Latest / The Clay Travis and Buck Sexton Show / Nation States: Family Lessons and Policy Answers on Fentanyl
Transcript
- 0:02Speaker 1: Welcome to Nation States with Yates. The world comes at
- 0:04Speaker 1: you fast, whether you're in your house or the White House.
- 0:07Speaker 1: We aim to serve as your personal national security advisor
- 0:10Speaker 1: to help you engage confidently in the meaningful conversations that
- 0:14Speaker 1: affect the fate of our nation state. Today, we're going
- 0:18Speaker 1: to engage in part two of a conversation about fentanyl,
- 0:22Speaker 1: an issue set that I think is a profound challenge
- 0:25Speaker 1: to the fate of our nation state, certainly to far
- 0:28Speaker 1: too many families in our country. And as I shared
- 0:32Speaker 1: in part one, it was a personal journey about the
- 0:36Speaker 1: final days of my daughter's encounter with fentanyl. This episode,
- 0:41Speaker 1: I want to share what some of the family lessons
- 0:44Speaker 1: learned were from that encounter and some of the public
- 0:49Speaker 1: policy lessons learned from that were. And so we'll break
- 0:53Speaker 1: those down into a couple of parts of this part
- 0:56Speaker 1: two of a meaningful conversation about the challenge that fentanyl poses.
- 1:01Speaker 1: to the fate of our nation state. So I hope
- 1:04Speaker 1: you'll stick with us through a brief break. We'll take
- 1:07Speaker 1: a deep dive into a whole range of things that
- 1:10Speaker 1: you might want to talk about with your family in
- 1:15Speaker 1: advance of what we went through a little less prepared.
- 1:19Speaker 1: And that what you might want to talk to those
- 1:22Speaker 1: who seek your vote in this season of midterm elections
- 1:25Speaker 1: about what they can do to help you, our families,
- 1:29Speaker 1: our communities, and our nation state's better weather this storm.
- 1:33Speaker 1: With that, stick with us through the break. Back in
- 1:35Speaker 1: a minute. Welcome back to Nation States with Yates. Thank
- 1:40Speaker 1: you once again for joining us for this meaningful conversation
- 1:43Speaker 1: about the impact that fentanyl has on the fate of
- 1:47Speaker 1: our nation state. It's part two of a series. For
- 1:50Speaker 1: those who missed it, I encourage you to go back
- 1:52Speaker 1: and listen to part one about the personal story of
- 1:55Speaker 1: what it was like for me and for my family
- 1:58Speaker 1: three years ago to go through 12-day journey from when
- 2:02Speaker 1: my daughter made a fateful encounter with fentanyl to when
- 2:06Speaker 1: she finally passed. Today, in this episode, we're going to
- 2:11Speaker 1: go through the family lessons that we learned by going
- 2:16Speaker 1: through this that maybe can give you some ideas of
- 2:19Speaker 1: conversations you want to have with your family, and then
- 2:22Speaker 1: also some of the public policy lessons from this that
- 2:25Speaker 1: should inform those conversations in this election season with those
- 2:29Speaker 1: who seek to represent you. So let's dive into it
- 2:32Speaker 1: first with some of the family lessons learned. Before we
- 2:36Speaker 1: got to the stage of being in the hospital and
- 2:40Speaker 1: having to face the realities of what fentanyl does, we
- 2:44Speaker 1: had been on a long journey of a loved one
- 2:48Speaker 1: with what I consider to be a demon or disease
- 2:53Speaker 1: of addiction. And so my daughter had struggled in a
- 2:56Speaker 1: couple of different ways with a And I had worked very,
- 3:01Speaker 1: very hard as a dad to get her clean, get
- 3:04Speaker 1: her treatment, but also to try to impose discipline from
- 3:07Speaker 1: time to time in trying to get her life to
- 3:10Speaker 1: some semblance of manageable and normal. It was always a
- 3:14Speaker 1: bit of a work in progress with her. But it
- 3:17Speaker 1: wasn't until we went through this journey on fentanyl that
- 3:22Speaker 1: I could sort of sense a cumulative effect of what
- 3:26Speaker 1: the challenge of addiction does to a family. You think
- 3:29Speaker 1: of it, what it does to the person, and that matters.
