to help them along the path to recovery? dr. campopiano: you would think losing everything would be an incentive. , necessarily. you can lose your home, lose the trust of your friends and family and still not be able to change your behavior. >> what i am looking for is the support these people need from their family and friends. the fourd distract families throughout the country. the fourso distract the families throughout the country. give us some examples, please. campopiano: desire to be the

son or daughter you set out to be at one point in life. they hope that can be created for you within your family again. people arege that not going to give up on you or throw you away. that hasere is so much been discussed here today about ingost-detox med that's help folks get back. compliant,one is on how do you engage them said they see there is an incentive for themselves to be compliant. how do you do that? dr. peirce? dr. peirce: i think families can do that. because i think one of the things they can do as they can

insist the patient's goat to treatment. they cannot refuse to give a support a family would give. we call that enabling. tough love. if you give money to someone who has an active addiction you are more likely to see the addiction than treatment. so, and understanding about the availability of treatment, the insistence that treatment is necessary and as someone lives they need to return, and continued monitoring. in the context of all that love and care, it can go toward promoting health and set of promoting estrangement and poor health. >> thank you. >> thank you, i recognize my colleague from connecticut and john sarbanes from delaware. -- maryland. excuse me. >> thank you so much. i am going to yield 30 seconds.

>> thank you for it yielding. very quickly, i represent baltimore city. you have alluded to it many times and it has obviously been an important is for research and progress. i recommend you submit in , im interested in this idea that we treat this as an epidemic. you alluded to a cholera epidemic, i would the curious to conclusions with other epidemics. if you could submit that that would be wonderful. a your back my time. -- i yield back my time. everyone.to thank in connecticut we have seen a germanic increase. we have had over 300 deaths and hasn my district and it

been the epicenter. i started these issues as a state representative. we have seen an explosive increase and it is a grave concern. a couple of questions i want to lay out. talkedpton, yulia and i before hand. can you talk about what we can fiction lessees. i look at my kids who got when they had was some teeth extracted, the same amount when my brother-in-law had his hip shattered, he got will stop a need some ability to write-size prescriptions. is there research being done on management?in is there research being done on dig ofdid if -- less, a non-opioid or less a dig if --

less addictive -- opoiods? we know what we're doing, we know what works, but it is not being used everywhere. we want to get this in the hands of our communities, our states, and the people the represent. to be the parents and they want to be. to have a brave future. i look forward to your responses. >> as you mentioned, figuring out how to make sure the number of pills prescribed is the number people really need is a key ingredient in all medical care. it is particularly true of having them left in our medicine cabinets can create a pathway to their use.

you raised a number of questions. there are medical conditions for which there is vertically declared evidence that opioids is generally not used. removal responds well to ibuprofen. it may produce a reduction in the inflammation which is part of the in. as opposed to opioid, which only takes away the pain. it should not pay the first choice in that setting. in many health conditions, we have a very few studies to help guide the decision. so the boundary is not nearly as clear-cut as we would like it to be. you asked about alternative gain

management. the nih has a number of studies looking at alternate approaches. cognitive therapy. mindfulness training. as a cold therapy. -- physical therapy. when we think of not opioids, of course this is a very large market. there's an awful lot of people with pain. whether that's a short-term or long-term pain. it's a potential very lucrative pharmaceutical market and there are a number of companies looking for new products in this area. that's just a quick version but i agree with you the idea of rightsizing the prescription is key. i wish i'd a clear answer for every clinical condition but we don't. we are working on trying to make a better. >> to speak to the question of how we can increase evidence-based care from the policy side i think you can't inform people of the evidence-based care available.

you can't expect it. you can benchmark treatment. you can say i need to see what your drug use rates are. i need to see you treat your patients. you can help to reduce stigma in seeking treatment. it is so difficult their part of the recent methadone clinics look like what you saw is because people don't want them in the neighborhood because they think they are terrible people. we need to reduce that in order to increase the effective treatment. >> thank you very much. my time is out. >> i yield five minutes to the gentleman from pennsylvania. >> i want to thank our co-chairs for organizing this task force to begin with and to doing all the work and the staff on putting this together. i thank the witnesses for coming in today to help educate us in the american people. a couple of questions. dr. compton, you use the term idu, injection drug users. i did want employment

verification because from what i understand harewood is not necessarily an injectable, it is injectable but there's also snorting, smoking going on. i'm wondering if you can educate me a little bit about what percent of harewood out there is being snorted versus smoked versus injected? >> i don't precisely know the percentage for the passionate each router i will go back and see if i can find a specific answer to that. we know all those routes are commonly used. it's typical that an adequate progress from the non-injection routes towards injection. injection is more efficient as a drug delivery system because it gets into your body quicker and more completely than when it is either taken by mouth or snorted or smoked. all of those routes can be used.

typically when people start out they may start out with snorting or taking it by mouth as the first ways of using almost all the substances. >> in your field when you talk about idu, you're talking about a drug that can be injected but is delivered to these other mechanisms as well? >> injection drug use means that specifically, but typically people use drugs by injection also use the other routes of administration. >> are you satisfied with the current prescription guidelines for opioids? >> we have anecdotes. i was talking with a parent the other day who their son had shoulder surgery and they gave them a 45 day supply. the mother didn't think that was appropriate and she asked for

less. this is being looked at. can we expect there will be changes and guidelines? first object of member guidelines are just that. they are not rules, not regulations. they are advice to physicians or prescribers within interpreter based on their own clinical situation. but i certainly agree with you that we see the opioids are overprescribed in very many settings. finding ways to teach clinicians about smarter ways to approach their patients and get them down to the minimum that's needed rather than the maximum that they may require. >> dr. campopiano, this quote, i don't have any of those people in my practice. when you talk to your colleagu colleagues, i guess i'm looking for some particles perhaps that might exist within, on the counselor side of things and in informing physicians.

under the 42 cfr part two privacy regulation, covered in jelly of drug and alcohol abuse records from drug treatment facility are required to be kept private from primary care physicians. this can lead to a situation with a primary care physician doesn't know what's going on. are their protocols in place where somebody comes in for counseling and the counselor knows that they should ask the patient whether they would like this to be communicated to their pcp? >> there's two approaches to that situation. one is that particularly when you are prescribing medications -- medication-assisted treatment, the treatment provider has an obligation to coordinate care for the safety of the person who could be treated with the drugs that would interact with the opiates or be dangerous with the opiates if the prescribing methadone or buprenorphine. the other treating physician

should know. the physician or other prescriber who is treating the person's opiate disorder does need to coordinate care. they must have the individual agreement to do that. there's a matching responsibility on the part of urgent care, and our consumers, primary care doctors to ask about and identify substance use disorder. and the protocol for that is the screen pre-intervention referral to treatment about the that both nida and samhsa have abdicated for. >> image of the 1400 certified programs. as these programs are certified is there any effectiveness requirement that has to be demonstrated? how do we measure the effectiveness of any one of these 1400 programs?

>> the regulations that specifically require that when asked about outcomes. we are looking into developing a process that would tie certification and recertification to patient outcomes. the regulations were put in place at a time with a technological infrastructure and the understanding of what the outcomes could be was limited. >> is very consistency among certified programs looking at the medical side, a counseling side, we do expect to go to any one of these 1400 certified programs in the country can see the same model? >> i would. and the reason i can say that -- >> dr. peirce is shaking her head. >> i would at the basis of it. because these programs are accredited by private nonprofit organizations in addition to being certified by the federal government. so while we at a samhsa don't have a step to go and visit

every individual program, they are required to be accredited by nonprofit organizations every three years. >> my time has expired. thank you. >> thank you and i like to recognize my colleague, representative norcross from new jersey. >> thank you. appreciate the chair putting this together because what we're talking about today is the disease of addiction. complex, long-term, and it's certainly not one size fits all when we look at this. one of our former colleagues, patrick kennedy, i have to compliment him, about bringing the disease of addiction out of the closet so we can have this discussion in a forum like we have here today. heroin and the opm epidemic of which was thought to be an urban issue. it was them. we didn't have to worry about it. lo and behold it's in the suburbs and all the kids with great families are now india been a very difficult situation.

and creating havoc for families. new jersey, we did the mobile methadone clinics. we did the needle exchange. we were one of 11 states to do not can it have over 1000 cities already with the nasal. because as we'r we were debatini was serving in the state legislature, are we enabling them? you're just making it easier. we are trying to save their lives. so they had that moment of clarity, maybe it's one time, maybe it's five times but if you were that kid and their parents you want to make sure they have that opportunity. but i want to bring all this back because treatment and jails, we're spending plenty of money. we're spending it on jails instead of treatment for the nonviolent offender. what i want to ask you, and i haven't heard it yet, this is a lifelong issue. it doesn't always like a broken arm. what do you consider a recovery?

