Pres. Trump on Federal Opioid Response Grants CSPAN September 5, 2019 2:47am-3:31am EDT
business and government interact with one another. have an antagonistic relationship, but also a collaborative relationship. the story of american history is one of public-private partnership, the ways they are unseen. i think this story is a great way to get into that. university of washington history professor discusses her book, "the code sunday night at 8:00 eastern on c-span's human day. q&a.span's announcer: president trump announced federal grants to combat the opioid crisis. theowing the announcement, president took questions from reporters about hurricane dorian, trade relations, and vice president pence's recent stay in ireland.
pres. trump: thank you very much for being with us at the white house for a very important announcement, something we have worked extremely hard on. the department of health and 1.8n services awarding billion dollars 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, but the emphasis over the last year and a half, these funds will be delivered to communities where they help those most -- where help is most needed. joining me as the secretary of redfield,obert director of the centers for disease control and prevention, and some other friends in the room that have been so instrumental will be introduced in a little while. devotion tor your building a drug-free future for our nation. it is a problem every country is having. most countries, certainly. firsthandthing i saw during the campaign and i could not believe when i looked at certain states in particular how bad it was. we want a safe and healthy future for every american
family, and that is 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 is the incredible thing. we think within a period of 10 years we will have that in quite good shape. we think may be ended. if you would have said ending the hiv epidemic within 10 years , people would not have known what you were even talking about and we would have said it to years ago. we are well on our way in reducing high drug prices. my administration is very focused on. we have had the best year we have had in 50 years. we brought drug pricing down this year, this last year, the first time has happened in 51 years. my administration is focused on confronting the health care and health care challenges and american suffering other
administrations frankly have forgotten. we are doing things other administrations did not focus on at all. thanng is more important defeating the opioid and addiction crisis. the $1.8 billion in funds we are awarding today will be distributed to all 50 states through the mental health services administration and the centers for disease control and prevention. they will be used to increase to medication and medication assisted treatment and mental health resources, which are critical for ending homelessness in getting people the help they deserve. so many problems are caused by this problem. these grants will also support state and local governments in obtaining high-quality data so we can help the most people and save the most lives, which is what we are doing.
my administration is determined to use every resource at our ofposal to smash the grip addiction. in 2017, my administration declared a nationwide public health emergency, directing agencies to use every resource theheir arsenal to overcome deadly plague of opioid abuse. we have secured a record $6 billion in new funding to respond to this emergency. last year we provided $90 million to prevent substance abuse. i signed the support for patients and communities act. the largest ever legislative effort to address a drug crisis in our nation. month, hhsof this awarded $9eported -- 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.
states have done an incredible job once they got the funds. we pass to the crib act which allows medicaid to help mothers and their babies who are born physically dependent on opioids by covering their care and 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 misusing prescription opioids. this campaign has already reached 58% of young adults. you will not see the results for a couple of years, but the results are going to be there. they are powerful ads. quickly, butsee it young people watching, we are putting them on the right programming. young people watching these ads,
what happens to people, very descriptively -- i think they are not going to be using drugs so easily. you will see the results in the future. to cut off the supply of ultra-lethal narcotics at the hasce, my administration prioritized stopping the influx of fentanyl from china. over the last week, i want to thank mexico, the mexican government, the great president of mexico for helping us. they had a record catch a week ago of fentanyl that came from china. as you know, we had mexican troops on our border and they are also bringing the numbers way down. is down over -- it 50% from last year. they are really making a lot of progress with the mexican
government has been great. soldiers from mexico guarding our border. if we would have the same help from the democrats, we could get legislation passed so easily, so quickly, that we would not even need that kind of help from mexico. we really do appreciate it. the first time mexico has helped us at the border. they are helping us in a big way, far bigger than anybody thought possible. we have stepped up enforcement actions, seizing more than 21,000 kilograms of heroin and nearly 8000 kilograms of fentanyl since the beginning of 2011. the biggest one was last week. our high intensity drug trafficking programming disrupted or dismantled drug trafficking organizations. the department of justice seized enough fentanyl to kill over 100,000 americans.