- 3:32Speaker 1: But it has an impact on a family, to a father,
- 3:36Speaker 1: to a mother, to a brother, to a sister, to
- 3:39Speaker 1: others in the near abroad. And that impact affects your
- 3:46Speaker 1: ability to think, your stamina, your resources that are present
- 3:51Speaker 1: for dealing with a crisis when it might come. And
- 3:55Speaker 1: I encourage you to do a little bit of research
- 3:57Speaker 1: about what this is because I think I had spent
- 4:02Speaker 1: a lot of my life with ideas that I had
- 4:05Speaker 1: it all figured out or I had it sufficiently figured out.
- 4:07Speaker 1: And I had a bit of what I think is
- 4:09Speaker 1: the shared stigma about what this is. And I don't,
- 4:13Speaker 1: without trying to make excuses for my daughter or me
- 4:17Speaker 1: or our family or the others that have been similarly affected,
- 4:20Speaker 1: I think there's more to this than we might have
- 4:24Speaker 1: been raised to think. And there's probably more that we
- 4:27Speaker 1: need to do to help fight the challenge that this presents.
- 4:32Speaker 1: And so that was sort of family lesson one, that
- 4:36Speaker 1: there is a stigma that comes with the challenge of
- 4:39Speaker 1: addiction and that filters in. But there's also sort of
- 4:44Speaker 1: a fatigue that is built into you and your family
- 4:48Speaker 1: in a time of crisis that is cumulative, depending on
- 4:51Speaker 1: how long you have been grappling with this demon of
- 4:54Speaker 1: addiction in your family. The second sort of lesson that
- 4:59Speaker 1: you probably know is this division between legal prescribed pills
- 5:06Speaker 1: and illicit black market, off-market, social media purchased pills. What
- 5:13Speaker 1: are they and what's the real problem? A lot of
- 5:16Speaker 1: people think, well, fentanyl, a little bit can go a
- 5:20Speaker 1: long way and that's definitely true. And so what's going on?
- 5:24Speaker 1: Why would cartels be adding this? Don't they want the
- 5:29Speaker 1: addicts to live so that they keep buying? And I'm
- 5:33Speaker 1: sure that there's a degree of logic to that, but
- 5:35Speaker 1: they're not exactly in the quality control business. And so
- 5:41Speaker 1: a lot of different mixes can happen in these pills.
- 5:44Speaker 1: But what you don't know, unless you get into the
- 5:47Speaker 1: literature on this or you've had some sad life experience
- 5:50Speaker 1: dealing with people who grapple with this, is the fentanyl
- 5:53Speaker 1: additive makes these pills, which might be like a Xanax,
- 5:58Speaker 1: a mood management prescription that way too many of our
- 6:01Speaker 1: young people are raised as a prescribed medication. They come
- 6:05Speaker 1: to depend upon it. And then when maybe they go
- 6:08Speaker 1: to college or later in life, they're young adults and
- 6:12Speaker 1: they're trying to get some of that mood management and
- 6:16Speaker 1: they are no longer on mom and dad's healthcare or
- 6:20Speaker 1: Their prescription isn't getting refilled where they are. And so
- 6:23Speaker 1: they go off market and they think, I'm just taking
- 6:26Speaker 1: what I took before. It's filling a need. It's helping
- 6:29Speaker 1: me either manage my anxiety because of pressure at school
- 6:34Speaker 1: or work or life. And they don't know it, but
- 6:37Speaker 1: they're getting something extra in that pill because it's off market.
