Trump Cutting Drug Treatment Programs Mid-Opioid Epidemic

IF YOU THOUGHT THAT THE REPUBLICANS WERE NOT DOING
ANYTHING ABOUT THE OPIATE CRISIS IN AMERICA, THINK AGAIN.
THEY ARE ACTUALLY PLANNING SOMETHING MASSIVE.
A MASSIVE CUT IN FEDERAL FUNDING FOR SUBSTANCE ABUSE ACROSS
THE COUNTRY WHICH SHOWS THAT THEY CLEARLY WERE PAYING
ATTENTION TO NATIONAL ISSUES DURING THE LAST ELECTION.
THIS WILL ACTUALLY COME ABOUT AS A NICE LITTLE SIDE EFFECT
OF THE AHCA PLAN, TRUMPCARE, WHATEVER YOU WANT TO CALL IT.
THE CUTS WOULD BE MADE TO MEDICAID EXPANSION THAT
HAVE BEEN ONGOING SINCE THE ACA WAS PUT INTO EFFECT.
THE GOP HEALTH CARE BILL WITHIN THE EXTRA FUNDING STATES
GET THEIR EXPANDING MEDICAID IN 2020, AND PLACE A LIMIT ON
OVERALL FEDERAL SPENDING FOR THE PROGRAM IN THE FUTURE.
THIS IS ONE OF THE REASONS, WE'VE CITED THIS BEFORE AND
WE WILL AGAIN, THAT THE CBO ESTIMATES THAT APPROXIMATELY
14 MILLION PEOPLE WILL LOSE THEIR HEALTH INSURANCE
BECAUSE THEY GOT IT THROUGH THAT PROCESS THAT WOULD BE ENDED.
THAT OBVIOUSLY AFFECTS EVERY AREA OF THOSE PEOPLE'S
HEALTH INSURANCE BUT ONE AREA THAT DOESN'T GET TALKED
ABOUT NEARLY AS MUCH IS THE MEDICAID INFLUENCE ON
SUBSTANCE ABUSE TREATMENT, INCLUDING SOME OF THE MOST
DEADLY SUBSTANCES, THE OPIOIDS.
THE MEDICARE EXPANSION
ACCOUNTED FOR OVER 60% ON SUBSTANCE ABUSE IN
KENTUCKY, NEARLY HALF IN WEST VIRGINIA, NEARLY 60% IN
MICHIGAN AND MARYLAND AND ALMOST A THIRD IN RHODE ISLAND.
IF YOU ARE ONE OF THE PEOPLE GOT YOUR HEALTH INSURANCE IN
THOSE STATES AND MANY OTHERS, THROUGH THE MEDICAID
EXPANSION UNDER THE ACA, YOU COULD FIND THAT ONCE TRUMPCARE
GETS PASSED, YOU SUDDENLY DON'T HAVE THAT MONEY AND THAT IS
IMPORTANT, BECAUSE THE SUBSTANCE ABUSE TREATMENT IS NOT CHEAP.
ACCORDING TO ONE REPORT, OUTPATIENT OPIOID ADDICTION
TREATMENT THAT INCLUDES MEDICATION LIKE METHADONE
AVERAGES BETWEEN SIX AND $8000 A YEAR AND IF YOU ARE PAYING
OUT OF POCKET AND USING THE MOST EFFECTIVE MEDICINES WHICH
ARE MORE EXPENSIVE, YOU WILL PAY FAR MORE AND THAT MEANS
THAT PEOPLE WILL NOT GET THE TREATMENT OF THEIR GETTING
RIGHT NOW WHICH MEANS THAT WE WILL HAVE MORE DEATHS.
CLICKS ON THE UPSIDE, ON THE FLIPSIDE NOT THE UPSIDE,
MANY PEOPLE WITH HAIR WHEN ADDICTIONS ARE QUITE
WELL-OFF, SO THEY WILL BE FINE I GUESS DOUG LIKES THIS
WOULD'VE BEEN BAD NEWS FOR RUSH LIMBAUGH I GUESS.
