tv Pres. Trump on Federal Opioid Response Grants CSPAN September 4, 2019 11:38pm-12:19am EDT
this whole new economy was built and how -- and i've always been really interested ever since i was working in washington on how business and government interact with one another. they have an antagonistic relationship, but they also have a collaborative relationship. the real story of american history is one of public- private partnership in many ways that are sometimes unseen. i think this is a great way to get into that. announcer: university of washington history professor margaret o'mara discusses her book "the code: silicon valley and the remaking of america," sunday night at 8:00 eastern on c-span "q&a." announcer: earlier today, president trump announced $1.8 billion in federal grants to combat the opioid crisis at a white house event that included members of his administration. following the announcement, the president took questions from
reporters about hurricane dorian, u.s. china trade relations, and vice president pence's recent state at a trump report -- resort in ireland as he travels overseas. trump: thank you, everyone. thank you very much, everybody. you very much for being here with us at the white house for a very important announcement. something we have worked extremely hard on. today, the department of health and human services is awarding $1.8 billion in new grant money
to fight the opioid epidemic, something we have had quite a bit of success on and we are continuing. i think you would be amazed at the results. we have been doing this from pretty much the beginning. these funds will be delivered to the communities where the help is most needed. joining us this afternoon is the --retary of hhs, alec cesar azar, dr. -- alex robert redfield, the director for the centers for disease control, and some other friends i will introduce in a while. thank you for your devotion in particular for building a drug-free future for our nation. we are on our way sounds like a big statement. as a problem every country is having, or most current trees -- countries certainly. it is something i saw firsthand
during the campaign and i couldn't believe when i looked at certain states in particular how bad it was. we want a safe and healthy future for every american family. that's what i said we would do and that's what we are in the process of doing. from reforming the way we treat kidney disease to increasing price transparency, ending the hiv epidemic -- that's an incredible thing, we think within a period of 10 years, alex, we will have that in quite good shape. if you would have said ending the hiv epidemic within 10 years, people would not know what you're talking about if we set it two years ago, but we are well on our way. reducing high drug prices, which is something my administration is focused on and we have had the best year we have had in over 51 years. we brought drug pricing down this last year. first time that has happened in 51 years.
my administration is focused on confronting the health care and andth care challenges americans suffering that other administrations frankly have forgotten. we are doing things other administrations did not focus on idle. in this -- at all. in this effort, nothing is more important than addressing the opioid crisis. the funds awarded today will be distributed to all 50 states to the substance abuse and mental health services administration and the centers for disease control and prevention. very exciting. they will be used to increase access to medication and medication assisted treatment and mental health resources, which are critical for ending homelessness and getting people the help they deserve. so many problems are caused by this problem. these grants will also support state and local governments at
obtaining high-quality comprehensive data to help the most people and save the most lives, which is what we're doing. my administration is determined to use every resource at our disposal to smash the rip of addiction. in october 2017, my administration declared a nationwide, public health emergency directing the nation to use every resource in their arsenal to overcome the deadly plague of opioid abuse. since then, we have secured a record $6 billion in new funding to respond to this emergency. last year, we provided $90 preventing substances. i signed the largest ever latest -- legislative effort to address this crisis. by the end of this month, hhs will have awarded a record $9 billion to expand access to prevention treatment and
recovery services to states and local communities during my administration. they are doing a great job locally when they get the funds. they didn't have the money. but some of these states have done an incredible job once they got the funds. we passed the crib act that allows medicaid to help mothers and their babies who are born physically dependent on opioids incovering their care residential pediatric recovery facilities. to break the cycle of addiction, we must prevent young americans from trying drugs in the first place. we launched a nationwide public ad campaign to educate young people about the dangers of opioids.d prescription this campaign has reached 58% of young adults. you won't see the result of this 2, 3, 4uple of years, years, but the results will be there. they are really powerful ads. you won't see it quickly, but
people watching it, young people watching it, we are putting them on the right program, i think. young people watching these ads of what happens to people, very descriptively, i think they will not be using drugs so easily. you will see the results in the future. ultra off the supply of illegal narcotics at the source, my administration is prioritizing stopping the influx of fentanyl from china. week, i want last to thank mexico, the mexican government, the great president of mexico for helping us. a weekd a record catch ago of fentanyl that came in from china. have 26,000 we mexico troops at our border. they are also bringing the numbers way down. we were with the commissioner a
little while ago, the secretary. from last over 50% year. they are really making a lot of progress. but the mexican government has been great. we have 26,000 soldiers from mexico guarding our border. . if we had had the same help from the democrats, we could get legislation passed so easily, so not evenhat we would need that help from mexico, but we appreciate it. first time it has ever happened where mexico has helped us at the border and are helping us in a big way, far better than anyone thought was possible. we stepped up enforcement actions across the board, seizing more than 28,000 kilograms of heroin and 8000 kilograms of fentanyl since the beginning of 2011. the biggest was last week. in 2018, our high intensity drug trafficking area program disrupted or dismantled almost
3000 drug trafficking organizations. during that operation, the department of justice seized enough fentanyl to kill over 100,000 americans. that's not much, if you look. it's a little bit. this much can kill 100,000 people. it's terrible, it's incredible, we are getting a lot of stuff. the department is prosecuting more fentanyl traffickers than ever before. we have never prosecuted so many , we are going for the maximum penalty at all times. targeting seizures in areas most impacted by the crisis. as a result of our efforts, last year america experienced the first nationwide decline in drug overdose deaths in nearly three decades. we brought down drug prices for prescription drugs, that's over 50 years, and the overdose deaths in nearly three decades. that's something.