- 6:42Speaker 1: The illicit pills are very, very available on the street
- 6:46Speaker 1: by way of social media apps. whether it's through Snapchat messaging,
- 6:52Speaker 1: the TikTok messaging, other kinds of platforms. And it's quite
- 7:00Speaker 1: the sobriety checkpoint for you as a parent to realize
- 7:04Speaker 1: how big of a challenge this is. But it also
- 7:07Speaker 1: gets a little bit into the policy challenges of, are
- 7:11Speaker 1: we making this problem bigger by getting kids hooked on
- 7:16Speaker 1: some of these things as a legitimately prescribed medication earlier
- 7:21Speaker 1: in life. Are we making this problem bigger by making
- 7:25Speaker 1: the prescription drug market easy for some, very difficult for
- 7:30Speaker 1: others to access? And the price is very, very different
- 7:33Speaker 1: depending on your age, employment, what have you. And so
- 7:37Speaker 1: the prescribed pills versus illicit pills, one of the family
- 7:42Speaker 1: lessons that we learned, this difference. And If we had
- 7:45Speaker 1: to do it over again, we wouldn't expose our kids
- 7:48Speaker 1: to some of these things as prescriptions, if at all possible. Costs, effectiveness,
- 7:54Speaker 1: and access to treatment. The journey I had with Christina
- 7:57Speaker 1: for years was one where treatment was available in a
- 8:02Speaker 1: lot of places, but at great cost. And so it
- 8:07Speaker 1: wasn't something that was covered by insurance for us. It
- 8:10Speaker 1: might be for you and your family, but this is
- 8:12Speaker 1: something that you probably should want to know about. even
- 8:15Speaker 1: if you think everything is fine in your family, even
- 8:18Speaker 1: if you're just trying to be a good neighbor, a
- 8:20Speaker 1: good parishioner in your faith, so that you are equipped
- 8:24Speaker 1: with real knowledge to help others when they're shocked by
- 8:26Speaker 1: what they're having to deal with in this addiction journey
- 8:29Speaker 1: that could lead to the fentanyl journey. But the costs
- 8:32Speaker 1: can be quite shocking. The effectiveness has a lot of variables,
- 8:38Speaker 1: and it takes effort to learn what can make it
- 8:40Speaker 1: more effective and what doesn't. That is individual-based learning. Family-based,
- 8:46Speaker 1: treatment center-based, a lot of things. But we could probably
- 8:51Speaker 1: do better as a culture and a society to figure
- 8:53Speaker 1: some of these things out a little bit better and
- 8:56Speaker 1: make this a bit more accessible to those truly in
- 8:59Speaker 1: need that could save money in the long run. Another
- 9:02Speaker 1: family lesson that we learned was how laws are applied
- 9:05Speaker 1: to overdose scenes. Well, I hadn't thought about it until
- 9:09Speaker 1: it became a part of my life, but my daughter
- 9:13Speaker 1: was at an apartment with some people that I did
- 9:16Speaker 1: not know. And she ingested the fentanyl, was completely unconscious,
- 9:24Speaker 1: unable to breathe. And they called 911. And when the
- 9:29Speaker 1: emergency response and law enforcement showed up, no one that
- 9:33Speaker 1: was at the scene could be charged with drug possession
- 9:37Speaker 1: or other offenses because we want them to be able
- 9:42Speaker 1: to call 911 to potentially save the life of the
- 9:45Speaker 1: person who overdosed it's an interesting ethical and public policy
- 9:49Speaker 1: challenge that I hadn't grappled with but it meant that
- 9:53Speaker 1: the people who probably were present with her property that
- 9:57Speaker 1: I never got back the people who may have been
- 10:01Speaker 1: the ones that provided her the medicine that killed her,
- 10:04Speaker 1: I don't have a way to know, that they were
- 10:08Speaker 1: able to leave the scene, were not under arrest, and
- 10:13Speaker 1: that the cost-benefit was in order to get her emergency
- 10:18Speaker 1: medical treatment and resuscitation, that we as a society and
- 10:23Speaker 1: many communities make the choice that we're not going to
- 10:27Speaker 1: have criminal justice consequences for those who make the call
- 10:30Speaker 1: at those scenes. Interesting challenge. What do you think of that?