HE WILL PROBABLY BE OKAY WOULD IMAGINE THAT IT'S
PART OF HIS CONTRACT
IS GOOD THAT WE FINALLY GET SOME DETAILS BECAUSE LOOK,
THESE GUYS, AS I HAVE SAID AND YOU GUYS AGREE, AND I THINK
EVERYBODY PAYING ATTENTION, THESE GUYS ARE NOT
INTERESTED IN GOVERNING.
I SAY THIS ALL THE TIME, THEY
ARE INTERESTED IN UNDOING GOVERNMENT.
INITIALLY, TRUMP PROPOSED THAT AFTER RUNNING SOME OF HIS
CAMPAIGN ON HOW HE WOULD FIGHT THE OPIOID EPIDEMIC WHICH
IS SORT OF ODDLY BECAME, OR SURPRISINGLY, AND WELCOMELY.
BECAME A CAMPAIGN ISSUE THAT HILLARY CLINTON AND
BERNIE SANDERS AND DONALD TRUMP EVEN ADDRESSED THE
AND KASICH AS WELL.
IT BECAME AN ISSUE THAT A NUMBER OF CANDIDATES
ADDRESSED IT, AND TRUMP AND JOHN KASICH AS WELL.
WHERE THEY SAID IT IN NEW HAMPSHIRE WHERE IT'S A
BIG ISSUE.
ADMINISTRATION WAS INITIALLY GOING TO DO A 95% CUT.
IT'S NOT, ONE OF THE EARLY CUTS.
TOTALLY DEFUNDING A FEDERAL DRUG CONTROL OFFICE IN THE
MIDDLE OF A NATIONWIDE OPIOID EPIDEMIC.
THERE WAS OUTCRY FROM MANY REPUBLICAN GOVERNORS,
INCLUDING SOME FEDERAL REPUBLICANS AND EVERY
DEMOCRAT COMPLAINING AND THEN THEY BACKPEDALED AND THEY
ENDED UP PROPOSING 369 MILLION FOR THE OFFICE.
IT IS NOT THE PRIMARY SOURCE OF BEING ABLE TO FIGHT OPIOID
EPIDEMIC, BUT IS A CENTRAL OFFICE WHICH CAN COORDINATE
AND IF DONE RIGHT WOULD BE USEFUL, SO THEY END UP
BACKPEDALING OFF THEIR 95% CUT WINCHESTER CONEY AND IN CRUEL
AND AGAIN JUST SHOWS A DESIRE, LET'S STOP THIS DEPARTMENT.
LET'S NOT GOVERN HERE.
SO THEIR NEW PROPOSAL WAS 369 MILLION WHICH THEY MADE.
IT'S A 5% CUT.
THAT IS NOT TACKLING A PROBLEM.
THAT IS, THE OPIOID EPIDEMIC BROKE THAT TACKLE AND
SLIPPED AWAY.
IT'S A FOOTBALL REFERENCE, JOHN.
THEY ARE GOING INTO GETTING CREDIT TO SOME EXTENT FOR A
5% CUT IN WHAT IS CLEARLY A NATIONAL CRISIS.
AND IT WAS SOMETHING, THESE NUMBERS WERE OBVIOUSLY UP
TO DURING THE PREVIOUS EIGHT YEARS TO THE TRUMP PRESIDENCY
AND THE PROBLEM HAS GOTTEN WORSE AND WHAT YOU ARE DEALING WITH IS
SORT OF THE CONTINUATION THAT IS TRICKLE-DOWN TO THE CONGRESS TO.
THIS IS A PRESIDENT WHO SEEMS TO STILL BE, IN MY ESTIMATION,
PASTED THAT BARACK OBAMA MADE A BUNCH OF JOKES ABOUT HIM AT
THE WHITE HOUSE CORRESPONDENTS DINNER AND IS TRYING TO
UNDO EVERYTHING THAT HAPPENED IN THE EIGHT YEARS OF THE
OBAMA PRESIDENCY.
I THINK A LOT OF THE WEIGHT OF THE CONGRESS IS RUNNING IS
THE SAME WAY.
THEY SAID NO TO WHEN IT WAS PROPOSED ANOTHER WANT TO
UNDO WHATEVER IS THERE IN THE WRONG PLACES.
