tv Key Capitol Hill Hearings CSPAN March 29, 2016 1:57pm-3:58pm EDT
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opened the door. like 10,000 photographers, and light bulbs going off and i've never experienced that before. we had to jump in the car, run away. we had to find escape routes in the hotel and all that. that continued into the day after. so all i wanted was for all of that to go away. and for my life to be returned to normal. death threats, hate mail. my secretary, she's retired now. she's italian, married to a irish high schools would appear i call that a roman catholic interracial marriage. [laughter] she loved me. and she said she would have no idea came into being my secretary, picture of black studies at harvard. she said i never knew the depth of anti-black racism in this country. because she was taking phone calls. she was opening the mail.
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so i was surprised at how organized hate could be. because i've never experienced it. you don't just get anonymous letters. these are all cranked out that machines and calling campaigns. i don't know where they move to. i don't know who generates them but it's a coordinated, terrible, terrible nasty thing. bill clinton called me and as a set of the bunch come and much close relationship with the clintons down with the obama's. he said why don't you have a. -- is really funny to he said why don't you have a beer with a complex i said mr. president, the other president just said have a beer with a come. did you get the message? and he said no, no, no. not that. he said call the got a meet in your favorite pub. i thought wow, we do that. we met at the café. what he told me moved me so much.
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he said, all of one of them he called the professor and he said professor, all i wanted was to come to my wife at the end of the day. and he thought there's another guy block come upstairs and we were in the kitchen and i can't was going to come down and blow him away. when he told me that, it brought tears to my eyes because i understand your. after that we've been really good friends. i see them all the time. [applause] >> thank you. i think has been the best discussed, best discussion of race and 54 years since martin luther king held at this stage. [applause] before michael asks the last lat question will dedicate one were and if we can. i have a few announcements. ..
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i would also like to remind you about upcoming programs. to nice the press club will welcome home jason, the washington post journalist in prison unjustly. the washington post journalist imprisoned unjustly as a political hostage for 545 days. tomorrow alan gross, former cuban political prisoner will discuss his detainment and the need for cubans for freely active information. tomorrow as part of the books on sunshine week the press club will host the fifth annual dc open government summit march 18th, we will host naacp national president cornell brooks to discuss criminal justice reform in the 2016 presidential election. on march 24th, the irs commissioner will remind you about tax returns. i would like to present our guest with the national press club mugs. [applause]
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>> i will hand it to you for the last question. >> are we on the cusp of a new civil rights movement in this country? >> absolutely. >> i think so too. something george will said in our roosevelt series, fdr was arms with the christian faith, history is arising road and things will get better and i believe it was all right, even potentially naïve as it may be for the president to assume that. the only way to create the world is to dream it and move into it. i think it is possible for these retrograde tendencies to be quelled, fear and anxiety is eating off of your plate.
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if we can turn down the rhetoric, stop fanning the flames, we have the opportunity to move forward. it seems backwards to me. history makes you always optimistic. >> i agree. i think we are on the verge of a major transformation in this country, and it will be a movement, when what has been historically perceived as race will come to be understood as having been all along a metaphor for class and economic difference. when that happens, it will be like turning a light switch. that will be the most fundamental transformation in terms of the history of the civil rights protest in the united states of america. [applause] >> another round of applause for our speaker and moderator, michael fletcher. we are adjourned. [applause]
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>> the media teaches us democrats and republicans are supposed to be at odds with each other. and i think people need to recognize we need to be respectful towards each other and understand senators are respectful towards each other, that will be more conducive to getting real policy done instead of just acrimony and vitriol. >> these people we see on television, on c-span, are real people. when we saw president obama, what stood out for me was he was tired, he is a real person dealing with real things. i thought that was most interesting. >> sunday night on cue and a, high school students attending the 54th annual senate use program talk about their experiences in the leadership program and their plans for the future. students met with members of the executive, judicial and legislative -- legislative branches of government and media representatives.
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>> talk to us and i really loved the insight about being the outside source, reporting back to us and the electorate about what is going on in our government. >> ruth bader ginsburg was the most inspirational person we met this week. she has been one of my idols for a long time. i either want to be in the legal profession or a senator. >> i understand the need for bipartisanship but i think it is important politicians go to washington or their state capitals with their eyes on a goal and determined to meet that goal instead of sacrificing it for money or bipartisanship or whatever it is. >> how do you construct a discourse like the one i had here? respecting all americans no matter their background. and making this country a more respectful place where people feel welcome to give their opinions. >> sunday night at 8:00 eastern on c-span q and a.
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>> in half an hour, president obama will be speaking about opioid and drug abuse. we will take you there live right here on c-span2. today's aspen institute for on race in america, panelists said down with fox news political analyst juan williams to discuss race on college campuses. [applause] >> asked the panelists to join me. this is knowledge a malveaux. [applause] to my far left is the chancellor at rutgers campus. this is leroy, one of -- excuse
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me? ray. clearly now running for mayor of baltimore. is that right? congratulations. and eduardo, the president of miami-dade community college. [applause] >> welcome. we are here to take a look at how young people in college campuses are responding to so many themes we heard raised earlier by david cohen and richard, in terms of how race, demographics are changing in our society today. i wanted to begin by asking chancellor hadden of rutgers who is, by the way, a scholar of implicit bias and race in
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society, how she sees her role as a chancellor in dealing with race and the changing days of race on america's college campus. >> i spent the last three weeks in a sort of surreal journey to talk about this issue. three weeks ago i was in south africa traveling with our students and we arrived at cape town university and spoke to students, the dean of the law school in cape town is an indian woman who was dean at albany before becoming dean at cape town. wonderful story. we talked about student unrest and there, if you don't know, there is great unrest about inequality. it is about income inequality, race, too little too soon, too little and too long, it is in
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the context of revolution that created disappointments. i then went on to come back here to campus compact and conversation about how universities are dealing with thsues of race and poverty in r own institutions and in their cities. we talked about race, we talked about too little too long, we talked about the same issues and the sense of disappointment in where we were. those university presidents were talking about civic engagement and anger institutions as a way of dealing with these issues and textual lysing highly impact focused work. that engages students. i then came back to my campus and we are planning a 60s retrospective that is going on next tuesday and that will focus on rutgers-camden as it was in
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the 60s. it will be a context for talking about too little too long, student unrest in the 60s as well as today and how we focus on it. it seems to me higher education has an opportunity to talk about these issues in many different ways and it is critically important for universities to have the forum for talking about these things. the problem is when there is not that opportunity to have frank and honest conversation that is mediated, facilitated, where students have trust in each other. >> turning to president petrone and ask you as the president of the college campus, tell us a little bit about how you deal with changing demographics and the tensions it creates on a
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college campus. >> i feel very strongly that colleges and universities are not only the best hope but the best opportunity to change the whole situation with race in america. before we are able to do that, universities need to move into the 21 stu century. students -- universities have the best opportunities to be incubators of inclusion, to become the dream factories that allow people to reach the american dream. i cannot think of a better equalizer in society today than colleges and universities. if you think back to the 20th century when most americans were going to factories and offices and make a good wage and be part of the middle class, frankly,