- 10:33Speaker 1: Another personal family lesson was the challenge of oxygen deprivation
- 10:41Speaker 1: and about even whether someone should be resuscitated. This is
- 10:49Speaker 1: not something that I think has an easy answer. Our
- 10:53Speaker 1: best experts don't know how many minutes someone can go
- 10:57Speaker 1: without oxygen to the brain and survive. There are extraordinary
- 11:01Speaker 1: outliers from time to time, but it's not infinite. And
- 11:05Speaker 1: by most accounts, even getting past five minutes, much less
- 11:08Speaker 1: 10 minutes, odds are extraordinarily bad. And so The choice
- 11:15Speaker 1: that was made, my daughter did not have anything on
- 11:18Speaker 1: her that said do not resuscitate. She, for all intents
- 11:20Speaker 1: and purposes, may have passed away at that point. I
- 11:24Speaker 1: have no way to know. But she was resuscitated in
- 11:29Speaker 1: the sense that she could breathe with assistance and a
- 11:33Speaker 1: pulse returned. And she was with that taken quickly to
- 11:38Speaker 1: the trauma center of an emergency room. But you probably
- 11:42Speaker 1: want to think through as a family Hopefully no one
- 11:46Speaker 1: ever goes through these situations. But do you want to have,
- 11:52Speaker 1: as a person, do you want to tell your kids
- 11:55Speaker 1: as they become adults to think about, do they want
- 11:58Speaker 1: to have organ donor on their IDs? Do they want
- 12:01Speaker 1: to have do not resuscitate orders? Do they want to
- 12:05Speaker 1: be resuscitated under circumstances like this and potentially never come
- 12:10Speaker 1: back to real consciousness but be kept technically alive? These
- 12:16Speaker 1: are things that we probably need to talk about that
- 12:18Speaker 1: you don't face until you go through things like this.
- 12:23Speaker 1: There is the whole question of what do you have
- 12:28Speaker 1: available if you know that you have an at-risk demographic,
- 12:33Speaker 1: someone in your family or you happen to be one
- 12:35Speaker 1: of these young adults that's in one of these houses,
- 12:38Speaker 1: do you have access to the Narcan that can help
- 12:45Speaker 1: in situations like this to buy time for the emergency
- 12:50Speaker 1: technicians to arrive and treatment to occur in earnest. Once
- 12:57Speaker 1: you have a family member who's essentially in a coma,
- 13:00Speaker 1: it's too late to think about, well, and what happens,
- 13:05Speaker 1: what kind of advanced directives do you want to have? Now,
- 13:08Speaker 1: as parents, It's our responsibility to think about that if
- 13:11Speaker 1: something was to happen to us. We think of that
- 13:15Speaker 1: for aging parents and facing potential long-term hospitalization and sort
- 13:22Speaker 1: of end-of-life conversations. We often don't think about that for
- 13:27Speaker 1: our children. And yet, children are at risk of exactly
- 13:31Speaker 1: this because of fentanyl. And so... We had to face
- 13:37Speaker 1: some very, very difficult conversations and some legal issues to
- 13:42Speaker 1: try to be able to get the right kind of
- 13:44Speaker 1: care and to make final disposition decisions. Those were all
- 13:52Speaker 1: harder because we did not have advanced directives in place,
- 13:57Speaker 1: power of attorney in place. We hadn't talked through what...
- 14:04Speaker 1: my 24-year-old daughter's wishes might be if the worst would come. Now,
- 14:08Speaker 1: I can understand as a parent, this is a very,
- 14:10Speaker 1: very heavy thing. You don't want to have these kinds
- 14:13Speaker 1: of conversations. But I remember when I was getting my
- 14:18Speaker 1: driver's license, part of the education was to show some
- 14:22Speaker 1: of the realities, what really bad car crashes were, what
- 14:25Speaker 1: drunk driving consequences were, what distracted driving consequences were. They
- 14:28Speaker 1: used to have even worse versions of this in my parents' generation.
- 14:33Speaker 1: It's the same kind of thing where maybe we do
- 14:36Speaker 1: need to, in a more organized way, have the shock
- 14:42Speaker 1: value education of these kinds of conversations so that our
- 14:47Speaker 1: children have participated in decisions that will affect what happens
- 14:52Speaker 1: with them, but so that we as parents and family
- 14:56Speaker 1: know some of these things so that, You don't end
- 15:00Speaker 1: up with a father and mother with very different points
- 15:04Speaker 1: of view, both trying out of love and desperation to
- 15:07Speaker 1: guess what the right answer is and what your adult
- 15:11Speaker 1: child might have wanted. And there you are. There's the
- 15:18Speaker 1: need for vital documents. You know, when your kids become
- 15:21Speaker 1: adults and they live on their own, you know, it
- 15:25Speaker 1: can be a challenge to make sure. Do you have documents?