A SAD THING IS, THE OPIATE EPIDEMIC IS SOMETHING THAT
IS AN EPIDEMIC.
IT AFFECTS BASICALLY EVERY SEGMENT OF THE AMERICAN
POPULATION, BUT THIS ISN'T LIKE THE CRACK PROBLEM WHERE
REPUBLICANS CAN SORT OF TELL THEMSELVES THAT THAT IS
JUST A PROBLEM FOR OTHER PEOPLE.
HOW MANY TRUMP VOTERS, ENTHUSIASTIC TRUMP
SUPPORTERS, WILL BE AFFECTED BY THIS IF THIS GOES INTO EFFECT?
POOR, WHITE CONSERVATIVES THAT THEORETICALLY COULD USE
THEIR LOSE THEIR HEALTH INSURANCE, STAY ADDICTED
AND POSSIBLY DIE UNNECESSARILY BECAUSE OF WHAT REPUBLICANS
ARE WORKING THEIR BUTTS OFF IN SECRET RIGHT NOW TO ACHIEVE.
YOU SORT OF EXPECT THAT THE OTHER SIDE IS GOING TO GET
SCREWED IN AMERICAN POLITICS BUT WHEN THEY ARE SO ENTHUSIASTIC
ABOUT SCREWING THEIR OWN VOTERS, THAT IS SORT OF PERVERSE.
LET'S TALK ABOUT WHY THIS IS TO BE ADDRESSED AND IT'S NOT
JUST BECAUSE I WANT TO MAKE SURE THE PEOPLE STAY FOCUSED ON
THAT HCA IN THE BAIT THAT IS COMING ON IN THE CENTAGE
CENTER ARE THE ONE THAT SHOULD BE GOING ON.
LET'S SHOW THIS CHART.
WE SHOWED IT ORIGINALLY BUT I
WANT TO SHOW IT AGAIN.
DRUG-INDUCED DEATHS.
OPIOIDS ARE NOT THE ONLY COMPONENT OF THAT BUT THEY
ARE THE SINGLE LARGEST COMPONENT OF THAT.
OPIOIDS THEORETICALLY, OKAY, THEYíRE DANGEROUS AND THEY'RE
ALWAYS GOING TO BE SOME DEATHS.
BUT THE RISE, THAT IS BECAUSE OF THE PROFIT MOTIVE AND IT IS
EASY FOR MANY PEOPLE I THINK YOU HAVE AN EXPERIENCE THIS,
THEY DON'T KNOW ANYONE IN THEIR IMMEDIATE FAMILY WHO HAS
EITHER COME I THINK IT IS A SHRINKING PERCENTAGE OF THE
AMERICAN POPULATION BUT THERE ARE SOME PEOPLE WHO LOOK AT
THAT AND SAY, AT THE END OF THE DAY, IT IS NOT MARIJUANA OR
CRACK BUT IT IS STILL DRUGS AND THESE PEOPLE THEORETICALLY
COULD'VE JUST UP DOING IT.
BUT YOU GET ON IT BECAUSE YOU HEART YOUR BACK OR YOU HURT
YOUR LEG OR SOMETHING, AND THEN THE HUMAN ABILITY TO
OVERCOME THAT ADDICTION, THESE ARE INCREDIBLY STRONG,
INCREDIBLY ADDICTIVE SUBSTANCES.
IT IS NOT A MATTER OF
WILLPOWER.
IT IS NOT PUT DOWN THE MUFFIN.
THIS BREAKS DOWN YOUR BODY'S ABILITY TO STOP,
WHICH BY THE WAY, I CAN'T DO THAT.
I CAN'T EVEN DO THAT.
I HAVE NEVER HAD A DRUG LIKE THIS, I IMAGINE I WOULD BE
ADDICTED AND THAT IS WHY YOU SEE THE NUMBERS OF PEOPLE DYING
SHOOTING UP.
THAT IS A TREND THAT MIGHT CONTINUE, MIGHT ACCELERATE
TRUMPCARE GETS PUT INTO LAW.
OF COURSE, WHAT THAT NUMBER IS 60,000,
52,000 LIVES NATIONALLY.
55.