in the last two years, overdose deaths have fallen by more than 24% and ohio, 24% in pennsylvania, 8% in west virginia, 16% in kentucky, and 10% in new hampshire. have incredible problems with exactly what we are talking about. but the battle has only just begun. we must continue fighting side-by-side to stop the menace once and for all. together, we will save thousands and thousands of our fellow americans and the families of so many people. we will not rest until every american child can grow up free of the menace of drugs. cold,y lives are stopped weather it's death or just a .uined life in many cases, you have ruined lives because of drugs. they never recover. they never recover. i would like to ask secretary
azar about the new funding. it's a record number. you added it altogether. people never thought they would see something like this. we are making tremendous headway. secretary, if you could say a few words. thank you. ar: thank you, mr. president, for your dedication to this challenge. as you mentioned, hhs is dispersing $1.8 billion in grants to help states and local communities combat the nation's crisis of opioid addiction and overdose. includes $932 million in grants from the substance abuse and mental health services administration led by dr. eleanor mccance katz. this provides recovery services in ways that meet the states' needs are that can mean everything from expanding the use of medication assisted treatment in criminal justice
settings or in rural areas of your telemedicine to youth focused community-based prevention efforts, employment coaching, and support for the distribution of naloxone. we are releasing the first round of $900 million in grants from the cdc led by dr. robert redfield. this will develop strategies that will save lives. over the past two years under president trump's eater ship, cdc has -- leadership, cdc has dramatically sped up its data recording. overdose data nationally was only published with a 12 month lag. with the help of better reporting from local health departments, which we are now investing even further in, we have gotten that down to six months now. that's one example of the results we've seen under this president. a year and a half ago, i joined him in manchester to launch the opioid initiative.
he called for action and that's what we delivered. i want to thank kellyanne theay, jim carroll, and admiral for their of this effort. the president said we would "prevent addiction by addressing the problem of overprescribing." since the president took office, the total amount of opioids prescribed is now down 31%. the president said we need to "make medically assisted treatment more available and affordable." our estimates suggest in 2016, 9 21,000 americans were receiving assistance, the gold standard for treating opioid addiction. and 2019, the estimate suggests we have 1.2 7 million americans receiving this treatment, 38% increase. the president said "we will have to make sure first responders have access to lifesaving overdose responding drugs."since
he took office, naloxone prescriptions have reason 378 -- risen 378%. when the president asked hhs to declare a public health emergency and 2017, he promised we will see more approvals of waivers to unlock treatment for people in need there they would come very fast, he said. since he took office, we have approved waivers for 21 states compared to the prior administration all of this is as the president explain is making a difference and saving lives. i look forward to continuing the fight with president trump, our team at hhs and all of our partners at the state and local level. thank you again mr. president for your leadership of this critical public health initiative. thank you. >> thank you, mr. president. we have combated this on so many fronts and i'm privileged to be the assistant secretary and your administration and leading opioid policy for the secretary.