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universities and all the realities they represent, all the exclusivity and selectivity, it was not a big issue because most americans received the american dream by working hard. today that is not possible. the american dream today requires that people in the 21 stu century knowledge economy acquire knowledge and skill to be able to succeed in american society today. so -- that is what really has changed. that is why it makes the work we do at colleges and universities so very important. the fact of the matter is our universities and colleges, with many well-meaning people, the effort to include minorities, if
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you look to the 1980s the number of black and hispanics has more than doubled in colleges and universities, but let's not be confused. diversity is one thing, diversion is something else. the fact of the matter is institutions today need to find a way to give a sense of belonging to all the students who come to university, providing a vehicle for them. many of the issues we see today, the progress and the wrongs we see, incidents at various universities are only symptoms of a bigger problem. the only way we are going to solve that is with a culture of inclusion that is pervasive, by design, not naïve to do that overnight. you have to start somewhere and
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that means to me diversity should be at the center, inclusion and diversity at the center of decisionmaking at the university, and not something on this side. first thing they do is appoint a diversity officer. the president of the university needs to be diversity. [applause] >> the president assumes that role, to make sure all the students have equal opportunity, universities -- it is universal, opportunity stock and colleges should be the center of opportunity, and i am very hopeful that things can be much better, we have a long way to go. >> thank you, very interesting to me to hear this theme that
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has been brought up now by david cohen that we see increased demographic diversity on campuses, not necessarily increase inclusion. hang on. let's just finish this part of the panel. nye nyelayou are at yale, and elite educational institution, just as we heard, increased diversity out of yale, the question is increased inclusion and reflection of the broader issues that are impacting america nationally.
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how are you at yale dealing with changes, what are students feeling in terms of inclusion and the broader issue? >> both make great points about the tension between these two seemingly polar opposite narratives of racial progress and on the other hand, racial violence and brutality. and and both products, i would not be able to go to a school like yale if you were 50 or so years ago, and also seeing people that look like us and look like our families and share a kinship and indiscriminately
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brutalized, that sort of tension a lot of these are spreading up, also to say holding a university that we love accountable for the values that it espouses in mission statements and brochures, why we came to yale, we came for opportunity and also because we thought there would be this inclusion, that there would be a prioritization of students of color, and faculty of color, we are actually trying to hold the school accountable for the things they say they are going to do. >> you said brutalized. >> through social media, on video, as mister louis pointed out. >> are you talking about students or broader society? >> talking about the highest narratives, straddling between,
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but also sometimes where these incidents in some ways carry over college campus, a year ago at yale, a friend of mine, a senior, was held at gunpoint by a newhaven police officer because he matched the description of someone stealing from the campus. it is moments like those when you see the crossover and lines or are blurred and incidents that happened in november show more of a complete picture of what racism on college campuss i like today. >> there is a lot in there but i want to ask you as someone in touch with the pulse of protest in america, here we have heard
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again from richard, david and others about ferguson, on staten island, everybody knows in florida with trey von martin and the increased presence of public protest, how do you view college campuses and how they are responding to the protests on greater american society? >> i have been to many cities, hundreds of protests in many colleges but when i think about protests, it is about truth telling in public but telling the truth in public is so much of what protest has been, we force people to tell the truth and protest in and of itself is not the answer. i think about the college campuses, the difference between diversity and inclusion and
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culture, and what we have seen at yale and so many colleges, doesn't feel like a place that honors my blackness or my experience or allows me to be my best self and that is important. and institutions are designed to outlast people. that is a particular challenge college professors have. i have been to so many colleges where all of a sudden the world looks at them and the protest changes. the media changes the way people tell their stories. it is hard because people need the story to be amplified but i have seen the view interview people and all of a sudden the spirit of protest and the unrest in college campus is interesting. also places like yale and a group of students who are
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marginalized within yale, they are organizing differently and that is important, the inclusion, people on the upper west side talk about what it is like, and how they are so privileged, how dare they talk about what culture feels like and that is important, people have a right to feel safe and valued in their communities wherever their communities are. i think about protest, i am interested to see how and if college protests can sustain over time. at townhall, get everybody -- somebody with a phd or something, progress is coming and that happens, the churn of college activism, the response to college activism, we see
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people pushing against that, and it seems simple to change master from yale at harvard and they seem like cosmetic challenge but they feel it is part of the culture and what it means to be an inclusive campus and you can recruit more students with diversity. we have seen protests forcing conversations into the public space and can't ignore that last thing i will offer that is a big deal, calling for professors to be disciplined, there is something about twitter in the classroom, the last two radical pieces, i think about the classroom in its place, both our ideas where the idea still matters and people think about ideas, still what the currency is and that is powerful and it is great and the classroom, when professors provide academic
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veneer for racism, and see that happen in some places. >> what school is it at? they call for their professor for the plan depending on what happened. >> around how to wean this is one of the incidents that sparked a lot of protest at yale. the intercultural affairs committee, a group the administration sent out an email saying please be wary of students, educating people about trying not to wear offense of costumes, things like blackface, and associate master of a college send an email in response to that saying students, if they had a problem
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with costumes, in some ways linked yale students to or to 5-year-olds and people should have the right to wear offense if garb. >> hold on. we know what the incident is about. >> people use that to talk about free speech and some people feel that was an academic veneer for racism and somebody in an academic setting saying people can be offensive because we will learn from their. it is an unsafe environment for people. in the public conversation it has not come up. if people say hail hitler everywhere people respond to that that they will respond to and say nobody will be like free speech. that is not it. some colleges have not been
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proactive after the protest. what does it mean, someone is a slave owner, give the money back without protests, and >> what we are dealing with is the culture on campus as well as inclusion in terms and opportunity for educational reasons. there is an emphasis from the establishment in american life,
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that inclusion is the priority. and not only racial but ethnic and religious diversity on campus. it is a triumph in this era given where we are in american society. what we are seeing from the students is emphasis on inclusion, once they are there. that they insist they have a sense of belonging and agency to change what is going on. we spoke about the campus as one of the places for change in american society. be the broader establishment, you are at yale university, what are you complaining about. and we come back to this motion that it is freedom of speech, if
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you want to if you want to say some are racist, misogynistic -- >> we are going to leave this to go live to atlanta for remarks by president obama on heroin and opioid abuse. [applause] >> i will kick things off, i got to say i am a little nervous. the president of the united states is next to me. i am very excited about this. we are going to focus a lot today, fast-forward. you heard a lot of numbers,
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commissioner, and you have been in recovery for a year now. >> thank you. >> justin, luke riley, 28 years ago. 28-year-old, you have a 16-month-old, you are in the middle of a daughter, and have been cleaned out for some time, young people in recovery, we will get a chance to hear your story as well. [applause] >> you have a lot going on and
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this is a significant commitment. you are attending this conference. why is this particular topic for you? >> because it is important. it is costing lives. i want to begin by thanking congressman rogers for putting this together, the leadership he has shown. we appreciate him and his staff. [applause] >> i want to thank unite and the organization that is carrying this issue for many years now. we are grateful to them and i want to thank our panelists. obviously we appreciate the work that doctor does but part of what is so important is being able to tell in personal terms what this means.