I AM READING
I THINK IT WAS ACTUALLY HIRED OUR
I'M LOOKING AT 15 NUMBERS.
I THINK IT WAS 59,000 LAST YEAR.
60,000, AND HERE'S WHAT HAPPENED.
A LOT OF PEOPLE DIDN'T DIE BUT THEIR LIVES WERE RUINED.
MANY MORE THAN 60,000.
NOT TO MENTION ñ
DON'T MENTION IT.
I SAID I WOULDN'T SO I WON'T. DON AHCA STUFF, YOU
HAVE MORE ON IT BUT THE POLITICS OF IT THAT SEEM TO GET A LITTLE
BIT MORE FAVORABLE TODAY AS A NUMBER OF REPUBLICAN SENATORS
LEAVING THEIR WEEKLY LUNCH WITH AHAB ON CAPITOL HILL ON
TUESDAY WERE TELLING REPORTERS THAT THERE AREN'T GUESTS
BOTH ON THIS.
MANY MORE ARE UNDECIDED THAN THEY THOUGHT, AND ONE REPORTER
COUNTED SEVEN NO VOTES FROM PUBLICANS ON THIS WHICH
WOULD DO IT IN AS OF RIGHT NOW.
THEY ARE NAMES YOU WOULD EXPECT.
JOHN MCCAIN SAID HE WASN'T SURE.
HE HATES THE PROCESS.
AND JOHN CORNYN, YOU WOULDN'T EXPECT HIM, AND IN SOME OF
THE OTHER NAMES THAT COME OUT OF THERE, SUSAN COLLINS YOU WOULD.
DEAN HELLER RUNNING FOR OFFICE NEXT YEAR AND A BLUE STATE.
SHELLEY MOORE CAPITAL, TED CRUZ AND MIKE LEE ARE NAMES THAT
ARE BEING SAID IS UNDECIDED THAT ROB PORTMAN, UNDECIDED.
THESE ARE IMPRESSIVE NAMES.
I THINK THAT THE BACKLASH THAT THEY HAVE GOTTEN FOR THE PROCESS
AND STORIES LIKE THIS AND WHAT PEOPLE ARE SAYING ABOUT IT
WE'RE GOING TO MAKE SOME PRESIDENTIAL BEDS ON
OLD-SCHOOL THIS WEEK WHICH I'M SURE YOU BOTH WANT TO BE IN ON.
I CAN'T DO OLD-SCHOOL THIS WEEK THAT
WILL BE CAN STILL INCLUDE YOU.
WE WANT TO DO A DRAFT.
QUITE SALTY WITH OUR
IT IS GOING TO BE A DRAFT, I HOPE I'M NOT GIVING TOO MUCH
AWAY, BUT A DRAFT OF THE PEOPLE WHO MIKE PENCE WILL ASK TO
BE HIS VICE PRESIDENT, NOT ON THE CAMPAIGN BUT WHEN HE
HAS TO APPOINT A VICE PRESIDENT.
I AM NOT INTERESTED IN THAT GAME.
I BRING UP JOHN KORMAN NOW BECAUSE HE CAME UP AS A THOUGHT
AND THAT ALTHOUGH HE MIGHT, BUT - I WILL JUST SIMPLY OFFER
EITHER OF YOU A VERY SIMPLE FIVE DOLLAR BULL IF JOHN
CORNYN VOTE YES ON THIS DEAL.
ITíS INTERESTING.
I DON'T THINK THAT I WOULD PUT HIM ON THE MOST LIKELY TO
SING ON THE LIST, I WOULD THINK HE WOULD BE IN THE BOTTOM 50%.
I CAN'T DO IT THAT
THIS IS WHAT HE SAID TODAY.
NOTE THAT SO THAT IS LIKE, BUT
HE IS NOT CONFIDENT.
THIS COULD BE FIVE DOLLARS, IF
IF VOTES NO, NOTHING IF HE VOTES YES.
THAT IS A GOOD BET.
I WILL SAY, I DIDN'T KNOW ABOUT THOSE NOíS.
THAT IS GOOD NEWS.
SOME OF THEM ARE UNDECIDEDS, NOT NOíS.