is at six months, six years, 60 years? i'm not hearing any of that discussion on what we are considering a win. what each of you comment on that? >> there's been some interesting work looking at when can you say the summit has a high likelihood of her many abstinent for future years. there's a nice long-term study out of chicago illinois done by chris scott and mike dennis. they followed persons administered to the public treatment system and also them for about 10 years. they found after about three years or so of abstinence that the chances of remaining clean and sober for the next year are markedly increased that that tells you it has been quite a number of years for the accumulation of stability in the right to say somebody that is likely to remain in recovery long-term. even then i can give you a guarantee. that's why we --

>> that's exactly the point i want to make. there are no guarantees. please. >> if i could comment as well. i think recovery is function. the ability to function at your pre-drug use level, or close to it, as in of a society, as an employed person, as a. no, as a responsible adult child able to take your of your older parents, to fulfill those social roles. and cannot be defined by the illness of addiction is recovering. and how long it takes and what shape it takes is very individual. and what resources somebody needs to get there is going to depend on how far they got from their previous level of a social function, whether or not they have a criminal record now. and whether or not they are closed from seeking employment

in certain fields or fields in which they trained originally. but being able to be and employed, housed, dignified person who can fulfill your roles in your family i think are what makes recovery. >> would you consider that at risk for the rest of their lives? >> i think can from the point of view from a position come together it's like a good cancer once, i'm going to kind of consider you to be at high risk for relapse. we may say you've got five years until you're cured but i'm going to keep a close eye on you. that is just the medical thinking i would've liked. >> thank you. dr. peirce. >> one of the things i would've said is it's important to recognize that whatever recovery is for a given person, people can live well in recovery. they can live a long, happy, fulfilled life in recovery. the fact that we have such a stigma associated with a history

of opioid or other drug addiction and with recovery makes that a problem. someone needs to be able to sit i've been recovery of things are doing great, or having access to i'm in recovery and things are dealing at the beginning to slip. how can i get back on track? the importance is thinking about themselves as a person who is living well in recovery. >> and bringing it out of the closet and that's what this is doing. i yield back. >> i now recognize the gentlelady from virginia for five minutes. >> thank you, i don't want to thank my colleagues for this important hearing. i know we all share a concern about this growing epidemic that we are seen throughout our districts. my district is in northern virginia and to northern virginia and a star try to run the cia and stretches all the way out to the west virginia border. we first started seeing this problem out in winchester in the

western part of the district and now it's moving east and we are seeing it through out. with several task forces working on this. one of the things that has been one of most difficult thing constantly of the things i can't say what's most difficult to see, but one of the things that is truly heartbreaking we are seeing is out in our hospitals, the neonatal units seen babies born addicted. and very difficult treatments and things to get those babies okay, you know, when they had that situation. i know there was a little bit of mention of how to treat somebody who's pregnant if you can get them, what are some of the best practices. we have pieces of legislation in that area to look at best practices and what we can do, both for the mother as well as for the baby, if any of you might have some thoughts on th

that. >> the are two key issues to me. one is, what do we do to prevent that, as much as possible. so how do we minimize exposure to opioid for those that are taking thematically or extra medically, and get pregnant women into treatment when it's identified. but the other issue is, is to improve the treatment for the newborn. but then the second is not to think that it ends right there because there may be long-term issues for the family that needs attention. so what are the support for the infant as it grows and develops into household. those are some of the long-term issues that need to be attended to as well. >> the important thing and sometimes challenging thing is that pregnant women with opiate this order it needs to go medication assisted treatment. at this point in time we don't

evidence for safety so we can't recommend it. but buprenorphine and methadone are both demonstrated safe and effective. what sometimes happens is that women are encouraged to seek treatment while they are pregnant at that encouraged to get off of medication-assisted treatment after they have given birth. and what happens is they relapse. just because the baby is on the outside of the body doesn't mean that that baby isn't any better shape to into her parental relapse than during the pregnancy. so watching out that we don't have policies and procedures in place that make it more difficult for women who are parenting to receive medication-assisted treatment. paring services for the infant and the parent, mother or father, making sure that medication-assisted treatment is delivered in a child friendly

way, which can be difficult because we tend to be very cautious when we are dispensing controlled substances for a person to ingest, our tendency is no not to want children in tt department. but if this person is a parent, they need to be there and they need to be there safely. will eventually encouraging breast-feeding among opiate dependent women who are stable on medication-assisted treatment can improve the bonding in the parent-child relationship. and -- >> and there's no problem there for the baby with the breastmilk? >> well, the medication is generally in the breastmilk to a tiny extent, and this may actually help mitigate the withdrawal for the infant. >> okay. >> at the mom has to be stable. she can be using any of the drugs, and care has to be taken with whether she may be on

medications for other medical conditions or psychiatric conditions when the decision to breast-feed is me. it should be encouraged and women were stable in medication-assisted treatment. >> okay. thank you, mr. chairman. i yield back. thank you for the work you were doing in this area. appreciate you being here today. >> i now recognize the gentleman from pennsylvania for five minutes. >> thank you. i want to thank congressman giunta and congresswoman custer for sharing this important task force. and i can say from my experience, used to be a county official, usually what i would read about as relates to the heroin epidemic related to policy making from the law enforcement side or the treatment and recovery side. and what i would like to ask you for your feedback on, and i ask this with a constituent company and my district, adalat

corporation who is in the process of r&d and product ago by what is termed abuse deterrent, oxycodone products. what your suggestions, recommendations are an observation are with respect to preventing certain instances of opioid abuse in the first instance by designing these of drugs, which many do have a medical value, by designing them in such a way to strip it of its euphoric effect so that we are not introducing certain patients to potential abuse on the back end because they never experienced the euphoric effect on the front and. and with that at like it to be open-ended for all three of you to comment as you find

appropriate. >> certainly the development of abuse deterrent formulations could be helpful in reducing the progression from oral, taking my mouth to either taking my nose or injecting a drug. but it won't necessarily a lemonade the euphoria of the pleasure of the reinforcement that people get from them oral form. so that is one of the shortcomings of most of the current technologies. i do think that means we need to keep looking at analgesics, that means painkillers, that are effective but don't produce at all the intoxication or reward or reinforcement. that's different from simply making sure that it isn't dissolvable and can't be injected. it has to do with a more fundamental nature of how our brains work. >> i will say from the clinical side that this is something we deal with in a

medication-assisted treatment treatment program and there are many treatments out there for pain because her patients to paint even though they're on methadone. and we use a lot of non-opiate or capital. receptor medications that are more helpful and do not run the risk of abuse. when people have very limited acute pain, they might need opioids even while on methadone and that we monitor that closely. we coordinate with their prescribing provider. we follow the pdmp. there are lots of ways to manage that even for someone who already has an addiction. >> i think the other piece come at the technology is very exciting, and i'm sure there will be a place for it. i think the other piece is about how providers are educated and

prepared to help patients deal with pain. after speaking more from the point of view of treating people with opiate use disorder who, unfortunately, had painful medical condition, a broken bone, a cancer diagnosis, and did not want to take additional opiates. they felt it would compromise their recovery. and it was a difficult to find providers are willing to work with people on what the role of pain was in their illness, other ways to cope with it. instead of just kind of throwing a prescription at it. it generally felt to me it was supposed to be treating their addiction, not the pain to help them deal with how do you accommodate with this problem in terms of how you function or how you live your life, o what can u expect from, say, ibuprofen or tylenol for pain relief.