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this is something that has been a top priority of hours for some time. to promote the safety, the health, the prosperity of the american people and that encompasses a whole range of things, tracking down isil leaders that are responding to natural disasters, to promote a strong economy. when you look at the staggering statistics in terms of lives lost, productivity impacted, cost to communities, cost to families from this epidemic of opioid abuse, it has to be something that is at the top of
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our radar screen. you mentioned the number 28,000. it is important to recognize that today, we are seeing more people killed because of opioid overdose than traffic accidents. a lot of people tragically die of car accidents. we spend a lot of time and a lot of resources to reduce those fatalities. we have been very successful. traffic fatalities are much lower today than they were because we systematically look at the data, the science, developed strategies and public education that allowed us to be safer drivers. the problem is we have the trajectory going in the opposite direction. 2014, which was the last year we have accurate data for, you see
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enormous, ongoing spike in the number of people using opioids in ways that are unhealthy and you are seeing significant rise in the number of people being killed. i had a town hall in west virginia where i don't think the people involved would mind me saying this because they are very open with their stories. the child of the mayor of charleston, the child of the minority leader of the house in west virginia, former senator, all of them had been impacted by opioid abuse. it gave you a sense that this is not something just restricted to
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a small set of communities, it is affecting everybody, young, old, men, children, rural, urban, suburban. the good news is because it is having an impact on so many people we are seeing a bipartisan interest in addressing this problem, not just taking a 1-size-fits-all approach, not just thinking in terms of criminalization and incarceration which unfortunately too often has been the response we have to the disease of addiction but rather we have an all hands on deck approach, we have to stop praying on people, we also have to make sure our medical community, scientific community,
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individuals, all of us are working together to address this problem and i'm up at optimistic we can solve it. we are seeing action in congress that has moved the ball forward. my administration without congressional action has taken a number of steps. i know you have heard from our administration here today about providing numb $100 million to community health centers so people have more active treatment. [applause] >> concentrating on physician education in terms of how they prescribe painkillers to prevent abuse, making sure the treatment, medication assisted treatment programs are more widely available to more people,
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making sure, not antidote, but at least means of preventing people once they have a overdosed to keep them from dying is being carried out by emts that we are taking a number of steps that we are under resources, the public does not appreciate the scope of the problem and my hope is by being here today, people who have gone through heroic struggles with this issue about what they are seeing that we have the opportunity to make a dent in this, i want to thank all the people involved here today because we have people who are much more knowledgeable and are doing great work out in the field each and every day. my hope is when i show up the cameras usually do too. it helps provide greater spotlight for how we work together to solve this problem.
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[applause] >> you had a chance to hear a little bit about crystal backstage. 35 years old mother of two. are you comfortable talking about your story? >> yes. >> around age 20 you started using vicodin recreationally, once a week or so. tell me what happened at that stage in your life. how did things progress? >> my path to addiction which was eventually apps addiction is similar to a lot of people app stores, starting with vicodin, low milligrams, not knowing how addictive it can be, using it recreationally until they need
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it. that is what happened to me. it slowly happened from weekend to needing it throughout the week, needing something to go to work. eventually i needed something stronger than vicodin. i was doing oxycontin, things like that until it led to me doing heroin. >> can you talk about that? what does that mean? >> i was physically addicted. the higher milligrams things like oxycontin to me are pretty much like heroin, synthetic apps, almost as strong. when it came to the point that i couldn't find those pills i had to go to the streets to prevent my withdrawal symptoms so i could participate in my daily
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life, my children, getting them to school, me going to work. that is how i got into using the apps after the pills. >> you have two children, you were doing this in order to function, sounds like. where were you using it? >> in my home, in the bathroom when my kids were there, when they were at school. it was so much a part of my life, it was a part of my life. crazy to think about now the things i did. but it was necessary or i wouldn't have been able to function. >> what did you do when you started to get help? where did you even begin? >> i tried a few times on my own. it didn't work. i personally couldn't get through the withdrawal system is. i couldn't tough it out. some people can.
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i couldn't do it. this last time was the most successful recovery for me. i have been in recovery about a year. [applause] >> thank you. i am on -- it is called medicated assisted treatment and i take another drug the surgeon general was talking about earlier, the program stands for urban minority alcohol and abuse outreach program. that is where i go and it is very intense. a lot of counseling, group counseling with other people in treatment and individual counseling, talking to a doctor,
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it has really worked for me this time. >> talk about what you are comfortable talking about. did you have interaction with law enforcement? >> quite a few times. i have had to steal. i have stolen from department stores to feed my habit. i have been in drug busts a couple times. >> you are essentially using one type of medication, doesn't give you the same euphoria or high but to wean off of the heroine in this case. >> what i think actually blocks -- i couldn't get high. if i wanted to. it blocks the receptors in the brain so you can't get high. >> you tried this a bunch of
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times. you have been a year in recovery. is there something at work this time? for people who say it just doesn't work for me, i have tried, what worked this time for you? >> this time i wanted it more than anything. taking that step forward along with the support i get from my family, this helps, telling my story and helping other people, helped me and makes me want to stay in recovery and keep doing what i'm doing. >> thank you very much. [applause] >> you are the front-line of this. we had dinner a few months ago and the stories you share are pretty remarkable. you are a doctor. how did you get into this?
