Thank you, everybody. Thank you! Everybody, please have a seat. Have a seat. Thank you so much. Well, hello, West Virginia! Go, Mountaineers! It is great to be back in what is clearly one of the most beautiful states in the United States of America. One of these days, I’m going to finally try a Tudor’s Biscuit. 谢谢大家。谢谢你们！大家请坐，请坐。非常感谢。大家好，西弗吉尼亚！加油，登山者队！很高兴能回到这个显然是美国最美丽的州之一。总有一天，我一定要尝尝都铎饼干。
I want to begin by thanking Jordan for sharing his extraordinary story with us. Jordan is living proof that, when it comes to substance abuse, treatment and recovery, those things are possible if we work together and if we care about each other. And that’s what we’re here to talk about today. 首先，我要感谢乔丹与我们分享他非凡的故事。乔丹活生生地证明了，在药物滥用问题上，治疗和康复是可能的——只要我们共同努力，只要我们彼此关心。这就是我们今天要讨论的内容。
We've got some outstanding leaders who care deeply about this issue. I want to thank your Governor, Earl Ray Tomblin, for being here. Your two fine senators -- Joe Manchin and Shelley Moore Capito. And Charleston Mayor Danny Jones. We’ve also got some outstanding members of my administration who are here -- first and foremost, our proud daughter of West Virginia, HHS Secretary Sylvia Burwell. We have the Director of National Drug Control Policy, Michael Botticelli. And we have the head of the Drug Enforcement Administration, Chuck Rosenberg. Where’s Chuck? He’s around here somewhere. 我们有一些杰出的领导人深切关注这个问题。我要感谢你们的州长厄尔·雷·汤姆布林来到这里。感谢你们两位优秀的参议员——乔·曼钦和谢莉·穆尔·卡皮托。还有查尔斯顿市长丹尼·琼斯。我们政府中也有一些杰出成员来到这里——首先是我们引以为傲的西弗吉尼亚女儿、卫生与公众服务部部长西尔维娅·伯韦尔。我们有国家药物管制政策办公室主任迈克尔·博蒂切利。还有缉毒局局长查克·罗森伯格。查克在哪里？他就在附近什么地方。
And what I want to do is to have a conversation with the panelists here today, take some questions -- because this is something that is not a top-down solution type of problem alone. This is going to have to be everybody working together. And we've got to understand what families are going through, what law enforcement is going through, what our health systems are going through in order for us to wrap our arms around this problem. So instead of giving a long speech, I just want to offer some initial thoughts to frame our discussion. 我想做的是与今天在座的小组成员进行对话，回答一些问题——因为这个问题不能单靠自上而下的解决方案来解决。这需要每个人共同努力。我们必须了解家庭正在经历什么，执法部门正在经历什么，我们的医疗系统正在经历什么，这样我们才能全面解决这个问题。所以，我不准备发表长篇大论，只想提出一些初步想法来开启我们的讨论。
When I came into office, I started studying this issue -- what’s called opioids. And I was stunned by the statistics. More Americans now die every year from drug overdoses than they do from motor vehicle crashes. More than they do from car accidents. The majority of those overdoses involve legal prescription drugs. In 2013 alone,, overdoses from prescription pain medications killed more than 16,000 Americans. One year. I don't have to tell you,, this is a terrible toll. The numbers are big, 我上任时，就开始研究这个问题——也就是所谓的阿片类药物。我被统计数据震惊了。现在每年死于药物过量的美国人比死于机动车事故的还要多。比死于车祸的还要多。这些过量用药中的大多数涉及合法处方药。仅在2013年，处方止痛药过量就导致超过16000名美国人死亡。
but behind those numbers are incredible pain for families. And West this state is home to the highest rate of overdose deaths in the nation. 仅仅一年。我不必告诉你们，这是一个可怕的代价。数字很大，但在这些数字背后是家庭遭受的巨大痛苦。而西弗吉尼亚州是全国过量用药死亡率最高的州。
Now, addiction is not new. But since 1999, sales of powerful prescription pain medications have skyrocketed by 300 percent. In 2012, 259 million prescriptions were written for these drugs, which is more than enough to give every American adult their own bottle of pills. 现在，成瘾并不是什么新鲜事。但自1999年以来，强效处方止痛药的销量飙升了300%。2012年，开出了2.59亿张这类药物的处方，这足以让每个美国成年人都有自己的一瓶药。
And as their use has increased, so has the misuse. Some folks are prescribed these medications for good reason but they become addicted because they’re so powerful. At the same time, we’ve seen a dramatic rise in the use of heroin, which belongs to the same class of drugs as painkillers -- this class of drugs known as “opioids.” In fact, four in five heroin users -- new heroin users -- started out by misusing prescription drugs; then they switched to heroin. So this really is a gateway drug -- that prescription drugs become a gateway to heroin. 随着使用量的增加，滥用也在增加。有些人出于正当理由被开了这些药物，但因为药效太强而上瘾。与此同时，我们看到海洛因的使用急剧增加，海洛因与止痛药属于同一类药物——这类药物被称为"阿片类药物"。事实上，五分之四的海洛因使用者——新的海洛因使用者——都是从滥用处方药开始的；然后他们转向了海洛因。
As a consequence, between 2002 and 2013, the number of heroin-related deaths in America nearly quadrupled, although the number of heroin-related overdoses is still far exceeded by the number of legal prescription drug overdoses. 所以这确实是一种入门毒品——处方药成为海洛因的入口。因此，在2002年至2013年间，美国与海洛因相关的死亡人数几乎翻了两番，尽管海洛因过量的数量仍然远远低于合法处方药过量的数量。
So this crisis is taking lives. It’s destroying families. It’s shattering communities all across the country. And that’s the thing about substance abuse -- it doesn’t discriminate. It touches everybody -- from celebrities to college students, to soccer moms, to inner city kids. White, black, Hispanic, young, old, rich, poor, urban, suburban, men and women. It can happen to a coal miner; it can happen to a construction worker; a cop who is taking a painkiller for a work-related injury. It could happen to the doctor who writes him the prescription. 所以这场危机正在夺走生命。它正在摧毁家庭。它正在粉碎全国各地的社区。这就是药物滥用的特点——它不挑人。它影响每一个人——从名人到大学生，到足球妈妈，到市中心的孩子。白人、黑人、西班牙裔、年轻人、老人、富人、穷人、城市、郊区、男人和女人。它可能发生在煤矿工人身上；可能发生在建筑工人身上；可能发生在因工伤服用止痛药的警察身上。它可能发生在给他开处方的医生身上。
Now, one of the problems we have is too many families suffer in silence, feeling like they were the only ones struggling to help a loved one. And let’s face it, there’s still fear and shame and stigma that too often surrounds substance abuse -- and often prevents people from seeking the help that they deserve. Because when people loosely throw around words like “junkie,” nobody wants to be labeled in that way. 现在，我们面临的问题之一是太多家庭在沉默中受苦，觉得自己是唯一在努力帮助所爱之人的人。而且让我们面对现实，围绕药物滥用仍然有恐惧、羞耻和污名——这往往阻止人们寻求他们应得的帮助。因为当人们随意使用"瘾君子"这样的词时，没有人愿意被贴上那样的标签。
And part of our goal here I think today is to replace those words with words like father, or daughter, or son, or friend, or sister. Because then you understand there is a human element behind this. This could happen to any of us in any of our families. What if we replaced a word like “junkie” with recovery coaches and specialists like Jordan? 我认为今天我们在这里的部分目标，是用父亲、女儿、儿子、朋友或姐妹这样的词来取代那些词。因为那样你就会明白这背后有人的因素。这可能发生在我们任何人身上，发生在我们任何一个家庭中。如果我们把"瘾君子"这个词换成像乔丹这样的康复教练和专家呢？
We can’t fight this epidemic without eliminating stigma. That's one of the reasons why I’m so proud of Michael, who’s the first person in the job of dealing with drugs in America who actually knows what it’s like to recover from an addiction. He shares his own story as a way to encourage others to get the help that they need before it’s too late. And I’m proud that there’s some elected officials in this state who’ve told their stories about what happened in their family and to themselves in order for us to start lowering those attitudes that keep people from getting help. 我们无法在不消除污名的情况下抗击这一流行病。这就是为什么我为迈克尔感到如此骄傲，他是美国负责毒品事务的人中，第一个真正知道从成瘾中恢复是什么滋味的人。他分享自己的故事，以此鼓励其他人在为时已晚之前获得所需的帮助。我感到骄傲的是，这个州有一些民选官员讲述了他们家庭和自己身上发生的事情，以便我们开始改变那些阻碍人们寻求帮助的态度。