..technology been exciting or te potential to be exciting, could you expound upon that a little more. maybe i'm just a science geek, but i think that the idea that you could have a drug that should it fall into the wrong hands, not the abusable, is an exciting reality of where we are at with technology. it is a plus. it is probably not going to be the only solution. needs to be part of the solution. >> i am not a science geek, but i find it exciting, too. particularly when you read about the number of stories of those who have been caught up in this absolutely terrible circumstance. the abuse terrible kirk couple stance and consequences of abuse but never been there for being injured ani having pain in the first place and having it been in downward

cycle there, and i look forward to learning more about the technology and hope, i think we all hope we'll continue to progress in a way that will enable those opportunities so we can avoid some of the abuse that does occur, i yield back, thank you. >> thank the gentleman. i would like to recognize thed h gentleman from maine for five minutes. >> thank you, mr. chair, appreciate it very much. i like to further explore somei of the issues we talked about a short time ago if i may, folks. we're in the belief, government shows passion for those that truly, truly need our help. let's say you have a terrific young adult is doing well and learning a trade in community college and is living at home and for some reason, somehow,

gets wrapped up with maybe thema wrong people. parents seem to say that, right? the wrong people or gets mixed up with opiates or alcohol or, n what have you and now the parent is in one heck of a mess along with the child. what do you do? how do you enable that child?y h say the child goes through treatment. of course we all know that, that dealing with individuals that really need help, they have to first recognize they need help, right? after that make sure they go through a process to get thegh p help and when they get out of a detox situation make sure they have ongoing treatment, based oe they discussion we've had todar and all theea knowledge we haven this area. but what if this individualis i falls back and you've told us here today that the probability of that happening is quite high. so let's say you're a guardian and you take your daughter, your son or the person you'reble responsible for helping out to

lunch three times a week, just to make sure they have somethinh good in their belly to last them over and they show up at lunch n or knocking on car window clearly high? now we've talked all about this treatment using drugs and sousin forth and so on but what about the support system? remember now this individual may now be getting assistance for hoisting and heat and food and clothing and may have a small cash allowance that enables that individual to have freedom to purchase whatever he or she wants. how do you make sure those individualsls continue to stay on the path to recovery so they don't slip back? how does that support group that is so important for these individuals to fully recover so they're productive and have dignity of being on their own and independent, how help them?t what support group,

dr. campopiano, how do you help the support group to help support these people? >> there is well-known 12-step recovery movement that has helped more people than i think we can possibly know. that can't be overemphasized and is fully compatible with medication assisted treatment and principle if that earnould person should need medication in addition to recovery support from peers.orma that said a more formal peer recoverly support model has demonstrated to to be effective. you call somebody up, this is what i did when that happens. >> doctor, do you think that our government programs that are designed to help these folks that we just love so much, we

wantnt so badly to help, do you think they are designed to make sure the individuals have incentives to follow a path of healthy behavior? >> that question might be a little bit broad but i think so >> good. >> the challenge i think is that we collectively live in a society that doesn't really doso that. sothat if you have a program whe for a few hours a day or a few hours a week you get support and encouragement and go out in thet world where people treat you -- >> if i may, we're down to a short period of time here, mr. chair. you treat people, folks on a private practice basis. let's say one of your patients comes in has been following aheg

regimen of treatment but comes in high or misses an appointment or two, what is ingrained in our programs to hold that individual accountable, to get that individual back on track? >> i think that it's honest confrontation of the behavior. if, as the treatment provider or the health care provider, if you are unprepared to deal with it, you feel it is easier, less scary to kind of ignore it or send them away, let them come back when they pull themesselves together, pretend it never happened you're dog a disservice.e. doesn't, it seems like, i'm guessing, i know dr. compton, you want to hop in here if it is possible, mr. guinta, seems we need more focus on the programs we provide to make sure we hold the folks

accountable for healthy behavior. agree with you. we have models like dr. pearce which show you can enforce rules in consistent way which is not punitive but expectable and predictable and set limits on behaviors. but it does require monitoring for fractions of rules. you have to do appropriate intermittent to catch people when they have done something wrong but model behavior and these are done by drug courts at times and others that combine opportunity for chose monitoring and enforcement along with the compassion and services people u need. >> thank you, very, very much. mr. chair. >> thank the gentleman from maine. yield two minutes to the chair from the task force, the gentlelady from new hampshire. >> thanks to everyone that participated, to my colleagues

and the panel, distinguished guests, this is a challenging topic and challenging problem for communities all across theut country. the the rapid rise of heroin-red deaths is truly staggering and i think what we node to do is educate ourselves as legislator and educate communities so people begin to understand the elements of prevention, treatment and lifelong recovery. and the resources that are noded in our communities. this testimony has demonstrated the challenges that we face, treating patients who suffer from substance abuse disorders but also areas of promise. and i think there is hope. today i had a conversation, i was adoption attorney for 25 years and one of my patients,on one of my clients many, manyears years ago had a truly remarkable and very challenging and circumstance and i was able to be a part of her life at a time when she took control of her

life. but she called me today. she not only has been in recovery for eight years but she is opening a center for women to be able to live in recovery in a safe space and get resources and support that they need. and i'm very enthused and buoyed by that story and by many, many others of the people that i have met, people themselves who have been in recovery a long time and coming to the for to address this challenge. hav this epidemic struck across gender, racial, socioeconomic lines and partisan lines. this is not a partisan issue and it is our duty aseric representatives to take action for the american people. i look forward to working with my colleagues on the task force combat the heroin epidemic

and build legislation and build ideas and share ideas for how wn do best practice and encourage more treatment with scientifically-based sound performance guidelines. how we can deal with these issues around prescription medication and making sure thati our prescription drug monitoring is robust. the bill that congressman guinta and i, stop abuse act, doest in include a provision for interstate compliance with prescription drug monitoringtion because we are in a small state surrounded by the other new england states and we learned from hots and physicians and treatment providers that people are shopping across state lines if you will. but on a number of fronts we can work together, work with law enforcement and with health carl providers and start to begin to bend the curve as you said,

dr. compton. those i h were dramatic slides i hope we get those up and share those with our constituents and people across the country so people understanding urgency anh they understand there are steps we can take and we'll take in next six months to help people's lives around thank you for being here. >> i wouldwoul like to yield two minutes to myself as well. i would like to thank dr. compton, dr. campop-iano and dr. pierce as well. i would like to thank thethe co-chair of the bipartisan tack force, congresswoman cues sistem and members of the tack force, 50 members of congress. more and more members thankfully are understanding the concern not just from what we're

accomplishing here in washington but from their constituents as well. i think we learned a whole host of new ways we help the prescription side of this particular issue. as we continue to look at legislation and how we can help at a federal level to integrate what we're trying to do with the stop abuse act we may call upon you to help us in that, in that challenge. i also see one of the key significant components is eliminating the stigmatism.atis i have gone through this in my life because i have a familygone member who has a mental illness and stigmatism that is still associated with mental illness is just as bad as substance abuse. that wewe have to continue to inform and make people away that this is a disease and this is something we can attack and help. i hope this year we can pass the stop abuse act. there are several components of the act i think would doctor mat

i cannily help those -- dramatically assist family members out of the deep dive they're in.nfor we inform those of our districts and around the nation how pervasive the epidemic is. if you think about it, whether from a national perspective or a new hampshire perspective, heroin abuse in the united states has reached unprecedented levels. it has increased 63% over the last decade. when you see something of that significance, an increase that quickly you would consider that a national epidemic. new hampshire alone, we have doubled from 2004 to 2013 number of state-based inpatientals individuals to 1500. we hadwe h thousands of overdose this is year and we had 400 deaths related to drug abuse and drug overdose.

i'm interested and i know chaird kuster is also interested not just solving this crisis but planning for the next one so we can be proactive saving as many lives as we possibly can. i thank you for for the time yoe given us today. we'll be announcing our next hearing next couple weeks and wh look forward to working withco everyone of you in combating this heroin epidemic in. with that our time has expired for the afternoon. thank you for being here. we are now closed. >> the house armed services committee holds a hearing today on u.s. policy in the

middle east. the witnesses are former acting cia director michael morale and former undersecretary, michael vickers. that is live at 10:00 a.m. eastern on c-span3. also today, governor chris christie delivers his annual state of the state address to the new jersey legislature. that is live at 3:00 eastern on c-span3. and president obama heads to capitol hill tonight for his last state of the union address before a joint session of congress. our live coverage begins 8:00 p.m. eastern on c-span. >> booker t said to him, you know, we have college age kids covered here in alabama but it is really the kids in the elementary schools that are suffering. they're just not, african-american kids are getting poor education, horrible

buildings, everything separate but not equal. >> sunday night on "q&a" she talks about her latest film, rosen walled, about juice jail just rosenof the wald partnership with booker t. washington and african-americans in the south to bring elementary education to children in rural america. >> they put together these kid houses. why don't we just used kid houses? the best thing booker t washington ever did said no, no, just like tuskegee, i want communities to build it. first the six schools were built. that is really amazing. but it morphed to 5,000 schools across the south including maryland. >> sunday night eastern on c spann's q&a.