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why is this issue so important to you? >> a very similar story to crystal's. i saw patients who i got to know, when you know someone getting -- there is something wrong but this woman was in her late 20s, was a competitive swimmer. started out with prescription pain pills but got addicted to them and switched to heroine. this was a woman in a downward spiral and recognized she was losing her job, about to lose her kids, she came to us every week in the er and she knew she needed help. it is one of the worst realizations, one of the most humbling things, you can't help them, but what this patient
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needed, what so many patients need is treatment, addiction treatment at the time they are requesting it but couldn't get it. we were never going to say that to someone who has a heart attack, we would never say go home and if you die in three weeks come back and get treated. [applause] that is what we face and i remember that. i talked to her one time about doing what she wanted to do and set her up with an appointment but not until two weeks later and she went home that day and overdosed and came back and we tried to resuscitate her but couldn't save her. i think about her all the time because she had come to us for treatment so many times and clearly there is a difference
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between how we treat her and how we treat everybody else because we need to recognize that addiction is a disease. if we treat addiction like a crime, we are doing something that is not scientific, inhumane and ineffective. [applause] >> mister president, you heard the stories before. so lose it in terms of what the situation is like in the emergency room. what is your reaction? >> it is heartbreaking. the fact is for too long we have viewed the problem of drug abuse in our society through the lens of the criminal justice system. we are putting enormous
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resources into drug interdiction. when it comes to heroine that is being shipped in from the south, we are working aggressively with the mexican government to prevent influx of more heroine. [applause] >> we are seeing synthetic opioids often coming from china through mexico into the united states, we are having to move aggressively. dea, law enforcement officials. [applause] [laughter] >> good job, dea. we are staying on, cutting off pathways for these drugs coming in.
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what we have to recognize is in this global economy of ours, the most important thing we can do is reduce demand for drugs. the only way we reduce demand is if we are providing treatment, thinking about this as a public health problem and not just as a criminal problem. [applause] >> this is a shift that began early on in my administration. there is a reason my drugs are -- drug is our isn't someone who came not from the criminal justice side but the treatment side and been in recovery for decades now because -- [applause] >> this is something we understood early on.
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i am going to be blunt. i hope people don't mind. was saying in a speech yesterday, your last year in office you get a little loose. i say this in west virginia as well. part of what made it previously difficult to emphasize treatment over criminal justice system, has to do with the fact that the population is effective, in the past were viewed as stereotypically identified as poor minority, and as a consequence the thinking was it is often a character flaw in individuals who live in those communities and it is not our problem just being locked up. [applause]
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>> one of the things that has changed is this reaches everybody. not to reduce aggressiveness when it comes to the drug cartels, and be just as tough but recognition in the same way we reduce tobacco consumption, i say that as an exponent in the same way, in the same way we greatly reduce traffic fatalities, a public health approach so my daughter's generation understand clearly you don't drive when you are drunk, put on the seatbelt and
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instituted requirements for things like seatbelts and airbags and reengineered roads designed to reduce fatalities. if we take the same approach it can make a difference. what a powerful story. i want to make sure for all the crystals out there who are ready to make a change, not waiting three month or twee 6 months. [applause] >> you would agree, all we were doing was dispensing drug that is blocking your cravings for an opioid, but also in counseling and working with families it doesn't work as well. we got to make sure in every county across america that is
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available, the problem we have right now is treatment is greatly underfunded. [applause] >> particularly underfunded in rural areas, our task force, figured out 85% of counties in america just a handful or no mental health and drug treatment facilities that are easily accessible, if you have a situation where someone is in pain because of a disc problem, they may not have health insurance because maybe the governor did not expand medicaid the way they should have.
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[applause] >> they go to a doctor one time when the pain gets too bad, the doctor prescribing painkillers, they run out, turns out it is cheaper to get heroin on the street than it is to figure out how to refill that prescription. you got a problem. that is why for all the good work congress is doing, it is not enough just to provide the architecture, it has to be actual funding for the treatment. and drug treatment programs, counties all across the country and my hope is all the advocates of folks, families and those that are listening, say to congress this is a priority, we got to make sure incredibly talented young people are in a position to get treatment when they need it.
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[applause] >> you are 28 years old and this for you started at a very young age. you are still young but started at a very young age. can you share with us, when was the first time you took these drugs? >> i started experimenting with the way i frame it as open soul. never felt good enough for how i sounded or anything of that nature, being just in my own skin, very uncomfortable and that started in third or fourth grade, i was consciously disappointed with who i was. for those of you who have ever been a third grader or no a third grader, that is a sad statement that the future of our country at such a young age, so
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sad and hopeless, the other side of that, where we really coming to play, sound like a broken record. even more important than when that started, how that started, what that looks like, even though it was important to understand, people can and do recover, there are millions. [applause] >> there are millions and millions and millions of people who can and do recover. i am very fortunate to be up here and represent and be an example. i am not special or unique, i can appreciate that and challenge others to work hard but those of us who can and do recover, even to me, as important as this part of the conversation that we have to have this part, even less talked about and more underfunded,
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people can and do recover. >> to the extent you are comfortable again did you say third grade? when you say third grade, are you starting to use these when you are 7, 8, 9 years old? >> started -- a precarious allergy, i learned at a young age you take benadryl which makes you sleepy and you don't want to deal with life just sleep through it. that was part of my early journey. it satiated that hole in the sole and literally couldn't sleep through all of life so that did manifest enough. >> from benadryl you started using other medication. you are still pretty young. how did you gain access to other drugs at that age?
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>> very typical at least where i grew up, in colorado, a great rural community. amazing parents, pretty commonplace to have alcohol and other drugs in the home. my parents raised me exceptionally well, but that feeling of inadequacy, searching for something to fill that space was pretty strong for me. >> you eventually were in recovery and you were in and out of recovery seven times. talk about the first time. did you pursue it on your own? did your family help? >> the true first attempt at recovery for me which was no surprise when you have such an amazing family and parents, my pediatrician, they called me by my middle name, luke is
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struggling. doing leadership stuff in school but we found out he has been drinking. there is vodka in their. what are we going to do about that. culturally what speaks to what we brought up earlier and you articulated so well, that bias or lack of understanding that there has got to be something bigger going on before this gets into what we now know today as proportions of an epidemic but boys will be boys. it was one of those rare moments when i decided to be open and honest about the things i was doing. i am a pediatrician, not a doctor, clearly. very much, without knowledge, nothing a doctor at that time could do other than he is doing good in sports, doing good in school, this good-looking young guy will be okay. that wasn't the case.