So I’ve made this a priority for my administration. And we're not new to this. In 2010, we released our first National Drug Control Strategy. We followed that up in 2011 with a Prescription Drug Abuse Prevention Plan. We’re implementing those plans. We're partnering with communities to prevent drug use, reduce overdose deaths, help people get treatment. And under the Affordable Care Act, more health plans have to cover substance abuse disorders. 所以我把这作为我政府的一项优先事项。我们对此并不陌生。2010年，我们发布了第一份《国家药物管制战略》。随后在2011年推出了《处方药滥用预防计划》。我们正在实施这些计划。我们正与社区合作，预防药物使用、减少过量死亡、帮助人们获得治疗。根据《平价医疗法案》，更多的健康计划必须涵盖药物滥用障碍治疗。
The budget that I sent Congress would invest in things like state overdose prevention programs, preparing more first responders to save more lives, and expanding medication assisted treatment programs. 我提交给国会的预算将投资于州级过量用药预防项目，让更多急救人员做好准备拯救更多生命，并扩大药物辅助治疗项目。
So we have to make those investments. Rather than spending billions of dollars -- taxpayer dollars -- on long prison sentences for nonviolent drug offenders, we could save money and get better outcomes by getting treatment to those who need it. 所以我们必须进行这些投资。与其花费数十亿美元——纳税人的钱——对非暴力毒品罪犯判处长期监禁，我们不如通过为需要的人提供治疗来节省资金并获得更好的结果。
And we could use some of the savings to make sure that law enforcement has the resources to go after the hardened criminals who are bringing hard drugs like heroin into our country. So with no other disease do we expect people to wait until they're a danger to themselves or others to self-diagnose and seek treatment. Every other disease -- you got a broken leg, you got diabetes, you got some sort of sickness, we understand that we got to get you help. 我们可以用部分节省下来的资金确保执法部门有资源追查将海洛因等烈性毒品带入我国的顽固罪犯。对于其他任何疾病，我们都不会期望人们等到他们对自己或他人构成危险时才自我诊断并寻求治疗。每一种其他疾病——你摔断了腿，你得了糖尿病，你得了某种病，我们都明白我们必须给你帮助。
And we also understand when it comes to other diseases that if we don't give you help, and let you suffer by yourself, then other people could get sick. Well, this is an illness. And we got to treat it, as such. We have to change our mindset. 我们也明白，对于其他疾病，如果我们不给你帮助，让你独自受苦，那么其他人也可能会生病。嗯，这是一种疾病。我们必须这样对待它。我们必须改变我们的思维方式。
And this is one of the reasons that the DEA declared a “National Prescription Drug Take-Back Day” -- a day when Americans can safely and conveniently dispose of expired and unwanted prescription drugs in their communities. Because most young people who begin misusing prescription drugs don’t buy them in some dark alley -- they get them from Mom or Dad’s medicine cabinet. 这就是缉毒局宣布"全国处方药回收日"的原因之一——在这一天，美国人可以安全、方便地处理过期和不需要的处方药。因为大多数开始滥用处方药的年轻人不是在某个黑暗小巷里买的——他们是从爸妈的药柜里拿的。
And today, we’re also announcing some new actions. First, we’re ensuring that federal agencies train federal health care providers who prescribe opioids. This is a common-sense idea that you’re already implementing here in West Virginia. Congress should follow that lead and make this a national priority. And we look forward to working with governors and the medical community as well. 今天，我们还宣布了一些新的行动。首先，我们正在确保联邦机构对开阿片类药物处方的联邦医疗保健提供者进行培训。这是一个常识性的想法，你们在西弗吉尼亚州已经在实施了。国会应该效仿，把这作为国家优先事项。我们期待着与各州州长和医学界合作。
Second -- and we were talking -- Joe and I were talking on the flight over here -- there is evidence that shows that medication assisted treatment, if done properly, in combination with behavioral therapy and other support and counseling and 12-step programs and things like that, can work. It can be an effective strategy to support recovery. But it can't just be replacing one drug with another. It’s got to be part of a package. 第二——我们刚才在讨论——乔和我在飞过来的飞机上讨论过——有证据表明，药物辅助治疗如果做得恰当，结合行为疗法和其他支持、咨询以及12步计划等，可以发挥作用。它可以成为支持康复的有效策略。但它不能只是用一种药物替代另一种药物。它必须是一整套方案的一部分。所以我们将找出仍然存在的任何障碍，这些障碍阻碍了我们建立更多这样的治疗设施，并将它们纳入我们的联邦项目。
So we’re going to identify any barriers that still exist that are keeping us from creating more of these treatment facilities, and incorporating them into our federal programs. 因此，我们将找出仍然存在的所有障碍，这些障碍阻碍我们建立更多这类治疗设施，并将它们纳入我们的联邦项目。
Private sector partners are helping out to help fight this epidemic, as well. And I want to give them some credit. More than 40 medical groups, from the American Medical Association to the American Dental Association are committing to concrete actions. And we need to, obviously, work with the medical community -- because they're the front lines on prescribing this stuff and so there’s got to be a sense of responsibility and ownership and accountability there. We’ve got to expand prescriber training. 私营部门的合作伙伴也在帮助抗击这一流行病。我想给予他们一些肯定。40多个医疗团体，从美国医学协会到美国牙科协会，都承诺采取具体行动。显然，我们需要与医学界合作——因为他们是开这些药的第一线，所以必须有责任感、主人翁意识和问责制。我们必须扩大处方医生培训。
Increasing the use of naloxone -- I wanted to make sure I was pronouncing that right, so I talked to the expert -- naloxone -- this is something that if first responders have it can often save quickly the lives of somebody who is having an overdose. So we want to make sure that first responders have a supply of this. 增加纳洛酮的使用——我想确保我发音正确，所以我请教了专家——纳洛酮——如果急救人员有这种药，通常可以迅速挽救过量用药者的生命。所以我们想确保急救人员有这种药的供应。
We want to make sure that we're getting more physicians certified to provide medication assisted treatment. We then have broadcasters like CBS that are providing airtime for education and awareness. And groups like the NBA have committed to running public service announcements about drug abuse. So that's just an example of some of the private sector partnerships that we're forging here. 我们希望确保让更多医生获得认证，提供药物辅助治疗。然后，像哥伦比亚广播公司这样的广播公司正在提供教育和意识宣传的播出时间。像NBA这样的团体已经承诺投放关于药物滥用的公益广告。所以这只是我们正在建立的一些私营部门伙伴关系的例子。
The point is -- and I’m going to end with this -- we’ve all got a role to play. Because young people like Jordan, they remind us these are our kids. It’s not somebody else’s kids; it’s our kids. It’s not somebody else’s neighborhood; it’s our neighborhood. And they deserve every chance. We’ve got to make sure that we're doing right by them, we're taking this seriously. And the goal today is to shine a spotlight on this, and then make sure that we walk away out of here, all of us committed to doing something about it. 关键是——我将以此结束——我们每个人都可以发挥作用。因为像乔丹这样的年轻人提醒我们，这些是我们的孩子。不是别人的孩子；是我们的孩子。不是别人的社区；是我们的社区。他们值得每一个机会。我们必须确保我们在正确对待他们，我们在认真对待这个问题。
Whether we are a faith leader, whether we are an elected official, whether we're in law enforcement, whether we're a private citizen, a business, we’ve all got a role to play. You understand that here in West Virginia, and we want to make sure the whole country understands how urgent this problem is. 今天的目标是聚焦这一问题，然后确保我们离开这里时，所有人都承诺为此做点什么。无论我们是宗教领袖、民选官员、执法人员、普通公民还是企业，我们都可以发挥作用。你们在西弗吉尼亚州明白这一点，我们希望确保全国都明白这个问题有多紧迫。
