[000:00:00;00] the, the but it's also is there's a lot of input in it says watson need is all of this stalled thing. moscow statements about the conflicts and ukraine about so russian president view and lose weight companies in debate with us doing this type of call one dead and multiple people are reported injured in a shooting at a super bowl parade. and the kansas for the union station, p site 2 suspects are in custody. and it is as defensive as, as he is coming to house on. so in the nations presidential election that says for liberty results show, he is that it will take all the candidates. why 115 and the prime minister been, you mean if the problem is

a full scale operation in the border city of ruffled as if it is in the last safe place, left the cause of the house of all those on the latest headlines up next door and christie ion the cost of everything and will be back over to the out by from the alcohol addiction is not just a personal struggle. it's impact echoes through individuals and society at large world wide $3000000.00 debts every year. result from harmful use of alcohol representing 5.3 percent of all debts. but while it's an important social lubricant that plays an important part in every culture, excessive alcoholism is becoming a growing problem. the. i'm christy. yeah, you're watching the cost of everything. where today will delve into the heading costs of alcoholism, shutting a light on the staggering toll it takes on communities.

the alcoholism affects millions of people all over the world and is not only harmful to the individual, but also to other people around done such as family members, friends and co workers. on top of that, the health costs are substantial from liver diseases, to cardiovascular issues, and mental health disorder. the medical costs can quickly rack up not just in treatment, but in the long term care required for individuals dealing with alcohol related issues. and all the 100530 liver disease depths in 202147 percent of them involved alcohol abuse. excessive alcohol consumption can also cause death and disability relatively early in life. and is a casual factor in more than 200 diseases and injury conditions. now, beyond health consequences,

so harmful use of alcohol brings significant social and economic losses to individuals and society. one of the most alarming consequences is the connection between alcoholism and homelessness. studies reveal that 30 percent of homelessness can be attributed to alcohol abuse, approximately 25 to 30 percent of the homeless population grapples with alcohol related issues. and this not only contributes to the strain on shelters and social services, but also perpetuates a cycle of despair that is challenging to break. in total alcoholism cost the us economy over $249000000000.00 and losses. $28000000000.00 comes from health care costs. a 179000000000 comes from last productivity. and $13000000000.00 comes in collisions and di wise and $25000000000.00 in criminal activity. in 2020 to

29500000 people age 12 and older had alcohol use disorder. alcohol related incidents also placed a heavy burden on law enforcement. alcohol is often a common denominator in various criminal activities from domestic violence to public disturbances to it not only puts a strain on resources, but also contributes to the cycle of recidivism, which has a tendency of convicted criminals to we offend each year or more than a $140000.00 deaths are attributed to excessive alcohol use. and now joining us today is dr. charles smith's medical director recovery 1st treatment centers. now doctor, how does alcohol addiction affect one's relationships with friends and family? well, alcohol used disorder of problems with alcohol. it's very dramatic with interpersonal relationships, working in the front line of addiction at several rehabs that i work at. patients come in a totally overwhelmed with problems that they've develop with marriages problem they develop with their children,

work voice problems. it basically interferes with every aspect of your life, but i would have to say the relationship aspect is the most influence of your basically not yourself. when you drank alcohol, there's changes in the brain. changes in the prefrontal cortex, changes with impulse control, it just makes functioning uh, in a healthy relationship, extremely difficult. how much of alcoholism is genetics and how much of it is personal choice and poor decision making? well, i was tell patients an insides quite often were, were asked to say nature versus nurture. but when it comes to alcohol problems, we don't really have to make that decision. we know there was a high incidence of june as like involved with a family member 1st or 2nd order relative having problems with alcohol. then each

versus 2nd order relative has a 50 percent chance of developing that problem. also we know it's a product of nurture. your environment growing up, such things like all of the trauma sizes, dual diagnosis, some things as or early access to alcohol and drug and alcohol. when you are very young. so i always give it about a $5050.00 is it's a product of your environment, certainly. and it also is a product of your genetics, as far as will power for those who have a predisposition for this disease, i don't think will powers much involved. because your ability to make decisions become so impaired, taking that next drank, or having that next drinking event is what the impaired. and that's one of the 1st bad decisions that people may. so it's, it's, uh if they have the bottom line answer to your question, it's about the product,