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>> you weren't okay. how bad did things get for you? >> bad to me is a relative term. a lot of individuals went through things i don't know if i could have gone through but for me even more so than how bad did it get or how many stories could i go into to articulate the hopelessness of the things my family went through is the reverse of that recovery, the power of those stories, when i did start to get it. when i was allowed to be in my parents's home, my father was the best man, my dad called me when i was a couple years in recovery and said because of what you have done i want to be in recovery and is still in recovery to this day. [applause] >> maybe i can interject. i am listening to justin's
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story. when i was a kid, how what i put it? not always as responsible as i am today. in many ways i was lucky because for whatever reason, addiction didn't get its claws into me with the exception of cigarettes, obviously a major addiction but doesn't manifest itself in the same ways. but the point at this point is really powerful which is we live in a society where we medicate a lot of problems, self medicate a lot of problems. the connection between mental health, drug abuse is powerful.
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anxiety, folks trying to figure out coping skills. we have an entire industry that says we are going to help you self medicate. the line between alcoholism which is legal, and folks taking vicodin and on to harder illegal substances isn't always that sharp. especially among children. one of the conclusions that we came to is it is important for our health system to be addressing wellness in a way that prepares doctors, provides resources, insurance policies that can help with these issues as opposed to if you have a broken arm you get treatment but if you have got a significant question, you may be asking
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through alcohol through opioids, you are not getting treatment. .. in response to the epidemic is to really ratchet up the guidelines that we are providing to insurers so if the young lady comes in and has insurance and in fact that it's treated as a disease and it's covered in medicaid and medicare and they start taking parody seriously so that mental-health issues are treated as if someone came in with a medical illness.
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[applause] >> can you give a little bit more detail on that? the impact hasn't been felt so what would the task force be able to do that hasn't been done? >> the goal of the task force is to essentially develop a set of tools and guidelines, mechanisms so that it's actually enforced and the concept isn't just an empty phrase but as a practical matter if you are trying to get a provider for treatment they may or may not be reimbursed, but there is a consistency in terms of how we approach the problem. when it comes to medicaid and medicare, there are guidelines that we can provide. when it comes to how we oversee
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the parity provisions in the affordable care act, we have to let the carriers know that we are serious about this, and this is where the public education and employ your education is very important as well. ee 5% of folks still get their health insurance through their job, through their employer. for business owners and companies to recognize that they are much better off checking and oppressing their insurer so in fact mental-health and substance abuse. he does exist today will save money. they will be getting more bang
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for the buck and that is all part of the approach that i think we can take you to carry through a. you talked about the fact he wanted to describe some of what you experienced in the criminal justice system. i think what you are talking about is some of the stigma. i wonder if you can describe some of your experiences and what that felt like. the place that i go i talked to a lot of people that are on probation, and the probation officers don't treat them like they have the disease and the medication is something that's treating their disease is. they don't want them to be honest if they don't understand. i don't think they have enough education.
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it's great to hear the president say the disease of addiction. that's wonderful. [applause] but that is a stigma. nobody treated me bad but it's in the back of my mind. >> if someone treats crystal bad, they talk to me. [laughter] the u.s. armed forces -- [laughter] but it is in the back of my mind like i'm not worthy. the criminal justice parole officers. >> some ambassadors even. a doctor i went to come and i talked with one of your people today about the parity act.
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i don't have a problem with it now. but i have gone to doctors before and they would only take cash and there were a couple of nasty incidences with things the doctors had about a patient and treatment. >> it's so prevalent when we talk about for example the overdose, there are people that would question if it would be more likely that we would never say that about someone that has a peanut allergy. [applause]
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we are coming up to now a year post the unrest and it is time to look at the city as what is angry young people committing acts of violence but then if we look just one step deeper. we have a city -- we have 73,000 arrests made every year in the city of 620,000. they have a diagnosed mental illness eight out of ten so we are criminalizing people without giving them the resources to get
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their lives back in order. you provided your name as a doctor and all of the pharmacies in certain areas so that anybody going and could get there no walks and is that right? >> we issued a standing order in the city -- [applause] first responders is very important we it's very important we started training our police as well. so that's very important. [applause] if it's true addiction doesn't discriminate, if it is true that anyone can die from a overdoses and who have taken their parents medications.
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i treated 65-years-old. it's true this disease can affect everyone and we should be able to save a life so i issued the standing order and anyone that takes a short training in the streetcorner public market, public housing they can get a prescription in my names of 6% of the residents in the city have access. [applause] >> if you provide more widely do people feel like i have a safety net now and may be more likely to continue using heroin for example, so are they more likely to enable to foster the continued usage of these drugs as part of trying to pass some of these recommendations?