So with that, I’m going to turn it over to our moderator, Michael Botticelli. 说到这里，我要把时间交给我们的主持人迈克尔·博蒂切利。
Director Botticelli: Well, good afternoon, everybody. Thank you for being here today. I, too, want to thank Jordan for his really stirring comments. I think it really exemplifies for us the challenges that we have, but also the success and hope that comes with recovery. It's really astounding. 博蒂切利主任：大家下午好。感谢你们今天来到这里。我也要感谢乔丹发表了如此感人的讲话。我认为这真的向我们展示了我们面临的挑战，以及康复带来的成功和希望。这真是令人惊叹。
We're here in West Virginia today to highlight the issue not just because of the impact that it's had on West Virginia, but the impact that it’s had across the country. But also, West Virginia is working together to implement strategies to really deal with this addiction, and we're proud to be here to help support that. 我们今天来到西弗吉尼亚州，不仅是为了强调这个问题对西弗吉尼亚州的影响，也是为了强调它对全国的影响。而且，西弗吉尼亚州正在共同努力实施战略，真正应对这一成瘾问题，我们很自豪能来到这里帮助支持。
The President always gives me a lot of credit for talking openly and honestly about my recovery, but, candidly, I'm one of millions of Americans who are in recovery today and my story is not unique. Maybe this part is a little bit unique, sir. But I'm one of millions of Americans who have been restored by getting good care and treatment. And I know the President wants what Jordan and I got, and that is a second chance to be restored to productive members of our communities and to give back what we've so freely been given. 总统总是称赞我公开、诚实地谈论我的康复，但坦率地说，我是今天数百万处于康复中的美国人之一，我的故事并不独特。也许这部分有点独特，先生。但我是数百万通过获得良好护理和治疗而重获新生的美国人之一。我知道总统希望乔丹和我得到的，也就是第二次机会，重新成为社区中有生产力的成员，并回报我们所慷慨获得的一切。
So, thank you, sir. 所以，谢谢你，先生。
So with that today, we have a great panel of people who are really going to help provide us with information and their insights about what more we can do on the federal level. I'm really proud to be a colleague of Secretary Silvia Burwell. 那么今天，我们有一个很棒的小组，他们将真正帮助我们提供信息和见解，告诉我们在联邦层面还能做些什么。我真的很自豪能成为西尔维娅·伯韦尔部长的同事。
And, Secretary, I'm going to start -- you can feel free to say anything you would like, however. I know we're here in your home state of West Virginia. I know -- we have talked -- you have been personally impacted by this. But you’ve also made this a key priority for all of your HHS agencies. So may you could talk a little bit about your experience and what HHS is doing to deal with this issue. 部长，我想先从您开始——您可以随意说任何您想说的话。我知道我们现在在您的家乡西弗吉尼亚州。我知道——我们谈过——您个人也受到过这个问题的影响。但您也把这作为您所有卫生与公众服务部机构的关键优先事项。那么您能谈谈您的经历以及卫生与公众服务部正在做些什么来解决这个问题吗？
Secretary Burwell: Absolutely. And first, I'll just say I love coming home. It's great to be home. And it's great to welcome the President to the great state of West Virginia. 伯韦尔部长：当然。首先，我只想说我喜欢回家。回家真好。也很高兴欢迎总统来到伟大的西弗吉尼亚州。
And when I became Secretary, this was a priority because it is something that I have personally experienced. Everybody, I'm sure, in this room knows people personally -- friends that lost to the addiction and what happens in terms of their children, in terms of their family, in terms of the community. And what your experience is, personally, I think that is what energizes you to act. 我当部长时，这就是一个优先事项，因为我亲身经历过。我相信，这个房间里的每个人都认识一些人——朋友因成瘾而失去生命，以及这对他们的孩子、家庭和社区造成的影响。而你的个人经历，我认为，就是激励你采取行动的动力。
And at the department, what we focused on over the last year, figuring out an evidence-based strategy -- because we want to get results, we want to change the kinds of things that people have experienced personally -- and three things. Number one is changing prescribing practices. When the President said the 259 million -- that can't be right. And so how do we work on that. 在部门层面，我们过去一年专注的是，制定一个循证战略——因为我们想要结果，我们想要改变人们亲身经历的那种情况——三件事。第一是改变处方做法。当总统说2.59亿的时候——那不可能是对的。所以我们该如何着手解决这个问题。
Second is working on medication assisted treatment, getting people the access we've talked about today being so important to people. And third is that access to naloxone. And I look at our colleagues in law enforcement because they’re usually the front line -- and making sure that when something does go wrong, in terms of that overdose, that we can prevent those deaths, those deaths that are so dramatically impacting the state. 第二是致力于药物辅助治疗，让人们获得我们今天谈到的对人们如此重要的治疗机会。第三是纳洛酮的可及性。我看着我们执法部门的同事，因为他们通常是第一线——确保当出现过量用药的问题时，我们能够防止那些死亡，那些对该州造成巨大影响的死亡。
So those are the three things. I'm going to stop because we're here to listen today. 这就是三件事。我就讲到这里，因为我们今天是来倾听的。
Thank you, Michael. 谢谢你，迈克尔。
Director Botticelli: Cary Dixon, you're a mom of a son who is struggling with -- in treatment now, unfortunately in prison. But you’ve turned your struggles into advocacy and action, and you provide support for many, many parents here and around the country for loved ones who are dealing with this. So what has your experience been? What advice do you give parents? What advice do you give us as federal folks about how we can support parents in this battle? 博蒂切利主任：卡里·狄克逊，你是一位母亲，你的儿子正在与——现在正在接受治疗，不幸的是还在监狱里。但你把你的挣扎转化为了倡导和行动，你为这里和全国许多许多父母提供支持，帮助那些正在应对这个问题的所爱之人。那么你的经历是什么？你给父母什么建议？你对我们这些联邦工作人员有什么建议，告诉我们如何在这场斗争中支持父母？
Ms. Dixon: Well, I think initially I want to thank President Obama for coming here today to support this cause for our community that has -- substance abuse, it's become an epidemic in our community. And I thank you for coming today, first and foremost. 狄克逊女士：嗯，我想首先我要感谢奥巴马总统今天来到这里，支持我们社区的这项事业——药物滥用已经成为我们社区的一种流行病。首先，我感谢你今天的到来。
And I want to share just briefly -- I've been charged with being a representative for families around our area and actually around the nation who struggle with this. So if I could just share some comments that we families have in common. 我想简短地分享一下——我被委托代表我们地区乃至全国正在为此挣扎的家庭发言。所以我能否分享一些我们家庭的共同感受。
President Obama: You take your time. We want to hear from you. 奥巴马总统：你慢慢来。我们想听听你的想法。
Ms. Dixon: Thank you. I spoke this morning to a good friend of mine who was just calling me to wish me well today and to encourage me in this endeavor. And this friend of mine lost her daughter two and a half years ago to drugs. And so I don't take this charge of being here lightly. I realize that I'm here to represent families, and I am grateful for that opportunity. I do want to say that as I'm speaking to you I'm sharing my story, but I'm sharing the stories of so many other family members that are in this community and in the nation that have this issue. 狄克逊女士：谢谢你。今天早上我和一位好朋友通了话，她打电话来祝我今天顺利，鼓励我完成这项工作。我的这位朋友在两年半前失去了女儿，死于毒品。所以我对站在这里这件事并不掉以轻心。我意识到我是来代表家庭的，我很感激有这个机会。我想说的是，当我与你们交谈时，我在分享我的故事，但我也在分享这个社区和全国许多其他家庭成员的故事。同样重要的是要知道——为了节省时间，我真的尽量让发言简洁，但这只是家庭在所爱之人成瘾时所经历和忍受的冰山一角。
