Subject: Re: In review: substance abuse op-ed
From: Amanda Renteria <[email-masked]>
To: Karen Finney <[email-masked]>
Cc: "Ann O'Leary" <[email-masked]>, Kristina Costa <[email-masked]>, Nick Merrill <[email-masked]>, Jesse Ferguson <[email-masked]>, Mandy Grunwald <[email-masked]>, Joel Benenson <[email-masked]>, Tony Carrk <[email-masked]>, Speech Drafts <[email-masked]>, Ian Sams <[email-masked]>, Dan Schwerin <[email-masked]>
Date: Sun, 16 Aug 2015 20:50:51 -0400
List-Id: <speechdrafts.hillaryclinton.com>

Perhaps I'm overly sensitive but should we change calling out black men at
the beginning?  I know we don't want to ignore that this is a big deal in
the AfAm community, but it feels to me like she is singling them out which
could be taken very badly. Defer to group but it stood out when I read it.

Sent from my iPhone

On Aug 16, 2015, at 8:37 PM, Karen Finney <[email-masked]>
wrote:

Sounds good.

Sent from my iPhone

On Aug 16, 2015, at 8:33 PM, Ann O'Leary <[email-masked]> wrote:

Hi all -

I am hearing separately that even with this change that the screenings
could be misconstrued and likely more trouble than they are worth. Let's
kill it and I'll revisit it as a good policy idea on the other side of this
election but not one for campaign fodder.

Here is my suggestion for four full points:

That’s why I’m releasing a comprehensive strategy [LINK] to confront the
drug addiction crisis head-on. My plan sets four goals: first, ensuring
every American family has access to affordable and effective treatments;
second, ensuring that our mental health parity laws are fully enforced so
that insurance practices are not a barrier to substance abuse treatment;
third, ensuring all first responders have access to naloxone, which stops
overdoses from becoming fatal; and fourth, requiring that all health-care
providers receive training in recognizing substance use disorders and
consult a prescription drug monitoring program before providing opiates.

Does this work for everyone?

Thanks,
Ann

On Sun, Aug 16, 2015 at 4:58 PM, Ann O'Leary <[email-masked]>
wrote:

> Hi all -
>
> Sorry I was out of pocket for a few hours.  On a flight now to raise $$
> for all of us in Oklahoma - the things we do!!
>
> Anyhow, here is the deal:
>
> (1) The American Academy of Pediatrics came out with a strong policy
> statement in 2011
> <https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/AAP-Recommends-Substance-Abuse-Screening-as-Part-of-Routine-Adolescent-Care.aspx>
> that every child/teenager should be screened for substance abuse disorders
> when they visit the doctor for their annual child check up or for an accute
> care visit in which it might be suspected.  HRC has a long history of
> working with AAP and supporting their efforts to do more screenings.  When
> she was First Lady, she worked on the Newborn Hearing Screening to make
> sure all babies get hearing screenings, and in the last several years she
> has pushed for and supported the AAP's effort to screen young kids for
> symptoms of "toxic stress."  This is not "mandatory," but it is part of
> prevention and wellness and it is about supporting the AAP in making this
> happen by raising awareness, making sure pediatricians get reimbursed for
> their time in doing these screenings, etc.  I have tried to clarify with
> edits to the speech, pasted below and attached.
>
> (2) On Mandy's question about mental health parity, I have added a line.
>
> (3) On Karen's question of whether we reached out to urban leaders, we
> talked to a number of policy experts who serve urban communities. Maya is
> going to work with political to be sure we do political outreach to leaders
> in next 48 hours.
>
> (4) On Karen's suggestion, that she alludes to problems in her own family
> - I have modified accordingly.
>
> (5) On Nick's question about specialized care, we are good with it as
> Kristina noted - but let me know if you have further concerns.
>
> I am also attaching our final fact sheet.  If all are good, we should get
> her this draft op-ed together with the fact sheet.  Let me know if you have
> more questions or concerns.
>
> Thanks,
> Ann
>
> *DRAFT substance abuse op-ed*
>
>
>
> WC: 822 words
>
>
>
> I was on my first trip to New Hampshire this spring, in a Keene bakery,
> when a retired doctor spoke up. I had just announced I was running for
> president, and I had traveled to Iowa and New Hampshire to hear directly
> from voters about their concerns, their hopes, and their vision for the
> future. He said his biggest worry was the rising tide of heroin addiction
> in the state, the result of a wave of prescription drug abuse. He said
> hospitals were seeing more babies born addicted, that police officers were
> responding to more overdoses, that families were being torn apart.
>
>
>
> To be candid, I didn’t expect what came next. In several states, this
> issue crept up again and again – from so many people, from all walks of
> life, in small towns and big cities.
>
>
>
> In Iowa, from Davenport to Council Bluffs, people spoke to me about meth
> and prescription drugs, and scores of lives upended. In South Carolina, a
> lawyer spoke movingly about the holes in the community left by generations
> of black men who ended up imprisoned for non-violent drug offenses rather
> than getting the treatment they needed.
>
>
>
> These stories shine light on some harrowing statistics. Nearly 23 million
> Americans suffer from addiction, but in 2014, only 2.5 million were able to
> receive treatment at a specialized facility. Fifty-two million Americans
> over the age of 12 have abused prescription drugs, including one in four
> teenagers. In 2014, more Americans died from overdoses than car crashes.
>
>
>
> Enough is enough. It’s time we recognize as a nation that we have a quiet
> epidemic on our hands. Plain and simple, drug addiction is a disease, not a
> moral failing—and we must treat it as such.
>
>
>
> It’s time we recognize as a nation that there are gaps in our health care
> system that allow too many sufferers to go without care—and invest
> substantially more in prevention and treatment.
>
>
>
> It’s time we recognize as a nation that our state and federal prisons,
> where 65 percent of inmates meet the medical criteria for substance use
> disorders, are no substitute for drug treatment—and reform our criminal
> justice system.
>
>
>
> That’s why I’m releasing a comprehensive strategy [LINK] to confront the
> drug addiction crisis head-on. My plan sets four goals: first, ensuring
> every American family has access to affordable and effective treatments; second,
> ensuring that we work with pediatricians to be sure that every child and
> teenager is educated about and screened for substance use disorders as part
> of their annual doctor’s visit, just as we do for hearing, eyesight,
> developmental delays and so much more; third, ensuring all first
> responders have access to naloxone, which stops overdoses from becoming
> fatal; and fourth, requiring that all health-care providers receive
> training in recognizing substance use disorders and consult a prescription
> drug monitoring program before providing opiates.
>
>
>
> Achieving these goals won’t be easy. It’s going to take real commitment
> from all corners—law enforcement, doctors, insurance companies, schools,
> and governments. That’s why my plan starts by increasing funding for the
> Substance Abuse Prevention and Treatment Block Grant by 25 percent, so
> states and localities have more resources to work with, and changing rules
> that arbitrarily limit how many patients can be treated with medication
> assisted treatment, a proven intervention for opiate addiction. I will also
> direct the federal government to re-evaluate Medicare and Medicaid payment
> practices, to remove obstacles to reimbursement for patients seeking help and
> promote greater coordination of care. And I will make sure that our
> mental health parity laws are fully enforced so that insurance practices