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>> of the base but i intend policy on science. [applause] there is no evidence because of a syringe exchange program for people to get addicted to drugs that's not the dynamic that's taking place. it's a straightforward proposition to save lives once people are addicted so they have a chance to recover. if it doesn't do good to talk about recovery after folks are dead and if we can save a life when they are in a medical crisis than we are in the position to recover so long as the treatment programs are
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available. but i think what she said with respect to the populations in prison and the lack of systematic program and support when they get out is critical. so if somebody has gone to jail for a nonviolent drug offense and they are not getting treated and provided with some baseline skills and handholding when they are released then they will be in trouble. that's just human nature. this is going to be an area we provide more resources and the department of justice is working very closely with the office of
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drug policy. at the federal level the reentry programs and so forth. it is a state-based justice system. the federal government is not responsible for the drug laws for how the reentry process works upon the release. what we are hoping is that we model the practices based on evidence that more and more states adopted. if we can reduce the amount of recidivism then you are saving money if an individual like the young man that i met was in prison for drug offenses the decade comes out and gets
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treatment and gets training and is now an emt for the state of new jersey -- [applause] and is paying taxes and supporting himself and potentially a family that's good for everybody but that requires a certain amount of foresight in terms of how we are approaching the problem generally end of the same is true by the way for preventing people from getting addicted in the first place, i don't want to -- [applause] we talk about the powerful stories from crystal and jeff and i couldn't be more proud of them sharing the stories. we also want to make sure of is
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the third grader has to support but doesn't feel the need to engage in this more destructive behavior. [applause] we have a healthcare system that too often is a disease care system. we wait until people are sick and then retrieve them if we don't spend enough time thinking about how to keep people well and healthy and centered in the first place. that requires the reimagining of how the health system works specifically when it comes to opioids, the treatment of doctors for pain and pain relief and how they help their patients this is an area i was shocked to learn how little time residence
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in medical schools were spending time trying to figure this stuff out. it is not emphasized or considered prestigious heartrending to think about how are you managing pain with your patients. they are announcing today that they are going to make pain relief a major part of their curriculums. [applause] it seems like for a period of time pain relief was talked about for a context of time and the literature suggests there was no concern for addiction and any time someone came into an
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emergency room they would be perhaps giving 80% of the worlds pain pills consumed in the united states. we have 5% of the population and we take 80% of pain pills. we don't have 80% of the world's pain. what do you think, how did that happen? >> one is that drug companies, i don't know if it is knowingly or not, but they misled and marketed pain pills to the physicians and they then developed a culture of a pill for every pain. if i fall down and bruised my knee i may not need opioids. but somehow we have said the goal was to make people pain-free. i've trained with many fantastic people including the surgeon
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general. i know the doctors are trying to do the right thing. we are not trying to get our patients addicted or switched heroine leader. we need the resources to help us to then support us whether they are the guidelines issued or whether there are other efforts by the medical societies to assist us to make better decisions for patients. but we also need our patients and society to change. if i talk to one of the students in baltimore city and ask them is heroine good or bad, they get diagnosed with attention deficit disorder and they get a if they get a pill or they see that their parents are in pain or maybe they see their parents getting a whole month's supply
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of oxycodone, this has to change [applause] >> that's what i mean about reimagining the health and wellness. there's a good analogy to this and that is in the whole field of antibiotics. i spent time with my team and we worry about the fact that antibiotics which are one of the great breakthroughs of mankind could face billions of lives are becoming less effective because every time somebody has a cold, and i've been guilty about this as a parent. i don't like seeing them sick. so i go to the doctor and ic can't we do something for her and sometimes it is just a cool
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cool and an antibiotic isn't going to work and it's led to increased resistance among the bacteria that needs to be treated. so the doctor is right we need to have a change in the medical profession and the drug companies and hold them more accountable. as consumers and parents we have to be accountable as well in terms of how we approach keeping our families while in order for us to be able to prevent this massive gateway into addictions that can cause problems. >> and i should point out because you mentioned the cdc has released some of these guidelines regarding opioid prescriptions saying that pretty plainly i listened to you closely saying that these
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shouldn't be a first-line treatment for chronic pain. and that's not the way the medical culture has put about this for some time. now talking about black box warnings to say there is a risk of abuse of addiction and even death from these things, so there are some solutions and in things that are changing as a result. one of the things you said is this idea that they didn't get a call and you. i want to ask about that. we know how everybody in this room feels about addiction as a brain disease but it's still a hotly contested topic outside of this room people talk about the fact is there a component of moral failure and all those things. your experience and also how do you counsel the young people in recovery at the organization? >> i'm really glad you asked this question. i'm certainly again, not a
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doctor. i'm not an expert. i just try to be fully aware of what's going on in the different ways in which we can relate to that personally but what i would consider myself an expert in is the opportunity to help. so, the question starts with one of the things you said which is this is good for everybody. it's not like one of those things we talk about that affects a small number of people and even if it was it's good we try to help everybody that we can but since i am not an expert when it comes to disease, not a disease, choice, not a choice, i try to and will step aside from that conversation because that is our role to have that discussion from a medical perspective but hopefully will say and the results that we have seen all over the country through the chapters and leaders
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all over is that if given the opportunity, and this is something that something the times excited to share that i genuinely believe if you are or ever have been a person you can relate to this is that whether you may have made some choices you were not proud of, maybe there were some there was some choices and you said have you said maybe i shouldn't have done that or maybe even something happens to you that was out of your control and influence and you can relate to the fact that you know, if someone gave me a shot at the opportunity i may not know how i got to the situation or how they came here, or if i even did this to myself but instead of focusing on that or being able to speak to that, i think the real opportunity is that's what the country is supposed to be about, giving people an opportunity to get the resources into the tools they need so they can and will and do recover all over the place. [applause]
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>> to pick up on what justin said, i was lucky. i don't know why. friends of mine who ended up battling addiction were not trustworthy or a morally suspect then i was. for whatever reason things broke that way but i think his point is correct which is regardless of how individuals get into the situations coming and we don't know everything. it may end up being genetic component to how susceptible you are to addiction, and they may be different for different people. what we do know is there are steps that can be taken that will help people's battle for
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addiction and get out on the other side and right now that is under resourced. there are steps we could take that would help young people adjust and adapt to a rapidly changing and sometimes confusing world in a way that is healthier rather than distracted and it is affecting everybody. we do know that if you are poor, you are more vulnerable. you don't have the same antibodies to protect yourself or get the same chances. and so, part of the goal hopefully coming out of the conference is because opioids affect everybody that speak to a broad issue of how did he treat addiction to that we as a society as a whole are paying
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attention to what's going on in our own kids lives and also paying attention to children that have a lot less resources than you my children do because it turns out there is a market for heroin in baltimore it's not going to take long before they find their way to a wealthy suburb outside of baltimore. i now have kids in high school and i'm well aware that their access to, ability to access legal or illegal substances is very high. they are just less likely to get in trouble and thrown in jail and have a permanent record than the kids that live in those inner cities. [applause] began to use the analogy, we care a lot about making sure no children in america have
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tuberculosis because if a child has tuberculosis and is poor at some point they can give my child that is well-to-do tuberculosis in the and the same is true for addiction. it has an impact that can run through society as a whole and that's what we have to pay attention to. [applause] obviously you are absolutely correct. [laughter] let me just say that i am in washington, d.c. and that is rare. [applause] i just want you to take note paul rogers. [laughter] again, you are absolutely correct. but i also found what i also found though is that it's even more ideas to think and i think