- 15:27Speaker 1: birth certificates? Do you have certificates of marriage and divorce
- 15:31Speaker 1: in some cases? Do you have an accurate social security card,
- 15:37Speaker 1: other proof of identity issues in order to be able
- 15:41Speaker 1: to deal with things? Is your child covered under your
- 15:48Speaker 1: insurance or theirs or Medicaid or something? There's all kinds
- 15:55Speaker 1: of things that you when you're caught in an emergency room,
- 16:00Speaker 1: it almost feels too late to try to think through.
- 16:03Speaker 1: But having gone through this, you learn a lot as
- 16:08Speaker 1: a family and you learn about conversations you want to
- 16:10Speaker 1: have as a family. And now we have them with
- 16:13Speaker 1: those who survive and we encourage extended family members to
- 16:16Speaker 1: do it. The last family lesson that I wanted to
- 16:19Speaker 1: share in this list had to do with grief. Grief
- 16:25Speaker 1: is profound trauma. complex, and better in groups from my
- 16:31Speaker 1: point of view. And that group means that you need
- 16:35Speaker 1: to understand that every member of your family, whether you're
- 16:38Speaker 1: a traditional family, an unconventional family, ours was pasted together
- 16:43Speaker 1: from lots of different pieces. And yet we all experienced
- 16:48Speaker 1: this differently. But for me, I had a very, very
- 16:53Speaker 1: good friend, in my life that encouraged me to make
- 16:56Speaker 1: contact with a grief share group. And that helped an
- 17:02Speaker 1: immense amount. And so for those of you who haven't
- 17:06Speaker 1: thought about this, who have people in your extended family
- 17:09Speaker 1: or community who are facing this entirely unwanted journey, I
- 17:15Speaker 1: would give you a strong personal recommendation to consider the
- 17:19Speaker 1: grief share approach. It made a huge, huge difference for me.
- 17:24Speaker 1: in thinking through things, walking through things. This is something
- 17:30Speaker 1: that you're never healed from. It never goes away, but
- 17:36Speaker 1: you grow and you learn to carry and you learn
- 17:39Speaker 1: to manage and you learn how to talk about it
- 17:41Speaker 1: and you learn with whom to talk about it in
- 17:44Speaker 1: some important ways. And it's one of those things that
- 17:49Speaker 1: is a part of every single day of the rest
- 17:54Speaker 1: of your life And you need to get educated about
- 17:58Speaker 1: how best to carry it. And that, I think, is
- 18:03Speaker 1: an important family lesson that we carry through. Now, we're
- 18:06Speaker 1: going to get into the policy parts of this. Obviously,
- 18:10Speaker 1: from my point of view, if you learned and listened
- 18:12Speaker 1: to the nation states with Yates, you know that I
- 18:15Speaker 1: consider the border to be one of the most important
- 18:19Speaker 1: policy issues affecting the fate of our nation state. I've
- 18:23Speaker 1: said it many times. dedicated an episode to it, if
- 18:26Speaker 1: you don't have a border that is enforced, if you
- 18:28Speaker 1: don't have an immigration system that is really managed and
- 18:32Speaker 1: has consequences for violating that system, then you don't really
- 18:36Speaker 1: have a country. But worse than that, not having a country,
- 18:39Speaker 1: you might not even have a family because you're not
- 18:41Speaker 1: controlling and knowing who is coming in and what they're
- 18:45Speaker 1: bringing in and how do you contain the spread of
- 18:48Speaker 1: something that is an absolutely lethal contagion. in our society,
- 18:53Speaker 1: which fentanyl and whatever comes after fentanyl is. But borders matter.
- 18:57Speaker 1: And that's on the ballot. It's in our legislatures. And
- 19:01Speaker 1: it's something that we need to have a real serious
- 19:03Speaker 1: conversation about always. And don't forget it. When you get
- 19:06Speaker 1: worried about prices of groceries, there is nothing more costly
- 19:10Speaker 1: in life than losing a loved one. Let's get the
- 19:13Speaker 1: first things first right. Law enforcement is vital, but we're
- 19:18Speaker 1: putting a huge burden on law enforcement. I want law
- 19:21Speaker 1: enforcement to be out there tracking down murderers, rapists, human traffickers,
- 19:27Speaker 1: those that are doing grave damage to the fabric of
- 19:30Speaker 1: our society. I still want the laws that are supposed
- 19:36Speaker 1: to control the spread of controlled substances to be enforced.