that is not much, if you look at -- it is a little bit, this much can kill 100,000 people. it is terrible. it is incredible. we are getting a lot of it stopped. the department is prosecuting more fentanyl traffickers than ever before. we have never prosecuted so many and we are going for the maximum penalty. which is a long time. most impacted by the crisis. as a result of our aggressive efforts at every level of government last year, americans experienced the first nationwide decline in drug overdose deaths in nearly three decades. we have brought down drug prices for prescription drugs. the overdose deaths, nearly three decades. that is something. the last two years, overdose deaths have fallen 24% in ohio, 24 percent in pennsylvania, 8% in west virginia, 60% in
kentucky, 10% in new hampshire. all areas that have incredible problems with exactly what we are talking about. the battle has only just begun. we must continue fighting side-by-side to stop the menace once and for all. 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, empowered to realize their full and unlimited potential. so many lives are stopped cold by drugs, whether it is death or just a ruined life, because in many cases, you have ruined lives because of drugs. they never recover. they never recover. i would like to ask secretary a's are to say a few words -- secretary azar to say a few words. it is a record number. people never thought we would see a thing like this. i want to thank everybody with
me today. secretary, a few words. thank you very much. president, forr. your dedication to this challenge. billionispersing $1.8 in grants to help states and local communities combat our nation's crisis of opioid addiction and overdose. it includes 932 million dollars in grants from the substance abuse and mental health services administration. to provide flexible funding for safe -- for state governments to support recovery services in ways that meet their needs. that can mean everything from expanding the use of medication in criminalatment justice settings, or rural areas via telemedicine. community based prevention efforts. in criminal justicerecovery supports like employment coaching.
support for the distribution of naloxone. this money will help state and local communities track overdose data and develop strategies that save lives. cdc has spread up its -- sped up its reporting. overdose data nationally was only published within a 12 month lag. we have gotten that down to six months. that's just one example of the results we have seen under this president. i year and a half ago i joined hampshire to, new launch his opioid plan.
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 1.27 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 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. 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 doctor by training. the attention we have given to 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. we are treating it as a public 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 work and at administration with 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 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 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. it was 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, where people go out and have a minor problem, a broken arm or a bad back, and they have bigger problems than ever. 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. any questions?
>> about the hurricanes, is there anything you are considering about mobilizing -- 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. so far, 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 direct 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. the the runways were not badly hurt except for tremendous debris.
we are clearing the runways. we have a tremendous amount of food brought in. we were set up well in puerto rico. we are taking supplies from other places, including florida, and bringing them over to the bahamas, where they need it very badly. >> you showed a map earlier of 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. each line being a model, in all 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. alabama was going to be hit 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 path was through florida. the original path people thought it was going to take was through florida, where on the right would have been georgia, alabama, etc. 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 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.
>> in the wake 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 the hands of sick, 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. those people are on the street, other than a few of the institutions for people that have very unbelievably severe mental illnesses. they closed them for cost reasons. it was during not great times. they closed them for cost reasons. i think it is a big problem. to certain extent, some of those institutions need to be opened up.
>> extending the waiting period 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 come up with something that is bipartisan. if you look at some of the more severe and comprehensive ideas being put forward, it wouldn't 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. mike, his family has lived there for many decades. one of the first things that he said to me was he knew i had this terrific place in ireland. he said, you know, my family lives in that certain area. it is a beautiful area in ireland. then i heard he was going there, 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 haven't 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. you pay $1.8 million in cash -- 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. they made a crazy deal. what 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 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. they fought, at some points could have won if we wanted to win. you look at other things we are involved in. as an example, iran, where you 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 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 control in afghanistan, wouldn't 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. if you watch a show called "60 minutes," two years ago, i remember he said 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 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. iran can be a great country and 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. >> back on china, the 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 ripped off by china. i think our 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.
we have refinancings due soon. they will be oversubscribed like you have never seen before. first of all, their debt has to 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.
>> a look at our live coverage for thursday. a top u.s. air force officer joins a panel of military contractors and scholars to talk about future technologies that could be used to modernize the military. later in the day, the chair of the joint chiefs of staff discusses strategy. military andm the federal agencies and contractors discuss cybersecurity, artificial intelligence, and military applications for space. on c-span3, cybersecurity officers of a form on preventing cyber attacks on elections, individuals, and of -- companies.
what is your vision and 2020? is asking 2020 students, what issue do you was -- most want to see presidential candidates addressed during the campaign? this is a competition for middle and high school students. with $100,000 on total cash prizes. students are asked to produce a short video documentary. and reflectan video differing points of view. more information on our website. >> a look at a headline from the bbc yesterday. boris johnson's call for general after severalted hours of debate in the house of commons that resulted in members
voting to block a no deal brexit and forced the prime minister to seek an extension beyond the deadline of october 31. for more on what happened in the british parliament and what is next, we spoke with a reporter in london. >> jason douglas has been following today's developments and is on the phone from london. first, can you explain exactly what unfolded and why today? jason: sure. a couple of things happened. two big votes in the house of commons here in london. both were defeats for prime minister boris johnson. the first was a proposal that will effectively extend the brexit deadline once again if mr. johnson cannot renegotiate terms of the u.k.'s withdrawal with the europea