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even my family did, tell me what to do. if we do this or that will result that while the results change from and where we are with what we do know and what the experts are telling us is that it's not an either/or solution, it is in all. it's time for the country to go all in on this. it isn't just for treatment or recovery but it is everything and the way we talked about a it's what did do we do with our members, what are we doing that is so extraordinarily different than other places and it's because we are empowering them and = them. i was asking at the briefing before all this stuff what is the thing that's changed for you, so i was giving great opportunities and programs in the treatment of what it was in a single moment in time when somebody looked eyeball to eyeball with me and said you have values and regardless of some of the choices you made whether you put them there or somebody else did you have value
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and one day -- you have a lot to learn. you have to focus and know that you have value so that you can give other people hope and help them in a way that we do that is through employment, housing, education and other recovery resources and that isn't unique to young people or people of any age or any pathway those are things that all individuals in this country need and when we start to have that conversation that's how we go in and support the resources and employment, housing and educational resources we can do this together. [applause] i'm so glad you said that because this is a multidimensional issue and we
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have to address all these things. i want to ask about the next step. somebody goes in and they've gone through recovery now. they go in the hospital for something unrelated and they are given a prescription for narcotics. they tell the doctor look i'm a drug addict. i can't take this stuff and if i do like we'll i will be right back on the road to addiction again and i could even die. that's what happened with jennifer, mr. president. the stigma exists even in the medical establishment after someone has been treated and someone is in recovery. even then you find i will give you these opioid pain medications. >> this is where the training of the medical community comes in. there has been some controversy around making this education
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mandatory and i think the medical community worries about their independence and over regulation and the communities. we have been getting some good volunteer efforts going and i applaud those. we have to see how good the take-up is because if in fact the training is not sufficient, then we may have to take a look at the possibility of mandatory training. i will tell you that within the federal government we have said you are going to treat somebody who is a federal employee or part of the federal insurance program, you need to get trained and so far i think we have about 75% of the medical community that treats federal employees. i was able to do that through an executive action. but i just go back to the point i don't want crystal if she is
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ready to get treatment and to do right by her kids, i want somebody who is fully supported so she's interacting with on day number one. i don't want somebody that has an attitude, i don't want somebody who is misinformed, i don't want somebody who is not familiar with the best options that are available. i want somebody that's going to increase her and say let's go. let's see what we can do for you and i wanted make sure that those doctors and perhaps nurses as well because in some communities there will not be enough doctors and one of the issues that we have to address -- i just happen to love nurses as a general rule because they are overworked, underpaid commander really just the foundation for so much of our
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healthcare system, but all the providers i want to make sure they are getting the resources and the reimbursements whether it is their third party through third-party insurance or medicare or whatever in order to do right by crystal because it's hard. when somebody is ready to make that change i want them to be right there with them walking not turning away. [applause] >> i would also add we need other people in recovery working as well and specifically with individuals with addiction. i am very proud to represent the baltimore city of department and on behalf of the nadir, we really care about addiction is a public health issue. we have individuals and the
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department working at 24 needle exchange sites across the city which i will tell you one statistic that continues to really surprise me but also this is why he do the work we do the work we do, the percentage of individuals with hiv has decreased from 64% in 2000 to 8% in 2014. [applause] and these individuals that work on the exchange most of them are in long-term recovery themselves and for them to say to people coming to their clients and patients you should think about quitting again. we can help you with it and guide you through. that is more powerful than me as a doctor saying to someone it's possible. and we do the same thing when it comes to violence prevention as
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well. we believe that just like addiction and other disease can spread so we have a city program that came from the chicago store violence program where we hire individuals who were recently incarcerated and released from incarceration to walk the streets of baltimore and interpret violence and we need to find a way to reimburse and pay for the recovery specialists who are the most careful messengers. [applause] you are also 100% correct. [laughter] but really, we have seen that excitement, that person that you described, mr. president, when they are able to get help, imagine them meeting me. if you're encourager is broken and you meet me on your day of need and health and other young people in recovery that have
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walked the journey, who better to do that with, it's not either/or, it isn't just funding peers, it is also massive amounts and one of our recent success stories we set a long time ago, and i'm going to go back to that, we decided to say we are just going to put our money where our mouth is and be the solution in the meantime until all these policies change so that our chapter leaders and members have been doing is providing the recovery meetings helping build recovery schools and recovery communities and the action has been able to attract enough attention because we are doing it. we are not waiting for things to change. our leaders are changing the communities regardless of the stigma or straight up discrimination against our own population. but what has happened is even bigger insurance companies and other providers have come out and said we will literally pay
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you to further build out your own infrastructure to put chapters around the communities and this is a win-win. so now the insurance as we are going to pay you to do what you were already going to do anyway. it helps the people in recovery and the people that need recovery and we are saving a ton of money, not like geico that we are making sure they get the money on the cost savings back because they are are not going through the system again and again and again. if we empower and not handcuffed and jailed people that are not well and we focus on their wellness, then that is part of the chain. [applause] >> there's a lot of things announced today that are part of this $1.1 billion that are spent. is there a way to describe now that you heard crystal's story a way to describe how her life will change or how future crystals life would be different.
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it's been a 1.1 billion isn't allocated by congress. i want to be very clear about that. we have been able to reallocate some existing dollars per example for the community health centers, but this is still an area that is grossly under resourced so we have to work with congressman rogers and other members of the congress to support policies that they've already embraced that already reflected in the legislation but the way the congress works sometimes they will say this is a good idea but until the money comes through, it's just that, it's an idea that doesn't actually get done. remind me where were you during this time when you entered into recovery? is it more of a rural area? >> where i live is, yes. a >> one of the ways i would hope that with change and i don't
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know how easy or difficult it was for you to identify when you were able to make the change where you could get treatment and how long the wait was, but i think the most basic thing i would like to see is a that there is a greater coverage for the programs like the one justin is describing, good work that's being done in baltimore. i want to make sure there is sufficient coverage everywhere. part of what is troubling about the opioid epidemic is a you're seeing significantly higher spikes in the rural areas and part of that is because there has been a lot of under resourcing in the treatment into treatment facilities, mental health facilities there may be in some of the cases more stigma van and a big cities about
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getting help. if you are in a small town everybody kind of knows you and you may be more hesitant. i don't know if that is an experience that you felt if you've are in manhattan and going to get treatment people may be more familiar with it so part of what i think our goal is to make sure that we have in counties all across the country at least to some resources to get things started because as great as the work is that justin is doing, the organizations are not going to be able to do it all and i want to emphasize those wonderful work being done by the nonprofit center and we applaud that. for some, a faith-based approach is going to be critical to the being able to get the wherewithal and the courage to be able to get through this
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thing. and obviously the traditional programs that emphasized a higher power so there's a lot of great work being done and churches, synagogues and temples and mosques all across the country on this issue. [applause] but, ultimately come if we are going to get coverage everywhere , we have to have the government helping. health centers are an efficient way to do it, but we have to make sure the local hospitals can individual providers and insurance companies, medicaid expansion are all part of this as well and this takes me back to why i pushed so hard for the affordable care act. i know it's been controversial.