>> the new hampshire primary is set for february 9th. ohio governor and republican presidential john kasich recently visited the state taking questions from voters in a town hall event. >> good evening, everybody. good evening, welcome to exeter. my name is john sununu. for six years i pleasure

representing exeter in and the state of new hampshire in the united states senate. my pleasure to introduce governor john kasich to welcome you all to our town hall meetings. i invite you to stand and pledge for the allegiance. i pledge to the flag of the united states of america and to @the republic for which it stands, one nation, under god, indivisible, with liberty and justice for all. i should also begin by both embarrassing and welcoming my wife and daughter to the town hall meeting. i do that because if i don't my mother will find out about it and she won't, she won't talk to me. i first got to know john kasich in 1996 when i was elected to congress representing exeter in the first district of new hampshire. i was assign sod to the budget

committee. he was the chairman. when i first met him this is was kind of leader i want to emulate. he was tough and conservative and absolutely determined to balance the budget. he was unconventional, no question about it, but he was able to get people to do things they themselves didn't think they could do. he believed in the importance of leaving something better for our children and grandchildren than what we found. that is what led him to lead the drive to balance the budget for the first time in a generation in 1997. we cut taxes. we balanced that budget. we reformed entitlements. we left no stone unturned. there wasn't, there wasn't a single special interest that had anything to say about it. we did it. he led the effort because he knew it was the right thing for the country and of course for the people of ohio that he represented. he left congress. worked in the private sector. was a great television star on

fox as he will tell you. and then he knew he had more work to do. he went back to ohio. ran for governor and as governor in ohio he has done the same thing, provide the kind of tough, conservative leadership that delivers results. it is not about talking, it is about doing things that matter for people you're representing. he cut taxes, he balanced budget. they restored 350,000 new jobs in ohio. they have reformed entitlements. they made their health care system work better. they privatize services when it makes sense and given power back to the local governments. that is the kind of leadership that i have always respected in my public service life and i think that's the kind of leadership we need in america today. someone who not just make as good speech, not just has good ideas but knows how to get things done, knows how to turn ideas into results.

that is the kind of president i want and i believe that is the kind of president john kasich will be. ladies and gentlemen, john kasich. [applause] >> is this the most bizarre place you can ever imagine? it is friday night and you're all gathered like this. what is wrong with i people, huh? we're not passing out canned hams tonight. we're all out and we passed out the cake for our 50th town hall meeting. but we'll have a surprise the next time but i'm not telling you. anyway, thank you all for coming. how about a round of applause for john sununu and his service. [applause] and of course we have the great gordon humphrey here, a blast from the past. where's gordon?

[applause] stick your head in here. i want to really, seriously i want to thank you for coming. i will be try to be short here and take some questions and i try to answer those short. if both of those things happen, there will be miracles occurring here in this place. i just want to tell you a little bit about myself because john did a beautiful job talking about the need to look at problems and fix them without regard to getting people upset. you can't operate that way. so why do i do things that way? i want you to understand. my father was a mailman. he carried mail on his back and his father was a coal miner and my grandfather died of black lung and he was losing his eyesight as he got older. tough family of most of them

never graduated from high school. one of my uncles fought in iwo jima. it is remarkable story of america. my mother, her mother lived with us. she could barely speak english. she was a immigrant from yugoslavia. my mother was a lady that always said, johnny tell it like it is and always make the place you were a little better off from the fact you were there. as i like to say she was a pioneer in talk radio. when the radio would broadcast, she would yell at the radio. kitty, i don't know if you heard this story but, when they started to call in on radio we had, my mother and i would listen. i learned a lot from my mom. and we had two phones in our house. we had one in the kitchen and one upstairs in the bedroom. some of you will relate to this. when we made long distance calls we had to time ourselves?

remember those days? they time themselves how long they're not on the phone but, so one time my mother heard this incredible argument going on and she wanted me to hear it. it was an amazing debate. so i wasn't in the kitchen. she went room to room and finally burst into her bedroom and i was person on the phone arguing with the announcer. [laughter]. that is called foreshadowing, kitty. anyway the to ini grew up in was all blue-collar. when time came for them to retire they just closed the mill down. sound familiar? so a lot of people in the country felt and always felt to a degree that if you're powerful, if you are special interests, if you're rich, you get what you want and everybody else kind of gets what's left over. see i've been elected since i was very young. nobody in my family could ever figure it out and frankly i've

been blessed and given a lot of opportunities. in my mind's eye, i come from there. i fight for people who usually don't have anybody to fight for them. when, we didn't get -- i grew up in pittsburgh. we didn't get tickets for the steelers game. too hard to get. didn't think about it. baseball game, my dad and i would go on labor day. why did we go on labor day? no, it costs but how many games do they have on labor day? two. we sit in right field bleachers, the box seats? i never dreamt bit. i never want to tear anybody down, but i felt people who play by the rules, god-fearing, common sense need to have a voice. so i got into politics for one basic reason, to lift everybody, give everybody a voice and everybody a chance.

a lot of people run away from their records. i want you to study my record because it's a record of accomplishment but a record of putting teams together. nobody does anything great by themselves. you have to do things in a team and i've been fortunate enough to have enough people come around to be part of something for all of us that is bigger than ourselves. in washington john and i worked to balance the federal budget. why did we do it? one, we didn't want kids to have to pay this $58,000 a kid because that's immoral. how do we put that on our grandchildren? the second reason is, if we balance a budget we create certainty, then if we create certainty we create jobs. job creators make decisions to invest. my greatest moral purpose is to make sure we have a job-creating environment when i left washington after getting the budget balanced and cutting taxes, the economy was zooming. we paid down half a trillion

dollars of the national debt and we had a balanced budget four years in a row. that is not a movie in theater that is fantasy. it actually happened. and i left washington. the whole thing fell apart. nobody associate in the breach to say no. then i went, you know went into the private sector for 10 years. was having a great time. i felt called back to public service. my state was dying. i don't need to get through all of that, but let me tell you where we are today. after five years we have grown private sector employment by 385,000 jobs. that's 385,000 families that have been helped. isn't that great? made my going back to politics worth it. [applause] they're running a $2 billion surplus. our credit is rock solid. our pensions are solid. but the other thing you need to know is we've done better

economically. if you're mentally ill, if you're drug addicted, if you're developmentally disabled, if you're working poor, member of the minority community, we're helping you. because i believe as conservatives, and i believe as republicans, everybody must have a chance to rise. not a gift, but everybody should have the opportunity to live out their god-given purpose. i think opportunity is what it's all about. i also think as conservatives we have to be more comfortable in terms of what we're for than what we're against because ideas power everything. ideas are excitement, they're innovative. they're new, they're refreshing and that's what we do as president the formula i used in washington and ohio is a formula needs to be repeated. common sense regulations, balanced budgets, simplify the

tax code, get back to common concerns. hire people that make sure they work for you, you don't work for them. special interests, nice to hear you, have a nice day but at the end of the day we have a job to do. so let me stop. i will take polite applause and you can ask me questions. [applause] you have your hand up first. what do you got? what is on your mind. >> [inaudible] >> just yell. >> i have a question about paid sick leave. i have a cronic health condition and i actually had to take a year-and-a-half off in college. i just graduated this past may. luckily my parents could support me for the year-and-a-half.

now i'm in the workforce and even if my job is guaranteed when i take time off, i have to choose between health and finances, being able to support myself. what would you, what would you do for people like me? i know it is not just myself as a young person. it's people of all ages have chronic health issues so. >> i don't know. what do you think we should do? >> personally i think -- >> because you're able-bodied, you played by the rules, you got sick and irnot in the workforce and you're like being penalized because you're not getting experience. that is a really hard problem. >> yeah it is. >> what would you like to see? >> personally i would like to see, i think, working comp -- >> we have workers comp.

>> i would like to see both the employer and the employee take responsibility in this case. maybe a couple dollars out of their paychecks. >> in workerscom, if you work for a company you get sick and you get help. we managed our workerscom in ohio. -- workers comp. >> i think solid paid sick leave. >> only thing i i would tell you, i like to think about it. only thing i tell you we have town halls with small business people. how many people run a small business. you run a small business, if i tell this guy he will have so start paying more in taxes he may have to go out of business or start laying people off. we have to think about the way we could address it. i hate to stand here with the first question i don't have a good answer. i don't think you want me to stand here to make something up because that's not right. but i want to think about it. if you do work for a company and

you get sick, we do have workers comp. i want to go back to that. in ohio it was total mess. we have now rebate i think it is about $2 billion in workers comp to businesses and particularly helps the small business. yet people are being taken care of, people are being helped who are sick. one thing everybody here would say is anybody who through no fault of their own gets sick or has problems or is poor or whatever, if they can't work, we're all going to pitch in, am i right? that is the american way. in this case this is even more of a issue because you want to go to work, right, and you can't and you finding yourself in a tough situation. let me think about it. if you have some ideas, we would like to hear them from you as well, okay? tonight i may not know the answer to some things, but what i do in my job i get people around, like i'm going to tell you one of the problems we have today. a 51-year-old man or woman that

loses their job. where do they go? and i've asked my people to think about how we can retribe them. and how can we do it effectively. there are only some dollars to go around. we have to create priorities. we have to think innovatively. can we train them? we can train them through community college but what if they don't have any money? can we train them online and hook emup with those jobs and train them to find those jobs. should the federal government come inwith a program to all these people displaced in their jobs because of a changing economy from 20th century to the 21st century. the key to solving our problems, the ones that are vexing, look them square in the eyes saying can we fix it. if we don't have a answer. how do we turn it, twist it, think about it such a way to

develop the solution. if you worry about who you're going to make mad, it isn't going to work. so you can't worry about that. if irgoing to be in a situation where people are angry with i because you did something, that's life because i have to tell you, i've been holding public office for a long time. and my legacy, for my goal, and i have to let you in on a little secret, the republican party is my vehicle, not my master. [applause] the only person -- the only person i take orders from is my wife, okay? now that my duartes are going to turn 16, they're starting to give me orders. i'm not taking many of them. but the point is, look and solve problems. that's what we try to do. thanks for asking the question. yes, sir, right there. >> [inaudible] >> none of these microphones work.