And also it's important to know -- for the sake of time, I've really tried to make this concise, but this is the tip of the iceberg of what families experience and endure when they love someone and care so much about someone with an addiction. 我们在充满爱的家庭中抚养孩子。我们教他们道德和价值观。我们教他们是非之分。当成绩开始下滑，当我们的亲人曾经喜欢的事情不再引起他们的兴趣时，我们想知道发生了什么。
We raise our children in loving homes. We teach them morals and values. We teach them the difference between right and wrong. We wonder what is happening when the grade starts slipping, when things that used to be enjoyable for our loved ones no longer interest them. 我们对所爱的人性格变化的原因感到困惑。当我们第一次听说酒驾时，我们感到震惊。当我们的亲人第一次被送进监狱时，我们感到恐惧。当假期临近，家人从外地赶来，而我们
We're confused as to the cause of the personality changes that we see in our loved ones. We're shocked when we hear of that first DUI. And we're fearful when our loved ones are taken to jail for the first time. We're embarrassed when holidays approach and family members are coming in from out of town, and our loved ones can't interact because they’re under the influence of drugs. We dread the next phone call. We can't sleep because we haven't received a phone call. We don't take vacations for fear of the next crisis. We come back from vacations because there’s a crisis. 的亲人因为吸毒无法互动时，我们感到尴尬。我们害怕下一个电话。因为没有接到电话，我们睡不着觉。我们不去度假，因为害怕下一次危机。我们因为有危机而从度假中回来。
We're sad and angry when valuable, but most importantly, sentimental items are missing from our homes, only to find out that they’re at a pawn shop, or that they’re in the hands of drug dealers. 当贵重物品——但最重要的是有纪念意义的物品——从我们家中消失，结果发现它们在当铺里，或者在毒贩手中时，我们感到悲伤和愤怒。当我们的亲人承认他们有严重问题并明白他们需要帮助时，我们感到欣慰。然后当我们帮助他们寻求治疗却发现有一个月的等待名单，或者没有保险覆盖，或者治疗需要预付一
We're relieved when our loved ones acknowledge that they have a serious problem and understand that they need help. And then we're devastated when we help them seek treatment only to find out that there is a month-long waiting list, or that there’s no insurance coverage, or that there’s a big requirement for money up front for treatment. 大笔钱时，我们感到崩溃。当熟人问起我们的亲人时，我们感到难过和不自在。当他们问起我们家的每一个其他成员却不提我们的亲人时，我们更加难过。我
We are sad and uncomfortable when acquaintances ask us about our loved ones. And we're even more sad when they ask us about every other member of our family and don't mention our loved ones. We neglect our marriages. We neglect other children in our home who are thriving because all of our attention is focused on addiction and substance abuse. 们忽视了我们的婚姻。我们忽视了家里其他健康成长的孩子，因为我们所有的注意力都集中在成瘾和药物滥用上。我们无休止地争论处理这个问题的正确方法。
We disagree endlessly about the right way to handle this problem. And after experiencing years of turmoil, we rest better at night when our loved ones are incarcerated, because the place that you never dreamed that your loved one would ever even see, a jail or a prison, is safer than them being on the street, interacting with drug dealers, or pushing a needle into their arm. 在经历了多年的动荡之后，当我们的亲人被监禁时，我们晚上睡得更好，因为那个你做梦也没想到你的亲人会见到的地方——监狱或监狱——比他们在街上、与毒贩交往或把针扎进胳膊里更安全。我
The ones of us who are fortunate, we lay awake at night and we plan our loved ones’ funerals in our mind. The ones of us who aren't fortunate actually do plan the funerals, in reality, of our loved ones. And this is where addiction has taken us. This is where substance abuse has taken us. 们中幸运的人，晚上躺着睡不着，在脑海中计划着亲人的葬礼。我们中不幸的人，实际上真的在为亲人策划葬礼。这就是成瘾把我们带到的地方。这就是药物滥用把我们带到的地方。现在，说了这么
Now, all that being said, there is hope. And that's probably the most important thing to remember here. We're so grateful to Recovery Point and Matt Ball [ph] and people in recovery that are helping others. We're grateful to our mayor, the mayor of Huntington, Steve Williams, who has so tirelessly and endlessly spearheaded programs to help our community recover. Don Purdue [ph] who has made it possible for people to receive treatment in our communities. 多，还是有希望的。这可能是这里要记住的最重要的事情。我们非常感谢康复中心和马特·鲍尔以及正在帮助他人的康复中的人们。我们感谢我们的市长，亨廷顿市长史蒂夫·威廉姆斯，他不知疲倦
I think education is important. And I was fortunate to find a group called The Loved Ones Group, developed by a man named Ed Hughes. It's a series that helps provide education and information and support for family members or those who care about someone with an addiction. The final week of this program we get to speak to people in recovery. They come and speak to our group of people there. And it inspires us because we know that recovery is possible and that it can happen. 、不懈地推动项目帮助我们的社区康复。唐·珀杜让人们在我们的社区接受治疗成为可能。我认为教育很重要。我很幸运地找到了一个叫做"挚爱亲友团"的组织，由一位名叫埃德·休斯的人创立。
For too long, we've been silent. And I think is going to answer your question as parents and family members, because of the stigma of this disease and the shame that we feel, we've been silent. And I think that is holding us back. We need to open our voices so that people don't feel ashamed. This is a disease. It is a sickness. But education, educating ourselves as much as we can as family members, and speaking out to raise awareness is, I think, critical in helping the situation. 这是一个系列项目，为家庭成员或关心成瘾者的人提供教育、信息和支持。这个项目的最后一周，我们有机会与康复中的人交谈。他们来和我们小组的人交谈。这激励了我们，因为我们知道康复是可能的，它可以发生。长期以来，我们一直保持沉默。
I'm almost finished. People in 12-step recovery groups and different groups rely on a higher power. I'm a person of faith, and my faith has helped me navigate this journey that we've been on. And I just want to share with you a verse that I hold dear for my own family member who is sick, but also offer it to others. Jeremiah 29:11 -- For I know the plans I have for you, declares the Lord, plans to prosper you and not to harm you, plans to give you hope and a future. 我认为这将回答你作为父母和家庭成员的问题，因为这种疾病的污名和我们感受到的羞耻，我们一直保持沉默。我认为这阻碍了我们前进。我们需要打开声音，这样人们就不会感到羞耻。这是一种疾病。这是一种病态。但是教育，尽可能地教育我们自己
And I believe that every person in the throes of addiction and the disease of substance abuse needs hope in a future. And I believe this for their families as well. 作为家庭成员，并大声疾呼提高认识，我认为对改善情况至关重要。我快讲完了。参加12步康复小组和不同小组的人依靠一种更高的力量。我是一个有信仰的人，我的信仰帮助我走过了这段旅程。我只想和大家分享一节我为我生病的家人珍视的经文，
Thank you so much. 也把它献给其他人。耶利米书29章11节——我知道我向你们所怀的意念，是赐平安的意念，不是降灾祸的意念，要叫你们末后有指望。我相信，每一个深陷成瘾和药物滥用疾病的人都需要对未来的希望。我相信他们的家人也是如此。非常感谢你们。
Director Botticelli: Cary, thank you so much for sharing your story. It obviously touched everybody here in terms of not only your struggles, but articulating the hope that's on the other side. And we will continue to work with parents as we deal together with this epidemic. I go to Dr. Michael Brumage. You have been involved in this work for many years. You're here at the local level, so love to hear your experience and share what you think are both some successes and challenges in dealing with this issue. 博蒂切利主任：卡里，非常感谢你分享你的故事。它显然感动了这里的每一个人，不仅是你的挣扎，还有你表达出的另一端的希望。我们将继续与父母合作，共同应对这一流行病。接下来我想请迈克尔·布鲁马奇医生。你参与这项工作已经很多年了。你在地方层面工作，所以很高兴听到你的经验，并分享你认为在处理这个问题上的一些成功和挑战。
Dr. Brumage: Certainly. And thank you very much. Welcome to West Virginia, Mr. President and Mr. Botticelli. Welcome home, Secretary Burwell. 布鲁马奇医生：当然。非常感谢。欢迎来到西弗吉尼亚州，总统先生，博蒂切利先生。欢迎回家，伯韦尔部长。