so much has been said but i want to highlight one other piece to the equation. i am a pediatric icu dr. by equation. to attention we have given children born dependent on opioids and other drugs is unprecedented and magnificent. we now have better forms of treatment for these children. we can keep them with their mother so they can both recover together. across the board, we have treated this outbreak for what it is. it is a public health emergency. a publiceating it as health emergency because it is. addiction is a chronic disease of the brain. if you can hold your breath for 10 minutes if i ask you, that's like telling a person to stop using the substances they have a disorder for without appropriate treatment and guidance. we continue to move forward. although deaths are down 5% in 2018 compared to 2017, we all
know that our battle is just starting. we need to keep all the money flowing. we need to insist on evidence-based practices so patients and their families get the best possible treatment, and certainly everyone in this administration has a commitment to do that. thank you, mr. president. >> thank you, mr. president. i lead the substance abuse and mental health services administration. i have been an addiction psychiatrist for more than 25 years and i have watched this epidemic evolved as a clinician. i feel very proud to be able to withand at administration the president, secretary azar, and my colleagues who all have such dedication to helping the american people with a deadly problem that we are making an
improvement for in our communities and will continue to do that until we get this epidemic under control and until all americans can be freed of opioid addiction. pres. trump: thank you very much. go ahead. >> when i first spoke with the president about taking this position 18 months ago, we talked about the need to save american lives and the president said, be relentless. he was talking not only of saving lives from the drugs pouring into our country from overseas, but we talked about the need to help people suffering from an addiction. i will never forget that conversation because you were focused on everyday americans throughout our country, in urban areas through rural areas and said that we bring a whole of government approach. certainly the approach secretary azor has done, kellyanne conway getting the message out with the first lady lady talking of children. so it is a great honor to be
here and represent as i go around the country the views of these -- this president that the most paramount thing we can do is save american lives. we are doing that again today. thank you. pres. trump: thank you. you have done a great job. we have all done a very great job. i think nobler -- numbers nobody would have believed when we started. there's a lot of dedication. i want to thank joe and kellyanne and everybody for what they have done. i want to thank the first lady. this has been very important to her. a very, very important thing, just envisioning the tremendous problems within families caused by not only opioids but drugs in general. it is a disaster. as i said before, it's all over the world. but we are hitting it very hard. i think we are hitting it area effectively. more effectively than anybody would have thought possible. we have some things happening and coming out.
we are spending a great deal of money at my request on finding a painkiller that's not addictive, have aeople go out and minor problem, a broken arm or a biggerk, and they have problems than they ever. thought possible literally at the end of a week, their whole lives are destroyed. we are setting rules and regulations that have had a tremendous impact. i just want to thank all of you folks for the job you have done. it has been incredible. the success has been great. the real success will be over the next few years. we will be doubling and tripling our numbers of. if we do that, we will go from having a big problem to having a much smaller problem. i guess there will always be something, but it will be a much more manageable and smaller problem. we will have saved a lot of lives and helped a lot of families and help people live a
normal life as opposed to the hell they are living through right now. i appreciate things. questions? > about the hurricanes, is there anything you are about mobilizing -- pres. trump:pres. trump: the coast guard is there in a big way. we have almost eight helicopters. between six and eight. it is a tremendous tragedy. they found some pretty bad things, as you probably have heard. if you look at that, the numbers are still much smaller than anyone would have believed. at the request of the government, and even without the request of the government, but the government has requested, we are over there in the bahamas in a big way. we are sending quite a bit of people. we also have to watch what's happening with georgia and south carolina, north carolina.
it is on its way up so we have to see how it hits. we got lucky in florida. we talked about that a little while ago. florida was going to take a hit, go right into the gulf. that would have been tragedy. it made that right turn that a lot of people didn't. . expect very few people expected that to happen. florida is in great shape. now we are going to go through some tremendous states and we are going to see how they do. so far, it is staying away. we think it could come on and south carolina, very much more onshore. we will see what happens. we have to keep our guard up. we are watching that. we are also very much helping the government of the bahamas. >> any idea of the size of the military response? president trump: he is doing that now and we are doing now. -- runways -- mostly topical
the runways were not badly hurt except for tremendous debris. we are clearing the runways. we have a tremendous amount of food rot in. we were set up well in primary go. -- brought in. we are taking supplies from other places, including florida, and bringing them over to the bahamas, where they need it very badly. ofyou showed a map earlier the initial course and it appeared to include alabama. do you know how that came to be? president trump: i knew that alabama was in the original forecast. they thought they would get a piece of it. we have a better map than that which will be presented. model, in allg a cases, alabama was hit.