- 19:41Speaker 1: But when we have large numbers of law enforcement getting
- 19:46Speaker 1: called to the scene of an overdose to base take
- 19:50Speaker 1: a report but not really be able to prosecute anyone,
- 19:55Speaker 1: and there's not really a next step to take for
- 20:00Speaker 1: law enforcement in that story other than that initial report,
- 20:04Speaker 1: we're expending a lot of their resources in doing that
- 20:08Speaker 1: by having this this epidemic of fentanyl-related overdoses. It's come
- 20:14Speaker 1: way down, but it's still tragically high. But think about
- 20:18Speaker 1: the impact on law enforcement. Supply chains have to be attacked. Ultimately,
- 20:25Speaker 1: if you're going to stop the supply coming in, of
- 20:28Speaker 1: course there's issues of demand, and we have to deal
- 20:30Speaker 1: with those too. But if you can't stop the supply,
- 20:34Speaker 1: this never ends. It just keeps growing and evolving more
- 20:39Speaker 1: And more families go through more of what mine went through.
- 20:43Speaker 1: And we just can't have that. We need the young
- 20:46Speaker 1: generation of Americans to be healthy and strong and productive,
- 20:50Speaker 1: if for no other reason, to take care of the
- 20:53Speaker 1: not young generation of Americans who need to retire. And
- 20:56Speaker 1: that social safety net needs to be held up by
- 20:59Speaker 1: our savings, but also by a productive younger generation, making
- 21:04Speaker 1: our economy continue to grow and continuing to volunteer for
- 21:07Speaker 1: the best fighting force known to mankind to deter aggression
- 21:10Speaker 1: and keep us safe, and inventing the technologies that will
- 21:14Speaker 1: extend life, extend health, maybe extend our horizons out into space,
- 21:18Speaker 1: who knows? But we need to attack those supply chains.
- 21:24Speaker 1: That means going after the cartels for sure, and we
- 21:27Speaker 1: have current policy that does that, but that's also on
- 21:30Speaker 1: the ballot, and you should make it a part of
- 21:32Speaker 1: your conversations with those who seek your vote. course, we
- 21:36Speaker 1: want fair and reasonable legal migration. That's reasonable. That's American.
- 21:42Speaker 1: Illegal immigration is something different. And we need to have
- 21:46Speaker 1: a robust debate about not just are you for or
- 21:50Speaker 1: against a wall? Are you for or against immigration? It
- 21:54Speaker 1: really has to be also, what are you for in
- 21:57Speaker 1: terms of dealing with those who have come into our
- 22:02Speaker 1: country illegally and and then proceed to break our law
- 22:06Speaker 1: and hurt our people. That should be a pretty clear
- 22:10Speaker 1: category that we should be focusing our political debate and
- 22:13Speaker 1: policy debate about. That gets at those supply chains. Ultimately,
- 22:19Speaker 1: the chemical supply chain for fentanyl comes from China. And
- 22:23Speaker 1: I think a lot of the progress that has been
- 22:24Speaker 1: made in lowering the fatality figures, number one, comes with
- 22:28Speaker 1: awareness and treatment. Number two comes with the significant enforcement
- 22:33Speaker 1: at our border that has at least paused it, maybe
- 22:37Speaker 1: thwarted it for a good time. But I don't think
- 22:41Speaker 1: that China has done anywhere near what they could to
- 22:44Speaker 1: clamp down on the factories that are manufacturing the chemical
- 22:47Speaker 1: precursors and the organizations that are exporting those materials and
- 22:54Speaker 1: laundering the money related to that activity. Those are the
- 22:57Speaker 1: areas where I think that special authorities from the Treasury
- 23:01Speaker 1: Department probably need to be considered, where much more intense
- 23:04Speaker 1: negotiations between our president and their leader need to be
- 23:08Speaker 1: taking place. And accountability really ultimately rests in that relationship
- 23:12Speaker 1: to cut off this supply. The fourth area that I
- 23:16Speaker 1: want to talk about of lessons learned in public policy,
- 23:20Speaker 1: I alluded to a little bit earlier, and that's investment
- 23:23Speaker 1: and treatment. Now, make no mistake, I'm a conservative that
- 23:28Speaker 1: wants to be very, very thrifty with public funding, of course.
