was not good.
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lost six clinton primaries initially, something like that. ours was ross perot. but bush 41 was a popular president. i think it is a difficult task but we are up to it and we have a big upside, too. so i know there are perils but there is also an upside. how does their having a soon to be presumptive nominee affect the building? priebus: i think clarity has been helpful. sore is no one else running there is not a daily unknown which has been helpful. it has been helpful on the money side, too. ring some will trump of his own people? mr. priebus: there is no
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mechanism other than my agreeing to a. i don't know what this is all about with the nominee coming in. someone asked about a key card, ok. mr. allen: would you give out the key card? mr. priebus: it will not be any different other than when i was chairman under the met romney nomination timeframe. in the case of mitt romney, remember brian jones was in the building but not saying what to do or not to do or sitting in on meetings. there was a lot of trust that we knew what we are doing and i would say that so far we see with some ofroach the folks on the trap campaign. they have no intention of taking over anything. mr. allen: so you are with trump ? mr. priebus: 100%.
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mr. allen: there was a headline, takeoverump completes of republican party. do you agree this is donald trump's party? mr. priebus: no, it is the republican party. freedom party the of the open door and our platform will remain much the same as it is right now and so we will remain so continuously. i do not buy into that. allen: so the chief strategist of the rnc tweeted -- some staff members were told that if they could not get a high being nominee they should leave by the end of the week. what have you told your stuff? mr. priebus: nothing.
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i have been gone but i talked to our chief of staff. this is what i know. what sean says every other year look, theff is general election phase, weekends or weekdays if you have family vacations, if you have something coming up you need to tell us about it now. as that is 100% false as far telling people they need to leave if they are not 100% on board. that is not the test. the test is are you doing a good job and are you great at it? if you are great at it and are doing your job, there is no problem. mr. allen: is there anyone that has left? mr. priebus: not that i know of. mr. allen: june expect anyone to leave?
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mr. priebus: i don't think so, but it has only been 48 hours. mr. allen: i guess it worked out pretty well for mr. drum -- trump. -- have you talked to him about that a little bit? nominatede gop process? mr. priebus: i think there are some things that can be looked at but it is not bad easy. andended to respect states their rights to conduct a distribution and delegate process as they wish. i have my preferences, but it really does not matter. what matters is that the states themselves adopt their own delegate rules. at thees committee convention will look at all of
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this and make recommendations as to how to be better. always want to be better. the changes we made to the rules over the two-your policy that we rnc,n opportunity at the as you know, they were historic changes. i mean the idea of making states that have caucuses or beauty locations totheir those contests, there was a big change. going spending tons of money and getting nothing out of it, they had to go. we said, if you are going to do these things you better tie delegates to it. process, nowbate we have a lot of suggestions and i agree. there is a lot we have to do to improve the debate process. but people also thought we were insane we said we are not going to have 23 debates. we had 12. we're not going to have a calendar that no one can count on where one we goes by and then
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-- days later we are in myrtle beach and no one knows. we are going to have the same thing, have moderators. we are not going to have chris matthews conducting the republican party debate. people say, you're never going to get this done. out, this is a folly and it was a big joke and it turned out that all of a sudden we became in charge of the process and now what is going to happen is four or eight years from now, the party will be even more control. i would like to see one day if it is possible for the party to own the rights of the nomination process. one day that is going to happen. both parties are going to own the rights and they will have
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just like the nfl. mr. allen: so you would have exclusive? mr. priebus: i don't know. i think we're going to get to a point where we're going to move into a place that we have more control over the process. allen: so you would charge for access to the nominating process? on the debates. mr. priebus: the point is, should media outlets be making tens of millions of dollars on a product that the party should own? that is the question. and i think both parties should get together in figure out what the answer to that question is. mr. allen: to charge for rights to the debate? mr. priebus: you are saying that. i say i am at the beginning -- we're at the beginning of a long
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process the parties it should explore. i give the nfl as an example because i think the nomination have profits go to the parties not to the media. to allen: what about rights the convention? mr. priebus: we are doing that right now. the cost of the actual structures. but no, i think there are certain things obviously that might be hands off. all i am saying is i believe this is the beginning of a process of exploration that both parties should do. colleague says he gop fan and front of closed processes. would you encourage convention and rolespprove change requiring close primary in 2020? i believe in
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letting the delegates do what they want to do but i believe only republicans should vote in republican primaries and contests. believe ando you close primaries? mr. priebus: i favor whatever needs to be done to make that a reality. commissioned a review called the autopsy. you called it that. mr. priebus: no, i called it the growth and opportunity report. mr. allen: what is the biggest recommendation that achieved? mr. priebus: the targeting peace. the piece that it is hard to see because it is in the leaves but getting data, buying consumer looking overdata, the files and putting in an
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application for the field staff to use a central location. that has been the biggest change at the rnc. when you put almost $100 million net cash over 40 years into the system, it is a really hard thing to do and we have been doing it. i mean, we have done out working the dnc for four years straight and it is undeniable. final think anyone actually write stories that says the dnc is doing a benefit. changes, and it sounds very basic but it is actually important is that we are a year round party now. we used to be a party that would accumulate cash in a bucket. so you have $50 million cash on hand. then the nomine would welcome in any manner with a, ok here's the money let's go spend.
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so someone would write an article and say, their cash on hand is not a sizable was four years ago. one of your guys did that another day. but the problem is instead of having one full-time employee in ohio now, i think we have 29. we're looking at 48. were trying to get to 100. plus we have the republican leadership initiative with one thousands of people involved. and we have the hispanic and blacks. we are deciding we're not going to be a party that shows up reminds before november. it is a tough business model. you have to keep raising revenue and it keeps going up. it does not matter if the environment around you gives people concerned. you have to keep doing it. infrastructure republican leaders of all sort give you credit for bringing the party back with you are relentless fundraising.
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but still, it would be nowhere near the a match for the infrastructure of the clinton or obama administration. mr. priebus: like i said earlier, we have outraised democrats every year for the last four years, maybe even the last six years. i do not want to go too far right -- mr. allen: do you have a state apparatus that much is hillary clinton? mr. priebus: we are already ahead. we are ahead right now. the rnc does their infrastructure year round targeted congressional senate presidential candidates tap into that operation. what the democrats do as they build their operation around the nominee, around the candidate. it is barack obama who built the $100 million data system in chicago. he is the one who never got the field staff off the ground in ohio and florida. when hillary has going is
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something she never expected. she did not went is been millions of dollars in new york, and indiana, in california. so instead of worrying about order registration in florida they are wondering, how in the world are we going to put this thing away. mr. allen c-span viewers, welcome. minorities wrongly think the republicans do not like them or want them in the country. what now? mr. priebus: well, that is part of being in the community and i think people can write all the books in the world they want about how to communicate, but if you are not in the community, if you're not going to learn about your party -- mr. priebus: there are two parts of this.
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if you're not there in the community trying to talk about our party, talk about school businessalk about owners. if something is not there, nothing will change. you also need to have the telenet at the top be the kind of tone that people believe obviously you like them. in people do not think you like them they are not going to vote for you. is work to do and i think there is work on tone to do. i have been clear about that and said it many times. it is not raking news. i have said that simply. mr. allen: have you said that to him? mr. priebus: i have. and he understands it. i think he gets it. i think you are going to see it. i think you are going to see the change in tone. in so, you add into that the fact that we are in hispanic and
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black communities everyday. you saw the numbers in 2014. rent it, that is a midterm but cory gardner got 46% of the hispanic vote in colorado. 7,000,000-8,000,000 dollars. john kasich got some of percent of the black vote in ohio. long-terming about commitment to hispanic and black communities. asian communities and every community in between. and as a year-round party, we understand it is important for us to do that work. mr. allen: you saw donald trump of himselficture digging into a tortilla bowl. see it, is: i did not heard about it. i had other things to deal with yesterday. allen: the between said,
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--py cinco de mayo, the best the tweet said, happy cinco de mayo. the best taco bells are made in trump tower. i love the hispanics. mr. priebus: he is trying. [laughter] mr. priebus: i think he gets it that growing the party is the only way we're going to win. allen: what did you think about the tweet? mr. priebus: i had other matters more important by far than that tweet? mr. allen: what about the convention? it easier.: it makes we don't have to worry about three separate hotels. programming is something we will work through. the stage is done. there are things that have to
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happen to move the convention up seven weeks to -- seven weeks of july. while we were talking about an open convention it seemed like i was a genius for doing that. now we just have to get cruising and get going. >> do you feel like a genius? >> no. [laughter] no, i don't. i think we have done a great job at the rnc. when it comes to a confident national party i don't think anyone in this room can say this national committee is not the best mechanically rounded company committee we ever had. >> what you like about cleveland the city? >> i am from wisconsin. milwaukee is like the big metropolis. cleveland is a lot like milwaukee. i like the lake. i think having our convention in cleveland will pay out big dividends for winning ohio.
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i think people, even if they are independent and democrats, i think the understandable we have done for the city of cleveland by going to cleveland and putting them in the spotlight. i think it will pay off than we are excited about it. >> who controls the public line up in cleveland, you or donald trump? >> a little of both. it's the republican party's convention. you work together in order to put a program together that we think is going to be effective. >> you interviewed last month . donald trump said it's important to put some sure things into the convention or people are going to fall asleep. do you agree that convention should have more of a showbiz feel? >> i like the idea of having more of a fun convention with showbiz, if it is entertainment, whatever the is maybe. with every suggestion comes millions of dollars in money. so the suggestions are great but there has to be a pretty big influx of cash to do something
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like that. mr. allen: donald trump said the tampa convention was the single most boring convention i have ever seen. [laughter] mr. priebus: i do not agree with that. we will have to talk about that issue yet. mr. allen: he says we don't of the -- have the people who know how to put showbiz into the convention. what sort of people you reaching out to to program the convention? mr. priebus: i have not really gone there yet. it's only been a few days. i had dinner with our ceo of the convention last night. they are doing a great job. they've got good people in charge. mr. allen how worried are you : about money for the convention? mr. priebus: we are good on the
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money. it is the dnc that has problems. there is a portion of the funding that the rnc kicks in anywhere from $14 million to $17 million and i think we are about 80% raised. the dnc is maybe 10% raised. mr. allen: went to the people have in common? they all say they are not coming to the convention. there is a tough race in new new hampshire. do you worry about 70 key -- do you worry about so many of your key leaders sitting out? mr. priebus: if they are in cycle, most of the time you're not coming to the convention. you have to look at people in cycle. if they are in cycle most of the time they are not coming. you asking that i do not think claire mccaskill went four years ago. did she? i think it happens. people make their own choices.
