tym rourke? important. we are in the middle of a heroin epidemic and that is the conversation both here and nationally but this is not new. increase in an substance abuse over the past 20 and 30 years and we have a particular drug on the street that is quite dangerous and so a lot of attention is being paid right now but it is bringing out of the shadows and epidemic that has existed across the country for decades. as see points out, it has affected our immunities for a long time. to a lot of us, myself, members of the commission, the community that is working to address this issue, there is a hope that the epidemic we are in right now -- while it is unfortunate -- is the opportunity to finally get ahead of better treatment capacity and better policies to make sure that people can get the help they need. host: what about the cost of heroin? is that i factor in the rise of abuse? guest: sure, it is. this particular epidemic started with prescription drug abuse. and folks may have begun addicted to