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tv   Washington Journal Anand Parekh Discusses the Opioid Crisis  CSPAN  August 8, 2017 9:03am-9:36am EDT

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corrupted it to believe they are the executor of god's will to end of times and heir greatest ally are those people in this country and in 1.6 west, who say it is the billion muslims that are the problem. no, they are not. what the 1.6 billion muslims want. 2017 toyota corolla. to have don't need is a small fraction of a fraction of a fraction of a percent of cult, the fifth cult, by the way, that existed in islamic them equate it to people who do not follow the who pretend like they are muslim and have to rely on guys intelligence he community to come and tell you traight that the guy that is sitting to my right is a muslim, the special forces soldier to my that since slim and
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9/11, we have been fighting for not just e of islam, our own defense. > "washington journal" continues. anand joining us is dr. parekh. he previously served as former assistant secretary for health from 2008 to 2015, good you.ng to guest: good morning, pedro. host: the president sent out a talking about the opioid crisis this morning, i will be olding a major briefing on the opioid crisis, a major problem for our country, at today at 3:00 in new jersey. stems from his commission that looks at the similar topic ast week putting out calls for him for calling it a national emergency. can you tell us what you see but what it events, says about the administration's concerns over the crisis overall? pedro, thank you. this is a very important issue, oneopioid abuse epidemic is
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of the most important public health issues of our time. so viewers understand, over 30,000 americans die every year twouse of opioid overdoses, million americans are addicted to opioids, affecting young, old, rich, poor, urban, rural, americans. executive nt issued order creating a commission governor chris christie has been the interim report just last week, the final report is october. that report by the commission irst and foremost had a recommendation that the president label a national emergency. before, been done usually after significant public or th event like hurricane influenza epidemiepidemic. additional dollars and regulations. the president didn't specify a national emergency invocation might give, but some
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way to red it could be get more medicaid dollars or medicaid pay for reatment tmight be way for lo s to better access to locksom, the ante dote. one thing is for certain, this is a good idea because number one, it will raise the nation's consciousness about this epidemic. i don't think most americans understand 92 million americans the last year from opioids, astounding from that fact, opioid are not front line treatment for chronic pain or acute pain f. the nation's good ence, it will be a thing. host: who is affected most by this crisis? affected the most? guest: so certainly, if you look regions, phic
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midwest, the states have highest opioid overdose, individuals uninsured, who are who are unemployed, who have other co-occurring orders, all at higher risk for addiction. here are essentially two problems in this country, there are too many prescriptions for there is unnecessary prescribing ongoing, too many high of a ns for too dose for too long of a duration is also illicit supply, ot only heroin from mexico, synthetic opioid like fentanyl coming from countries like china. it is a battle on the prevention side. workingscription opioid with the healthcare community of second is illitis supply opioids coming from overseas. this is where we are with the
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right now. of course, treatment is critical for the two million americans addicted.rrently host: our guest is here until about f you want to ask the trump administration action on the opioid crisis, the opioid crisis overall. eastern and central time zone, call 202-748-8000. live in pacific time zones, 202-748-8001. impacted by the crisis itself, 202-748-8002. can also tweet us at c-spanwj. curbing talk about the of the prescription of drugs, that seems to suggest a as the e change as far medical industry or at least the community is concerned. youto you make that, how do change that attitude? time it has been a long coming. physicians, like myself, were introduced to a new class of drugs called opioids and we were told these drug his no addictive
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properties. same time, there was health care quality move toment elevate pain as vital sign. to more and more prescribeing and led to cribing, that addiction. what needs to change, culture change among healthcare the ssionals, last year c.d.c. issued important guidelines for healthcare rofessionals to ensure only prescribing opioids in select cases. pain.ly for chronic you should turn to opioids as the first drug there is a lot of needs to be done, most of this education is being voluntarily. what the commission has called for, president trump's commission, bipartisan call center, we have former governors mandatory alled for prescriber education, before somebody gets a license, license d substance from drug enforcement administration, we should have sort of mandatory prescriber education.