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mr. allen: some officials in the highest rung of republican leadership are advising the rank-and-file members to stay away from cleveland. a gop leader took cnn privately he advises collects old camping -- advises colleagues to hold camping rallies and town halls during the time of the july convention. a senior senate gop leader echoed that sentiment. are you worried there is a fear among your leaders that cleveland is going to be perhaps toxic? mr. priebus: not really. they are all clamoring for hotels and suites and tickets. i need 100 more rooms. i know what they are asking for. i know if we only had another 1000 rooms for a lot of the different groups that are representing elected officials, we would be in good shape. mr. allen: cnn reports bob dole is coming. mr. priebus: great. [laughter]
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mr. allen: democrats are licking their chops about the possibility of the blowout. one republican said to me donald trump will either win 48 states or lose 44 states. do you sometimes feel that way? mr. priebus: i don't. i think this will be a close election. i think people are divided. we have seen the last couple of elections that of the electoral college looks different. i think it will be tight. we will do a weekend and ensure we win. mr. allen: what is the percentage chance that donald trump will beat hillary clinton? mr. priebus: i don't know. i think he will win and you have got to look at hillary clinton. she has got a letter to answer
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for -- a lot to answer for. if there is one person in a set -- who knows how to bring all of that out in a way that people can understand it, it's donald trump. he's going to do it too. he is going to bring it all out. unfortunately for hillary clinton, it is not going to be very comfortable. she has a lot to answer for. mr. allen: if current polling holds -- the new york times upshot -- mr. priebus: sometimes in the party we get criticized because we do not hit hard enough. we did not talk about some of the things that have happened in barack obama's life during 2008. i don't think donald trump will have a hard time bringing out some of the things that are going to be not good for hillary clinton. mr. allen: what is your specific scenario where donald trump , wisconsin?me state mr. priebus: wisconsin can be a populist place. you look up in sean duffy's
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district in the seventh up north and may be in the sixth along the congressional district, i think donald trump does pretty well. i think hillary clinton is someone that people in wisconsin just don't buy. bill clinton was different. in wisconsin. he has got a little bit more of the i would like to have a beer this guy kind of feel. that is not hillary clinton. that's a scenario that i think people are not giving enough credit to. mr. priebus: donald trump does not drink. do you predict donald trump will win wisconsin? mr. priebus: i think he will but you have to look at a garlic ron johnson. i think he's in very fortunate to draw. like hillary clinton, they are in the same mold. retreads, people that are always coming around and bringing the
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same message. people rejected russ feingold. i think ron johnson is a part of this that people are not talking about either. mr. allen: a question than a quick rapid round. what other states decide -- besides wisconsin do you predict that donald trump may win or could win that romney did not? mr. priebus: i think he could win ohio, florida, pennsylvania, iowa. i think he could put michigan and minnesota in play. minnesota is a state that is hard to predict sometimes. i know obviously they went for walter mondale, in 1984 he is from their. people like jesse ventura. -- plenty.m plenty every once in a while minnesota
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flips. i think donald trump. could play in states like that. mr. allen: you are elected chair in 2011. you are reelected in 2015. are you going for a four-peat. mr. priebus: i will figure that out after november. i will figure it out after november. mr. allen: kyl says are you absolutely certain you will seek another term as chairman? i have not heard him rule out a fourth term. probably not but i have not decided. we will keep it there. mr. allen: we are about to get the hook here. speaker ryan talked about this. what is a future of your physical office? mr. priebus: my aquarium. i have a 29 gallon aquarium. it looks like little nemo in there. it's a peaceful view during the day. mr. allen: why is that there? mr. priebus: listen, i love
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saltwater tanks and the challenge of them. if anyone out there is a saltwater tank person, you know it is to be an addictive habit. it is an expensive hobby but i really enjoy it. it is a lot of fun. mr. allen: that's a surprising hobby that you have. mr. priebus: i don't know if it's surprising that the tank stuff is a hobby. the piano is a hobby that is good for relaxing. i've been getting better because i have been a practicing a lot more lately. [laughter] mr. allen: what do you enjoy playing? mr. priebus: i like giving -- goofing around. i like playing anything. classical, jazz, blues, anything. sheet music. mr. allen: will we see you playing in cleveland? mr. priebus: doubtful but possible. mr. allen: what job if you have if you were not rnc chairman? mr. priebus: i was a lawyer for 14 years in milwaukee.
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i always wanted to be a pilot. mr. allen: what? [laughter] mr. priebus: my dad is a pilot and he built an airplane in the garage. it lives or have the year in texas with a have a hangar in a grass runway with other folks that do the same thing on the lake. there was a little bit of a latent passion for being a pilot. if all else fails, i would like to be a catcher in the milwaukee brewers bullpen. not a real catcher, just catching balls in the bullpen. as that would be a great job. just sitting there catching balls. mr. allen: they are 11-17 to they could use you. the president said that gop chairman is here, glad to see you feel you earned a night off. congratulations. [laughter] mr. priebus: i would've never thought being from kenosha, wisconsin that when it president
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would actually not just say my name but know how to pronounce it. i got off easy. i was thinking, ok, here we go. this is going to get bad. and but it didn't. i came out pretty good. mr. allen: what is your favorite restaurant in d.c.? mr. priebus: i love going to cobbs on 8th street with sally and the kids. i love the greek food. in kenosha, wisconsin it is villa de carlo, best pizza in america. i cannot help but go there every time i am home. mr. allen: when you are done with this job do you stay or go home? mr. priebus: my ideal scenario would be to go home and make sure the kids have a normal life.
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mr. allen: what is your favorite vacation destination? you cannot say cleveland. [laughter] mr. priebus: i would say there is a resort in jamaica that i liked called goldeneye. it's cool. mr. allen: with your prediction -- what is your prediction for the world champion green bay packers? mr. priebus: i predict this is their year. i like their draft. obviously there is no one better than aaron rodgers. if we can just get the defense straight. they did pretty well in the last couple of games. i'm feeling good. for us, it's not good enough to be good. you have to win the super bowl. mr. allen: thank all of you out in livestream land. thanks to c-span and thanks to bank of america for making these conversations possible. we appreciate our longtime partnership with you. i think -- i thank the
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chairman's staff who made this appearance possible. thanks to all my hard-working colleagues who bounced back after last weekend's as big as -- to make this possible. thank you for coming out on a early morning. mr. chairman, thank you for a great conversation. see you in cleveland and enjoy the bailey's. mr. priebus: thank you everybody. [applause] [captions copyright national cable satellite corp. 2014] [captioning performed by the national captioning institute, which is responsible for its caption content and accuracy. visit ncicap.org] cooks the house takes a legislation that tries to curb opioid addiction, specifically heroin. we'll get an update next on c-span. secretary of state john kerry criticized republican presidential candidate donald trump at a commencement speech ver the weekend --
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covers -- theo house returns from a 10 day break. kevin mccarthy has dubbed the upcoming week opioid week. why is this an issue that the house is focusing so much on? quest the senate has done a version of it. because of a lot of these lawmakers have a problem back home where the opioid abuse epidemic has hit their constituents. now and election season, it is coming home where they feed the need -- feel the need they need to do something about it. >> the legislation coming out of the committees, one of those again with justice department grants. how much money is attached to that lack of how would states benefit? >> that is going to cost under $300 million over four years. becauset a lot of money
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the deal authorizes it. to allowttee is going to states to use the money fight addiction in various programs. >> what will be some of the other areas that this opioid week will touch on in terms of the other bills? >> there are bills that are going to cut just touch on -- touch on opioids in athletes, mothers and the amounts that doctors can prescribe. >> ones coming up in the house that talked about a letter that the democrats sent to speaker ryan called for emergency funding for some of these opioid treatment programs and other measures. how is that fairing? >> it seems like it is not going to happen because it democrats in the house do not have as much
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pull as they do in the senate. senate democrats and house democrats are calling for $600 million in emergency funding's best emergency funding. -- emergency funding. they are not willing to spend any more money on it. it looks like democrats are going to have to let that one go. >> that request in that senate bill back in march, the senate passed that measure, that fell through. how different is the senate measure from what the house is proposing? >> beside the fact there is one senate bill and there are upwards of 12 house bills, the senate bill was much more comprehensive in who was getting grants. the house bill is taking it on a piecemeal approach. >> what about advocacy groups of
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heroin abuse? how have they weighed in? what would they like to see done by congress? >> there is some difference between the house and the senate bill. in mainly centers around issues of the venture -- issues of prevention. they would like provision that matches the one in the senate to be taken up in the house, but so far it has not been included. it could be an amendment on the floor. >> assuming a number of these bills passed, would be likely see a conference between the house and senate on a final measure? >> these bills are likely to be basically bunched together as an amendment to the senate bill. come thursday or friday, it is going to probably going to conference. >> mate like so covering it --
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nate weixel. you can follow his reporting on twitter. thanks for that update. >> this week the u.s. house will debate a number of bills aimed at combating opioid abuse. up next, president obama and congress talk about the growing problem of opioid addiction. c-span's issue spotlight. the growing addiction -- the growing problem of addiction. the drugs known as opioid and according to test more than 2 million americans are addicted. nih says the number of overdose deaths have quadrupled in the u.s. since 1999. over the next three hours we are going to take a look at the problem and what congress and the executive branch are trying to do. we start with a visit that president obama made to west virginia last fall. that state has the highest weight of -- highest rate of
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overdose deaths in the nation. office, i started studying this issue. of, let's call it opioids. and i was stunned by the specifics. more americans now die every year from drug overdoses and they do from motor vehicle crashes. more than they do from car accidents. the majority of those overdoses involve legal, prescription drugs. in 2013 alone, overdoses from prescription pain medications killed more than 16,000 americans. one year. --on't know what to tell you as is a terrible toll. the numbers are big, but behind those numbers are incredible
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pain for families. thisvirginia understands better than anybody, because the state is home to the highest rate of overdose deaths in the nation. addiction is not new. 99, sales of89, pain medications have skyrocketed by 300%. million 259 prescriptions were written for these drugs, which is more than enough to give every american adult their own bottle of pills. their use has increased, so has the misuse. some folks are prescribed these medications are good reasons, that they become addicted because they are so powerful. at the same time, we have seen a
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dramatic rise in the use of heroin, which belongs to the same class of drugs as painkillers. the class of drugs known as opioids. heroin, four in five new heroin users, started out by misusing prescription drugs. then they switched to hair when. heroin.this really is a gateway -- prescription drugs become a gateway to haieroin. relatedber of heroin- deaths in america nearly quadrupled. although the number of heroin related overdoses is still far exceeded by the number of legal prescription drugs. lives, crisis is taking it is destroying families, it is share -- it is chattering
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communities and that is something about substance abuse -- it doesn't discriminate. from celebrities to college students to soccer moms, to inner-city kids. white, black, hispanic, young, old, rich, poor, urban, suburban, men and women. it can happen to a coal miner, a construction worker, a cop who took a painkiller for a work-related injury, it could happen to the doctor who writes the prescription. have ishe problems we too many families suffer in silence, feeling like they were the only once struggling to help a loved one. and let's face it, there is still fear and shame and stigma that too often surround substance abuse, and often prevents people from seeking the help they deserve. when people throw around words
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like junkie, nobody wants to be labeled in that way. is tof our goal here replace those words with words like father, or daughter, or son, friend, sister. then you understand there is a human element behind this. this could happen to any of us, in any of our families. would we replace a word like junkie with recovery coaches, specialists like jordan? epidemicfight this without eliminating stigma. that's one of the reasons i'm so proud of michael, who is the first person in the job of dealing with drugs in america who actually knows what it is like to recover from addiction. he shares his own story as a way to encourage others to get the
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help they need before it's too late. my problem is that there are elected officials in the state who have told their stories about what is happening in her family, and to themselves, in order for us to start lowering keep peopledes that from getting help. i've made this a priority for my administration. we are not new to this. in 2010, we released our first national drug control strategy. we followed that up in 2011, with the prescription drug abuse prevention plan. we are implement and this plans, we are partnering with communities to prevent drug use, reduce overdose deaths, help people get treatment. and under the affordable care act, more health plans have to cover substance abuse disorders. congress wouldnt invest in things like state overdose prevention programs, preparing more first responders to save more lives and expanding
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medication assisted treatment programs. we have to make those investments, rather than spending billions of dollars, taxpayer dollars, on long prison sentences for nonviolent drug offenders. we could save money and get better outcomes by getting treatment to those who need it. [applause] >> and we can use some of the savings to make sure that law enforcement has the resources to go after the hardened criminals who are bringing hard drugs like heroin into our country. with no other disease do we expect people to wait until they are a danger to themselves or others to self diagnose and seek treatment. every other disease -- you have a broken leg, diabetes, some sort of sickness, we understand that we have to get you help.