the bad decisions i wouldn't say will buy though, and certainly the genetic predisposition and also how we reacted to our environment, stresses and bar environment. as i said, dual diagnosis, psychiatric conditions, age of early drinking and trauma. now from a health care standpoint, what are the direct health costs associated with alcohol addiction? yeah, the last article that i reviewed came from the cdc and this was published in 2019. and i think these numbers, at least for me, and i don't really have went up fits them. because after the pandemic, we did see a rise in drinking during the pan them again after. but it's so tardy, steiger, and numbers. the estimated loss in the united states is $249000000000.00 annually. in general, the american society of addiction medicine now gives the cost of addiction overall

of 600000000000 in the united states. so certainly makes sense to me that alcohol own is almost positive of responsible for half of that cost. can you just go us any long term health consequences and the associated financial burden on both individuals and society? will certainly discuss this with my patients all the time. we are now certainly training primary care physicians, internal medicine, doctors, family practice doctors to do alcohol screening. for example. we don't want them to fall out of the guidelines that are national institute of health, which is that women shouldn't drink over one drink a day or more than 7 in a week to be considered high risk. and man shouldn't have over 2 drinks a day or more than 14 in a week to be considered high risk. alcohol being fat soluble, permeates every cell in the body,

everywhere from brian sales to heart sales to deliver sales to bone sales. we know these patients certainly develop liver disease with fatty liver disease that certainly uh at least 10 percent will progress to fatal. cirrhosis of the liver is a one of the leading causes for dementia. in middle age, the elderly patients who have consumed consist considerable amounts of alcohol in their lives. also, heart disease and cancer are also associated with the a heavy to moderate alcohol is what i tell patients now. if they're interested in a healthy lifestyle, there's simply no redeeming qualities the drinking alcohol. and one of the things i'll say, look, when you went for your routine health maintenance screening, has the doctor ever said, i think you should start drinking alcohol?

of course, of course not. so that's really the way i poses the values of those, no redeeming qualities to alcohol. if you have those significant risk factors that i've talked about before, or you have fallen out of the recommended guidelines for consuming alcohol, you need to seek help. and now can you discuss any studies that quantify the economic burden of alcoholism, including loss, productivity, and increased health care costs? yes, this is a 2019 c d c dot gov, forward slash alcohol article that i just quoted you. those numbers before. and it goes into detail explaining the breaking down the health care costs of breaking down the workplace productivity, and also the cost of the criminal justice system. an automobile accidents also in workplace uh productivity. they assess things as last work to assess things with

accidents, the work, uh it goes into breaking down in, in a little more detail. but that was the just of it was a staggering number of 249000000000. and this is a c, d, c study from 2019 other specific industries or sectors that they're a disproportionate economic burden. actually, not that i'm aware of. i say it certainly industry and the transportation industry particular are, are very susceptible to this. but i will give the transportation industry and the healthcare industry nod there is they do a better job of monitoring. we quite often use the word when someone comes to treatment. if they are in a safe defense of the position. for example, the bus driver, trained, or of, or a healthcare professional, nurse, doctor,

etc. they, they are certainly monitored by their lives and the agency, the monitored people of factory workers, farm workers, etc. don't get much attention up and certainly don't get exposed to screening. thank you. so much dr. smith, but please stick around. dr. charles smith will stay with us right here after the break. and when we come back, did you know that the per capita alcohol consumption in the country doesn't necessarily correlate directly with the prevalence of alcoholism? we'll have more after the break, the . i look forward to talking to you all that technology should work for

people. a robot must obey the orders given it by human beings, except we're so shorter is that conflict with the 1st law show you as a patient. we should be very careful about visual intelligence. at the point obviously is to create a trust rather than fit the various jobs. i mean with the artificial intelligence we have so many redeeming the robot must protect this phone. existence was on

the car. i'm rick sanchez. and i'm here to plan with you whatever you do. you do not watch my new show. seriously. why watch something that's so different opinions that he won't get anywhere else. welcome to please do the have the state department c. i a weapons, bankers, multi $1000000000.00 corporations. choose your fax for you, go ahead, change and whatever you do. don't want my show stay main street because i'm probably going to make you uncomfortable. my show is called stretching time, but again, it's not. we don't want to watch it because it might just change the wayne state a while,

