the, the i began looking into these individuals and noted what it considered to be suspicious activity, and that was the basis for the entire trump, russia, a collusion narrative. now we understand the details of the investigation. we're all kept in that highly classified binder which trump has moved to d classify. but from what we understand rumors are circulating around. do you see that this highly classified binder with the details of the investigation has now mysteriously disappear? but obviously, if this bind or contains what we have been told that it contains, which may include raw intelligence information, showing that the us government, the ca, and the intelligence community of the us government, initiated the rush that collusion hoax that it did not occur in the way to the official story and the durham investigation i portrayed it. then that's extremely serious information and it may be if the f b, i then went to go get it in order to continue the cover up with this information.

that obviously adds and even more dramatic, wrinkled to this in the history of the united states of america. and we ever had something like this with the intelligence community. it was weaponized against a political candidates and weapon and using our for an allies to do it. i, i can't think of a more important or dramatic story. the head of the general communications headquarters in britain says that the entire matter is nonsense. however, this narrative of trump and russia colluding was pretty dominant throughout the press during the trump administration. donald trump tell the office for 4 years, there was quite a bit of talk and being involved in some kind of conspiracy with russian president vladimir pool. let's review. they wanted to disrupt our democracy. they wanted to disrupt our, our system. they wanted us to cause doubt in the our since institutions and our, and our leadership. donald trump, circus has ruined our country, and our country is off the rails like nothing we have ever confronted before as a nation. now we can binge watch the end of america. so victory is

a gift to vladimir putin is like on this there on the same page. and now you avoid them. you're putting basically pulling up the old k g b play button on how to manipulate donald trump and it appears he's fallen right into it. but when i special prosecutor appointed by congress actually looked into the matter, he came to the conclusion that the entire investigation was baseless. john durham said that the the i should never have looked in to these allegations of collusion because the facts just weren't there. neither us law enforcement nor the intelligence community appear to have possessed any actual evidence of collusion in the holdings at the commencement of the course. by hurricane investigation, at least on the part of certain personnel, intimately involved in the matter. there was a predisposition to open an investigation into trump. so despite everything, and despite the trump rustic allusion, narrative having been so thoroughly deep funk, regardless, you still have mainstream media jumping right in to their old routine. even though

the facts proved that that wasn't the case, i guess you can't teach and. ready dog, new tricks, political allies to add filmmaker, so on some sides, washington relies on speculation and all the facts to achieve the goals. the idea of breaking news about russia's a nuclear threat to america. it seems very, a far fetched. the us is trying to maybe cover up for a direct attention away from the story about the seas own potentially illegal actions to try to essentially target the trump campaign back in 2016. trump was undermined in any ability to really communicate and work with russia because of a date he was being screamed out, of course that he was being looked at as as a traitor. so all that they needed with this rush, a collusion investigation, were allegations we didn't need facts,

they didn't need truth. they just needed the small to say, hey, this guy he suspicious the suspicious. and as a result, trump was never able to actually move towards any type of negotiation to normalize relationships with russia. technology is a shape in the future of medicine and how health care might spill science. we want is being discussed here at most as high tech for him on the sidelines. we just went to the deputy chime in a gas from binds management board. and he says the forms main goal is to unite scientist, adopters, i guess from august. this is the last agent from 2023 gas from bank created the lift center, which focuses on bio technologies. its task is to unite scientists and doctors so that they can explore the areas that are most important for humans today. such as targeted medicine delivery, narrow interfaces and anti bacterial coating. in other words,