I've been on the job actually only 79 days here in Charleston. I came back home after being 29 years away. And I knew what I was coming into when I came home. I knew there was a heroin and opioid abuse epidemic in the state. I knew we had the highest rates of Hepatitis B and the second highest rates of Hepatitis C in the nation, largely due to needle sharing among addicts. But I also knew that coming home that Mountaineers would take this kind of challenge head on. That's the kind of people that there are in the state of West Virginia. 我在查尔斯顿上任实际上只有79天。我离开29年后回到了家乡。我回家时知道我将面对什么。我知道这个州存在海洛因和阿片类药物滥用的流行病。
And so I wanted to be part of the solution here in the state. And I knew it would require patience, persistence, and people -- lots of good people here. 我知道我们的乙型肝炎发病率最高，丙型肝炎发病率第二高，这在很大程度上是由于成瘾者共用针头。但我也知道，回到家乡，登山者会直面这种挑战。西弗吉尼亚州的人就是这样。所以我想成为这个州解决方案的一部分。我知道这需要耐心、坚持和人才——这里有很多优秀的人。
With the help of so many community partners, and my good friend and colleague over at Cabell-Huntington Health Department, Dr. Mike Kilkenney, we've been able to get some programs off the ground, working together. And I think we're moving in the right direction. In about six weeks, we're going to begin our own harm reduction program here in Charleston. We're going to have syringe exchange as part of that. We'll be testing for Hepatitis B, Hepatitis C, HIV. 在众多社区合作伙伴的帮助下，以及我在卡贝尔-亨廷顿卫生局的好朋友和同事迈克·基尔肯尼医生的帮助下，我们已经能够启动一些项目，共同努力。我认为我们正朝着正确的方向前进。大约六周后，我们将在查尔斯顿开始我们自己的减害计划。我们将把注
We don't want to become another Scott County, Indiana, where they had an outbreak of HIV -- almost 200 cases in a small rural community there. 射器交换作为其中的一部分。我们将检测乙型肝炎、丙型肝炎、艾滋病病毒。我们不想成为另一个印第安纳州斯科特县，那里爆发了艾滋病病毒——在一个小农村社区有近200个病例。我们还希望为吸毒的育龄妇女提供避孕服务，以预防新生儿戒断综合征。
We’d also like to offer contraceptive services to women of the reproductive age who are addicted to drugs to prevent neonatal abstinence syndrome as well. 最重要的是，我认为我们想做的是以尊严、尊重和他们应得的爱来对待通过我们的项目来到这里的人，因为在我看来，每一种成瘾背后的根本疾病是与自己和周围所有人的脱节和疏
And more than anything else, what I think we’d like to do is to treat the people who come through our doors for this program with dignity and respect and the kind of love that they deserve, because the ultimate disease underlying every addiction, from my perspective, is disconnection and alienation from themselves and from everybody else around them. 离。两周前，我开始与西弗吉尼亚大学的研究人员合作，开展一个针对康复中阿片类药物成瘾者的正念防复发项目。这是基于华盛顿大学的开创性工作。自从我上任以来，我看到的更
Two weekends ago, I began working with West Virginia University researchers on a program of mindfulness-based relapse prevention with opioid addicts in recovery. This is based off of the pioneering work done at the University of Washington. And one of the more pleasant surprises that I've seen since I've been here on the job is the close connection between public health and public safety. Our law enforcement community has just been outstanding and we've been really privileged to work with them. 令人愉快的惊喜之一是公共卫生和公共安全之间的密切联系。我们的执法社区一直非常出色，我们很荣幸能与他们合作。最后，我还能够与卡诺瓦县的代表克里斯·斯坦斯伯里医生一
Finally, I was able to also sit together with delegate, Dr. Chris Stansbury from Kanawha County to sponsor legislation -- he’s going to sponsor legislation to make naloxone an over-the-counter medication, the way it is in 14 other states. 起坐下来，他将发起立法，使纳洛酮成为非处方药，就像其他14个州一样。而且，正如你所说，总统先生，这是一个多方面的问题。它需要很多不同的人聚在一起来解决这个问题。
And then, as you’ve said, Mr. President, this is a multifaceted issue. It requires a lot of different people to come together to fix this. It's not a quick fix; it requires a collaborative, multiagency approach with public health, mental health, primary care, schools and school nurses, law enforcement. our own judiciary community. And finally, I'd be remiss if I left out our business and industry, because jobs provide not only an income, they provide a sense of purpose and meaning in the lives of people. 这不是快速修复；它需要公共卫生、心理健康、初级保健、学校和学校护士、执法部门、我们自己的司法机构的协作、多机构方法。最后，如果我漏掉了我们的商业和工业界，那就太失职了，因为工作不
And so I'm hoping that by the end of your visit today, Mr. President, that you’ll be impressed with some of the things that are going on and how much West Virginians are really digging in to try to address this issue. Thank you. 仅提供收入，还提供人们生活中的目标感和意义。所以我希望，在你今天的访问结束时，总统先生，你会对正在发生的一些事情以及西弗吉尼亚人真的在多么努力地解决这个问题留下深刻印象。谢谢你。
Director Botticelli: Thank you, Doctor. 博蒂切利主任：谢谢你，医生。
Chief Webster, Dr. Brumage gave you the perfect lead-in and segue to talk about the importance of public health and public safety collaboration. So love to hear your thoughts and what you're doing here. 韦伯斯特局长，布鲁马奇医生给了你一个完美的引子，来谈谈公共卫生和公共安全合作的重要性。很高兴听听你的想法以及你在这里做的事情。
Chief Webster: Sure. First of all, I'd like to, again, thank the President of the United States for making this a focus, coming to Charleston, West Virginia, and also providing me an opportunity to represent Charleston and all law enforcement, effectively. 韦伯斯特局长：当然。首先，我想再次感谢美国总统把这作为重点，来到西弗吉尼亚州查尔斯顿，也给我一个机会代表查尔斯顿和所有执法人员。
I think this is where most people probably look at the person in uniform and they probably say, okay, this is the guy who is now going to tell us we need to build more jails and make tougher laws. And that's not me. This is such an epidemic and we cannot arrest our way out of this mess. 我想大多数人可能看着穿制服的人，可能会说，好吧，这家伙现在要告诉我们我们需要建更多监狱，制定更严厉的法律。那不是我。这是一场如此严重的流行病，我们不能靠逮捕来摆脱这个烂摊子。我认为总统简要地提到了这一点。
And I think the President touched on it briefly. What the President said earlier is true, because we want to arrest the violent drug dealers that are creating havoc in our communities. We have our share of violent crime. And we are very fortunate -- our drug task force, we have a great partnership with [inaudible.] They fund so many of our efforts. So, on a daily basis, the bad guy get arrested. We made a significant seizure yesterday. 总统一开始说的是对的，因为我们想逮捕那些在我们社区制造混乱的暴力毒贩。我们有自己的暴力犯罪。我们非常幸运——我们的禁毒特遣队，我们与[听不清]有很好的合作伙伴关系。他们资助了我们很多工作。所以
So we feel in law enforcement, as I'm sure our counterparts do, we really attack the supply side of this issue very well. And so we're not going to back down from that and we're going to keep trying to remove people that are dangerous from society. But what’s nice about this, and what I want to talk about, though, is attacking as a strategy the demand side. And that's what I think is very nice about this panel and this gathering, because we've got a lot of things we can really talk about. 每天，坏人都被逮捕。我们昨天进行了一次重大缴获。所以我们执法部门觉得，我相信我们的同行也是如此，我们在这个问题的供应方面做得很好。我们不会在这方面退缩，我们将继续努力把危险的人从社会中清除出去。
