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If we’re really concerned, for example, like the opioids and heroin, we need to tell people how to stay safe, if we’re worried about overdose there. About 13,000 people die every year from heroin-related overdoses, whereas 35,000 people die from automobile accidents. We don’t ban automobiles. Instead, we have regulations, and we try to make sure that people stay safe. We have speed limits. We have seat belts. We have all of these sorts of things. But with the opioids, we’re talking about arresting people. And by the way, for the opioids, at the federal level, 80 percent of the people who are arrested are Latino and black.

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See, the average number of people that die every year from taking herbs is zero. Every year about three people die from taking vitamins. Every year about 320 people die from taking over-the-counter drugs. About 9,000 people die from food-borne illnesses. And every year, 90,000 to 110,000 people die from taking correctly prescribed drugs. This is not counting the incorrectly prescribed!

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Only about a quarter of the people who use something like heroin will become addicted. That means the vast majority are not addicted. But one way we can deal with the deaths, the major concern—another way we can deal is just make naloxone, which is an opioid blocker, make it more available. One of the things that has happened in recent years is that pharmaceutical companies have jacked the price up of naloxone, an old drug that’s been here since the 1960s. I mean, if Congress really wanted to do something, if the president really wanted to do something, he would hold those pharmaceutical companies accountable for increasing the price of naloxone, when the price of naloxone should be really cheap.

I wrote a piece in The New York Times in August where I pointed out that this isn’t new. Even with crack, there were white—more white users, and those white users got treatment, whereas the brothers and sisters, black brothers and sisters, went to jail. The same sort of thing is happening in this case. Eighty percent of the people who are being currently arrested for the opioids are black and Latino, even though they don’t use those drugs at rates higher than their white brothers and sisters. And so, this is just the American pattern of dealing with drugs. It’s not new. And we continue the same thing. So I’m asking people: let’s not get crazy; let’s just focus on the real problems.

when we think about the deaths themselves, most of the people are dying in large part because they combine opioids with another sedative, like alcohol, like a benzodiazepine. A benzodiazepine is something like Xanax. They also combine opioids with older antihistamines. Those sorts of things, they increase the risk associated with opioids...Much of the heroin on the street today is now being tainted with this drug called fentanyl. Fentanyl is about 50 to a hundred times more potent than heroin, just simply means that less of the drug is needed to produce the required effect. But unsuspecting users may take the amount that they usually take with heroin, thinking that it’s heroin, when in fact it’s fentanyl.

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More people die every year as a result of the war against drugs than die from what we call, generically, overdosing. These fatalities include, perhaps most prominently, drug merchants who compete for commercial territory, but include also people who are robbed and killed by those desperate for money to buy the drug to which they have become addicted.
This is perhaps the moment to note that the pharmaceutical cost of cocaine and heroin is approximately 2 per cent of the street price of those drugs. Since a cocaine addict can spend as much as $1,000 per week to sustain his habit, he would need to come up with that $1,000. The approximate fencing cost of stolen goods is 80 per cent, so that to come up with $1,000 can require stealing $5,000 worth of jewels, cars, whatever. We can see that at free-market rates, $20 per week would provide the addict with the cocaine which, in this wartime drug situation, requires of him $1,000.

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More than 90 percent of these accidents are caused by very human errors: somebody drinking alcohol and driving, somebody texting a message while driving, somebody falling asleep at the wheel, somebody daydreaming instead of paying attention to the road. The National Highway Traffic Safety Administration estimated in 2012 that 31 percent of fatal crashes in the United States involved alcohol abuse, 30 percent involved speeding, and 21 percent involved distracted drivers.7 Self-driving vehicles will never do any of these things. Though they suffer from their own problems and limitations, and though some accidents are inevitable, replacing all human drivers by computers is expected to reduce deaths and injuries on the road by about 90 percent.8 In other words, switching to autonomous vehicles is likely to save the lives of one million people every year.

The fact that I got to be the CEO of a publicly traded company in the marijuana space, that was something that was completely unexpected. But very quickly, marijuana products medicinally compete with legal prescription drugs that statistically kill 100,000 people a year. There's not been one documented death due to marijuana. Then on the recreational side, I've always maintained that legalizing marijuana will lead to less overall substance abuse because people will find it as such a safer alternative than everything else that's out there, starting with alcohol.

Mr. President, as the Senate Appropriations Committee prepares its markup of the Labor, Health and Human Services, Education, and Related Agencies Fiscal Year-2020 budget – I rise today to discuss the urgent need for additional funding to combat the fentanyl, heroin, and opioid crisis

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