THAT IS GOOD NEWS AND IT SEEMS TO INDICATE THAT THE ODDS
ARE NOT AS HIGH AS WE MIGHT'VE THOUGHT.
NOT SAYING YOU'RE
DOING THIS, BUT I DO REMEMBER IN THE SAME WAY I'M DOING A SOLID
TWO WEEKS OF EVERYDAY WE HAVE TO TALK ABOUT TODAY HCA SAID PEOPLE
WILL REALIZE HOW DEVASTATING IT WILL BE WHEN IT PASSES, BACK
WHEN THE HOUSE WAS CONSIDERING IT FOR THE SECOND TIME, BECAUSE YOUíLL
REMEMBER IT CAME UP AND WAS KILLED AND CAME BACK, I DID A STORY
BECAUSE WE WERE DOING A SOLID WEEK OF IT AND THERE WAS A TYT
HOST, I AM NOT GOING TO SAY WHO, WHO WAS ON THE PANEL AND SAID,
WHY EVEN TALKING ABOUT THIS.
IT IS NOT GOING TO PASS.
WITHIN TWO DAYS, THEY SHIPPED IT TO THE HOUSE AND IT PASSED.
DON'T TAKE ANYTHING FOR GRANTED, YOU CAN STILL PUT PRESSURE
ON YOUR SENATORS AND TRACK DOWN THE SEVEN THAT WERE
MENTIONED BY MICHAEL AND HOPEFULLY STOP THIS THING.
THERE IS ALSO NO FREEDOM CAUCUS IN THE SENATE
WHICH DID MAKE A DIFFERENCE IN THE HOUSE.
THERE WAS ONE OTHER ASPECT WHEN WE KNOW ALMOST NOTHING
ABOUT THE SENATE VERSION OF THE AHCA.
IT IS ENTIRELY POSSIBLE
THAT THEY'RE GOING IN A BACK ROOM AND PLAYING MARIO KART.
BUT WE ACTUALLY KNOW?
I DON'T KNOW.
THEY ARE NOT DOING THAT BECAUSE THEY ARE ADULTS.
ADULTS DON'T PLAY VIDEO GAMES.
WE DO HAVE A LITTLE BIT MORE INFORMATION THAT AXIAL'S
WAS ABLE TO CONFIRM.
ONE OF THE AREAS OF THE HOUSE VERSION THAT A LOT OF PEOPLE HAD
A PROBLEM WITH AND WAS PERVERSELY THE THING THAT GOT A
LOT OF THE CONSERVATIVES ON BOARD WAS THE STATE WAIVERS FOR
SOME OF THE PROTECTIONS UNDER THE ACA, THAT STATES COULD OPT
OUT OF THE THINGS ABOUT ACA THAT MAKE IT WORTH A DAMN AND NOW WE
KNOW SOME OF THE THINGS THAT WILL BE IN THE SENATE VERSION,
WAIVERS ESTATES CAN GET FOR LITTLE THINGS, LIKE PROVIDING
ESSENTIAL HEALTH BENEFITS OR THE LIST OF 10
THE SERVICES INSURERS MUST COVER.
ESSENTIAL HEALTH BENEFITS WILL NOT BE INSURED, PROBABLY
NOT THAT ESSENTIAL ANYWAY.
DO WE KNOW WHAT SOME OF THOSE ESSENTIAL BENEFITS ARE?
YEAH, I THINK SOME OF THESE ARE.
THE MEDICAL LOSS RATIO OR THE REGULATION OF HOW MUCH
PREMIUM INCOME INSURANCE MUST CLAIM SIN ON PATIENT
CLAIMS, SO THEM DOING THEIR JOB AS INSURERS TRYING TO MAKE SURE
THE PEOPLE GET MEDICAL CARE WILL BE A LOWER PRIORITY AFTER THIS.
DAYTRADING BAND.