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epidemic is too large to go any other route. suppose there be have to be a change of mind when it demanding e patient the drug to manage pain. guest: absolutely. that leads to another important point. we need other options. opioids can't be the only option. need to provide patients options to treat chronic pain in a way that is more effective opioids. there are other nonfarm cologic options out there. need more research, as well, to better identify new chronic treatments. host: so when it comes to the issue again, if you want to talk guest give us a call on the phone lines or tweet your thoughts at c-span wj. served as former deputy assistant secretary of health during the obama administration. did you see this happening as far as this crisis of concern, the obama think administration did in putting some type of stop to it or
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curb it.o guest: i was current civil servant throughout and the obama administration did a good job of raising the alarm bell. issued very important guidelines o prescribers, they know when to prescribe opioid, they ways to o identify increase treatment and treatment capacity to states and allow providers to actually provide medication assisted treatment. forward, move the ball there is a general's report on addiction, as well. congress, bipartisan action back in december, resident obama signed 21st century bill that poured billion dollars into treatment that is implemented. so there is bipartisan movement forward. administrationmp thus far is interim commission eport, final report is due in october, but i think the commission is taking some, looking at some right steps, of
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that is all just a plan and a report. people want action, i must say, i look back at some of my health and human services, taking active role in this crisis, so back in just of l, national institutes health launched public/private partnership with industry to number of e medications for addiction treatment, as well as chronic research. the food and trug administration in the last couple weeks, voluntarily asked opioid manufacturer to take a product linked torket, it was infectious disease outbreak, which they in fact did. there is an important report highlighting that opioid prescribe suggest coming down, there is six-fold variation between counties across the country. target prescriber education market. gencies continue to be front and center and very involved, so i'm pleased with what the obama
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did.istration i think this is a bipartisan issue in congress and so far agency under the trump administration are doing a good job. in pennsylvania. hello, robert, you are on with ahead.st, go caller: i've been prescribed years, afor the last 17 few back injuries at work. i don't see the side that is for opioid treatments doing don't see them anything or saying anything to that have eople legitimate pain problems and tried different pain remedys and such and pain and the opioids work in my pain at they keep a manageable level and without he opioids, i could not function, i'd be bed bound and
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able to walk 10 or 15 feet, not offer w, you're anything solutions for the people that have a legitimate issue, you're just saying everybody is abusing opioids we need to stop dispensing opioids, so i'd like know what answers do have you for people who are actually helped by opioids? guest: robert, thank you for the question. very important question. developing thein national pain strategy, when i was back at health and human chronic paintainly is also an important challenge in this country. solutions are twofold. one, for individuals who are orrectly being prescribed opioids for chronic pain, essentially having that relationship, where both parties understand the benefits, as well as the risk, of opioids for the condition and ailment system
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critical. the key is to prevents addiction road one moves down that to intervene promptly. i think there are many, many pain americans who chronic is not being addressed by opioids, i think for that population, we need more the public and the private sector, to identify what armacologic could be ons, it helpful. n your case, you tried many different interventions. for others, it is very well trying other therapies, as well. host: oceanside, california, lisa, hello. caller: hi. that i ant to point out i after surgery and i had, believe, opiates, for hand never in the past and i found it to be addictive. aybe because it was not
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prescribed too late of a time, my gi system, was gast gastrointestinal gastrointestinal, for those who don't know what i was talking completely shut down and i end up in the hospital when i an opioid.rescribed was told by a pharmacist, it is now part of their continuing patients are informed of what to do with like that, where there is going to be a gi issue. guest: thank you for the question. opioid-induced constipation is most well known side effects and you are right, many times now, pharmacists and problems are co-prescribing medications to eal with constipation issues that will likely result from opioids. point,say, also, to your
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that in fact, i think surgeons dentists are two types of health care professionals where getting is increasingly out, oftentimes after surgery, pioids are prescribed and oftentimes too many opioids are prescribed for too many days and days on opioids, doesn't sound bad, in fact, get five, seven days, seems to weeks, it reach potential addiction. one of the things we need to ork on with health care professionals prescribing medication to ensure they are only an amount that is absolutely necessary and not too much. course, if there is too much tcan be diverted as something we want to prevent. rhode island is next. richard lives there. hello. caller: hi, how you doing? i have three questions for you. first of all, i think that we're
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problem a ksgiving little bit too late because all of the problems we're talking as far as pain medicine, has already occurred now. pharmacys and everyone else that were involved were able to now the government is, you know, putting strict rules in. really people that are honest, now they need the medication and you're singling problem has and the now become that everybody can't get the pain medicine on the so now they have gone to heroin and that is a totally animal now. so the people who are on pain prescribe it or prescribe it properly and they need it. and so the people that you are now picking out are the ones even re going to get stricter laws against them. host: richard, we will leave it there.t point right guest: richard, it is an important point that a previous caller made, as well.