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we also understand, when it comes to other diseases, that if we don't give you help and let you suffer, other people could get sick. this is an illness, and we have to treat it as such. we have to change our mindset. [applause] this is one of the reasons the dea the cleared a national prescription drug takeback day, a day when americans can safely of conveniently dispose expired and unwanted prescription drugs in their community. most young people will begin misusing prescription drugs when they get them from mom or dad's medicine cabinet. and today, we are also announcing new actions. first, we are ensuring that federal agencies training federal health care providers who prescribe opioids. it's a commonsense idea that you are already implementing in west virginia.
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congress should follow that lead and make this a national priority, and we work forward to looking with governors in the medical community as well. second, and joe and i were talking on the flight over, there is evidence that shows medicaid-assisted treatment, if done properly in combination with behavioral therapy and other support and counseling and 12 step programs and things like that, can work, and can be an effective strategy to support recovery. but it can't adjust be replacing one drug with another. it has to be part of the package. we are going to identify any exist thatat still are keeping us from creating more of these treatment facilities, and incorporating them into our federal programs. private sector partners are helping out to help fight this epidemic as well, and it want to give them some credit. more than 40 medical groups,
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from the american medical association to the american dental association, are committing to concrete actions, and we need to work with the medical community, because they are the front lines on prescribing this stuff, and there has got to be a sense of responsibility and ownership and accountability there. we have to expand prescriber training. naloxone. the use of i want to make sure i was browsing that right. naloxone. this is something that they first responders have it can often save, quickly, the lives of somebody who is having an overdose. we want to make sure that first responders have a supply of this. we want to make sure we are getting more physicians certified to provide medication assisted treatment. we then have broadcasters providing airtime for education and awareness, and groups like
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the nba have committed to running psa's about drug abuse. that's just an example of some of the private sector partnerships we are forging. the point is -- and i will end with this -- we all have a role to play. they people like jordan, remind us, these are our kids, not somebody else's kids, our kids. not somebody else's neighborhood, it's our neighborhood. and they deserve every chance. we have got to make sure we are doing right by them. we are taking this seriously, and the goal today is to shine a spotlight on this and make sure we walk out of here, all of us, committed, whether we are a safe leader, an elected official, in law enforcement, a private citizen, a business, we all have a role to play. you understand that here in west virginia and we want to make sure the whole country understands how urgent this problem is. host: after president obama's
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remarks, he sat down for a discussion with people personally affected by drug addiction. one of them was kerry dixon, whose son is in prison, where he is undergoing treatment for opioid addiction. >> i spoke this morning to a good friend of mine who was calling me to wish me well today, to encourage me in this endeavor, and this friend of mine lost her daughter to an a half years ago to drugs. i don't take this charge as being here lightly. i realize that i am here to represent families, and i am grateful for the opportunity. do want to say that as i am speaking to you, i am sharing my story, time-sharing the stories of so many other family members that are in this community and in the nation that has this issue. and this also is important to know -- for the sake of time, i'll try to make this concise --
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this is the tip of the iceberg of what families experience and endure when they love someone with an addiction. we raise our children in loving homes; we teach them morals and values; we teach them the difference between right and wrong. we wonder what is happening in the great start slipping, when things that used to be enjoyable for our loved ones no longer interest them. as to the cause of the personality changes that we see in our loved ones. we're shocked when we hear of that first dui. we are fearful when our loved ones are taken to jail for the first time. embarrassed when holidays approach, and family members are coming in from out of town's, and loved ones can't interact because they are under the influence of drugs. we dread the next phone call. we can't sleep because we haven't received a phone call.
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we don't take vacations for fear of the next crisis. we come back from vacation because there is a crisis. bute sad and angry, most importantly, sentimental items are missing from our homes, only to find out that they are at upon shop or in the hands of drug dealers. relieved when our loved ones acknowledge that they have a serious problem, and understand they need help, and we are devastated when we help them seek treatment only to find out that there is a month-long wait, or that there is no insurance coverage, or that there is a big requirement for money up front for treatment. and uncomfortable when someone asks us about our loved ones, and we are even more sad when they ask about every other member of our family, and don't mention our loved ones. we neglect our marriages.
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we neglect other children in our homes, who are thriving. because all of our attention is focused on addiction and substance abuse. we disagree endlessly about the right way to handle this problem. and after experiencing years of turmoil, we rest better at night when our loved ones are incarcerated, because the place you never dreamed your loved one would ever see, a jail or prison, is safer than them being on the street, interacting with drug dealers pushing a needle into their arms. the ones who are fortunate, we layaway get night and we plan our loved ones funeral. the ones who aren't fortunate, actually do plan the funeral in reality. this is where addiction has taken us. this is where substance abuse has taken us. all that being said, there is
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hope. that's probably the most important thing to remember here. , to people inful recovery helping others. we are grateful to the mayor, who has so tirelessly and endlessly spearheaded programs to help our community recover. made itue, who's possible for people to receive treatment in our communities. important,cation is and i was fortunate enough to find a group developed by a man named ed hughes. it's a seven-week series that provides education and support for family members, for those who care about those with an addiction. program, week of the we get to speak to people in recovery.
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they speak to our group of people, and it inspires us, because we know that recovery is possible, that it can happen. for too long, we have been silenced, and i think this is going to answer your question -- as parents and family members, because of the stigma and this of this disease, we have been silent, and i think that is holding us back. we need to open our voices so that people don't feel ashamed. this is a disease that is a sickness. but education, educating ourselves as much as we can, and speaking out to raise awareness, is i think critical in this situation. i'm almost finished. people in 12 step recovery groups and different groups rely on a higher power. in myperson of faith, faith has helped me navigate this journey that we have been on. i just want to share with you a verse that i hold dear for my
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own family member, who is sick, but also offer to others. jeremiah 29-11. "the plans to prosper you, to give you hope in the future. " i believe that every person in the throes of an addiction and substance abuse needs hope in the future, and i believe this for their families as well. thank you so much. [applause] host: opioid drug abuse was also a topic on the campaign trail. new hampshire is the first in the nation's primary state, and overdose deaths in that state have doubled in the last two years. days before the new hampshire primary, texas senator ted cruz
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spoke about his sister's addiction and her overdose death. the senator was introduced at the event by a recovering crack addict. >> witell, that all sounded really great -- is chief bartlett here? hey, chief. in putting this deal together, all that sounded great, but chief bartlett said to me -- i lived in florida for 26 years, in new hampshire in the 1980's, and when i called him up to put this together, he said, you know, i used to be an undercover drug agent in manchester. were you living here in the 1980's? i think i know you. [laughter] >> all that sounded really good, but what it was was someone trying to woefully get their way s any recovering alcoholic or addict will tell you, if they have read their
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12-step program carefully, we never quite finish anything. we get tight at all the wrong times. i used to do that. i was born in massachusetts, not far from here, in the central part of massachusetts, a little town called charlton. i went to the hospital when i was five. when i came out of the hospital, -- i'm having a hard time today. most of my family was gone. our store was gone, our home was gone, we got wiped out in a flood. luckily, my mother had taken my siblings out, but i lost my dad and my grandparents and my uncle. we didn't have a home anymore. the grocery store was gone, and we were behind the dam that broke. that was 1955. i think stuff like that -- i have come to realize, i've been
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able to get myself away from crack cocaine for about nine years now. [applause] >> and i had a hard struggle with that. for about 25 years of my life. was anf these things, i irregular but constant user, and i would mess up my life and never finish anything, as the book said. i don't know how my mother did it; we ended up moving to florida, my grandfather built a home in florida, and she took us away from all my dad's relatives, just wanted to escape. i don't know how my mother didn't become an alcoholic, didn't become a drug addict, and i don't know how she did that. she is still alive, got lesser, at 94. -- god bless her, at 94. she lost everything she knew in her life.