in some cases, pretty hard. georgia, alabama -- it was a different route. they gave that a 95% chance. it turns out it made a right turn up the coast. hitama was going to be very hard, along with georgia. under the current, they won't be. georgia will be possibly. i think georgia will be in great shape. everyone will be in great shape because we will take care of it regardless. the original pass was -- path was through florida. thoughtinal path people it was going to take was through florida, where on the right would have been georgia, alabama, etc. >> condiment it looks like it was circled in a sharpie. stopped selling ammo
of certain shippings. president trump: they just announced tremendous numbers, which tells you how well our country is doing. that is like the ultimate poll. walmart announced numbers that were shockingly good. proud of them from that standpoint. in terms of what they are doing with ammunition and guns, you would have to talk to them. >> [indiscernible] president trump: they feel what they did is the right thing. a lot of people in congress are working on different scenarios, and we will see what happens. walmart -- they did what they did. i am happy walmart announced such great numbers. our economy is doing very well. china wants very much to make a deal. they had the worst year in over 50. they had a year that was a disaster for them.
millions of jobs have been lost. their supply chain has been destroyed or soon to be destroyed. let's see whether or not they want to make a deal. let's see if they can get to the table. of odessa and el paso and myriad other shootings, what kind of directions does that take in terms of background checks, in terms of mental health? president trump: a lot of people are coming back. they are back in many cases. there is tremendous talk as to the subject you are talking about. many different concepts and many different things, including mental health, which is to be an important element of it. we will be having what i already have. i have been having a lot of phone discussions and meetings with different other people, the
senate and house of representatives. we will be making some pretty good determinations soon. there are many proposals put forward. i heard 29 different proposals. we will have to see what happens. >> [indiscernible] president trump: i support safety for our citizens. i support keeping guns out of sick,nd of -- hands of mentally ill people. i support something having to do with mental illness. we have to get these people off the streets. when i was young, we had mental institutions in new york. the governors closed most of them. ,hose people are on the street other than a few of the institutions for people that have very unbelievably severe mental illnesses. for costed them reasons. it was during not great times.
they closed them for cost reasons. i think it is a big problem. thosetain extent, some of institutions need to be opened up. periodnding the waiting of background checks -- president trump: we will be looking at a lot of things, hopefully coming up with something bipartisan. it has to be bipartisan. hopefully we will, with something -- come up with something that is bipartisan. if you look at some of the more severe and comprehensive ideas wouldn't forward, it have stopped any of the last few years' worth of these massive shootings, which is a problem. you look back at them and you could go back 15 or 20 years and many of them would not have been
stopped by these things. many of them are severe. that said, we are looking at things that are very strong. we have to do it in a bipartisan way. we will see what happens. hopefully something good comes out of it. a lot of talks going on. a lot of people coming back. it is going to be interesting. people want to come to a solution if we can. >> [indiscernible] president trump: yes, i would like to see something happen soon. we have put together a task force at the white house with a lot of good talented people, a lot of people that understand both sides of the issue. you have two sides to this issue. they are coming to somewhat of a conclusion. they are meeting with the senate and the house. we would certainly like to see
that happen. >> [indiscernible] president trump: maybe. we are going to do what is right. i respect the nra greatly. they have supported me. i do, i have great respect for them. they love our country. i want to do what is right. i think the nra wants to do what is right too. >> mr. president, can you speak to your involvement in the vice president's plans to stay at a trump property in ireland? president trump: i had no involvement other than it is a great place. his family lives there, which is amazing. therehis family has lived for many decades. one of the first things that he said to me was he knew i had this terrific place in ireland. my familyou know, lives in that certain area. it is a beautiful area in
ireland. there,heard he was going but it wasn't my idea for him to go there, he went because his family is there. i did not suggest anything, nor with the attorney general. i have a lot of hotels all over the place. people use them because they are the best. you know, they are the best. i know the attorney general is using them. as i read in the paper. to this day i have spoken to him about it. people like my product, what can i tell you? can't help it. i guess they want to stay at a place that is better than someplace else. with mike pence, we never spoke about it. attorney general barr, we never spoke about it. that is what they choose. >> [indiscernible]
president trump: we will see. we are continuing to talk. we have been there 19 years. we have done tremendous work. we could win it very quickly. i have said this many times, if i am willing to kill 10 million people in a week, we could win it very quickly -- i am not looking to kill people in this case or any other case frankly. it has not been easy for our country because we are serving like policeman in afghanistan. we are talking to the taliban. we are talking to the government. it has been a long time. we have great soldiers, but they are not acting as soldiers, they are acting as policemen, and that is not their job. we would like to get a good proportion of them home. we also have nato troops there.