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americans out there suffering from chronic pain and inariety of ailments who are fact properly being prescribed tried other ave interventions that have not worked and the opioids are their pain at bay and there is a doctor-patient therapeutic relationship there, is ensuring addiction doesn't set in. hat is tremendous -- unfortunately that, is not the case for all of the 92 million out there who in a ago, y just a couple weeks utilize used opioids in the last year and i think what we need to here is less single people so just educate americans about benefits and the the potential for addiction and healthcare to essionals, as well, and and the at the doctor
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patient have the information and the patient have the information they need to prescribe the most therapeutic intervention with the lowest risk for addiction. host: what is the success rate of those overcoming opioid addiction? guest: it takes time. the good part is there is a lot of evidence for what is called medication assisted treatment, partial opioid necessary onjunction with cognitive behavioral therapy. but it is something you have to stick with, a chronic condition, diet or we think of high blood pressure is a chronic condition, addiction is a chronic condition and you can relapse if you don't continue to focus on it. ro, good news, ped dollared if there is evidence-based medication-based treatment, and many americans are on the treatment and opioid addiction. host: washington state, this is kris. caller: hi there. think one of the problems is that insurance companies often othert willing to look at
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alternatives. neck problem c from an accident. i have managed to keep pain acupuncture.l from i live in a state, it's been 15 since they made insurance pay for it. once i hit medicare, i found out pocket, out of whereas, i think a lot of people ho get opioids, especially long-term, might get some real elief from alternative medicines and that's something i think that should be encouraged. perhaps the t reason isn't represented systems, t insurance alternative medicine has companiesand pharmacy certainly do. thank you. kris, very important comment that you made. . couldn't agree with you more this is something specific insurance companies can do,
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alternative for chronic pain. for many americans, acupuncture, like massage, exercise, physical therapy, could in fact be intervention they need to ackle their chronic pain oftentimes. you have to jump through a lot of hoops to get insurance pay for these. by levelling the playing field, access to the interventions, as easy as paying for medication, could go a long way in better addressing chronic pain. off twitter says that marijuana is a good alternative to opioids, in many cases, any evidence to that claim? guest: there have been increasing number of studies last couple of years hat have looked at states that allow medicinal marijuana and ave looked at opioid overdose deaths and found in many states, opioid use has been down and
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overdose deaths have been down, that is correlation, not a ausation, we need to do more research on the marijuana side. this is about the public and sector, to identify if fact what trials, in marijuana is doing for chronic pain there is a lot of data clinical trial for the f.d.a. to come in and say, yes, marijuana for pain is safe,onic is effective, that clinicians prescribe marijuana can be ensured that it is a pure orm, they know what they are prescribing. i think we have a ways to go, certainly may have a role, but more research.d host: kenny from florida. hey, yeah. when i was in the army, i had a raining accident and hurt my lower back. was i got out, my pain really bad and actually my drug of choice was crystal meth.
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i used it for over three years, the only thing to take my pain away. i've tried opiates, they don't do nothing for me. gets opiates she and there are days she can't i will put tens units on her. i think she needs surgery, but i don't think her insurance will cover that. guest: first off, thank you for i think it goes to the larger point that we're different, our bodies respond differently and for certain ndividuals, pain relieving interventions than others, but i think we have to understand is ongoing that right now with opioid overdose deaths and for some individuals, particularly high risk for have se ensuring they alternative means to perhaps treat chronic pain. t is a critical public health
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challenge for our country. host: what is funding or get over hat help to that recovery process, getting over the addiction process, what is available? guest: there are many federal gencies out there, substance abuse services has a hotline, resources there. dollars, federal grants going out to states. medicaid is very important public insurer perspective of medication treatment, medicare, as well, but less so than medicaid. there are federal providers out there, the va, indian health service, the commission called to increase prescribing of medication assisted treatment addiction.th opioid there are federal resources out there, certainly i think from locality and perspective, there needs to be ore, never quite enough given
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magnitude of the public health challenge and i think the commission referred to several possibilities. host: bipartisan policy center put together recommendations, look at this issue, our guest talked about some of them. tell us about the development of this. you able to talk about these issues with the commission that enacted?ident guest: yes, we have a governor's council, five former governors based on their experience with this issue, they wanted to weigh in and they president's commission, chairman chris a istie, they really felt need to address this issue and hey came up with four critical recommendations. elicit t is again, curb supply. overdose death over the last deaths ears, heroin increasing by 20%.