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she grew up in a small town in massachusetts, 2000 people, 3000 people. 15 minutes after she walked out of her house, every piece of silverware, every picture, they found her mom eight miles away, two weeks later, because her diamond ring cop the sunlight in the mud. -- caught the sunlight in the mud. i have come to believe from being heavily involved in going to meetings, people get damaged a lot when they're children. i call it abandonment issues. i don't know if it's an orphanage or molestation or -- i think it does something that allows -- i've come to believe
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in recovery. my recovery is all about spiritual recovery. i recovery is about the way bill w. wrote about in his group; what i have to do to stay sober every day. it's that i have to have a relationship with god. i work very hard to have that relationship. the big book says that i can stay sober, subject to the my spiritualof condition. i have been a master of the universe. i was 32 years old and i was a master of the universe. ask me and i would have told you. and i went to a meeting with a couple lawyers in boston on the top floor of one of the 8th st.nce room and 60 stat
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they laid out some white powder that i never seen before. i never became addicted to anything, but i snorted this and i think it was the first time -- i was instantly addicted to cocaine. it ruined my life. a number of months after that -- ined, i got involved was all of a sudden hanging around the wrong people. i was very happened, close to senators and governors and lieutenant governor's, treasurers of campaigns, i was in the white house at 26, i had coached basketball in duke by the time i was 23. i had all these different things that i had done, that people would work a lifetime for, and i never appreciated them, because part of having the damage that occurs to people that go through these abandonment issues is you
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live a life in low self-esteem. you cover it up with a false ego. to relatees it hard to people, and people can't relate to you. -- of the characteristics you tend to have friendships with the opposite sex. you are supposed to have friends of members of the same sex, but people that are in the program of recovery, before they recovered, they traditionally had relationships with members of the opposite sex. they couldn't get along with members of their own sex. and this is the spiritual disease at the big book talks about. -- that the big book talks about. and it is that. and -- i recognize, in getting sober, luke, it's
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also in matthew -- a house divided against itself cannot stand. when you get sober, you cast the demon out. that demon is searching for food and drink, finding none, it comes back to inhabit its old haunts. finding them swept and clean, it brings back seven demons stronger than itself. if you believe like i have come to believe through this program we're thery that w battlefield, those of us that are damaged goods are the battlefield, because the devil did not want to lose me. demonsants to send seven stronger than the last one to come get me; so i have to be very vigilant. it, and i use of this event is just one example, is that i have become so vigilant that i have learned --
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it's not a fake word. i have learned how to practice safe. i was really good at practicing basketball. i was really good at practicing the p&f and practicing drums -- practicing the pno is practicing drums. i never thought about practicing faith. you have to get better at it. when you get better, you get new words for what that means. the big tells me in step 11 that i will learn to have a sixth sense that will guide me, if i can stay in the present. imagine this. i was a master of the universe. at one time i was worth $11 million or $12 billion, and in homeless,ary, i was penniless, clothesless, everythingless. some guy came over and picked me up in the middle of the night. he was a short control guy at
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the mayport naval base. i guess he must've had a room for rent advertised, and i knew i had to get out of this place where it was, and i just had to get out, and this angel picked me up in the middle of the night. i have nothing to do; i only had the clothes on my back. i had nothing else. words -- incomprehensibly demoralized. the people that you know that are drug addicts, that are incomprehensibly demoralized. i was sitting on a bus stop bench, and the lady looked at me and said, "i'm going to a meeting; you need to go to one." fare and i went with her to the meeting, and i
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never left for seven or nine months. i really, really didn't leave. i was afraid to leave. and the third day i was there, somebody spoke at a saturday night meeting and i have us virtual experience with her's time since i could remember. i didn't feel alone anymore. and -- read the bigo book, and i realized it was a certain, five word sentence in the big book, and it was the only choice in the entire first 164 pages. it said, god either is or is not. i'd done isn't. how did that work out for me? or 1983 ofrom 1982
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being arrested, when i started hanging around the wrong people and i ended up in some sort of reverse drug sting. i wasn't even in the state when it occurred, but i have been around these people and i had gotten a few ounces of pot. i was the guy that made the news. i was such a mess that when they came and got me three days later they did a choke of me on saturday light five -- saturday night live. when you're at home really depressed and see saturday night live to pick you up and they do -- and i gotyou arrested for trying to buy crack, for a parking ticket in san francisco. it's easier to get a ticket for solicitation than a speeding ticket in florida. that's san francisco, i guess. i got a parking ticket in san francisco for solicitation.
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through all the terrible things that drug addicts go through, that behavior that we have. here i am trying to get sober, totally lost and out of it. gave me an immense amount of talent and i miss used it and misused it and misused it. sudden you are standing with nothing. you start thinking about everything you did, you want to care yourself. if you start thinking about how bleak your future looked, there was no way anybody would let me work anymore or anything, you'd want to kill yourself. i read a book called "the and jesus commands us to stay in the present.
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i learned if i prayed all day long, if i prayed as unceasingly as they tell me to do, i couldn't think at the same time and pray and have fear at the same time and i couldn't pray and regret my life at the same time. i started to actually get intuition. i stopped being woeful, i just allowed my life to go wherever it took me. because i went so deep in the woods it took a long time for me to come out of them. did finally get hired by a real estate agent, a really big firm that used to represent me. but i was blessed to get it. it took a long time. i had an angel that took care of me for a number of years and helped me get back on my fee.
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god didn't want me to get back, feet until he knew i was humble enough. i wasn't easy to humble. he already learned that because it took 25 years of humbling and then have nothing. i am so blessed that i did. putting this conference together turned out to be a miracle. i wrote them a note, saying god has gotten it taken care of. i go to church sunday and say do? what do you want us to 15 minutes with that call. they say we would love to put on this event. so that was just a blessing.
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was getting sober i had no money and as long as i was doing the right thing people in my aa club would come and give me five dollars, comment give me three dollars. they allowed me to come in to his place and have dinner and lunch. i would ride the bus or my bicycle. three months sober, the most important day of my life. somebody let me use the bicycle. that's how i learned to be last. that was the happiest moment of my life. three days, three months of walking. i thought i was off to the races. that is how much i had to fall in order to rise again.
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about 18 months ago, and i don't know if senator cruz has been ready to come in or not. i will quickly move ahead. i was very blessed. i started praying about how could i not leave my daughter's this country that i don't recognize. allow med if you could to use the talent that you gave me that i have destroyed, that i didn't use properly, that i didn't use to your benefit, let me have one shot, let me help my kids so i can look them in the eye and say i tried. somewhere in march i turn on the tv and senator ted cruz is announcing -- i called a guy that i knew was an acquaintance, . guy named rick tyler i knew him to be a godly and
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humble man. i knew if i called rick he would tell me what i should do. a fundraiser is tomorrow, we went and i met senator cruz. i met his wife, and met all the people around him. i'm -- -- have let me help they have let me in to help them. me despiteelcomed my past.hings in and i'm so grateful to senator ted cruz.
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[applause] >> thank you for that powerful testimony. thank you for the powerful testimony. it is a journey every one of us understands. every one of us has seen people we love stumble and fall. hopefully we have seen people pick themselves up again and turn around.
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you know this topic, drug and alcohol -- drug and alcohol addiction is an epidemic in this country. it's destroying lives. it's destroying lives nationwide. weree year 2014 there -- 47,055 drug overdose deaths. people than were killed in car accidents. you see a terrible accident on the freeway and think about the people that lost their lives, -- every one those
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of which could have been and should have been prevented. ,n new hampshire in particular it is reeling from this plague. new hampshire in particular is .eeing the ravages of heroine new hampshire in 2015 had nearly 400 drug overdose deaths. there was a 17% increase from 2014. an 2014 represented a 73% increase from 2013. that doesn't bring it as real as the rather stunning stat that 48% of the people in new knowhire personally someone who has abused heroin in the last five years. one in two people in the state abusingly know someone
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heroin and adults under 35, it is 60%. nearly two thirds of adults under 35 know someone who has abused heroin in the last five years. that is stunning. it is stunning and heartbreaking. and it is something that is destroying lives. topic that itthis is something i know something about in my family as well. and i will share two stories, .tories of addiction one that ended well and one that did not. , mary, was nine years older than i. the daughter of my father from his first marriage. and when she was a little girl
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my parent -- a little girl her parents divorced. she lived with her mom during .he year she lived with me and my other half sister during the summertime. as her baby brother i would play with her, she would let me pull on her hair. pull on her hair nonstop. she was a beautiful woman. she was very smart, very charming. talks about the consequences of abandonment, the consequences of a family breaking up. miriam herb whole life was angry. she never forget my dad for miriam,g her mother -- her whole life was angry. she never forgive my dad her mother.
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for divorcing her mother. she stroked her whole life with drug and alcohol abuse. a teenager she partied hard. i remember as a little kid she would steal money from me. i would save money from my allowance and she would steal toey to go out and use it buy alcohol, buy drugs. she ended up marrying a man who had been in and out of prison. who ended up mistreating her pretty significantly. joey.d a son, my nephew pretty soon miriam was a single mom. was in a car accident and
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had a back injury. and she got addicted to painkillers. the painkillers spiraled down from there. she herself went to jail. offenses,be petty thinks like shoplifting. i remember talking to her when she was in jail, crying how hard it was, how horrible the people were in their to her. i remember when i was in the 20's and -- in my late miriam took a serious turn for the worse. she had gone mad of jail and had gotten with a guy that was a more serious drug addict than she. and they were living in a crack house.