We basically have a community of zombies, for lack of a better word, walking around. They need treatment very badly. And they’re coming up to our officers -- they actually are -- some don't want help yet, but at some point they do want help. And we want to get them help. And a couple of the strategies that we've worked on that we want to attack the demand side, not so much the supply in this conversation, is that we have trained our officers in naloxone. 但这件事的好处，也是我想谈的，是将打击需求方作为一种战略。这就是我认为这个小组和这次聚会非常好的地方，因为我们有很多真正可以谈论的事情。我们基本上有一个僵尸社区，
And that's been traditionally, up until very recently, just something that our fire department-- and they do more of the -- they can do the nasal and the IV. 请允许我用这个词，到处都是。他们急需治疗。他们来找我们的警官——他们真的是——有些人还不想帮助，但在某个时候他们确实想要帮助。我们想帮助他们。我们制定的几项旨在打
We trained all of our officers, regardless of their assignment, to be able to save somebody’s life -- administer the nasal and the rescue breathing mask that's accompanied. And again, that's paid for with Appalachian -- and such great partnership. They recognize that it's supply and demand. 击需求方的策略——在这次谈话中不谈供应方面——其中一项是我们对警官进行了纳洛酮培训。直到最近，传统上这还只是我们消防部门的事——他们做得更多——他们可以做鼻腔给药和静脉注射。我们培训了所有警官，无论他们的岗位是什么，都能够挽救生命——使用鼻腔喷雾和配套的复苏呼吸面罩。同样，这是由阿巴拉契亚——伟大的合作伙伴关系——资助的。
Interestingly, though, when I went to the roll call to start talking about this to the officers, first, they’re kind of like, that might be more of a fire department role. That might be more -- but as we talked more and I went down the line and said, well, has anybody have anybody affected by an addiction, and I've yet to go to one roll call -- I've been to numerous, but I've yet to one where someone said no. Someone has said, yes, my sister, my aunt. 他们认识到这是供需问题。有趣的是，当我去点名开始向警官们谈论这件事时，一开始他们有点像，那可能更多是消防部门的角色。那可能更——但随着我们谈得更多，我沿着队伍走下去说，好吧，有没有人受到成瘾的影响，我还没有去过一次点名—
And we've just got them mounted to our cars in the last week, so we don't have any success stories -- and we don't want to have any stories, really, unless they’re -- we want them all to be positive. But we know the fire department will continue to administer most of them in our camp. But we want to be in a position to save a life -- much like a child drowning and we can administer CPR. —我去过很多次，但我还没有去过一次有人说没有的。总有人说，是的，我姐姐，我姑姑。我们上周才把它们安装到我们的车上，所以我们还没有成功的案例——而且我们不想要任何故事，真的，除非它们是——我们希望它们都是积极的。但我们知道
Another thing that we're doing that we're real proud of and it's working with the United States Attorney, which is the LEAD program, the Law enforcement assisted diversion program. And basically, since 2014, we've had 39 I'd call them low-level users that were selling drugs to support their habits. And basically they’re hit with a stark decision right at the arrest gate: You have an opportunity to go to jail, or you can seek immediate treatment. And of the 39 people that have taken us up on that, since 2014, just one has been rearrested. I think that's pretty impressive. 消防部门将继续在我们的辖区内管理大部分用药。但我们希望能够挽救生命——就像一个孩子溺水，我们可以进行心肺复苏一样。我们正在做的另一件我们真正引以为豪的事情是与美国检察官合作的LEAD项目，即执法转介项目。基本上，自201
And that's a partnership with the U.S. Attorney’s Office and something that our officers are coming around to understanding what kind of problem we have. 4年以来，我们有39个我称之为低级别的使用者，他们为了维持毒瘾而贩毒。基本上，他们在逮捕关口面临一个严峻的选择：你有机会进监狱，或者你可以立即寻求治疗。在39个接受我们提议的人中，自2014年以来，只有一个人被重新逮捕。
And I would just say, finally, because we do support everything Dr. Brumage and the Kanawha County Health Department is doing with his harm reduction plan, and how we factor into that with the needle exchange program -- finally, we have a Handle With Care program that we piloted in 2013 in one school on the West Side, then a second school, and now we do it for the whole city. I see some smiles in the crowd because there are teachers in here. 我认为这相当令人印象深刻。这是与联邦检察官办公室的合作伙伴关系，也是我们的警官开始理解我们面临的问题的一种方式。最后我想说，因为我们确实支持布鲁马奇医生和卡诺瓦县卫生局正在做的所有事情，包括他的减害计划，以及我们如何参与针头交换计划——最后，
But what we realized had been lost is when police officers go to crime scenes, what are they there for? They’re there to take witness statements. They’re there to arrest the so-called bad guy. And then they leave. But who is looking out for the children, the collateral damage? Who’s looking out for the child that maybe is just trying to do his homework, mom and dad are fighting. We come in, arrest dad. Mom cries. She’s got to go to the hospital. And so that child gets left behind many, many times. 我们有一个"小心照料"项目，我们于2013年在西区的一所学校试点，然后是第二所学校，现在我们在全市推广。我看到人群中有一些微笑，因为这里有老师。但我们意识到已经缺失的是，当警察去犯罪现场时，他们去那里做什么？他们去录证人证词。他们去逮捕所谓的
And so we started a notification system to where the next day, our officers that are on the scene will send a notification to the principal or to the counselor basically to say, handle that child with care today. Maybe that child needs an extra day before -- 坏人。然后他们就离开了。但是谁在照顾孩子，那些附带损害？谁在照顾那个可能只是想做作业的孩子，爸爸妈妈在打架。我们进来，逮捕爸爸。妈妈哭了。她得去医院。所以那个孩子很多时候被忽视了。所以我们启动了一个通知系统，第二天，我们在现场的警官会向校长或
Those are ways that we realize that we're not going to arrest our way out of this. We have our place and we can always use additional law enforcement resources. I'm not going to lie to you. But we're all in this together and it's affecting all of us. 辅导员发送通知，基本上是说，今天请小心照料那个孩子。也许那个孩子需要多一天的时间来——这些是我们意识到的方式，我们不能靠逮捕来摆脱这个问题。我们有我们的位置，我们总是可以使用更多的执法资源。我不会骗你的。但我们都在这当中，它影响着我们所有人。
Director Botticelli: Thank you, Chief. I think that's an extraordinary example of your willingness and your partnership. 博蒂切利主任：谢谢你，局长。我认为这是你意愿和合作精神的非凡典范。
I'm now going to turn to Susan Shumate from the Charleston Gazette, who I believe is going to ask questions of the panel that come from the community. 现在我想请《查尔斯顿公报》的苏珊·舒马特提问，我相信她将代表社区向小组成员提问。
Ms. Shumate: Thank you for coming to West Virginia, Mr. President, Secretary Burwell and Secretary Botticelli and the rest of the panel to address the chronic issue of opioid addiction. The Charleston Gazette now has done numerous stories over lots of years about this issue facing West Virginia, and we were able to solicit hundreds of questions from our readers over the last five days for the President and the panel. 舒马特女士：感谢你来到西弗吉尼亚州，总统先生，伯韦尔部长，博蒂切利部长以及小组其他成员，来探讨阿片类药物成瘾这一长期问题。
And with us here is David and Kate Grubb with their question for the President. 《查尔斯顿公报》多年来就西弗吉尼亚州面临的这个问题做了大量报道，我们在过去五天里从读者那里征集了数百个问题，向总统和小组提问。和我们在一起的还有大卫和凯特·格拉布，他们有问题要问总统。
Question: First of all, mom -- Cary -- there isn't a parent here who had a dry eye when you spoke. From your heart, you expressed exactly what we feel. And Danny knows this, too. Mr. President, I want to say that it is -- and I'm going to take this opportunity -- it is wonderful to have an intelligent, caring, thoughtful person in your position. 提问：首先，妈妈——卡里——这里没有一位父母在你说话时眼睛是干的。你从心底里表达了我们的感受。丹尼也知道这一点。总统先生，我想说——我想借此机会——有一位聪明、有爱心、有思想的人在你的位置上真是太好了。
President Obama: Thank you. 奥巴马总统：谢谢你。
Question: Thank you so much for coming. This issue -- my wife and I, we have five daughters. Mr. President, you might relate a little bit to that. 提问：非常感谢你的到来。这个问题——我和我妻子，我们有五个女儿。总统先生，你可能对此有点共鸣。