> are not a barrier to substance abuse treatment.
>
>
>
> But we can't stop there. As President, I will do everything I can to
> partner with states and communities across America to meet the four
> goals—treatment, prevention, overdose intervention, and improved prescriber
> practices. We’ll ask states to design ambitious plans for tackling these
> four goals using the programs that make most sense for their citizens’
> needs and challenges. In return for strong plans to address the substance
> abuse crisis, the federal government will draw on a new $5 billion fund to
> help states meet their goals.
>
>
>
> Every town I’ve visited so far in this campaign has stories of families
> upended by drug addiction. But across the country, I’ve also heard about
> second chances. The young mother who overcame addictions to alcohol and
> heroin so her son would never see her with a drink or a drug in her hand.
> The man who served 11 years in prison who is now serving others through a
> prison ministry.
>
>
>
> They all say the same thing: no matter how much time has passed, no matter
> how different their lives are today, they’re all still in recovery. It’s a
> process—one that began when a family member, a friend, a doctor, a police
> officer extended a hand to help. As one New Hampshire woman said, “We're
> not bad people trying to get good, we're sick people who deserve to get
> well.”
>
>
>
> There are 23 million Americans suffering from addiction. There are untold
> millions more. No one is untouched – we all have family and friends who are
> affected. We can’t afford to stay on the sidelines any longer—because
> when families are strong, America is strong. Through improved treatment,
> prevention, and training, we can end this quiet epidemic once and for all.
>
>
>
>
>
> On Sun, Aug 16, 2015 at 3:57 PM, Kristina Costa <[email-masked]
> > wrote:
>
>> On the screening point, will let policy get into details, but it's the
>> major pillar of the 'prevention' goal. Would folks be more comfortable if
>> it said something like [CAPS=ADDITION]  "ensuring every child and teenager
>> is annually screened for substance use DISORDERS, JUST AS THEY ARE ALREADY
>> SCREENED FOR OTHER ILLNESSES"?
>>
>> schools and doctors regularly screen for all sorts of diseases, and
>> substance abuse screening /= random drug testing.
>>
>> On the "specialized facilities," the stat comes from the NIH's National
>> Institute on Drug Abuse and includes all facilities licensed or certified
>> by state substance abuse agencies to provide treatment. So think it's easy
>> to answer Politifact when they try to get cute.
>>
>> + Ann, per Maya's add
>>
>>
>> On Sun, Aug 16, 2015 at 6:45 PM, Nick Merrill <
>> [email-masked]> wrote:
>>
>>> I'm piling on at this point, but without knowing the background or the
>>> particulars, the mandatory testing piece is troubling to me.  Not to
>>> mention I probably wouldn't have passed at times in my younger
>>> years...I bet I'm not the only one.*
>>>
>>> And on the statistic about 2.5 million people receiving treatment at a
>>> "specialized facility," can someone explain what that means?  Just
>>> want to make sure we're not trying to be too cute, that there aren't
>>> perfectly viable treatment alternatives that lie outside of the term.
>>> Our friends from PolitiFact as always in the back of my mind.
>>>
>>>
>>> *(Joel?)
>>>
>>> On Aug 16, 2015, at 6:13 PM, Jesse Ferguson
>>> <[email-masked]> wrote:
>>>
>>> Flagging - goal had been to get this to HRC on Saturday night but it has
>>> been held till tonight as the other elements of the rollout (video, etc.)
>>> are debated.
>>>
>>> AKA - ideally would like to send it in tonight for her review so we can
>>> have final on Monday for Wednesday AM placement.
>>>
>>> -----Original Message-----
>>> From: Mandy Grunwald [mailto:[email-masked]]
>>> Sent: Sunday, August 16, 2015 5:47 PM
>>> To: Karen Finney <[email-masked]>
>>> Cc: Joel Benenson <[email-masked]>; Kristina Costa
>>> <[email-masked]>; Tony Carrk <[email-masked]>;
>>> Speech Drafts <[email-masked]>; Ian Sams
>>> <[email-masked]>; Dan Schwerin <[email-masked]>;
>>> Jesse Ferguson <[email-masked]>
>>> Subject: Re: In review: substance abuse op-ed
>>>
>>>
>>> And one more thing.  Should we mention the growing problem of synthetics?
>>>
>>> Mandy Grunwald
>>> Grunwald Communications
>>> 202 973-9400
>>>
>>>
>>> >> On Aug 16, 2015, at 5:18 PM, Karen Finney <[email-masked]
>>> >
>>> > wrote:
>>> >
>>> > Last question/comment I promise - did we engage urban leaders in the
>>> > development of the plan?
>>> >
>>> > Sent from my iPhone
>>> >
>>> >> On Aug 16, 2015, at 5:15 PM, Joel Benenson <[email-masked]>
>>> wrote:
>>> >>
>>> >> Democrats are going to have a field day with it. It is also probably
>>> unconstitutional violation of 4th amendment, isn't it?
>>> >>
>>> >> Sent from my iPad
>>> >>
>>> >>> On Aug 16, 2015, at 3:10 PM, Karen Finney <
>>> [email-masked]>
>>> wrote:
>>> >>>
>>> >>> The only thing that stood out to me was annual drug screening for
>>> >>> children and teenagers, could see the GOP having a field day. Can we
>>> >>> explain that one a little more?
>>> >>>
>>> >>> Sent from my iPhone
>>> >>>
>>> >>>> On Aug 15, 2015, at 6:42 PM, Kristina Costa
>>> <[email-masked]> wrote:
>>> >>>>
>>> >>>> Folks --
>>> >>>>
>>> >>>> At Dan's request, passing along  a draft HRC op-ed to accompany the
>>> substance abuse prevention initiative fact sheet rolling out midweek.
>>> Maya, Ann, Sara, Zach, and Ian have all reviewed, edited, and commented.
>>> It's now with Tony/research for a fact-check before going up in the book.
>>> >>>>
>>> >>>> Thanks,
>>> >>>>
>>> >>>> Kristina
>>> >>>> <08.14 Substance Abuse Op-Ed ALL EDITS CLEAN.docx>
>>>
>>
>>
>
>
> --
> Ann O'Leary
> Senior Policy Advisor
> Hillary for America
> Cell: 510-717-5518
>

-- 
Ann O'Leary
Senior Policy Advisor
Hillary for America
Cell: 510-717-5518