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i remember my dad flew up from texas. was up in philadelphia. my father and i drove up, i was in dcf time. time.ve -- d.c. at the we drove up to try to get my sister out of the crack house. me tooker my dad and our watches and rings and wallets and left them behind. we didn't know if we were going to be robbed or shot or what was going to happen. and i remember pulling her out of there and we took her to a denny's not too far away. of us sat down with her there for four or five hours. trying to pull her back. but she wouldn't listen. she kept going on and on. she was angry. she said, daddy you missed my
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swim meet when i was in high school. and i remember telling her, miriam, you have a son. a sixth grader, he needs you. but she didn't want to listen. she wasn't prepared to change the path she was on. and she wouldn't change. so i ended up, i just started a law firm, i was a brand-new lawyer. loans butn of student i ended up taking a $20,000 cash advance on a credit card, and using that money to put my school,n a boarding valley forge military academy. they took him in. it was actually a wonderful environment for my nephew, having some structure, having some order, having some
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discipline, having some basic stability. by the end of that year in school miriam had come back to him. she was out of the crack house, she was still struggling with but itd alcohol abuse, was not as bad as it has been. she was able to care for joey again. and then a few years ago miriam died of an overdose. joey, her son, found her in her bed. the coroner ruled it asks said -- corn ruled it
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orner ruled it accidental. these tragedies are hopping all -- are happening all over this country. with peril and sometimes people make decisions bound and determined to destroy themselves. as a family you wonder if i could have done more, was there a way to pull her back, was there a way to change the path she was on. there are other journeys that have happier endings. journeys like the one paul briefly described.
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that journey was my father's journey. which occurred when i was a little boy that is one of the reasons his first family broke up. my mother was not a christian. --were living up in the time up at the time in calvary. my dad went down to texas and decided he didn't want to be married.be he decided he didn't want to be a dad to his son anymore. my mom was a single mom raising me. and a friend invited my father to a bible study. reason my dad came
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to the bible study. at the end they were taking prayer requests and they were praying. indeed one of the women described how her son beat her to get money to buy drugs. what struck my father was the had what aing there scripture calls a piece to the path of understanding. he couldn't understand it, it made no sense to him but he knew he wanted it. so he left that bible study. leaving the folks hosting it gave him a little pamphlet.
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i suspect a lot of you have read the four spiritual laws. they said read this and come back next week. he did and he came back. the asked him, did you read pamphlet. he said he yes, but it can't be that simple. that's too easy. it can't be that simple. so he began asking questions. the folks hosting the bible study were fairly new christians. they said tell you what, tomorrow our pastors coming over to the house. would you be willing to come by and ask him the questions. he said, sure. next day he went by the house at about 7:00 and my dad -- spent fourrs hours arguing with the pastor. he was young, he was brilliant, he was an atheist.
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he was convinced he knew everything. withe argued and argued the pastor. finally at 11:00 at night my dad said, what about the man into tibet who has never heard of jesus? pastor -- brother wiley didn't take that date. that bait. he said, i don't know about the man in to that. jesus, --ve heard of i don't know about the man in to tibet, but you have heard of jesus. it's your excuse -- what's your excuse?
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fellas april 15, 1975. that wasmonth my -- april 15, 1975. airport, hethe bought a ticket and he flew back to my mother and me. it turned his life around. my father hasn't had a drink in 40 years. [applause] everyone of us who has dealt has dealt demons are with loved ones grappling these demons, everyone of us understands these are personal there is no uniform solution that fixes it all.
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it is certainly not going to be washington, d.c. that steps in and solve these problems. it's going to be friends and families, churches and charities, loved ones, treatment centers, people working. -- people working to help those struggling to overcome drug addiction. is a disease,ion it is a vicious disease. there are so many working in the field. helping people get that monkey off their back. helping people overcome that addiction. faith and relationship with god can be a powerful element. the church plays
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such an important role. aayou look at the history of we were80 years ago facing an epidemic of alcoholism. doctors had given up. alcoholics were put in asylums to die. the northeast was a battleground for this devastating disease. the founders of aa were from the neighboring state of vermont. when they formed aa there were no government grants. there were no nonprofits working to help alcoholics. the program was so successful at the time that wealthy donors often wrote checks to undermine aa.
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turned down the money to not corrupt the organization. today they take no money from -- outside a prices enterprises or sources. and a program of person helping person to find god, there understanding and relying on ,hat higher power to guide life and protecting the program as it still works today. those programs are more and more of the need, helping people get back on their feet. not everyone is going to be of us can makeh a difference. >> the senate judiciary
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-- ittee to combat opioid addiction. we will hear from michael, the director of the white house office on the national drug control policy. i have a question for you, i have a personal friend -- i am a personal friend of your speaker. point the senator was making, and i do agreed with -- agree with what senator durbin said. if we focused on the prescribed , then i think we are going to see an increased uptake in heroin abuse. in north carolina it was a matter of state policy, we did a number of things to crack down on drug shopping.
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there is almost a direct correlation between the reduction in those prescribed opioids and an increase in heroin at buse -- heroin abuse. i am also struck by the fact that there are great disparities between overdoses and death. i was shocked to know hours had still a but it is fraction of a state that has 1.5 million people versus a state that has 10 million people. what risk to be run of federal policy, potentially hampering what you think and your senate leader needs to do to address to theseat are unique things that have disproportionate problems? >> that is a great question. can't to you why some states
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are being hit harder than others. this i'm being convinced of, i don't think we would have the ifoine problem in america the didn't start people out with opiates that are sold at over-the-counter drug stores. is -- the irrational exuberance around painkillers is matched by the crisis. convinced if we went back to the old policies on pain medicine, if someone has chronic pain treated and treated hard. but don't pass the stuff out as if it is not a problem. had a reporter come into my office and she just tunnel.ery for carpal i asked how many ox ease she got . she said 80. took, shew many she
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said half of one. so there are 79 and-a-half left behind. comes by, she is a sophomore in college but she had four molars pulled out. they gave her ox see -- gave her oxy. i asked her how many she took, she said none, so there is 40 more. there is no question when we resistant, folks went to your heroin because it is cheaper and easier to get. we cannot loose side of the fact that we are having this problem prior to the invention of oxycontin. to the to go back source. the senator from illinois said -- i remember when the fda -- fda do notro
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approve this drug is into two -- .his drug 11 to two there is a correlation if you talk to folks or addicts, and 90% of the time folks say to me i got an a car accident, i got surgery, this happened to me. >> senator sheen wanted to add something. >> i did. everybody talked about the fda, pharma, and the role of prescription drugs. but we cannot talked about medical school and doctors. we understand medical schools don't have courses on prescribing medication, on recognizing drug abuse. it seems we have to get attention from medical schools who are turning out doctors doing these practices without the history of what has been
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raised at this hearing. >> amen. >> i agree with senator shaheen on this. we have to engage the medical community. but for example, in new hampshire, back when i was attorney general, i was fighting for prescription monitoring. our state was late to the game. when we look at this data, in giving physicians the information -- and that's one of the piece of this bill, to support prescription monitoring programs. physicians that want to do the right thing, that gives them the data to understand if someone is dr. shopping. it gives us the focus to know if a particular doctor is actually exceeding his/her bounce because it's focusing on them. -- his/her bounds so it's focusing on them. samsung will tell you -- some of the work they have done nationally. 4 out of 5 people started by overusing or misusing prescription drugs.
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to your point that you raised in your opening, with the patient survey, we are encouraging reimbursement based on how satisfied people are with pain. that has to be addressed as well . i know that cms is looking at this. it has to be a priority. this was brought to our attention from doctors concerned that, if they are worried about an addiction issue, they are being judged on a survey -- how does your pain satisfaction? that has to be addressed as well. >> senator portman and then senator klobuchar. >> i don't disagree with the comments made here. we not only have the drug monitoring programs, which were incentivized. and how the states will respond to this legislation, it does not mandate the states to do this, it just provides incentives. every state will be a little different. some states have done cutting edge work and should be the laboratories of democracy. but we are hoping with this prescription monitoring, across
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state lines. we may have a great program, in southern ohio, west virginia or kentucky. you don't know if someone has a prescription filled in ohio without having infrastructure. that is something the federal government can exclusively do. we have legislation on that. second, the jug takeback -- the drug takeback program. taking those drugs off the shelves. the final things is, having talked to hundreds of people who are recovering, who have been addicts because of prescription drugs, i understand that very well, including the athlete i talked about earlier. there are a lot of talked to that went straight to heroin. holly is an example of that, as we will hear from her mom. i think now, because heroin is so plentiful. i was just with the fbi in ohio yesterday talking about this --
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drug cartels from mexico are in ohio, illinois, in our states. because it's plentiful and cheap, it's not just about prescription drugs anymore. it has been a gateway for a lot of people. but now there is a problem we have directly with heroin, even first use. in the days when we worked on this issue of cocaine and marijuana in the 1990's, heroine was not a first use drug. he was one you used after other gateway drugs typically. with people as young as 13, 14, 15 years old are using heroin today. this legislation is comprehensive. it deals with the prescription site and the heroin issue, which we sadly have to confront perhaps because of this onslaught from the overuse of pain medication. but how the heroin is upon us. >> going back to the earlier observation about 30 doctors prescribing in pain connect -- pain clinics, things that are not needed that end up on the street and sold. can. what are we
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doing working with the medical societies and medical professionals? they are the for these prescrip. what we doing to clean this up and hold those accountable in a public way? >> a fundamental problem is thinking about 750 million prescriptions annually in the u.s., which actually leads to an enormous amount of diversion. tons, it's clearly telling us we are overprescribing medication.