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i understand. i understand the politics. but the main goal is to make sure that if you don't have health insurance on your job, which 85% of the american public do, but at any given time, somebody might previously have had health insurance on the job and lose their job or they are between jobs or they are going back to school were starting a small business. in those circumstances, you have access to prevention and access to the doctors. you have access to treatment. you have the ability to not just rely on the one a one-time bottle of pills but a doctor that knows your history and can take you aside and say i've known you since you were this or i helped deliver your baby, let
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me give you some advice i think you are going to be better off even though it is good to be tough going through rehab on your shoulders as opposed to taking a pill, you have to have a relationship with a wellness syst. and the problem is there's still a lot of gaps especially in the rural communities where that doesn't exist. even in the va system, which has coverage of across the country typically some of the biggest problems we have is where you have to drive two or three hours to get treatment for any kind of medical problem and it discourages people from using it. they start feeling isolated and starts to self medicate. we see a lot of coming back because they don't have easily accessible treatment facilities.
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so money isn't the entire issue. very rarely is it the solution alone. there has to be passion, there's got to be the stories, there has to be great dedication and professionalism. that money helps and without the government, without us as a society making this commitment, what we will repeatedly end up with is being penny wise and foolish and it is so much more expensive for us not to make these investments because we end up with jails full of folks who can't function when they get out, we end up with people's lives being shattered, folks not being as productive on the job, children suffering from some of the problems of parents who are going through issues that affect their schoolwork and that in
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[applause] we will continue our look at drug abuse tomorrow night on c-span. the spotlight on the opioid addiction people here from the president as well as addicts and their loved ones. senator ted cruise talking about his sister's addiction and the debate on how to fight fat epidemic that will be the issued spotlight tomorrow night 7:00
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eastern on the companion network c-span. we can control every part of the economy including small and medium-size enterprises and i'm not sure if you know that the descriptions in february of this year and that situation just a undermines the tendency that is pretty vulnerable and the classic refrain of small and medium sized businesses you don't have to help us just don't bother us now pretty often sounds like a revolutionary slogan something pretty close to an extremist revolution in
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today's russian. the ranking official in the administration once said without putin, there is no russia and it is the thesis of the stagnation period. the regime no matter where it comes from, if it is the western oriented liberals or business people are doctors, teachers, truck drivers from wherever silenced from the budget or treated from the west and treated as such with the consequences that would unfold. they precisely illustrated the fold of the regime and the
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russian state by the personality rather than ruled by the law. so what i foresee under the stagnation is a poor continue to fight regularly and publicly declaring their love and loyalty to two following a grenade and fight against external or internal enemies. the federal agencies like the interior affairs have been playing this game already for years and the budget shrinks and the pressure, this fight will
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only increase and they will be campaigns from time to time against corruption which will be initiated by the corrupt deputies or officers and there will be some sacrifices, some bureaucrats want to bite a big piece of the pie and will be shown to the public but not really high ranking or influential public figures although as it continues and becomes smaller and smaller and smaller, i'm sure that certain conflicts will become public anderson's he is used to be arbiter that soulful arguments but sometimes when it comes to
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public and when it can reflect on the image then probably some serious figures will need to be sacrificed. he is one of the most treasured traits probably his loyalty. he says that he never gives out his people but what i think of course he will continue to defend his people but at some point like i said when it may become public, the combination of scandal and shortage is likely to create a situation where a member of as the former defense minister or example. if he has all the resources to remain in power until 2018 and
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through at the very least, he will no doubt protest with a combination of a the well-financed and people will buy that confrontation where the west will continue and the worst thing about this scenario is that we'll eventually lead like i said before to the replacement of the elites in more or less violent ways and one of the most violent ways this could happen is if a third force comes to power. what third force in my talking about? what the committee of january 25 which was created january 25 of this year headed by no other than the hero of the adventure
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and a key and some other guys including the famous russian writer and there were some politicians from previous administrations in the committee and they criticized both the clinton administration and said what putin is doing is the site in front of everybody that on the other hand they criticized the western oriented liberals because they believe that they sold themselves to the state department and they are not afraid of parallel in the 1976 bolshevik they said we are coming to power in the way bolshevik came to power. people in russia hadn't even heard of this and then in less
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than a year or just a year they took power and turned the world upside down in the next century. so, this third force claims that they will greet russia of corruption and unite those that have been separated by the borders and as you can guess it can hardly be done without the use of military force. so, this is probably the worst scenario which is pretty bad for both existing elites and the liberal opposition. so i guess i'm running out of time right now. so i would be happy to answer the question as to what i believe needs to be done to avoid the worst scenario when my turn comes to answer questions. thank you.
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>> a week ago i visited and found an interesting call from daniel patrick moynihan who said if the newspapers of the country are filled with good news, the jails will be filled with good people. i think that if we talk about the situation with the media in russia it's also the part of society so i cannot tell anything in common with the deficit so we have three parts, tv, radio and newspapers. of course we have the internet that is around all of these parts and we have the so-called state channels. all of them are first channels
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because if we try to tell you some details of the content of the state channels i can remember a the shadows. here are the things people say from the streets. so, they got another page of the story in the media after the russians invade crania. i asked the sun what was the reaction of the societies, when the troops invaded and he answered you cannot imagine that propaganda was more or less than the russian propaganda.
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so another user of the state channels. i don't want to answer which channel i watch now so nobody, my family watches modern russian tv. but you see it is such that every interesting article, every interesting film you can find on the internet and social network. the state channels and some products from internet and so it's some kind of a circle but anyway it is a very big difference from the soviet media that every event is shown on the internet so you can understand everything. when there are reactions people look like this. they go and they make pictures and everyone can understand everything that's going on and
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so if we ask ourselves why people don't take care of what's going on in russia, so the media or entertainment. sometimes they make some kind of awful things to persons committed audience that everything is going right because when they speak about our troops in ukraine, they say that we are right and here in washington my colleague at the institute visited ukraine and the people in the hospital to have no but have no hands, no feet, they are victims and when we speak about conflict between ukraine and russia it's not a conflict, if they wore. we have
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