podesta-emails
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Adding Emily and Carter here too
*From:* Ann O'Leary [mailto:[email protected]]
*Sent:* Thursday, August 27, 2015 6:48 PM
*To:* Kristina Costa <[email protected]>
*Cc:* Jesse Ferguson <[email protected]>; Maya Harris <
[email protected]>; Karen Finney <[email protected]>;
Joel Benenson <[email protected]>; Marlon Marshall <
[email protected]>; Amanda Renteria <[email protected]>;
Nick Merrill <[email protected]>; Mandy Grunwald <[email protected]>;
Tony Carrk <[email protected]>; Ian Sams <[email protected]>;
Dan Schwerin <[email protected]>; Sara Solow <
[email protected]>; Speech Drafts <[email protected]>;
Speech Writers <[email protected]>
*Subject:* Re: In review: substance abuse op-ed
This is good. I just want to simplify the stat about who gets substance
abuse treatment to the only 1 in 10 get the treatment they need stat. See
attached.
Otherwise, policy additions look good. Thanks, Kristina!
On Thu, Aug 27, 2015 at 3:32 PM, Kristina Costa <[email protected]>
wrote:
Reviving this thread now that we're tracking a substance abuse rollout for
the first half of next week. Attaching the latest version of the oped,
which reflects new policy and references the recent White House
announcement on targeted law enforcement and public health grants. This is
identical to the oped this group cleared on 2 weeks ago, except for the
sentences that I've flagged with comments in the attached, and for some
small edits to keep the word count down.
As this has already been much-discussed and edited, please respond by *11am
Friday* with any further comments or edits so we can get this to HRC for
her review.
Thanks everybody!
Kristina
On Mon, Aug 17, 2015 at 9:56 AM, Jesse Ferguson <
[email protected]> wrote:
Final version attached which includes everyones edits and words deleted
(down to 810) so we can move forward. Thanks everyone for their hard work
(especially author Kristina).
*From:* Jesse Ferguson [mailto:[email protected]]
*Sent:* Monday, August 17, 2015 9:27 AM
*To:* Maya Harris <[email protected]>; Karen Finney <
[email protected]>
*Cc:* 'Joel Benenson' <[email protected]>; Marlon Marshall <
[email protected]>; Ann O'Leary <[email protected]>;
Amanda Renteria <[email protected]>; Kristina Costa <
[email protected]>; Nick Merrill <[email protected]>;
'Mandy Grunwald' <[email protected]>; Tony Carrk <[email protected]>;
Speech Drafts <[email protected]>; Ian Sams <
[email protected]>; Dan Schwerin <[email protected]>
*Subject:* RE: In review: substance abuse op-ed
We think we have everyone’s edits. We are just doing some copy editing b/c
with everyone’s additions, the op-ed is now almost 900 words and thus
unlikely to be published. We will get this to her this morning. Thanks.
*From:* Maya Harris [mailto:[email protected]
<[email protected]>]
*Sent:* Monday, August 17, 2015 12:06 AM
*To:* Karen Finney <[email protected]>
*Cc:* Joel Benenson <[email protected]>; Marlon Marshall <
[email protected]>; Ann O'Leary <[email protected]>;
Amanda Renteria <[email protected]>; Kristina Costa <
[email protected]>; Nick Merrill <[email protected]>;
Jesse Ferguson <[email protected]>; Mandy Grunwald <
[email protected]>; Tony Carrk <[email protected]>; Speech Drafts <
[email protected]>; Ian Sams <[email protected]>; Dan
Schwerin <[email protected]>
*Subject:* Re: In review: substance abuse op-ed
just offering alternative since concern raised. i'm good either way.
On Sun, Aug 16, 2015 at 11:46 PM, Karen Finney <[email protected]>
wrote:
But then it goes back to sounding like she discovered this epidemic in the
white community when it's been going on in AA for a long time.
Sent from my iPhone
On Aug 16, 2015, at 11:34 PM, Joel Benenson <[email protected]> wrote:
Seems good if we have enough space.
*From:* Maya Harris [mailto:[email protected]
<[email protected]>]
*Sent:* Sunday, August 16, 2015 11:00 PM
*To:* Karen Finney
*Cc:* Marlon Marshall; Ann O'Leary; Amanda Renteria; Kristina Costa; Nick
Merrill; Jesse Ferguson; Mandy Grunwald; Joel Benenson; Tony Carrk; Speech
Drafts; Ian Sams; Dan Schwerin
*Subject:* Re: In review: substance abuse op-ed
If the goal is to name SC, but there's concern about calling out black men
specifically, we could revise the sentence to say something like:
"In South Carolina, a lawyer spoke movingly about too many young men who
have ended up imprisoned for non-violent drug offenses rather than getting
the treatment they needed."
Here's what the lawyer said in the transcript:
"*QUESTION:* My name is Carlyle Steele and I practice criminal law here in
Greenville, and I’ve been shocked over the last 40 years at the mass
incarceration of young men, particularly young African American men.
Locking everybody up for minor offenses and nonviolent offenses isn’t
working out. "
On Sun, Aug 16, 2015 at 10:20 PM, Karen Finney <[email protected]>
wrote:
Agree re AA; I think the mention is ok because she's talking about what
people have talked to her about.
Sent from my iPhone
On Aug 16, 2015, at 9:44 PM, Marlon Marshall <[email protected]>
wrote:
Defer to Maya and Karen if we keep, but can we say African American instead
of Black?
On Aug 16, 2015, at 9:04 PM, Ann O'Leary <[email protected]> wrote:
Intended to be sure she was listening to votes in all 4 first states not
just IA & NH with their skewed demographics. Think we need to keep it, but
Maya/Karen- you good? Or want to suggest alternative?
Ann O’Leary
Sent from my iPhone
(510) 717-5518 (cell)
On Aug 16, 2015, at 6:50 PM, Amanda Renteria <[email protected]>
wrote:
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 protected]>
wrote:
Sounds good.
Sent from my iPhone
On Aug 16, 2015, at 8:33 PM, Ann O'Leary <[email protected]> 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 protected]>
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 protected]>
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 protected]>
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 protected]> 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 protected]]
Sent: Sunday, August 16, 2015 5:47 PM
To: Karen Finney <[email protected]>
Cc: Joel Benenson <[email protected]>; Kristina Costa
<[email protected]>; Tony Carrk <[email protected]>;
Speech Drafts <[email protected]>; Ian Sams
<[email protected]>; Dan Schwerin <[email protected]>;
Jesse Ferguson <[email protected]>
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 protected]>
> 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 protected]> 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 protected]>
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 protected]> 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
--
Ann O'Leary
Senior Policy Advisor
Hillary for America
Cell: 510-717-5518
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