our task is to try to combine the efforts of different companies and people in order to create new industries capable of solving tasks, such as increasing human life expectancy and improving the quality of life. in particular, targeted drug delivery is one of the most promising areas in the world, in the field of medicine because it allows you to treat unclogged decal diseases very accurately and to better diagnose diseases that are difficult to diagnose. using other conventional methods, we believe that the creation of some specific products and technologies in this direction will allow us to solve significant issues related to human health and life. chrissy eyes on the cost of everything that's up next and we'll be back. let's up with the out. 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. i'm christy. yeah, you're watching the cost of everything we're today. well delve into the hitting costs of alcoholism, shedding a light on the staggering toll. it takes on communities, the alcoholism effects, millions of people all over the world, and it's 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 and 2021. 47 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 is the tendency of convicted criminals to re 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, medical director recovery 1st treatment centers. now doctor, how does alcohol addiction affect one's relationships with friends and family? well, how can, how use disorder of problems with alcohol is very dramatic. with interpersonal relationships. working in the front line of addiction, add several rehabs that i work at. patients come in a totally overwhelmed with problems that they've developed 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 invalids. you're basically not yourself. when you drink 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 is a high incidence of june, havoc involvement with a family member 1st or 2nd order role of 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 solves a trauma, such things as dual diagnosis. some things is early access to alcohol and drug and alcohol. when you're 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 the next, drank, or having that next a drinking. yvette is what the impaired and that's one of the 1st bad decisions that people make. so it's, it's, uh if they hit the bottom line, the answer to your question is about the product, the bad decisions i wouldn't say will tie though. and certainly there's a genetic predisposition. and also how we reacted to our environment, stresses and bar environment as of the 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 c d. c. 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 the rods in drinking during the pan them again after, but it took tardy, staggering 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, the 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 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 live. also heart disease and cancer are also associated with 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 to 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 these days is those no redeeming qualities to alcohol? if you have those significant risk factors that i've talked about before or you have fall and now 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, breaking down the health care costs of breaking down the workplace productivity, and also the cost of the criminal justice system and automobile accidents also in workplace uh, productivity. the assessing the last work, the assess things of the accidents, the work, uh they go, the break even down in, in a little more detail. but that was the gist 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 very susceptible to this, but i will give you 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 for the position, for example, the bus driver trained, or of, or a healthcare professional, nurse, doctor, etc. they, they are certainly monitored by their life and the agency, the un monitored people of factory workers, farm workers, etc. don't get much attention and certainly don't get exposed to screening. thank you so much dr. smith, but please stick around. the doctor 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 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 hungary tops 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 via 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. alcoholism can be caused by a can nation 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. a number, which means that you want to drink alcohol over and over again to feel the same

effects. overtime repeated drinking create 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. and now rehabilitation centers play a crucial role in offerings support therapy in a structured environment for recovery. however, there are challenges such as stigma, accessibility and relapse prevention that persist. these 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. there also medications used in conjunction with counseling and therapy that can help to be balance chemicals and 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 or less bringing again dr. charles smith, medical director at recovery 1st treatment centers. now doctor, how can communities implement preventative measures to reduce the societal costs of alcohol addiction? well, certainly out of mindset that alcohol is not considered acceptable for many situations, needs to be taken. for example, if there's going to be minors at the end of it 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 it's the overall. busy awareness that i believe should start with the primary care physician that the primary care physician asked batesville that will do you drink, how much do you drink? how often do you drink? 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 position, 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 to solve 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 that be the if i need them to adhere to a treatment plan, it is a chronic, long term relapse thing 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's a, it's a process that the therapist work with patients all the time on. now in what ways does alcohol diction 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 are treating mental health issues, anxiety, depression,

mood disorder, skipped. so for any of any of our spectrum of psychiatric illnesses, adding alcohol to 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 tone, with nor up enough or an inhibitor, is with the main stabilizers and alcohol interferes with those it all. so interviews with our medications that we use, our anti depressants are anti and the, the 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, patient or anxiety to 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, that are possibly that involvement and 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 perfect stream uh, on both ends 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, it's 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? apples, an individual and societal level. well, i thought that was interesting that work place productivity is our highest cost here at 179000000000. so that's basically to offer 2 thirds of the cost of, of excessive alcohol use is directly on industry and workplace productivity. so we have patients who may not be intoxicated as the time they come to work, but they had drank accessibility 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, the cost of 249000000000 was even eye opening. the may, 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, alcohol free drinks. we started saying things like mot tales. i know heineken now has alcohol for a beer, and 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 that have for many other health concerns over the years, education is our way out of this. people and young people, particularly just need to be taught the fac, certainly they are 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 physio, logical, and neurological changes that occur in the brain as a result of repeated substance abuse. studies show that the prolonged abuse of

alcohol can lead to alterations and the brain structure and functions, which affects the decision making impulse control and reward pathways. however, some 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 your next time on the cost of everything. the march, the 112011. the largest squeak ever recorded in japan is really just it. a 14 me

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