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it's not just drug doctors, which are actually very few, but the practices we have in order to treat pain in this country. that leads to addiction and overdose. >> is there a conversation with the medical profession about this. >> one thing we have done as part of west virginia, we have worked with matter -- major medical societies and trained half a million of their physicians on safe and effective opioid prescribing. it is not enough for my perspective. when we look at the data, we are 10 years into this epidemic. i don't think it is too much to ask medical professionals and medical societies to purport a minimal amount education as it relates to save and effective opioid prescribing. >> i also want to include, many of the guidelines currently available for physicians about
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the use of prescription opioids has been developed by the pharmaceutical industry. there is a direct conflict. the national institute of health has coordinated with many to generate a curriculum for not just medical students and physicians, but also nurses, pharmacists, and dentist for the proper management of pain and use of prescription opioids. there is interest, and we worked with different medical agencies for development of guidelines for the better management of pain. >> senator sessions. sen. session: thank you. this is very important. i know senator durbin is correct on those points he's made. pain physicians are concerned about this. they know people complaining about pain. many of them have other sources, other doctors giving them pain pills. things such as allowing a position to check --
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a physician to check that if other doctors are providing the same relief. do you agree that could be helpful? and does it provide good doctors an opportunity to push back and not overprescribing? >> yeah, i think this is the main goal of drug monitoring programs that are easy to use, that are interoperable across state lines. physicians can have good accurate information about how many prescriptions one of their clients can get. it's a prime part of our strategy. we have seen the work in many states that have implement it. sen. session: dea has great power, it seems to me. you can monitor the number of prescriptions coming from a certain position, can you not? senator, those are state
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programs. we support all are state partners and the national association-- sen. session: but if you have information a physician is prescribing extraordinary amounts, you can interview them and examined the records. you don't need a search warrant. you can just ask for their records. and a drug store or pharmacist, you can also examine their records, is that correct? >> that is correct. investigation insert in a number of different ways. patterns of oversubscribed -- patterns of overprescribing can lead to an investigation. sen. session: if a doctor is clearly abusing, we've had doctors and pharmacists. dea and the local police chief signed a one page memorandum that nobody would have a plea bargain on prescription drug until they were told where it came from.
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it came from a limited number of sources. that particular drug was virtually eliminated in alabama for a while. if somebody goes to jail, that sends a message to the other doctors and pharmacists, does it not? >> certainly it does. sen. session: i think that is important. looking at the reports from the new england journal of medicine, they conclude there is no consistent evidence of an association between the implementation of policies related to prescription opioids increases in the rates of heroin deaths. alternatively, heroin market forces, including increased accessibility, reduced crime,
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and high purity of heroin appeared to be the major drivers of the recent increase in rates of heroin use. do you agree with that? >> senator, we are focused both on the prescription-- sen. session: no, do you agree with that or not? >> it's not an yes or no answer. sen. session: well it is. you are used to be what is called the drug czar. do you believe high purity and accessibility of heroin are the major drivers of the recent increase in heroin use? >> this study was undertaken for a question that i had about what we were hearing about, does reduced availability drive people to heroin? there has been folks that have said, if you clamp down on heroin-- sen. session: the question is as i ask it. >> i would agree that the
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availability of cheap and pure heroine in the u.s. as well as untreated addictions has significantly increased heroin use rights in the u.s. sen. session: i think that is a good answer, mr. chairman. and lack of enforcement at the border is a big part of that. 1970's, i was assisting a u.s. attorney. i was given 17 heroin cases to prosecute. they didn't trust me for anything bigger. it was almost all coming from turkey. the president was very aggressive in that. i give him credit. i came back in 1981 as a u.s. attorney. we went several years before we saw a heroin case. supply is important. we can impact supply. heroin is low-price and high purity on the streets, is dangerous.
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prosecutions are critical to this. people need to go to jail who are pushing this kind of addictive power into our community, destroying lives anf fd families. mr. chairman, it's a very important hearing. thank you. we can do better about prescription drugs. taxpayers are paying on their medicaid, medicare bills. their insurance rates are higher because of overdoses and over prescription of drugs. it's an important issue. thank you for your leadership. host: 2 months later, the full senate consider legislation that would authorize the federal government to issue grants for drug addiction prevention and treatment programs. senator shaking from new hampshire offered an amendment that would upright -- would provided $600 million for the programs.
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on very gooding legislation with the company since it addiction and recovery act. unless we provide the resources to make these programs work, it's like giving a drowning person a life preserver that has no air in it. it doesn't make a difference. we are losing 47,000 people a year. 120 people a day from overdoses. our law enforcement needs additional funding. the substance abuse treatment folks need additional support. what might emergency supplemental amendment would do is support the programs that are in the kennel legislation. it's about eqlly divided
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between support for law enforcement and support for treatment. it helps with prescription drug monitoring, with education, with recovery. it is the kind of support we need to provide if we're going to make a difference in this epidemic that we are facing. i would urge my colleagues not just to support the underlying legislation. that's good, we should support it. but unless we provided the funding, we will not have done what we need to to accomplish real change, to keep people from dying. i would urge all of my colleagues to support it is amendment. >> mr. president. >> the senator from wyoming. >> pending amendment offered by the senator from new hampshire topopriates $600 million on of the $571 provided in the bill as reported by the judiciary committee over the 2016-2020 period. unlike the underlying bill which
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requires appropriators to provide authorized funding within the discretionary spending caps, the shaking amendment would designate you spend in -- the shaheen amendment would designate new spending. the bill provides $300 million to the substance abuse and mental health services administration for substance abuse treatment to address the heroin and opioid traces. -- opioid crisis. while we agree this epidemic must be addressed, i believe the underlying bipartisan bill provides a better framework to tackle the problem. it provides the comprehensive pacific's evidence-based approach to help americans combat this. in the meantime, the senate appropriations committee shepherded resources to deal with problem in the consolidated appropriate bill signed into law late last year. nearly $600 million was included to help states and communities
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address the problem. the appropriators working with authorized inside the framework of the bill. >> the senator's time has expired. ask the pending amendment offered by the senator from new hampshire would cause the aggregate level of budget authority for fiscal year 2016 is established in the most recently agreed to concurrent legislation on the budget to be exceeded, therefore i raise the point of order under section 311 2a under the congressional budget act of 1974. sen. shaheen: i would point out, despite what the honorable chairman of the budget committee said, the fact is that the emergency supplemental funding amendment we introduced is very specific about where the funding goes. it goes to programs that are addressed and improved.
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the substance abuse prevention and treatment block grants go to the state to be distributed. funding to law enforcement through the grants that are very to specific in how they can be used to fight heroin and opioid abuse. like my colleague, i am disappointed, not surprised, but disappointed. i very much appreciate those people that voted for this stepment, who were willing forward and say, if we are going to address this problem, we've got to provide the resources that communities and states need to fight this addiction. have, foron that i those that did not vote to support this amendment is -- how many more people have to die
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before we are willing to provide the resources that are needed to fight this epidemic? 47,000 peoplein 2014. in new hampshire, we're losing more than a person a day. in 2015, we lost over 400 people to overdose deaths from opioid and heroin. 3 times as many people as we lost in traffic accidents. so how many communities will continue to be ravaged because we are not willing to commit the resources to tackle this pandemic? and what do we tell the families of those people who have overdosed? what do we tell the parents of young people like courtney griffin, whose father testified at a hearing we had last fall in new hampshire. he talked about the difficulties of getting courtney treatment before she overdosed and died.
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i met a man at a treatment center in lebanon, new hampshire. a man in recovery who had been in and out of prison. i thought he put it really well. about $35,000sts a year to keep somebody in prison. wouldn't it make more sense to put dollars into treatment, because it's a whole lot less expensive to provide the funding usingat people who are opioids and heroin, who are substance abusers, than to put them in jail. so mr. president, to all of my colleagues, i am disappointed, but i an not defeated. that fact is, this is coming back.
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it will come back in the appropriations process and it will come back at every opportunity. because i am not going to quit on this families in new hampshire that need help. i'm not going to quit on the treatment professionals that are trying to revive treatment for those in need. i'm not going to quit on the law enforcement, the police officers and sheriffs and all of those in law enforcement in new hampshire trying to put pushers behind bars and trying to get people off the streets into treatment. and i hope at some point the rest of the members of this body are willing to take up this cause and provide the resources that people need. i will tell you, it's certainly worth it to address the 47,000 people who we lost. we were willing to put $5.4 billion into fighting ebola, and we lost one person in america.
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we were willing to put $2 billion into fighting swine flu, and we lost about 12,000 people in the swine flu epidemic. we have not been willing to put funding in to address the thousands, tens of thousands that we are losing each year in this country. we are going to keep at it. we are going to fighting until we get the resources that families and communities need to fight this scourge. mr. president, i healed to my colleague -- i yield to my colleague from maine, who has been a real leader in trying to address this issue. >> mr. president. >> the senator from maine. >> mr. president, i rise in disappointment, surprise, and some confusion that we have this bill. we spend a week. i went to the judiciary
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committee. it came out unanimously. there is tremendous interest in this subject. when i talked about it at home, i said to my people in maine, this is something we will be able to do! because every member of this body is being affected by this tragedy engulfing our country. this is something we can do together. and indeed, we have done a lot together. we have a good bill. we passed good amendments. this is important work, but it has to be funded. the old saying in maine and i suspect everywhere else, put your money where your mouth is. i was on a teleconference with folks in maine two hours ago talking about this. one of the chiefs of police said, it's time to move from talking about being interested in this to investing in it. we cannot solve this problem without money. it would be nice if we could. there is a drastic and dramatic
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shortage of treatment facilities in this country. the only way we can do it is to pay for it. we had a point of order on the budget. i have to tell you, i'm confused because i stood here less than three months ago when we passed $680 billionll and of tax expenditures. where was the point of order then? it wasn't funded, a dime of it wasn't funded. maybe there was a point of order, but it was overwritten so fast that none of us noticed it. it was the speed of light. so my mother used to say, we strain at nats and swallow camels. we swallowed $680 billion, and entirely unfunded tax extenders are, and we can't solve it and bring it into our hearts to save lives for one 1000 of that amount.
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-- one oion, one 1000 ne thousandth of what we had. i am confused by thsi. i don't understand it. --the way, 47,000 people that sounds like a lot. here's what really sounds like a lot. since this debate started at 2:00 this afternoon, 10 people have died. 10 people had died in the last 2 hours. 47,000 people is 5 people every hour 24 hours a day, 365 days a year. we are not talking about obstructions here. we're talking about lives. when i consider one of the most serious problems i have ever seen in my state. and we talk about ebola, isis, all of these challenges that we have. and yet this is something that is killing five people an hour. and we are not willing to put
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the funds in to do it. it's a false promise. i believe this bill is going to do a lot of good. but it's not going to meet the promise we are making to the american people by all this drama about drug abuse. that we are going to do something about it. but we're not going to do enough about it. because in order to deal with this problem, and this is true everywhere, it's going to take money to provide treatment for people that need it. when someone is ready to change their life and ready to try to defeat this awful disease, and they can't find anyplace to give them treatment. i was at a detox center in portland just last week. they are turning away 100 people a month from a detox center.