- 23:33Speaker 1: But whether it's government money or it's private sector money,
- 23:36Speaker 1: and I actually hope and believe a lot more can
- 23:38Speaker 1: be done with private sector money, in our society, much
- 23:43Speaker 1: more needs to be invested into making treatment accessible, understood,
- 23:49Speaker 1: and not carry a stigma of so that we are
- 23:53Speaker 1: able to mitigate the damage that this does to individuals, families, communities,
- 24:01Speaker 1: healthcare systems, criminal justice systems, ultimately our nation state. The
- 24:06Speaker 1: damage is profound, extremely costly. When I was in the
- 24:10Speaker 1: hospital with my daughter and the representative of the hospital
- 24:13Speaker 1: was talking with me, just, of course, worried about what
- 24:16Speaker 1: the skyrocketing bill was for all of this. And they
- 24:21Speaker 1: were sharing with me what the reality is for hospitals.
- 24:24Speaker 1: They have to expend an immense amount of resources for
- 24:28Speaker 1: these fentanyl-related cases. They take space in an ICU when
- 24:32Speaker 1: the patient probably is not going to make it in
- 24:35Speaker 1: many cases. And a lot of extraordinary measures are used
- 24:40Speaker 1: at great cost. And we do that. We have to
- 24:43Speaker 1: do that to try to save a life. But it
- 24:47Speaker 1: comes at huge, huge costs. And what we invest in
- 24:51Speaker 1: addiction treatment and prevention, if done right and maybe even
- 24:57Speaker 1: marginally more successful, could save billions and billions of dollars
- 25:00Speaker 1: for many states across the United States. And so we
- 25:05Speaker 1: have to think about that, the burden this puts on
- 25:07Speaker 1: emergency response, criminal justice, and especially our hospital system. We
- 25:11Speaker 1: probably need to prioritize things a little bit different in
- 25:14Speaker 1: our public policy if we want to get after it.
- 25:17Speaker 1: But those are some of the family lessons learned. I
- 25:20Speaker 1: hope that it encourages you to have some sensitive but
- 25:23Speaker 1: very important and meaningful conversations with your family and friends
- 25:27Speaker 1: and to be prepared to help those in your community
- 25:30Speaker 1: be able to navigate these kinds of things if the
- 25:33Speaker 1: worst of the worst comes to their door, like it
- 25:36Speaker 1: came to me by phone on October 18th, 2023, to
- 25:41Speaker 1: be prepared for all the decisions that have to be
- 25:45Speaker 1: made under those worst of circumstances. as prepared as possible,
- 25:50Speaker 1: but also some of the policy lessons learned. I'd like
- 25:53Speaker 1: to know what you think of the personal story. Was
- 25:58Speaker 1: it helpful to you to hear what my family's personal
- 26:01Speaker 1: story was going through the 12 days of fentanyl? Was
- 26:05Speaker 1: it helpful to hear some of the family lessons learned?
- 26:08Speaker 1: And did it give you ideas that matter to you?
- 26:10Speaker 1: Was that good? Or did you think, ah, this is
- 26:13Speaker 1: a little too sad and dark for our conversations on
- 26:16Speaker 1: nation state with Yates? What do you think about the
- 26:19Speaker 1: priorities on policy, front-loading investment, especially private sector investment in
- 26:25Speaker 1: addiction and recovery and treatment, making it more accessible and
- 26:28Speaker 1: less of a stigma as a way to mitigate the
- 26:31Speaker 1: costs that this fentanyl crisis is imposing on our society
- 26:35Speaker 1: and our infrastructure? And what do you think about cutting
- 26:39Speaker 1: off the supply chains and the policies that are required
- 26:42Speaker 1: to cut off the cartels and to cut off the
- 26:44Speaker 1: Chinese chemical suppliers? That's our deep dive on fentanyl two-part series,
- 26:50Speaker 1: personal journey and the family and policy lessons learned. I
- 26:54Speaker 1: hope this was a meaningful conversation for you. And thank
- 26:57Speaker 1: you for sticking with us for it. Please continue to like, share, subscribe, download.