where is mr. microphone when we need it? remember that when we he were kids. my mother took that away from me and my dad. >> i will respond to that i'm 61. i had a stroke a year ago. i went back to school thanks to vocational rehab in new hampshire. i got retrained and certified in photoshop and other adobe products and month ago i got a job. [applause] at 61. >> of course. you don't look 61. >> ah. >> then again i'm running for president so. [laughter] >> yeah, but i got friends here that no i am. i just wanted to ask you this question if i could. renewable energy. companies got a pretty sweet deal in 2015 spending bill. multiyear extension of industry tax credits in exchange for lifting ban on oil export. there is talk of a similar deal

in the future that would impose a carbon tax in exchange for reduction in the corporate income tax. would you support this type of horse trade if you become president? >> i get nervous about idea of a carbon tax. you know what i get nervous about? we'll have this tax, this tax will go up and i promise everything else is going to go down. or by the way, we're going to have a budget bill and we'll have a little tax increase and rest of it will be spending. take a guess what happens? the tax goes up -- spending goes up and taxes go, everything goes up, that is exactly right. look, what i support on tax reform is i want the corporate tax rate to come down to 25 because right now it is so high, people keep their profits in europe or they're moving out of the country to get lower taxes. if we bring the taxes down to 25 and not double tax them, then companies will invest in this country rather than in europe. there is trillions of dollars stuck in europe because companies are not going to bring

it back for a tax for a second time. i would like to get it down to 25 and i like to get companies to write off plant and investment in equipment immediately to invest in tools and workers and get productive. i would like personal side, 28, 25, 10, 15% capital-gains tax. i would freeze all federal regulations for one year. force the congress to vote on regulations going forward to approve them. we don't want bureaucrats making laws and plan to get us to balanced budget. what would that be? take medicare from 7 to 5% growth. medicaid from five to three. freeze all non-defense discretionary and priorities and 100 billion on military, and reform the pentagon. i did all that in about a minute 1/2. that is pretty good. [applause] what does that do? it sends a message to job

creators. what is so great, i'm 61 years old i had a stroke. i went through rehab and i got a job and everybody in this room cheered. isn't that interesting. everybody was excited about that. that's why jobs are so important. because i'll bet you were frustrated and now you feel set free again, don't you? you're strengthened as individual. it is good for the family. so if we can do the things i'm saying, by the way they're all practical. they're not like, i could come here and promise you a zillion things but i'm not going to do that because it isn't going to happen. what i just proposed can be enacted particularly corporate tax reduction which we desperately need in this country. i think we can get bipartisan support. by the way nothing, nothing big, fixing border, fixing social security, dealing with all entitlements, nothing can get done if there isn't some

measure of bipartisan support, okay? it won't happen. [applause] obamacare is perfect example -- [inaudible] you'd. >> it is not acceptable. >> it is not done. >> it may be done but here's the thing, it is so unpopular it will be repealed. if i'm president it will be repealed and we'll replace it. what i'm saying you're not going to fix, reagan fixed social security with tip o'neill. when john sununu and i were involved in balancing the budget and we changed medicare and you never heard a peep. when republicans and democrats works together you call off demagoguery. when people demagogue and frighten people it is hard to get anything done. that doesn't mean you need a massive amount of bipartisan support but it means you need some semblance of it.

and that doesn't require anybody having to give up their principles. i want to go back to the fact we're americans before we're anything else. you see how many -- you probably haven't noticed but we have a pretty divided ineffectual congress. news break, right? that can be healed if we respect people who don't think the way we do and we build issues around things like job creation, like the morality of putting our children in debt. it's not acceptable. so, sir, i want to thank you for your success story and it's great. [applause] right here. >> welcome to our state of new hampshire. thank you for coming. >> i live here, man, more than you do. what do you talk about? [laughter]. >> if you haven't met me three times, i don't know you yet. >> you know what i tell people in other states? there are 1.2 million people live in new hampshire.

i met 1.2 million twice. i got three more times to go [laughter]. >> my question to you, my biggest concern is congress is complete mess. part of the thing that is a mess in congress they're entrenched there. will you support term limits for all congress? because -- >> absolutely. >> power corrupts absolutely. absolute power corrupt. >> i'm absolutely for it. it will not happen, let's face facts. let me tell you reason is you have to have constitutional amendment. but i'm for it. we have it in ohio. guess what they do in ohio? they in the senate. then they go to the house. then they go back to the senate and thin they go back to the house, okay? our big problem is gerry manned everying where they draw districts to provide safe pub pick and democrat districts and then members become more extreme because they don't want to have primary. that pushes people farther apart.

you follow what i mean by that? you always worry about a primary. nobody can get to the right of me or left of me, that's not good. we'll have to look at campaign finance reform and all these things but let me get to the bottom line. john sununu said it pretty well, i'm not sure you heard him on this, probably you did but let me re-emphasize it. it's all about character. you can't, do you think you can legislate morality? i was at timberland today. got a great jacket by the way. [laughter]. but i was at timberland today. you have an anti-theft policy here at timberland but your policy isn't going to stop people really from stealing. people are not going to steal because they have ethics. the problem with congress is when people get in, they want to stay. so the they're afraid to take a risk at making you angry so they get thrown out. there is a term when you're a congressman, you know what it

is? is there life after congress? because when you get to be in congress you're a big shot! am i right, kitty? you get to go to all the events. you're the front seat. you get to meet the president. seriously that is the way it works and people like that. anybody would. but what we have to remember when we get elected to public office we're not there for a lifetime job. and you have to take risks. you have to remember why you're there because if you serve for years and you didn't accomplish anything, what was the point? so sir, let me tell you what i've done and john will attest to this. sometimes i used to have people who i couldn't, didn't want to vote on my budgets. when you vote on budget it means you're taking something from somebody and giving it to somebody else. win guy had eight or nine kids and lived in california. he said, john, don't make me vote on this budget. i went to him, standing in

elevator, what have you eight kids? nine. so you got nine kids. come from california to washington, and not with your family. why are you here? he stopped for a minute, looked at me, he said okay, i'll vote on the budget. hear what i'm saying. leaders get people to perform at higher level where they would normally perform. you look at belichick. sir, you and i could suit up for patriots this weekend, we would win a game because he would make us play better. i'm serious. you think about all the great leaders we ever studied. think about reagan. think about harry truman, teddy roosevelt. they were able to have that -- winston churchill. never, ever, ever, ever, ever, give in. have your children study what he did in great britain. he kept london from just dying!

it is because of leadership. it wasn't because of a law -- i'm not telling you we don't need laws. i'm for term limits and for these other changes but in the end we have to have leaders that get people to perform at higher level and have guts and realize their legacy lies in fixing america. and wherever you are, so, throughout my career and it is why i'm doing this again, i can't explain it to you. maybe the lord has given me some special little blessing to get people to be part of a team, to get results. and that's not arrow goons. i'm humbled by the fact that i could be in a leadership position and see things happen. but you have to work with people. you have to encourage people. that's what you have to do. and so the congress itself, it has to start fixing problems

because the looks at america, what is the heck is wrong with you? you can't seem to do anything. it is about government shutdowns. about yelling and screaming and partisanship. i love my congress. can we fix it this? i'm president. you can count on it. i promise you can count on it. [applause] by i'm coming back here if i'm president and i will tell you why. you will speak to a loud voice to that congress, get it done. that is what reagan did to get the work through. he used people and people have to be part of the solution. yes, sir? >> you mentioned fixing america -- thank you. you mentioned fixing america and i'm really concerned, as i'm sure you are about money in politics. now a lot of people look at marco rubio as potentially getting nominee and that concerns me because he is getting biggest contributions from the koch brothers.