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not even a treatment center, but a detox center. because they don't have the beds. i'm delighted we are working on this this. i'm delighted we are passing it. there is a lot of good in it. and it is in fact bipartisan. but to venture to the edge of this problem and step away because we are not willing to pay for what, in my mind, is one of the most serious emergencies we've faced since i've been in public life, is disappointing, a great missed opportunity for the country. i join my colleagues in regretting the decision that was just made. i think it was an opportunity where we could have spoken as one, to realistically, realistically attack this scourge that is devastating our people. we are losing lives.
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we are squandering treasure. and we're breaking hearts. and the only way we can solve this problem, or at least make a dent in it, is to provide the wherewithal to the programs throughout the country that are struggling manfully and mightily to confront the problem and defeat it. thank you mr. president. >> senator from ohio. >> thank you. if my colleague from nevada will let me speak to the comments about the legislation before us, which is legislation to address this horrible problem in overstates -- problem in all of our states. about 100 people will die today from overdoses. that's just the tip of the iceberg. there are so many other life that are being ruined, families torn apart and communities devastated.
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this legislation was drafted by senator whitehouse, myself, other members of this body over the last few years, including 5 summits in this congress to bring in experts on prevention, education, treatment, and recovery. dealing with law enforcement's side and the importance of having narcan available, also getting prescription drugs off bathroom shelves. it is a comprehensive approach. i disagree with my co-author from rhode island insane that if we could -- in saying that with we could pass this bill, there would be no funding. we have had huge increases in funding for opioid addictions. senator whitehouse and myself is that funding was consistent. the judiciary committee worked hard to drop legislation -- to draft legislation to get this within a fiscal year. there would be funding to get this legislation.
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however, as my colleagues know, this is an authorization bill. it directs how funding will be spent, it's not a spending bill. having said all that, as senator shaheen knows, i supported her efforts to add additional resources over and because i believe this is an urgent problem and it rises to the level of being an emergency. , anda fiscal conservative that means it is not paid for by offsetting other programs. we have done this with health care emergencies when we have something like the ebola crisis. i think this is a crisis. i'm a cosponsor of senator shaheen's amendment. i do not support the efforts of some who say there is no money in here. this is an authorization bill,
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the first step towards getting the money in the future. that is the point. drug the author of the free community built. $1.9 million has been spent, creating coalitions in just about every state represented in this body. was that a spending bill? no. it was an authorization bill. evidence-based practices we knew would work. , andis what this is spifically directed to the beingof treatment centers built, detox centers not having room for somewhere to go. these are real problems in our community. that is what this legislation is by anto address, not just appropriation for one year, but by changing the law for the future. the nextthis right, in 19 years, we will spend even
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more than we have spent on the drug-free community at. it will be over $2 billion that would not have otherwise gone out. just as senator whitehouse said he supports this bill because it based, because we took the time and effort to make sure it will be money well spent , this bill is important. i appreciate the support of my --leagues, senators sicking senator shaheen, senator king. it is the right thing to do at a time when we face a crisis. will support additional spending because i think it is so critical. let's not go forward with this sense that somehow this does not matter. this does matter in a very big way. this is a necessary first step. in terms of this year, because we increased funding dramatically at the end of this fiscal year, not one penny has
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been appropriated. there has been no outlay. i believe everything we could get done this year would be funding that we could use for these important programs just in the next seven months of this fiscal year. certainly, we should, right now, as i have done and others are doing, go to the appropriations with regards say, to next fiscal year, let's make sure we have the bill funded. at a minimum, let's get this done. on ais an opportunity bipartisan basis to help people who are crying for help. communities that need our help, families that are being broken apart. i appreciate the fact that senator shaheen made her best effort today. she was right, in my view. let's also continue to work together to get this legislation passed. istever funding we can add
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great, but let's get this bill passed to ensure we are increasing funding to those who need it most. i appreciate my colleague in about a. i yield back -- nevada. i yield back. >> the senator from rhode island. >> i would like to end this conversation on a happy note. that is to express my appreciation to senator portman for his cooperation to get this where it is now. i would like to express my appreciation for publicly pledging to work as hard as we can together to get funding for and through the appropriations process that is underway right now. i believe we missed a opportunity because senator shaheen's would have flooded
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more money into the solution of this problem. >> a week after voting not to add $600 million to the legislation, the senate passed the comprehensive addiction and recovery act by 94-1. the bill authorizes grants to states for treatment and education program. of apands the availability drug that can block the effects of opioids and prevent overdoses and strengthens prescription drug monitoring programs. companion legislation has been introduced in the house. house oversight committee held a hearing on opioid abuse. we will hear from elijah cummings, who asked whether drug companies promote over prescription so they will make more money. we will hear a discussion about whether marijuana is a gateway drug. record thento the baltimore sun, the effects of
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opioid over prescription. explains one reason we are seeing such a huge increase in heroin overdoses is because legal painkillers are being overprescribed. she says, once a patient is hooked, he or she often turns to street drugs, which can be easier and less expensive to acquire. everyone else said that this morning. i want to be clear. i not trying to blame the doctors. or, do you agree one reason we are seeing an uptick is because of the abuse of opioids? >> yes. op-ed says with only 5% of the world population, we are
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consuming over 80% of the world's painkillers. op-ed explains drug companies are actively promoting this problem. prescriptions for opioids have been traditionally limited to cancer pain. but in the mid-1990's, drug companies began marketing these pills as a solution to a plethora of ailments. expand theforts to market, producers understated and willfully ignored the powerfully addictive properties of their drugs. it sounds like drug companies are almost like drug pushers. cites several examples. oxycontin by of perdue was the most aggressive marketing of a schedule 2 drug
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ever undertaken by a pharmaceutical company. this is a big business. how in the world do we combat this massive and aggressive effort by drug companies? you know, when they are making billions? go ahead. >> congressman, thank you for asking that question. i appreciate your saying that. doctors want to do the right thing. when we talk to our communities, when we ask our youth in schools it heroin is good or bad, they will say it is bad, but we have a culture of access. we have this expectation there should be a pill prescribed for every pain. we have to make sure doctors get the resources they need, including prescription drug monitoring programs and guidelines for prescribing. we also need the resources when
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we are in the e.r. we need the resources to connect patients to treatment. otherwise, we feel frustrated knowing that our patients need care but we cannot deliver. >> you talked about guidance you sent out. include using painkillers that are not so addictive or not addictive at all? >> yes. our guidelines include three things. first is the necessity of prescribing naloxone with any opioids. the second is to be careful about the opioid medications, knowing they are not first line medications. they should only be prescribed for severe pain. the third is the danger of benzodiazapene. profit.ys this is about
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perdue achieved its place on the list of wealthiest families. $14 billion. that is appaling. i call that blood money. people are dying, big-time. . want to go back to something you can answer this. yesterday i was talking to a reporter. concerneding, are you that, with even more money being requested for treatment, because there are so many more people heroin,into opioids and that money would be spread so thin it would not have the kind
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of impact you are hoping for? your point, i think we need to have a comprehensive response. we need to rein in prescribing behavior. the centers for disease control put out recommendations last week that follow the guidance dr. wen put out. that is a significant driver to the problem. we know that, despite our efforts, we have too many people overdosing because they cannot access treatment programs when they needed treatment programs. this is why i think the president has put forward a significant proposal to expand treatment capacity in the united states. i hear this wherever i go. i did a town hall in toledo, ohio. thingd the sheriff one the federal government should be doing to address the opioid epidemic. he said, we need more treatment capacity. we are arresting too many people
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who have not been able to access treatment. we carefully look at how many people need treatment and try to adjust the proposal to focus on making sure that as many people as possible have access when they need it. >> one more question. dr. wen, what happened? in other words, this was not a problem, not as much of a problem. then something happened. can you tell me what happened? the numbers the gentleman cited, and i realize people are moving from the opioids to heroin. what happened with regard to opioids to get so many people on them that they moved to heroin. my understanding is there was aggressive marketing by drug ispanies so the pain scale something that is up during the
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course of a hospital stay. the goal should be appropriate treatment. but an expectation is placed on patients and doctors. doctors are put in a hard place of satisfying those requirements. >> doctors have a tough time. in other words, the patient keeps coming in, and the pain -- be a 2, being the mildest the patient has a 2. then he or she comes in and does not tell the truth and says i am at a 9. is that the kind of thing that happens? >> that definitely happens. doctors feel they have to get zero,tients pain to which includes overprescribing painkillers in order to do so. >> would you like to say something? >> i agree we set up an
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expectation whereby opioids are the first line of defense around pain therapy. i think what we are trying to do , specifically for people with chronic pain, is that opioids are not the first line of defense to reduce pain. we have to focus on others -- and the evidence seems to be strong that people in chronic are not significantly better functioning on opioids. we need to be thinking about exercise and diet and cognitive therapy, not opioid-based therapy for people with chronic pain. >> last question. mr. turner asked a critical question. i guess he was talking about treatment in prison. is that right? what stops you from providing treatment in prison? is that what he was asking?
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there is a regulation that says you cannot do that? >> yes. i want to check into that and make sure i get you a complete and accurate -- >> please do. i am wondering if it is something that congress should be -- i do not know if that is in your control or our control. do you know? >> i do not. >> thank you. while i do not know if marijuana is a gateway drug to , every single kid i am dealing with who is on opioids started with marijuana. there is a perfect match, 100%. onry kid i am dealing with opioids, when i asked them what they started with, they all say marijuana. maybe it is susceptibility or something. it is not anecdotal. it is empirical.
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thousands of kids. it certainly points in that direction. i think it deserves a cautionary note in terms of marijuana legalization. one thing i want to talk about and get your opinion -- we have not talked about the power of these opioids. i will give you a couple examples. a young woman in my district had an extraction. they gave her a large prescription of oxycontin. she consumed that and complained falsely of pain. got another prescription and went in and complained. heris yanking teeth out of head to get prescriptions. that is unbelievable. i talked to some of the docs in the boston area. the chemical change in the brain
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overrides-- oxycodone endorphin creation in the brain. it is more powerful than the endorphins the brain can produce on its own. when they come off of that, that is why they are going towards heroin. the only thing that can scratch that itch. we need to think about this. these drug companies are creating customers for life. another young father in my district, shoulder pain. same deal. much oxycontin. now he is buying it on the street. a good dad, good family, just totally fell into that trap. it is a huge commercial advantage for some of these companies to produce a product that creates a customer for life. we have to think about what we are doing in that regard.