you might think that the rates of alcoholism would correlate closely to the overall alcohol consumption per country. that's actually not the case. americans on average consume 8.7 meters, appear alcohol per capita annually, but it is only 38th on the list of countries with the highest alcohol consumption per capita. despite this, it is number 7 on the list of countries with the highest rates of alcoholism. now hungry top the list as 21 percent of the population that suffer from alcohol abuse followed by russia at 20.9 percent. beller roost at 18.8 percent. lot b, a at 15.5 percent. and then the us, at 13.9 percent. alcohol misuse is now the 3rd leading cause of preventable death in the us after tobacco use and being overweight of alcoholism can be caused by a con, donation of genetics, environmental and physiological factors,

stressful life events, mental health disorders, peer pressure, early access, and the normalization of heavy drinking can all contribute to its development. drinking often causes you to experience positive outcomes such as feelings of being confident, relaxed and stressed and number. which means that you want to drink alcohol over and over again to feel the same effects. overtime repeat a drink increase a physical towards to alcohol and you'll end up experiencing withdrawal symptoms when you stop drinking. and this can quickly turn into a vicious cycle for those who are willing to get help. there are many choices including alcoholics anonymous, residential rehab, outpatient counseling, etc. now rehabilitation centers play a crucial role in offerings support therapy in a structured environment for recovery. however, there are challenges such as stigma, accessability and relapse prevention that persist. the centers can costs from

a few $1000.00 for outpatient programs to tens of thousands for inpatient facilities. factors include the duration of treatment, amenities provided, and the level of medical and therapeutic support. they're also medications used in conjunction with counseling and therapy that can help to be balance chemicals in the brain that may be changed by drinking too much and decreasing the craving for alcohol. other medications work by causing unpleasant effects such as knowledge of vomit, a headache or flushing if you drink alcohol in order to create a negative association. so for this and more, let's bring in again dr. charles smith's medical director at recovery 1st treatment centers. now doctor, how can communities implemented preventative measures to reduce the societal costs of alcohol addiction? well, certainly out of mindset that alcohol not could sit are acceptable for many situations, needs to be taken. for example, if there's going to be minors,

add an a v a and how much and what sorts of alcohol would be served there. with professional sports, we've noticed that they started closing down the alcohol vendors an hour or possibly 45 minutes before the end of the game. so basically it is to put some curtailing events around alcohol don't make the ease of access quite so great . certainly monitor for him under $21.00 so that there is not accessible to them. but this is the overall awareness that i believe should start with the primary care physician that the primary care physician asked dates, vivid. well, do you drank, how much do you drank? how often do you drag? do you exceed guidelines? and do you need some sort of medical intervention or referral?

and i'm seeing that done now even when i go to my own private division, i notice that that i get those questions asked more often than we did 20 years ago . and what role do rehabilitation programs play and mitigating the long term consequences of alcoholism and how effective are these be, have programs? well, rehabilitation programs are very effective when combined with patient compliance. i tell my patients as all the time for their best success. i need them to approach is just the they would part disease just as they would have blood pressure just as they would diabetes. i need them to adhere to a treatment plan. it is a chronic, long term relapse in disease. so this will be a treatment that i expect them to participate in the rest of their life. as far as coping skills. relapse prevention, healthy boundaries, better decision making it so it's

a process that the therapist work with patients all the time on. now in what ways does alcohol eviction contribute to mental health disorders? and how do these conditions complicate the recovery process? can you discuss the correlation between alcoholism and issues such as depression, anxiety, or cognitive decline? well, 1st of all, when you're treating mental health issues, anxiety, depression, mood disorder skips of for any, any of our spectrum of psychiatric illnesses. adding alcohol do the mix, it is a, is a real burden. and a real complicated because we're working on the doping mean reward system. when we're trying to treat these patients for depression, either with their town, with nor up and now for an inhibitors with the main stabilizers and alcohol interferes with those, it also interferes with our medications. that we use our anti depressants are anti anxiety agents are sleep,

medications are all interfered with by alcohol. so it really complicates the field, makes it much, much more difficult to treat a depression and patient lang, the age of patient a mood patient. when alcohol is involved for all those reasons, the interviews with adult, the main reward system, it also interferes with any medical interventions that we would be posing. it also causes complications in the personal life that we talked about earlier, relationship problems that said or possibly been involved in the criminal justice system. one of the 1st things with depression or anxiety, or any mental health patients. when we see them, we certainly want to know what substances they use, see if they fall out of the range and do an intervention to see if they need rehab . and how much does alcohol addiction contribute to criminal behavior?

