regina labelle, director of the addiction and public policy initiative at the o'neill institute. next we have dr. marielle reataza, executive director of the national asian pacific american families against substance abuse. finally, we have jessica hulsey, founder & ceo at the addiction policy forum. each of your statements will be made part of the record in their entirety. i would ask you to summarize your testimony. to help you with that time please keep your eye on the clock. i will notify you when your time has expired. dr. metzl, please proceed. >> it is an honor to speak here today. hopefully the next time we do this can come in person. i think hopefully my message will come through nonetheless. i am on one hand a trained psychiatrist and over the course of my career i have seen up close the devastating effects of the topics we are talking about today. depression, suicide, addiction. i agree with everything we just heard. they cross -- they cut across party, ideology and jeff graphic locale. -- jack rfid locale. -- geographic locale. rightly described as a national emergenc

i wonder if either miss regina labelle or edwin c. chapman could come together with community issues, and sort of how we deal with these historically marginalized communities, really as a community, maybe dealing with community trauma, impacting illness as a result? >> thank you for that question. about two or three years ago, the lancet magazine put out an article, evaluating communities, actually automobile assembly plants. they found that five years after an assembly plant quote, there was a dramatic increase in opioid disuse disorder and alcoholism. we know that there is a close association with economics, on not having a job, it's sarah. the same thing happened in cecil county, maryland. an automobile assembly plant in delaware, five years later there was a dramatic increase in foster care. this was noticed by a state trooper, who happened to be evaluating some of the schools. he looked and realized, there was a 30% increase in foster care. the fact was that the parents had overdosed and died. so, all of these things directly imp

regina labelle, director of the addiction and public policy initiative at the o'neill institute. next we have dr. marielle reataza, executive director of the national asian pacific american families against substance abuse. finally, we have jessica hulsey, founder & ceo at the addiction policy forum. each of your statements will be made part of the record in their entirety. i would ask you to summarize your testimony. to help you with that time please keep your eye on the clock. i will notify you when your time has expired. dr. metzl, please proceed. >> it is an honor to speak here today. hopefully the next time we do this can come in person. i think hopefully my message will come through nonetheless. i am on one hand a trained psychiatrist and over the course of my career i have seen up close the devastating effects of the topics we are talking about today. depression, suicide, addiction. i agree with everything we just heard. they cross -- they cut across party, ideology and jeff graphic locale. -- jack rfid locale. -- geographic locale. rightly described as a national emergenc

regina labelle, director of the addiction and public policy initiative at the o'neill institute. next we have dr. marielle reataza, executive director of the national asian pacific american families against substance abuse. finally, we have jessica hulsey, founder & ceo at the addiction policy forum. each of your statements will be made part of the record in their entirety. i would ask you to summarize your testimony. to help you with that time please keep your eye on the clock. i will notify you when your time has expired. dr. metzl, please proceed. >> it is an honor to speak here today. hopefully the next time we do this can come in person. i think hopefully my message will come through nonetheless. i am on one hand a trained psychiatrist and over the course of my career i have seen up close the devastating effects of the topics we are talking about today. depression, suicide, addiction. i agree with everything we just heard. they cross -- they cut across party, ideology and jeff graphic locale. -- jack rfid locale. -- geographic locale. rightly described as a national emergenc