President Obama: I can relate to that. I don't know how you did five. Two keeps me busy. 奥巴马总统：我能理解。我不知道你怎么养得了五个。两个就够我忙的了。
Question: And we live here in the East End. My second oldest daughter, Jessica, has been battling heroin addiction for seven years. Ironically, the last time we were in this room was when our daughter was in the 8th grade here at Roosevelt and was a cheerleader. She made good grades. She was socially involved. Her future was bright. But as Jordan mentioned, her life got put on hold for a long time. 提问：我们住在东区。我的二女儿杰西卡已经与海洛因成瘾斗争了七年。具有讽刺意味的是，我们上次在这个房间里是我们女儿上罗斯福中学八年级的时候，她是啦啦队队长。她成绩很好。她积极参与社交活动。她的前途一片光明。但正如乔丹所说，她的生活被搁置了很长时间。
Last month, the middle of August, our daughter overdosed. We found her in her bedroom, tourniquet on her arm, syringe next to her. She was already turning blue. 上个月，八月中旬，我们的女儿服药过量。我们在她的卧室里发现了她，胳膊上扎着止血带，旁边有注射器。她已经发青了。我妻子进行了心肺复苏。我们拨打了911。在等待的时候，我抱着她说，别离开我们。
My wife administered CPR. We called 911. While we were waiting I held her and said, don't leave us yet. Fortunately -- I want to say this to the Chief -- the response was amazing. Less than five minutes, the EMTs and the police officers were there. The police officers were sympathetic. They were helpful. The EMTs administering Narcan, coupled with the CPR, saved our daughter’s life. And she’s now in recovery. 幸运的是——我想对局长说——响应令人惊叹。不到五分钟，急救人员和警察就到了。警察很有同情心。他们很有帮助。急救人员使用了纳洛酮，加上心肺复苏，挽救了我们女儿的生命。她现在正在康复中。这是她第四
This is her fourth time. It usually takes more than one time. And we think this one will be the one. We are full of hope. But we understand the pain -- the pain in this room, the pain the families feel. The concern we have is access -- where do you get the treatment? How do you get the treatment? 次了。通常需要不止一次。我们认为这一次会成功。我们充满希望。但我们理解这种痛苦——这个房间里的痛苦，家庭感受到的痛苦。我们担心的是获取途径——你在哪里获得治疗？你如何获得治疗？卡里，你提到了。
And, Cary, you mentioned it. As soon as this overdose happened, we called hotlines and we got numbers to call and we called those numbers, and they said, well, there’s a three-month wait -- or, well, we don't take Medicaid cards -- or, this wasn’t really the facility that could handle your type of problem. 这次过量用药一发生，我们就拨打了热线，我们拿到了要打的号码，我们打了那些号码，他们说，嗯，有三个月的等待期——或者，嗯，我们不
The other problem with Medicaid cards and things of that nature is you can't always go out of state. What if the facility is across the river? We're a border state -- we need to be able to have that ability to go to the facility that may be best for our children. 接受医疗补助卡——或者，这不是真正能处理你这类问题的机构。医疗补助卡之类的另一个问题是你不能总是去州外。如果设施在河对岸呢？我
The bottom line is we need resources and we need to find a way to put those resources into effect so that we have the facilities. Because there’s so many people that want help, like our daughter, but it took forever to find a place for her. Right now she’s in Michigan. That was the best we could do. Why can't we have lots of these types of facilities with trained staff here in West Virginia, close to home? 们是一个边境州——我们需要有能力去可能最适合我们孩子的机构。归根结底，我们需要资源，我们需要找到一种方法来落实这些资源，这样我们才有设施。因为有太多人想要帮助，比如我们的女儿，但要为她找到一个地方花了很长时间。现在她在密歇根州。那是我们能做的最好的了。
And lastly, I want to say one of the best provisions of the Affordable Care Act is that it does require coverage for drug treatment. And thank you for that. But one of the concerns is that if there aren’t facilities available, then the treatment coverage can be illusory. So we have to close that gap. 为什么我们不能在西弗吉尼亚州，离家近的地方，有很多这种类型的设施，配备训练有素的工作人员？最后，我想说《平价医疗法案》最好的条款之一就是它确实要求覆盖药物治疗。谢谢你所做的一切。但令人担忧的是，如果没有可用的设施，那么治疗覆盖可能
And I think the biggest issue there is are you concerned, as sometimes we get concerned given the current political climate that the Affordable Care Act will be weakened or repealed either before the end of your term or in the next term? What are your feelings about our commitment to that program and to the drug rehabilitation part of that program? 就是虚幻的。所以我们必须缩小这一差距。我认为最大的问题是，你是否担心——因为有时我们会担心，鉴于当前的政治气候，《平价医疗法案》会在你任期结束前或下一届任期内被削弱或废除？你对我们对该计划以及该计划中药物康复部分的承诺有什么看法？
President Obama: Well, first of all, as with Cary, I just want to thank you and your wife for sharing your story. And you're right, if you are a parent, then listening to Cary or listening to you, you can relate. 奥巴马总统：嗯，首先，和卡里一样，我只想感谢你和你妻子分享你们的故事。你说得对，如果你是父母，听卡里或你说话，你都会感同身受。我告诉过别人，我听过的关于养育孩子最喜欢的一句话是，那就像你的心在身体外面走动。你所关心的就是确保他们没事。但他们太脆弱了。作为父母，你总是在摸索，只是想弄清楚如何确保他们会没事。
I told somebody one of my favorite sayings I ever heard about having children is it’s like having your heart walking around outside your body. All you care about is making sure they're okay. But they're so vulnerable. And you're just, as a parent always navigating, just trying to figure out how do I make sure they're going to be okay. And when something like this happens -- and I think it’s something that you sharing your story, Cary, and your sharing your story, sir, really emphasizes this is happening in families everywhere with great parents who love their kids. 当发生这样的事情时——我认为卡里分享你的故事，你分享你的故事，先生，真的强调了这发生在每个家庭中，父母都深爱自己的孩子。显然，有很多孩子生活在不太稳定的家庭中，更容易受到伤害。但这种现象渗透到所有社区的方式意味着，我们必须明白，这里没有"我们"和"他们"之分。没有"我们"和"他们"。这是我们所有人，在每一所学校，每一个社区，每一个街区。可能就是你的孩子。
Obviously there are a lot of kids who are in less stable homes and are more vulnerable. But the way this kind of phenomenon is penetrating all communities means that we have to understand that there is no “us” and “they” here. There is no “us” and “them.” This is all of us in every school, in every community, in every neighborhood. And it could be your child. 所以我认为首先要做的是——这次对话非常有帮助——是理解这是一个跨越群体和政治派别的美国问题。因为一旦我们理解了这一点，那么我认为我们就能够共同应对，而不是把它变成另一个政治足球。这是第一点。
So I think the first thing to do -- and this conversation has been so helpful -- is to understand that this is an American problem that cuts across groups and political affiliations. Because once we understand that, then I think we're in a position to deal with it together as opposed to turning it into another political football. That's point number one. 第二点：我上任时的目标之一，就是让我们在处理毒品问题上恢复一种平衡感。非法毒品是如此，合法但过量开具的药物也是如此。长期以来，我们的目标一直是处理供应方面。正如局长所说，我们非常积极。我向你保证，我们不会退缩，确保墨西哥海洛因卡特尔不会把海洛因带入西弗吉尼亚州或这个国家的任何其他地方。我们有很多出色的特工、边境巡逻人员和官员。
Point number two: One of my goals when I came into office was for us to restore a sense of balance when it came to dealing with drugs. And this was true for illegal drugs, but it was true for legal but over-prescribed drugs. For a long time our goal has been to deal with the supply side. And as the Chief said, we're very aggressive. I promise you, there’s no backing off us trying to make sure that some Mexican heroin cartel is not getting heroin into West Virginia or anyplace else in this country. And we’ve got a lot of terrific agents and border patrols and officials. 在我的政府和前几届政府的领导下，我们大力加强了缉毒工作。所以我们不会停止，我们也不会为此道歉。如果有人系统性地通过摧毁我们的孩子赚取数百万或数亿美元，我们就会追查他们。我们不会为此道歉。