we are talking to the taliban. we are talking to the government. we are also talking to iran and we are talking to north korea. when i took over, i was given a lot of bad hands by previous administrations, and i say that as plural. i was given a lot of things. i was given north korea, whereas president obama said that would be the hardest problem. he said some very tough things about north korea, that he thought it was going to be a problem that has not turned out to be that kind of problem. who knows what will happen? but the relationship is good. iran, disaster. they were going to have a nuclear weapon shortly because of the agreement signed by john kerry and president obama. that agreement was expiring in a short time. cash --$1.8 million in
in cash -- you just can't do that. they paid $150 million. $150 million, think of that. how could you possibly do a thing like that? they paid all of that money in cash. you can't do it. made a crazy deal. --t people don't understand the deal is getting ready to expire in a short number of years. we will see what happens. iran is not the same country it was. not at all. not at all. take a look at the kind of money you are talking about, and look what we got for it. we got nothing. we got nothing. all of that money, and we got nothing.
all of those lives. so i think iran wants to talk strongly. i think a lot of people want to talk. i tell you, china wants to talk. anything else? >> on afghanistan, is there any scenario in which the telegram does not regain -- taliban does not regain control? president trump: i don't want to talk about it from that standpoint. we have been there 19 years almost. that is a long time. at some points could have won if we wanted to win. you look at other things we are involved in. where youple, iran, make a payment and you end up with nothing. we do things that are things that i disagree with.
we are making progress on all of it. the economy is doing well. even if if the economy didn't do well -- i would have to do the china thing anyway, because it was time. the united states cannot continue to lose $500 billion a year. this has gone on for many years. somebody should have done something. president obama should have, president bush should have, both bushes, but they left it to me. >> if the taliban were to regain ldn'tol in afghanistan, wou that take us back to where we were? president trump: i think it will be much different. i was not a fan of going in to the middle east. i thought it was a bad decision. now it has been proven. going into iraq has been a bad
decision, i said that for a long time. >> afghanistan? president trump: it could have been handled a lot differently. i think time has proven that. we are in major discussions. they may or may not happen. we are dealing with a government also. i you watchf a show called "60 -- two," two, years ago said heo, i remember he would not be able to sustain himself. we have to be there in order for them to sustain themselves. eventually we have to get out, so why is he saying that? that was two years ago, maybe longer. i watched that statement and it tells you something. that is not a good situation. that is basically the story.
we have a lot of things going that are very good. economy is doing great, but whether it did or not, the things we're doing are much more important. i think iran is going fine. i tell you they want to talk. they are in a much different position than when i came into office. they are the number one source -- were the number one source of terror in the world. the money they are getting to organizations has been down. the money since the previous administration, that has been long gone. and can be a great country north korea can be a great country. we are not looking for regime change. we have learned that lesson a long time ago. we will see what happens.
there is a lot of talking going on and maybe all of it will happen in some important details. theack on china, relationship with this nation was complicated. now tensions have escalated. president trump: i don't think it is complicated, i think it is simple. we can't be written off -- be ripped off by china. relationship is less complicated than before i came into the country. >> are you worried that china could possibly one day destabilize our economy? president trump: i'm not worried about it. they have approximately $1 trillion. that is a trickle compared to what we do. interest rates are low. we have never had more people
wanting to invest in our bonds. we are setting records. is the lowest interest rate we have ever been. we are paying a number i don't believe we have ever paid this low. soon.e refinancings due they will be oversubscribed like you have never seen before. tost of all, their debt has come due. if they do not want to re-up, we can refinance that easily. there has never been a time when more money was coming into our country. they want it for safety, for little interest, but they want the security and safety. we will have no trouble. we are in a really strong position. probably in terms of refinancing, the strongest position we have ever been in.
thank you everybody. >> if china decides to close down the south china sea, what could the united states do about it? there is the potential to do serious damage. president trump: i don't want to talk about that. we have some strong allies. we are doing allies big favors. we are spending a lot of money to help japan, to help south korea, the philippines. we spend a lot of money to help a lot of people. in many cases, these people don't do so much for us. we are helping a lot of people throughout the world that have never appreciated it. we have never had a leader that demanded they appreciate it . i am sending appreciate it. i think it is unlikely, but if something happens, you will be the first to know. okay? thank you everyone.