and i'm wondering if you think that his contributions from the koch brothers and big oil affect his energy policy? >> well, i can't judge the way he thinks. he can only judge the way he thinks. for me, you can give me money and thank you very much but you ain't getting squat for it other than the chance to give me an opinion. that is just the way it works. let me say to you, it is back to character, isn't it? but here east the beauty of new hampshire because i don't have all the money and i don't have all the billionaires and i don't have all that. but i'm like a little engine that just keeps chugging along and i'm rising up here and here is the beauty of new hampshire. you have got that the 1.2 million. do you know how much i love these town hall meetings? you know why i love them? because you get to see who i am. i put my best out here. if it doesn't work i'm fine. i mean, no, i won't be fine. [laughter].

but no, here's what i mean by that. you don't care whether i'm famous. you don't care whether -- does that matter to i? i don't think it whens a wit. that means you judge somebody. this is where people get launched. new hampshire could be renamed cape canaveral. you launch people into the consciousness of america. so if you're worried about that i got a good candidate for you. me. okay. just so you know. ma'am, right back here, yes. >> my name is martha. and i'm a retired educator and do volunteer advocacy work for aarp new hampshire. thank you for taking a stand on social security. we all know it is important issue. i know has governor you had to work very hard to get your fish initiatives through the statehouse. once you're in white house how will you get your plan through congress? finally if you make a priority

list, where would social security be, becoming solvent for the future, where would you put that if you're president? >> first of all, the reason why i'm close to aarp in ohio is for this reason. our medicaid program which serves the poor, the elderly went from a growth rate of 10% in my first, second budget to 2 1/2 and not one person was taken off the rolls and not one benefit was cut. did you hear what i just said? that is not unbelievable. not because i was so good but i have a good team. let me tell you one of the biggest things we did. the nursing home industry, which is a good industry, but they got too much of what they wanted in the legislature. they were some of the highest reimbursements. they basically said if you were elderly you would end up in nursing home and not be able to stay home. they knew i would change that, they spent money to defeat me and spent money to derile my

program. to make a long story short, ohio dramatically changed the mix. because i beat the nursings home industry. if you're senior citizen want to stay in your home or you and your husband want to stay in your home you're able and you can stay in your own home and get help you need to be able to stay there rather than being put in a nursing home. okay? [applause] it has been dramatic change in the state of ohio and it is really, really cool. social security right has to be at top of the list for this reason. if we don't fix social security, in the year starting around 2030 social security benefits will have to be cut by a third. that is not acceptable. a lot of people can't have that happen. what will we have to do? what you will really have to do, wealthiest seniors, i don't want, i can throw a number out, i'm not sure the number sticks, $100,000 in retirement income, you will get less in

social security so all the other seniors down the line will get full benefit. that is what we'll have to do. that is very hard thing to get done. because we'll not shaft seniors in this country. so i do have to work through a legislature to get this done but i also had to work through bill clinton who was president of the united states when i fought to balance the budget. you have to get people to understand what the problem is. you have to be open to some of their suggestions. and then you get it done. that is exactly. so social security has to be at top of the list because we can't wait. this has to be put into play because the demographics of number of people retiring is iniffing to outnumber people who are working and numbers don't work so we have to fix it. way in the back. yes, ma'am. >> my name is laura -- and i'm very frustrated over what, over what happened with social security and my understanding if i'm correct, congress took money from the social security fund for other programs or for whatever reason. i'm just wondering, well, first

of all i would like to have congress take a pay cut, put that money back for seniors. i get frustrated because i can't imagine -- >> i will let congressman know your feelings about that. >> that's why i'm speaking now. >> good. >> also, i left my train of thought. >> i'm sorry. you would go on social security. >> many people today who are in their 60s, for whatever reason, whether knee replacements they're not well enough to work until they're 70 years old to be able to retire. i just don't get it why older people have to pay for what congress did years ago over the years and work, you know, wait to retire when they need to retire sooner. so that's my question. >> let me explain to you, by the way for the four years which we balanced budget when i was

chairman we didn't borrow from social security which was really terrific. by the way, that debt clock stopped going up. i'm told it stopped going up it went down because we paid off half a trillion dollars of national debt which is really good. >> [inaudible] >> right now. right now. let me say to you, ma'am, here's the situation. the social security money came in because of social security taxes. there was more money coming in that went out to pay benefits. the government borrowed the money to run the government and put ious in the treasury that have to be redeemed. right now my understanding is some of them are absolutely being redeemed. in other words, it is not like that doesn't get paid back. the problem we have now is the number of people who are retiring, particularly with the baby boomers is beginning to outnumber the people who work. the numbers don't add up. so that's why there has to be a

fundamental change in the program but it is not like that money doesn't get paid back. it was an iou. it was the government using it to fund education, agriculture, whatever it is. but it has to be paid back and those bonds will be redeemed because you can't just say they don't matter or they don't count. it doesn't work that way. in terms of the retirement age going higher and higher and higher, there is a point which it gets to be too high. of course you can have early retirement or you can retire with disability. >> [inaudible]. >> pardon? >> [inaudible] >> yeah. again, it is -- >> that is situation i'm in. >> well, you're not ready to be retired on social security. >> i work at not looking my age. [laughter]. >> you have done very well, okay. but what i'm saying to you is, it really is all about the numbers but here's the tragedy about this.

in 1998, not like i'm the know it all here? i just have good people. i offer ad social security problem that would have held seniors harmless. baby boomers would have started at slightly lower level and young people would have started, they would have less but they were going to be given 2% in private account would grow with the growth of economy. that plan never was voted on. it is like going to the doctor, the doctor says you have a problem and you show up 16 years later, okay, doc, what are we going to do now? so i did my job but there is no solace in that because we have a problem now. we've got to fix it. we've got to make sure that those who don't have those resources, by the way that retirement age scales up over time but the idea we'll move it up to 75, or 80, we have to be very cognizant of the fact of what you just said. >> [inaudible]

>> i don't think we'll see it come back the other way though. i don't think it is in the cards but i would like to get the program fixed. yes, sir, right here. >> i have a question regarding what has been going on. i have a question regarding what is going on in this country for 40 odd years. we have lost our industrial base and consequently good-paying jobs. how do we get some of those jobs back and some factories running making things here instead of bringing it in from china, japan, all over the place? >> in terms of them leaving. there is good news. jobs are, are beginning to on-shore. i have big, i have big investment, potentially of 4 1/2 billion dollars investment from thailand, at least 100 million invested right now in ohio. we have, you're not going to believe this. i got people in mexico who invested and built a steel company in ohio since i've been in. and we have like whirlpool is

bringing their jobs back. and we have a chinese company that is creating 1500 jobs making windshields in dayton, ohio, and those jobs are going into a factory that was abandoned by an auto company. this is why people in ohio are optimistic because we're seeing it happen. why is that happening? well it's happening because we have low energy costs. and our transportation costs from asia into here are high so we're now starting to get competitive advantage. the other thing that's happening we can use technology to create advanced manufacturing where you know, you use, i went to an auto plant. it is a thing that provides parts to the auto companies. i went in there. they were all blue-collar workers. they don't ever touch a piece of metal. everything is done with computers. they all learn how to do it. these are not, these are just regular folks. and i said, well, how's the pay.

pay is up. how's the jobs? jobs are up. it is very possible using advanced manufacturing techniques to be able to have high productivity and have some of those jobs coming back but what we have to do, folks, is we have to also be training our young people for the jobs that exist today. some of them will come back and some of them are not going to come back. and so what do we do about that? well, we need to have an education system that is beginning to train people for jobs that exist, not train people in a vacuum, okay? so we know what jobs are available, when i keep mentioning in my state, i'm the 7th largest state in country. my budget is $63 billion. it is like minature of the federal government. what we do there can be done in the country. what we're doing now is introducing young people to

occupations and now we're beginning to tell them, these are the jobs that are available. this is what it takes to get one and this is what it pays. i read yesterday in the state of ohio we have 240,000 job openings. i guarranty you you have thousands and thousands of job openings right here in the new hampshire but we don't have the people who have been intrad to take those jobs. so why aren't we looking at what the jobs are that are available and training people for those jobs instead of training them for something that doesn't exist? does that make sense to you? yeah, makes perfect sense, doesn't it. so let's do it! let's do it. let me give you another one. guidance counselors in high school. why don't they do guidance counts selling. why do they spend time monitoring the lunch room or rolling basketball out? you know about that. this is like a church service tonight. amen. amen.