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indeaths increasing by 72%. job ed to do a better curbing the numbers and prescribing of opioid by working health care professionals to be sure they are prescribing only when appropriate. we need to have will and in this country to treat two million americans with addiction. low as 10% ofrts, the two million are currently being treated. our, we need to get rid of the stigma in this country about americans, educate raise american consciousness. our governor's council made for president's commission and i see the governors were -- the commission incorporate many recommendations in the interim president ion to trump. host: greg from massachusetts, good morning. aller: yes, sir, good morning to you. really one basic question and i i -- this is 14 years now i've een in near constant pain and
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the only thing that would touch this is the oxycontin. i took oxycontin for seven years working. that wore off, i was in massive pain. happened, my vertebra was broken when i was in the marine corps, i stood underneath a plane and it broke it up. now, 1048, i'm 62 next thing you know, i'm getting and hip and leg everything like crazy. i went through three surgeries acupuncture, spinal station, every drug you can alzheimers, cluding for some reason, but none of them work. was not addicted to it, i was dependent, but not addicted. they tried to tell me my pain would be brought on by the
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opiates. okay. i finally agreed, i quit cold turkey, took six months to get of it, i was in constant pain the whole time. every y question is, have most of the time you some governor or somebody representing this whole process, thing, we y the same have to make sure we're taking care of the people that drug.mately need the host: thank you, caller. guest: thank you for your service. i think this is an overarching theme that we don't need the federal government to eclare a war on opioids, what we need the federal government to do is really battle addiction overdose deaths, prevent addiction, as well. think we want the federal government to get in between the doctor/patient we do nship, but i think all need to understand as a addictive t the properties of these types of edications, need to do what we
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can to prevent addiction and overdose deaths and we also need accelerate research into other medications and other opioids, to pharmacologic, for the ones that have pain. he is not id dependant, what is the difference? greekt don't have e if you a prescription or not taking it as you are supposed to. clinical and abuse is definition. you go through withdrawal, it interferes with home life, you trouble with the law, go through withdrawal, tol is clinical definitions that differentiate as een abuse, as well misuse. host: one more call from north eric, hi. this is
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caller: this goes out to everybody having a problem with addiction with opioids. i've been on them myself and had and it's ad accident degenerative, nothing can be done about it. years and really was addicted to them. is derstand everybody different, but this is going out for people who are addicted to it. you can get off of these, you can get your life back and you is justourself and that what i really wanted to say to you. c-span, and everyone di -- ing that is ark addicted to this, i send my love out to you. guest: thank you. so much. host: as far as the trump administration going forward, can is the best advice you offer? guest: we're waiting for the final report for the president's
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commission in october. i think it will be continuing agencies, scientific c.d.c. or f.d.a. or nih, to move forward. ensuring public insurance programs like medicare and facilitating medication assistive treatment a while, l, for affordable care act, repeal and replace, debate we just had a think there ago, i was some concern there that couldg medicaid funds off certainly prevent that. i think it is very important on we continue to focus science, allow scientific agencys to work and see what in october.ons are ensure we are treating as many americans as possible, many opioid overdose deaths. will say, pedro, i think ultimately treatment will be critical to fight this epidemic, that will be prevention will help us beat this epidemic. treat never be able to
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ourselves out of the epidemic. dr. anand parekh, chief medical advisor and deputy for health cretary and human services. thank you for your time. 10:00.hones until 202-748-8001 for republicans. 202-748-8000 for democrats. independents, 202-748-8002. we will take those when "washington journal" continues. >> c-span has been on the road. laramie high school, we families to the give prizes. in golden, colorado, the winner a second place prize of
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$1500 for his documentary on cyber security. also in denver, the third-place ward of $750 went to tenth grader students for their about digital theft and hacking. t. thomas moore high school in rapid city, south dakota is here the students won third-place prize of $750 for their documentary on racial in america. about five hours east in sioux south dakota, students received a third-place prize of 750 for documentary on the classmate won nd honorable mention and prize of documentary on marijuana. middle homas a. edison school, several students won for a a student won
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documentary on national debt. won for their documentary on terrorism. students also received honorable mention for warming.ry on global thank you to all the students 2017 ook part in our student cam documentary competition. to atch the videos go student cam.org, and student cam 018 starts with the theme constitution and you, student any provision of the u.s. constitution and why the provision is important. >> "washington journal" continues. host: on social media, post your thoughts on open phones at facebook.com/cspan. republicans, 202-748-8000. democrats,

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