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that is a huge commercial advantage, and i think that should have just come out and said, if you are going to prescribe this stuff, you can only get so many pills. it also talked about the drug monitoring peace we are doing along those lines. but is there anything on the mike, we can be doing to stop the number of people? once they get in, we are having terrible, terrible problems. recidivism, relapse. we need to spend money for rehab, but on the front end, to stop these kids from being trapped -- is there anything else we can do to stop that from happening? >> i thank you for that question because i think it is important. c just released guidelines, but they are only
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guidelines. i agree the vast majority of physicians and dentists are well-meaning. part of what massachusetts has done, there is legislation on mandatory prescriber education. but is not about bad docs, they have gotten misinformation from drug companies that these are not addictive medications. the middle of in an epidemic it is unreasonable to take arescriber minimal amount of education with regard to prescribing. thereg at the overdoses, is a correlation between the amount of prescriptions we are giving out and overdose deaths that has been going on for 10 years. i think the metal goal community has a role to play. >> what about liability? what about liability for drug companies and the docs that push this stuff out there? >> i agree.
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there has been litigation against purdue pharmaceutical for that reason. they have a role to play in meeting the letter of the law about marketing and deterring abuse. andeed to work with the dea others to go after outline wantonlyrs who are ignoring the law. we need drug monitoring programs so physicians can identify people who may be going from doctor to doctor. reduce theoing to magnitude of the problem, we have to scale back on prescribing and identify people who are developing problems. >> thank you. >> also, i went into one of our drug programs in my community, talked to every kid i could. they are all in the treatment program. every kid told me the same thing.
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key started with marijuana and they go on to the rest of that stuff. we have a serious situation in this country. >> gentleman from virginia. >> thank you, mr. chairman. , mr. mike and i had a series of hearings on drug policy that included marijuana. it forced me to re-examine some abouti thought i knew drug policy with respect to marijuana. what is disturbing to me is, if it is a gateway drug to heroin, it is opiate prescription drug addiction. far more than marijuana. that is why this hearing is so timely.
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it is affecting every community we represent here in this body. it is not a rural or urban phenomenon or suburban phenomena in. you, mr. botticelli -- how did we get to this point? i do not want any doctor to leave a patient in pain, serious pain, you know? it is a terrible affliction. first, you do no harm. how do we draw that line between pain management and just avalanche ofle prescriptions that has led to an epidemic of addiction in
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america, with presumably the best of intentions? >> i agree. ofn you look at the roots the epidemic, it is really about the overprescribing of addictive pain medication. >> why? how did we get there? doctors are not stupid people. >> i think that doctors were given a significant amount of misinformation from pharmaceutical companies and medical professionals that these were not addictive medications. scant scientific evidence, there was a full-court press to educate physicians in saying that the medications were not very addictive. had a nobletime, we goal -- we have to do a better job at pain treatment in the united states. there are a lot of people with significant pain. you have these complements of a
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full-court press to treat pain and little education on the part about howscribers addictive the substances were, how to identify people. so physicians in the united states gave very little training on appropriate pain prescribing. veterinarians get more training in pain prescribing, and physicians get little training on substance abuse issues. with this mixture of factors that really drove up addiction in the united states, i think, of late, you have that compounded by heroin and fenta nyl. , what is effective treatment and the system for recognizing that, hey, someone has a problem? ficacious treatment in
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tryingo turn this around early before it moves onto heroin or something worse? >> it is often said that notcine is an art and completely a science because pain is subjective. that is why doctors need discretion about how to treat each individual patient based on their symptoms and who they are, also recognizing it is not just about medications. we have to do physical therapy, counseling, education that sometimes pain is ok. we do not have to treat everything wit a pill. we agree with the increased use of pdmp, though recognizing that some are cumbersome to use. ini am seeing 40 patients eight hours, i cannot spend an hour trying to figure out how to get into a pdmp. >> so what is efficacious
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treatment? what do you recommend? >> we recommend judicious use of pain medication. >> i get that. we're talking about treatment. what have we learned? look, we are policymakers. we want to solve a problem. a point where we have an addictive problem and are trying to prevent that person from going onto the heroin part, what works? >> recognizing that addiction is a disease. therefore, we have to get people into addiction treatment, medically assisted treatment, social counseling, and wraparound services. the world health organization shows for one dollar invested, it saves $12 for society. >> thank you very much. thank you for the hearings. they were quite informative.
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them.got criticized for it is now 1:00. we started some three hours ago. in the united states have died from overdoses, three of them from heroin. 120re the days over, americans will die, 24 from heroin. we have heard different things today. some people said we need to put more money in treatment. treatment is essential, but treatment is at the end of the line. you heard a couple comments from the other side of the aisle that we need to act before we go home at easter and put more money into the heroin and drug overdose situation. this is the remarks of senator grassley on the floor.
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in fact, according to the office of national drug control policy, passed inpriations act december provided more than $400 million in funding specifically to address the opioid epidemic. $100is an increase of million over the previous year. that is 25% increase, ok? none of that money, when he said that a few months ago, has been spent yet. all of that money is available today. is that right? most of it? tell me. most of that money is available today. you wouldn't think we are going out of here not providing money. 25% increase. i want this in the record. let's put in the record of how much was asked for and how much
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was appropriated. how much was taken from interdiction and law enforcement and put in treatment? these are the facts. we do not want to deal with the facts, but we will put this in the records so you will see there is money there. and i want a report. telling report, i am you, this week of how much money is spent. i want that in the record, ok, mr. botticelli? i want something from you too, director of our health and substance abuse office. i want to see how much money is pending. office byin my friday, close of business. i know the money is there. it has not even been distributed. we are not going to play these games. i want the facts. we need to stop this stuff at our border.
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boatloading in by the across the borders. i have one question. i talked about el chapo, biggest czar, coming across the border like it was a vacation holiday. weapons,d, speaking of which are used in most drug in orlando, we kill them at the mall, at our streets, great communities. we are killing them. most of them are gone deaths related to drug trafficking, our debate mr. maloney? -- aren't they mr. maloney? a lot of dems are illegal weapons. el chapo, who is coming back and withinhe also had a
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traced to the fast and furious. -- weapon traced to the passenger is. supplied by the u.s. government and the stroke traffic or --- drug trafficker crossing the border like a holiday visit. are you aware of that? can you confirm that for the committee? >> i would not be in the best position to do that. i will take it back to the department. rep. mica: i want you to check on it and let me know. i am pleased with the people out there. i met with some of your people. the prosecutions are not what they should be. you go to singapore. they do not have a treatment program. i want to put you out of business. all the treatment programs. i want to put them out of business because our kids and adults should not have to go to treatment. but we are allowing this crap to come into the united states. it is offensive.
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we are killing tens of thousands, folks. and anything else, people would be outraged. where are you? just say no, and just say maybe. there are consequences, just say okay. it makes a difference to our young people and what is happening. hot.an tell i get a little the italian comes out of me. i see them dying in the streets of baltimore, diane again in my community. we need to do something about it. that supply has to be cut off. then i can put others out of business. we don't have to treat people and have the scourge on our streets. there being no further business before this committee, this hearing is adjourned. thank you witnesses.
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host: c-span's issue spotlight looking at prescription drug and heroin abuse and addiction. there is more to come. we will just take a break and hear from you what you've seen so far in the problem of description drug abuse. in particular, government's role in solving the program. we will take your phone calls in just a couple minutes on c-span. for democrats-- you can send us a tweet. we are @cpsan. comeost recent comments from a summit in atlanta yesterday. president obama visited there on the opioid addiction problem in the u.s. the president saying the issue
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is not a law enforcement problem, but a health problem. here's part of what he has to say. pres. obama: the most important thing we can do is to reduce demand for drugs. and the only way that we reduce demand is if we are providing treatment and thinking about this as a public health problem and not just a criminal problem. [applause] this is a shift that began very early on in my administration. drug is a reason why my czar is somebody who came not from the kernel justice side, -- the criminal justice side, but the treatment side. [applause]
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this is something that i think we understood fairly on. i will be blunt. i hope people don't mind. i said in a speech yesterday, your last year in office, you are getting a little loose. [laughter] in west virginia as well. i think we have to be honest about this. part of what made it previously difficult to emphasize treatment over criminal justice has to do with the fact that the populations affected in the past were viewed as or stereotypically identified as poor minority and, as a consequence, the thinking was it is often a character flaw in those individuals that live in those communities. and it's not our problem that
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they are being locked up. [applause] one of the things that changed in the opioid debate is that recognition that it reaches everybody. there is a real opportunity not to reduce our aggressiveness when it comes to the drug cartels trying to poison our families and kids. we have to stay on them and be just as tough. but a recognition that in the same way that we reduce tobacco consumption -- i say that as next smoker. -- that as an ex-smoker. [applause] we greatly reduced traffic fatalities because we applied a public health approach. host: president obama yesterday in atlanta at the opioid abuse summit. the president not only speaking
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at the roundtable, but bringing money, money the executive branch can provide. in particular, $94 billion for community health centers. some 270 centers to expand and addiction treatment programs. 11 are in dollars for states to buy the drug narcan, used in treating individuals undergoing an overdose situation. $1.41.4 billion -- million in rural education programs. this funding, which does not need congressional approval, could provide 124,000 additional drug patients across the u.s. we will get to your phone calls momentarily. we are asking the government's role in combating and ending opioid addiction. we are joined by a political
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correspondent, who covers this issue. -- a politico correspondent, who covers this issue. we talked about the drug czar being there. he made the case that this is an issue of overprescribing. a week ago, the cdc announced new guidelines for prescribing for doctors. why did the cdc do that? >> like you said, the cdc sees that as an epidemic in the health care system that often does start with doctors prescribing a patient a prescription. 15 years, since 1999, the cdc says sales of prescription opioid medications have quadrupled. corresponding with that is a quadruple in the number of overdose deaths. the cdc

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