[laughter] . . you are guaranteed an interview for one of those jobs. you have the skills and you've been trained to take that job. that's called everybody working together. these are the kinds of things we have to think about in america

today in our education system. i want to move all the education programs back to new hampshire. right now we have 100 for education programs. i'd like to break it into four buckets and send it back to new hampshire, ohio, nebraska and let us run our education programs but we need a flexible -- [applause] how old are you, young men? what do you want to be when you grow up? [inaudible] [laughter] >> he said he wanted to be a biomedical engineer. he's 16. i mean, put it in there, kid. [applause] >> listen. you are 16. you get out, go to college, then four more years. i should to running for reelection. you will be rich. can i get a campaign contribution from you?

but here's the thing. so he wants to be a biomedical engineer. why doesn't he be able to take five hours the week or six hours a week and go to a medical setting? a medical laboratory? pardon? [inaudible] but we need to be pushing this more in all of our schools. because people don't know about these programs. but this young man, it becomes out there, he's going to get so excited about what he wants to be. when i was a kid i always wanted to be a lawyer. thank you, lord, for not letting that happen. but here's the thing. think about a great would've been had they been able to work for a judge or work for a law firm, and understood it. and i would be more excited about learning. let me give you another one. how about a kid who's going to drop out of? what's that you want to do? to work and pensions, cars? he loves the video games.

why don't we get them somewhere where they can work on that and create an individual path to graduate from my school. if you don't graduate from high school in the 21st century, these are all the exciting things that we can do if we just put our minds to it and we think creatively. talking about ideas, get everybody, let's do it. that's what's so cool about it at about cool about being a governor, by the way. yes, young lady. >> i live in exeter and i was just looking in the newspaper the other day and i read this summer around 75% of americans acknowledge that climate change is real. i'm just wondering with the same scientific consensus behind on a change as evolution and gravity, why do you think pretty much lots of republicans deny this basic science? why do you think that this is

because i think human beings to affect the climate and i'm a big supporter of solar and wind and geothermal and efficiency, but i want all of the different sources. i saw seabrook today. i pro-nuclear also. i'm for all of us. [applause] i think sometimes, you know, i really know, i have an opinion why they do that but i'm not going to kill you because it's not good. i am running in the republican primary but i can't tell you how they think i can tell you i think. i think there's something to climate change, but i think we could take our time to have remedies. and the remedies are things like efficiency and solar and wind. i think the other part of it is let's not go so fast that we does this get out of work or this gentleman out of work. it's got to be a balance between a good environment and economic growth, which we can achieve if you work at it. you don't want to worship the environment but we have an

obligation to protect it. i think sometimes, look, i've got a little battled with my legislature over the issue of renewables. they tend to think that subsidize, it's a government program and all the. we have to develop these things. so i just have a little different view of what we should do in that area, i think we have to be careful about it, okay? yes, ma'am, right here. >> i like your message. this summer is when i first saw you on tv. i was actually in ohio on a vacation. we are at a restaurant stop and there's this plaque on the wall saying -- >> this is really great. people look at my picture in a bathroom, right? [laughter] this is really something. >> that was positive and making the because i had good feelings about you this summer. then i never kind of soggy. i always see trump or somebody else. but i thought to become tonight and i still do the same, i'm going to vote for you, and i feel really --

>> how am i doing? >> you are doing great. >> ability, good. >> you're a leader, strong and have such positive energy. >> unit which you say in new hampshire? could i please have your photo? [laughter] where his john sununu? did you see that? i.c.e. agent asked for the vote. i was on a been dignity. >> i'm going to ask a question that i still don't know the answer. i think you do for americans. i feel it to not implement or and i still kinds of inflammatory things and. i think in the world no with a tear, i think we need to ratchet it down. i feel like to be a great, strong leader that was not inflammatory. how would you deal with the terrorism in our world now? i attempted. i'm concerned. >> nonbiological and when adopted. >> how are they all doing? >> to are not doing well and eight are doing fabulous.

>> what about -- >> a percentage. by the way, my husband is the chair of the chemical agent department and he is a special in biomedical and math. >> let me do something. this is not works, kid, okay? [laughter] so now you get her phone number, okay? >> i'll talk to you later. >> angie's they cannot talk to your husband and then you go down there and you see what they do. >> the other thing i want to say is my husband does not for wind or solar ideas for nuclear. nuclear. because he at the numbers up in this is nuclear is the way to go. but politically it doesn't work. >> they just extended the license at seabrook. get her number. here's the thing. look, i spent 18 years on the defensive stuff, defense committee. and then after 9/11 on chromosome and finally to

meeting with the former secretaries of defense. i discovered the lapses that we had in listening on technology. and asked the secretary if i could bring a group in from silicon valley to help them with technology, and for two or three years that's exactly what i did. i would take groups in there, and these groups, these were brilliant people, solve a lot of problems. so i've been around for a long time. you have to be cool and calm and deliberate. basically on everything. you don't go kind of waving your arms government getting all worked up and using fiery rhetoric unless you do it on purpose in a limited time. so let's talk about something i'm very concerned about tonight. i'm very worried about north korea, and i'll tell you what i'm worried about them. i'm not panicked about them but i inward about them.

we have been kicking the north korean problem down the road from multiple administrations, this is a very hard problem. seoul, korea, has 10 million people. they launch missiles into seoul, korea, it's unthinkable. so what do we do? one thing we should always have in the back of our mind is the concept of regime change. what do we do to try to foster that? it's not a given that they have to be there forever. it's just a thought and you don't want to be, frankly, i don't even want to be talking about it out loud here, but you want to consider that. what else do you do? we know the with the problems with the chinese. we know that the chinese are cyber attacking us, or their friends are, stealing our secrets, violating a lot of things, and we have to have the cyber command. we have to create one and tell people that attac attacked us wh cybercom we can defend ourselves, we can harden our

sites and secondly we have an offensive capability. and by thand by the way, if we , you are a criminal, a hacker, criminal and we are going to come after you. you'd have to yield. i was in a debate and selected what would you do if the russians put into an no-fly zone. one candidate said i would shoot their plaintive. do you know what i say? if they plot and the first time they can probably flight out, but if it's light in the second time they will not be flying out. do you see the difference? it's a big difference in the way you talk. now back to the north koreans. we have to let the chinese know it was a we have disputes with them that they are not our enemy and we expect them to straighten that regime out. they can leverage. they need to fix north korea. i know that john kerry last night i barely said something about north korea. if you embarrass, said something that china. if you risk china it's all about space saving. you get nowhere. why don't you just talking

quietly? and you say this is what we expected you and these are things we will do and i want to know what you going to do. and in addition to that, we need for sure to be able to intercept ships and planes out of north korea that could be carrying very dangerous materials are very significant technology that can be translated into material for a weapon of mass destruction. do you understand what i mean by that? a suitcase bomb, something along those lines, very, very serious. we have to reassure the south koreans and japanese with probably a missile defense system if china doesn't act, but you don't have to panic and you don't have to threaten. you can be very, very calm about it. russia, we need to help ukraine. they want to be free. given what they need to defend themselves. talpa this is what we expect.

will be going into your. dolby going into thinking you can invade nato countries because that's not just going to happen. we are not going to tolerate that. and i don't have to raise my voice to you. i just told you what i expect. that's what america used to do. reagan would say, you know, soviet union, we win, they lose. he didn't have to raise his voice, except when he went to the wall and he said, mr. gorbachev, tear down that wall. he didn't have to yell. he made it. in the middle east, isis, i get the first george bush and credible credit for pushing saddam out of kuwait, having the coalition of arabs and europeans back that done, and people said he should've got all the way to baghdad and he said i'm not going to baghdad because if i do i'm going to end up in a civil war, and george bush the first deserves enormous credit for that decision. but isis must be destroyed with the coalition, and when you deliver regional the region

power sort it out once we have some stability. and israelis, they are our friends. stop taking them. you've got something you want to say to them, say it to them privately. [applause] i've never raise my voice. you don't have to raise your voice. but you better be for them. you better be tough and you better know what your doing to i'm going to tell you, do you want to be the president and you think of going of on the job experience? are you kidding me? by the way, for the last seven years we've been saying how do we elect a one term senator from illinois to be president with no experience? we do? i haven't checked it out lately. what i would say is, cool and calm, no red lines unless you mean it. it takes sophistication. and, finally, coordination with our allies on intelligence. the final thing i want to tell you is our joint terrorism task forces, which are headed up and

covered the state and my state and states all across the country, are headed by the fbi, the homeland security, state and local law enforcement, and they are the ones that go out and disrupt of these plots. they are the ones. they need to have the resources and the tools that they need to be able to keep us safe. the lone wolf we just seen in philadelphia, the only way you can stop it, they've got to pick up something from the neighbor, from the family. by the way we all our our neighbors keepers. we didn't forget that, did we? we've got to keep her eyes open. not paranoid just determined because that's the way we are. so, yes. you, young man, yes. >> so i'm a senior in high school right now at the academy down the street, and i'm worried about the cost of college. some of the schools are looking at our 50, 60, $70,000 a year and if you like what my family

is going through right now trying to look at the cross what a lot of middle-class families are looking at right now, it's a tough spot to be in. just making enough do not qualify for scholarships, but still not make enough to be able to pay it. so i was wondering what you would do, what we could expect under your presidency to help with tuition? >> good question. first of all of us a couple of things. i don't know about you, but with my kids, i have one daughter and said she wants to go to school in this faraway state. i said which the work she said i don't know, i just want to go there. i know a girl who had a full scholarship to indiana university. she turned it down and went to vanderbilt at a cost of 50, $60,000 a year. i don't think she's any farther ahead for the fact she did it. there's a couple things to think about.