- 27:03Speaker 1: If you found a part of this to be particularly compelling,
- 27:05Speaker 1: please let me know at feedback at nationstatesyates.com. And as always,
- 27:11Speaker 1: you can follow on X at NS with Yates.com. And
- 27:15Speaker 1: we look forward to continuing the conversation soon. We're going
- 27:17Speaker 1: to take a brief break. I'll come back with some
- 27:20Speaker 1: parting thoughts. Welcome back to Nation States with Yates. Thank
- 27:25Speaker 1: you for sticking with us through this two-part journey on
- 27:29Speaker 1: the challenge that fentanyl presents to our nation state. The
- 27:35Speaker 1: issue is, of course, close to home and personal for me.
- 27:38Speaker 1: I thank you for indulging me and letting me talk
- 27:40Speaker 1: about what I and my family went through three years ago.
- 27:44Speaker 1: It's a part of what I believe helps keep the
- 27:46Speaker 1: memory of my daughter alive in this world, but also
- 27:50Speaker 1: to make what we went through somewhat useful, not just painful,
- 27:55Speaker 1: because if others can learn from it, if others can
- 27:59Speaker 1: benefit from it, if it helps get through to someone
- 28:02Speaker 1: who's struggling with addiction and they hear the pain that
- 28:06Speaker 1: a father and a family and a younger brother go
- 28:09Speaker 1: through in this, maybe that can rattle them to a
- 28:13Speaker 1: commitment to to go ahead into that program, to go
- 28:16Speaker 1: ahead and commit to a journey of recovery. And you
- 28:20Speaker 1: can stand with them by having thought through some of
- 28:23Speaker 1: these things. It's not something that people think of in
- 28:26Speaker 1: terms of national security, but there are definite national security
- 28:29Speaker 1: elements to this. It affects the age demographic that is
- 28:35Speaker 1: most recruited to go into our armed services, our intelligence community,
- 28:38Speaker 1: but also to go into our cutting edge services entrepreneurial,
- 28:43Speaker 1: economic areas of industry where America needs to be leading
- 28:47Speaker 1: to stay out in front producing for our people but
- 28:52Speaker 1: staying ahead in competition in the world. And we need
- 28:57Speaker 1: to make sure that we are learning and growing and
- 29:02Speaker 1: figuring out how to deal with these things. And it's
- 29:04Speaker 1: a national security issue not just for the human element
- 29:07Speaker 1: of it but these cartels are at war with us
- 29:12Speaker 1: That's a national security matter. And I would argue that China,
- 29:17Speaker 1: under its current leadership with these chemical precursors, is at
- 29:21Speaker 1: chemical war with us. And that has some policy consequences
- 29:26Speaker 1: and national security consequences. So I'd love to hear from
- 29:29Speaker 1: you whether you agree with my take on these things,
- 29:32Speaker 1: whether this has been a helpful or not helpful conversation.
- 29:36Speaker 1: And in our next episodes, we're going to get back
- 29:39Speaker 1: to sort of what's happening in the world with France
- 29:42Speaker 1: on fire and a province of Canada, maybe voting on
- 29:46Speaker 1: an issue of independence and ongoing negotiations to try to
- 29:51Speaker 1: end some wars that are happening out there in the world.
- 29:54Speaker 1: But this one fentanyl on my mind, in my family,
- 29:59Speaker 1: on the ballot this midterm election, I hope it was
- 30:02Speaker 1: helpful to you to go through this kind of a conversation.
- 30:05Speaker 1: So with that, please continue to like, share, subscribe. As always,
- 30:08Speaker 1: that helps keep our program going. We're deeply, deeply grateful
- 30:13Speaker 1: to the audience. Until next time, I'm Steve Yates, your
- 30:17Speaker 1: host here at Nation States with Yates. Stay strong.