what kind of a stray does it put on the criminal justice system? well, it took the x ray on both its criminal justice system and the health care system. there's many studies that show over 50 percent of emergency room encounters have alcohol or drug involved. but there's also a large correlation between domestic violence and the alcohol use. and simply because the alcohol interferes with our impulse control. and our decision making is heavily involved in crime. there's many crimes that wouldn't be committed as if the individual wasn't under the influence of alcohol. and how does alcohol addiction impact employment rates and job stability at both an individual and societal level? well, i thought that was interesting that workplace productivity was there has cost here

179000000000. so that's basically 2 over 2 thirds of the cost of, of excessive alcohol use is directly on in the streets and workplace productivity. so we have patients who may not be intoxicated as a time. they come to work, but they had drank excessively the day before, so their productivity is, is down. i know, certainly we don't want health care professionals or safety sensitive position. patients to come to work either impaired or recovering from the effects of alcohol . it's a very big factor in the industry. and as i said, this cost of 249000000000 was even eye opening to me. i knew the overall costs of addiction, but the alcohol component alone, i think is very, it's almost half. how has the prevalence of alcoholism changed over the years? and are there more notable trends or patterns in different demographics?

well, i'm certainly starting to see with generation x, even for example, of alcohol free drinks. we started seeing things like mocked tales. i know heineken now has alcohol for a beer and i'm, i'm sure there's many others out there. i just saw the in los angeles and alcohol free bar opened up. so i think the trans heading there just just is it have for many other health concerns. over the years of education is our way out of this. people and young people, particularly just need to be taught the fac, certainly they're very smart, and they can make good decisions when posed with the facts. and the facts are alcohol is not good for humans to consume, even in small amount for those no redeeming qualities. if you have the risk factors, it's even worse. thank you so much,

dr. smith for all your time today. now the question of whether alcohol addiction is a disease or personal choice as a topic that has been widely debated. many medical professionals and organizations recognize alcohol addiction as a disease, as it emphasizes the physiological and neurological changes that occur in the brain as a result of repeated substance abuse. studies show that the pro long abuse of alcohol can lead to alterations and the brain structure and functions, which affects the decision making impulse control and reward pathways. however, psalm argue that alcohol addiction is a result of a series of personal choices. those subscribing to the personal choice model maybe addiction through a more or ethical lens, attributing it to a lack of willpower or moral character. ultimately there's a widespread agreement on the importance of providing support and effective treatment using a combination of medical, psychological and social interventions. i'm christy,

i thanks for watching and we'll see you right back here next time on the cost of everything the extent within russia is offered to negotiate and into the account, but can you crane? but the answer is always the same. washington says no to negotiations and dates, divide in ministration is desperate to continue to fund ukraine's war effort. the window to negotiate is rapidly closing. on march the 22nd 1943. during the great petri, i'll take the shirts and munch fatality and 118 run down the belly, mercy, and village of cutting the ship of the person. if i did the new wish in the city, is this for most of the rooms?

242, you. $149.00 people died, including $75.00 children of age was practically wiped off the face of the law. new blue loves are a little bit lit option, could attractive offer, you know, you will use photos, photos oh shoot. was hard really, i really usually don't use doing yes. so the infamous battalion responsible for the atrocity included over $100.00 ukrainian national is from west to new. right. because of the picture. all right, and so i'm see what, okay, as far as the new e phone, that's a lot of those to you just by soon you know, i'm with them. us customers declassified criminal cases from the central archive of the k g. b, a better rules shed light on the atrocity announced

a numerous questions that have remained an onset for many years. watch on archie in the i guess the request files. let's see. what's the best way and we'll cause a mutual report and then you said that, i mean if i give them the start of the leisure, but i'd like to bring your opportunity. well, that means that it was all set for leslie and i wish we knew this for much on the so very simple. most of the most money we'll talk to somebody else. i think it was just an open them shaping machine, you know, in a solution. we were supposed to use those cookies yesterday as we did on there. and then just get brush up and take a little bit of an easy phineas or some of the lamb, just for millions, from the,

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the more than 2 years have gone by the negotiations in order to enter a difficult moment. we are finally here to look into like children like those who used to come here to the my, the safety from kasheila. you choose