THIS GOING TO BE BORING, I APOLOGIZE BUT IT'S
IMPORTANT THAT THE REQUIREMENT THAT PREMIUMS FOR OLDER
PEOPLE BE NO MORE THAN THREE TIMES THE PREMIUMS CHARGED
TO LIGHT YOUNGER PEOPLE WHICH I ALWAYS LOVE WHEN YOU WENT
ON ELECTION, YOU GAIN CONTROL OF EVERY BRANCH OF GOVERNMENT, AND
THEN YOU GIVE A MASSIVE MIDDLE FINGER TO THE OLDEST VOTERS.
DO OLDER PEOPLE VOTE, I DON'T KNOW MAYBE THEY DO.
BUT NOW THREE TIMES AS MUCH IS ENOUGH.
OLDER PEOPLE COULD GET FIVE OR 10 TIMES AS COSTLY INSURANCE.
BILL SELF REGULATE AND KEEP IT TO 3.
WHY RAISE A?
AND LET'S JUMP TO THIS LAST GRAPHIC.
YOU ARE GOING TO SEE HOW MUCH YOU THEORETICALLY COULD HAVE TO
PAY FOR CERTAIN MEDICAL PROCEDURES OR CONDITIONS UNDER
THIS NEW PLAN THAT IS BEING CONSIDERED.
IT'S A GREAT BANNER.
YOU ARE SEEING THERE, INTERESTINGLY, WE JUST
ABOUT DRUG DEPENDENCY.
IMAGINE HAVING TO PAY AN ADDITIONAL $20,000
FOR THAT IF THE STATES TAKE THE WAIVER.
SOMETHING LIKE, I DO KNOW THAT IS, MAYBE IT IS A CANCER.
PREGNANCY, IT IS PROBABLY BETTER, BUT IF YOU GET A
17,000 ADDITIONAL DOLLARS IN SOUP CERTAIN STATES YOU MAY
HAVE TO PAY.
THE PERSON, THAT IS A BIG PROBLEM IN AMERICA, 10K.
THAT IS EXPENSIVE.
HEMOPHILIA, $344,000 IN CERTAIN FORMS OF CANCER, LUNG,
BREAST, I'M SURE EVERYONE WATCHING THIS KNOW SOMEONE
WHO IS SUFFERED FROM A FORM OF CANCER.
MS ON TOP OF ALL OF THE OTHER PROBLEMS THAT COME WITH
THAT, ALSO HAVING TO PAY 30 TO 8000 THOUSAND DOLLARS.
I HOPE IN THIS BILL FINALLY GIVEN THE LIGHT OF DAY, AND
IT MAY WELL BE AFTER IT PASSES, IT BECOMES LAW, BUT JUST
FROM A POLITICAL POINT, THAT BREAST CANCER IS INCLUDED
IN THE THINGS THEY WON'T COVER BUT PROSTATE CANCER IS.
THAT WOULD FIT THE PATTERN.
THAT WOULD WORK.
THEY GO TO THE CBO, THIS GOES TO THE CBO NEXT WEEK.
THESE ARE THE KINDS OF THINGS THAT THEY WILL CERTAINLY
LOOK AT THAT
EXACTLY.
BUT WE ALSO KNOW THAT THEY ARE GOING TO TRY TO VOTE BY
THURSDAY, SO HOW MUCH TIME ARE WE GOING TO HAVE BETWEEN
THE CBO REPORT COMING OUT, AND THE VOTE.
A DAY MAYBE THAT
DOES A GO TO THE CBO AND THEY BOTH THURSDAY OF NEXT WEEK
WITH THE
THAT IS WHAT I HEARD THE
THAT IS WHAT THEY'RE TALKING ABOUT THAT IT IS IMPORTANT
TO BEGIN THIS INFORMATION OUT NOW, BECAUSE IF THERE IS
LESS THAN A DAY FOR PEOPLE TO PUT PRESSURE AND AN THAT IS
WHEN PEOPLE FINALLY AWAKEN, WHEN THEY WEEK UP TO HOW TERRIBLE
THIS BILL COULD BE, I DON'T KNOW THE THEORETICALLY THAT'S
ENOUGH TIME TO STOP IT SO PEOPLE NEED TO PUT PRESSURE ON THEM
NOW AND THEY NEED TO NOT RELENT UNTIL IT IS ACTUALLY KILLED.

Trump Cutting Drug Treatment Programs Mid-Opioid Epidemic

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