when you're in high school you ought to be taking college credit and you also ought to get yourself we mediated. i don't know, you seem pretty well spoken and sparkly bikini remediation, because most of, 30 to 40% of students when they graduate from high school and go to college have to take remedial math and english when they get to college. take it while you were in high school. get it completed. and then when it comes to picking the school, i hate to say something radical here, but maybe you go to community college for a couple of years. jeff knupp cut your costs in half. if you go to community college for three years, which is what we're going to push them in ohio, you cut your cost in three quarters and you do your fourth year in the college, the university. or so you just go to years to the community college, you cut your costs i costs and have. but then there's responsibility that lies on the top of the leaders in our universities and community colleges. the biggest exploding cost of higher education is not teacher

salary. it is administrative overhead costs. get that under control. [applause] and then for people who ring up these debts of all reruns them up that i think about two things. maybe a business can have incentives to help you pay off your loans, or you can have some community service and help you can to work some of it down. but i'm just going to suggest to you, just go were you can afford it. don't go with 50, 60, $70,000 worth of debt. well, i mean, maybe you got some scholarships but just be careful. you don't want to start that far in the whole come and we've got to get these schools to start figure out to control the costs and take the college credit. you have it right here in this state. you have college credit was where those credits are transferable.

use it. yes, sir. right here. [inaudible] >> know, they just keep giving, they give up the prints but nobody has been very focused on the costs. i hired a commission to people who were business people to look at the costs and let me get a couple of examples. [inaudible] >> college is expensive. what do you need? all editions a unique money. >> twenty years ago, a lot of truth to that but 20 years ago you got a loan from a bank if you didn't get a loan from the federal government. you got a loan from a bank a loan from the bank if the bank would say let's talk about this. a lot of those things have been withdrawn. but the key is on both ends. you've got to keep the costs down and didn't figure out another way to get that degree. let me tell you, when you

graduate from college, and even if you don't, i prefer to hire people that have degrees in something here but just because you don't doesn't mean you will be excluded. what college did you go to? and then i will hire you if you went to the school board -- i don't think that. maybe i'm unusual. i just don't think about that. the only school you absolutely have to go to this ohio state university, we know that. [laughter] [inaudible] >> would you get the federal government out of the student loan business? >> i don't know. it sounds look something i would have to say yes to, but i've got to figure out what's involved in that. but what i would do better what the federal government to get out of, what the welfare programs to come back to new hampshire or to ohio where we write our own welfare rules. i want medicaid to come back. i want education to come back. the other one i want to come

back and that's transportation. here's out works right now. you go and develop your tank and you pay federal gas tax. we send you, us, everybody since that money to washington to a committee, a committee of politicians and to decide what to do with money. then after they decide whether what to do with it, they send the money back. do you think they send back more or less? now come in my state they wanted me to build a high-speed rail. this was an exciting proposition because it was the only thing i could think of it that i could run faster than big is going to go 39 miles per hour but and i said no thanks. so what i would do is i would send a couple pennies to washington to maintain of the interstate at that i will the states keep the bulk of the money that they pay, your federal taxes, keep it in new hampshire, paid your own road from picture on bridges.

you could reduce the tax if you one. you probably wouldn't. you have the former speaker and more resources and then you could pull. you can't hold a road that has federal dollars into. it's ridiculous. that's another program. when it comes to student loan, i've been it big privatization person but i get to sit down and say what's the implications of going the other way? one less thing i want to tell you about student loans underwritten all. the president of ohio state decided to sell or to lease the parking garages and the surface transportation. he was opposed by everybody in the university community but you did it anyway. he received half a billion dollars for placing those assets, which go to scholarships. half a billion. why is the university when a parking garage? why are they running a parking anything? their job is to teach this kid, not to run all this other stuff. how about looking around and

doing health care what other people that are doing health care? how about back office operations been shared? we've got to think differently. it's the 21st century. how about some more online courses? and by the way, how about having more professors that actually can speak english? that would be another novel idea that i think we would all go for. [applause] >> john, i've been sitting here looking at the sign up here. access a strong america is a safer america. please tell us what your thoughts are and why that's up there. >> well, i mean, you know, i don't know. i haven't seen that sign before. [laughter] know. will look, if you don't have a strong economy you can't have strong defense. andy dillon have a strong, you will not have a defense you want if you don't have the money to pay for it. i look at it a couple ways. strong economically, strong militarily. leadership, right?

strong economically, strong military. when you're strong economically it helps you to be strong militarily. when we cancel problems we look weak. we've got to stop this nonsense. we've got to go fix things, solve problems, shift our money and influence back to work of the. build estrada country and remember this, you remember this, grit and determination, kid. they knock you down. you get up. they tell you what you can't do. you proved them wrong. understand? that's what america is about. that man back there in 61 from had a stroke. he got knocked out and got back up, didn't you? god bless you all. see you the next time. thanks. [applause] [inaudible conversations]

>> gordon, go ahead. let me have the microphone. if anybody wants a picture can we're going to wait up here and take some pictures before have to scoot up down. so you are all welcome. do you know what that means? >> i do. [inaudible conversations] >> would you mind? thank you.

>> although a bit of pushing and bit of compromise. you know, my press guy, his brother is the press person for the governor and he's a good man. he's going to get there. >> thank you so much. >> governor, this is our grandson. we would like a picture. another grandson. >> get over here with her grandparents. come on. come on, get in here. >> i think i got it. >> he got it. >> okay. >> we have to do stuff here. send it to washington. that's ridiculous.

>> how are they treating you? [inaudible] i wanted to know what they are going to do before they sign the tax. >> do you know what? you have to raise the standards all across america. but i don't think they push them around. >> i get a picture of? >> yeah, of course. i'm thrilled what you're doing because you're changing lives. that's whyyou're doing it. >> i love it.

thank you very much. it was nice seeing you. >> good luck. and i mean that. we want to do that all across the country. >> that's a we are trying to do. it's like a be steps. >> i know, i know. -- a be steps. >> here we go. >> you are refreshingly frank. >> thank you. god bless you. good luck to you. >> comcome on back on get in the picture. thank you. zag, take a picture. >> c-span takes you on the road to the white house and into the

classroom. this year our studentcam documentary contest ask students to tell us what issues they wanted from the presidential candidates. policy spans road to the white house coverage and get all the details about our studentcam contest at c-span.org. >> as president obama prepares for state of union address, he released this video on twitter. >> i worked all my state of the union address. it's my last one and as i'm writing i keep thinking about the road we traveled together these past seven years. that's what makes america great, our capacity to change for the better. our ability to come together as one american family and pull ourselves closer to the america we believe in. it's hard to see sometimes in the day-to-day noise of washington but it is a we are. and it is what i want to focus on in this state of the union address. >> c-span's coverage starts tonight at 8 p.m. eastern with

senate historian, and real clear politics congressional reporter looking back at the history and tradition of the president's annual message and what to expect in this year's address. then at nine our live coverage e of the president's speech full by the republican response by south carolina governor nikki haley. plus your reaction by phone, facebook, tweets and e-mails as well as those from members of congress on c-span, c-span radio and c-span.org. and we will reenter our state of the union coverage and the republican response starting at 11 p.m. eastern, 8 p.m. pacific. also live on c-span2 after the speech we will do from members of congress in statuary hall with their reaction to the president's address. >> and live now to the senate floor yuppie bill today to audit the fed sponsored by rand paul but it would require an audit of the federal reserve by the

government accountability office including private communications about setting interest rates. we are expecting a procedural vote this afternoon at 2:30 p.m. eastern. the president pro tempore: the senate will come to order. the chaplain, dr. barry black, will lead the senate in prayer. the chaplain: let us pray. everlasting god, our light and salvation, you remain our strength and shield. today, we claim your great and precious promises, as you sustain us with your presence. thank you for promising to