We have ramped up aggressively, under my administration and under previous administrations, interdiction efforts. So we don't stop that, and we don't make apologies for that. And if there is somebody who is out there systematically making millions or hundreds of millions of dollars off the destruction of our kids, we're going to go after them. We don't apologize for that. 但是我们在需求方面投入不足——即使我们做出了改变——仍然投入不足，在预防和治疗方面投入不足，而这是如此必要。
But we were under-investing and -- even with the changes we’ve made -- continue to under-invest in the demand side, in the prevention and the treatment that is so necessary. 这是一个真正的机会。这对我们来说是一个重要时刻，因为如果我们能够开始明智地思考阿片类药物和处方药方面的治疗，那么人们就会开始建立联系，嗯，我们应该对海洛因进行治疗——然后也许他们开始思考，嗯，我们应该对其他以不同方式影响和摧毁家庭的麻醉品和毒品进行治疗。
And this is a real opportunity. It’s an important moment for us because if we can start thinking intelligently about treatment on the opioids and prescription drug side, then people start making the connection, well, we should have treatment when it comes to heroin -- and then maybe they start thinking, well, we should have treatment when it comes to other narcotics and drugs that are affecting and devastating families potentially in different ways. 但长期以来，我认为治疗被视为与缉毒、逮捕和监禁相比的二等公民。这种思维方式需要改变。好消息是，我们看到这种思维方式正在改变，而且是在两党基础上——我认为这非常有趣。
But for a long time I think treatment was seen as a second-class citizen to interdiction and arrest and incarceration. And that mindset needs to change. The good news is we're seeing that mindset changing, and it is on a bipartisan basis -- which I think is really interesting. To go back because I want to make sure that people understand we're putting an end to the old politics on this. Democrats and Republicans were both responsible for wanting to look tough on the War on Drugs and ramping up incarceration. It wasn’t just one side or another. 回过头来说，因为我想确保人们理解我们正在结束这个问题上的旧政治。民主党人和共和党人都曾想要在禁毒战争中表现强硬，并加大监禁力度。这不只是一方的责任。现在双方同时意识到，你知道吗，我们在做什么？为什么我们愿意每年花两万美元监禁一个年轻人，而我们本可以在前端花几千美元来避免他们首先进监狱？
And now both at the same time are realizing, you know what, what are we doing here? Why is it that we're willing to invest $20,000 a year in incarcerating a young person when we might have spent a few thousand dollars on the front end to avoid them going to prison in the first place? 这种思维方式意味着，资源有望开始流向新的方向。但我们必须确保资金跟上这种认识。我认为我们现在正处于这样一个阶段，人们开始意识到我们需要更多治疗。但预算还没有反映出这种意识。这将需要国会采取行动。
And that mindset means that resources hopefully will start channeling in a new direction. But we’ve got to make sure that the money is following the insight. I think we're at the stage now where people are starting to realize that we need more treatment. But the budgets are not yet reflective of that awareness. And that's going to require Congress. 所以在我们的预算中，例如，我们提议额外拨款1.33亿美元用于加强治疗和预防项目。但这也涉及到各州、州议会、各县、地方政府，所有人都要认识到这是每个社区都需要的。我们不能对此加以污名化。
So in our budget, for example, we're proposing an additional $133 million for enhanced treatment and prevention programs. But it’s also going to involve states, state legislatures, counties, local governments, all also recognizing this is something that every community needs. And we can't be stigmatizing this. 拥有治疗设施就像拥有治疗任何其他疾病的健康诊所一样，因为它对人们的影响同样大。而且我们知道如何明智地做到这一点。想想吸烟——作为一个仍然嚼着力克雷口香糖的前吸烟者，我可以这么说——这没关系，它很贵，但我负担得起。不过年轻人，最好不要开始。
Having a treatment facility is just like having a health clinic for any other illness because it’s affecting people just as much. And we know how to do this when we do it smartly. Think about smoking -- and I can say this as an ex-smoker who still chews on Nicorette -- which is okay, it’s expensive, but I can afford it. Better not starting, though, young people. 如果你看看我们已经能够多么大幅度地降低吸烟率，尽管我们从未禁止吸烟——但我们所做的只是加强教育，让孩子更难获得，停止推销，停止广告，从中抽走一些资金。随着时间的推移，公共卫生模式对吸烟产生了巨大影响。
If you look at how drastically we’ve been able to reduce the smoking rates, despite the fact that we never outlawed smoking -- but what we did was we just enhanced education, made it more difficult for kids to access it, stopped peddling it, stopped advertising it, took some of the money out of it. And over time, a public health model had a drastic impact on smoking. 力克雷——或者说尼古丁——和我们谈论的任何药物一样容易上瘾。所以如果我们可以用公共卫生模式做到这一点，我们没有理由在这里做不到。但这确实需要改变思维方式。正如你所指出的，这需要额外的资金。
And Nicorette is -- or nicotine is as addictive as any of the drugs we're talking about. So if we could do on that with the public health model, there’s no reason we can't do it here, as well. But it does require a change in mindset. And as you pointed out, it requires additional money. 我要讲的最后一点——在保险方面。你说得完全对，如果没有治疗中心可以申请，保险覆盖是不够的。所以我们将不得不在当地建设、资助和支持更多的治疗中心。
Last point I’ll make -- on the insurance side. You are absolutely right that insurance coverage is not enough if there is no treatment center for you to apply that insurance. So we're going to have to build and fund and support more treatment centers locally. 另一方面，如果有治疗中心而你没有保险，那么你可能不得不抵押你的房子。我感到非常自豪的是，《平价医疗法案》——也被称为奥巴马医改——我——我是说我不会在这里高谈阔论，但有1700万人以前没有医疗保险，现在有了。顺便说一句，在我们通过这项法律之后，我们的整体医疗保健成本增长速度是我有生以来最慢的。所以它没有让政府破产，没有让各州破产。
On the other hand, if there is a treatment center and you don't have any insurance, then you might have to mortgage your house. And I am very proud of the fact that the Affordable Care Act -- also known as Obamacare -- which I -- I mean I won’t get on a soapbox here, but there’s 17 million people who have health insurance who didn't have it. And by the way, our overall costs for health care have been going up at the slowest rate in my lifetime after we passed the law. So it’s not bankrupting the government, not bankrupting states. 但它所做的事情之一是，它要求保险——在联邦政府补贴的市场上出售的私人保险——必须提供药物滥用项目的覆盖。
But one of the things that it does is it requires that insurance -- private insurance that's sold on the marketplaces that are subsidized by the federal government have to provide coverage for substance abuse programs. And given the prevalence of what’s happening to our children and our schools, the notion that we would not have our insurance policies cover this -- they're going to cover a broken leg, but they're not going to cover a situation where your child might die? That doesn't make any sense. 鉴于我们的孩子和学校正在发生的事情的普遍性，我们的保险政策不涵盖这一点的想法——他们会支付断腿的费用，但不会支付你的孩子可能死亡的情况？这说不通。
And so I think that we're trying to nudge that along through the marketplaces. But I think one of the things that we need to do is to have consumer groups and our medical associations and others really push a little bit more on the insurance companies to say that this is something that is vital, and that everybody should have coverage. Because you don't know if it’s going to be your child. And that's the most important point here. 所以我认为我们正试图通过市场推动这一点。但我认为我们需要做的事情之一是，让消费者团体和我们的医学协会以及其他人更多地向保险公司施压，说明这是至关重要的事情，每个人都应该有保险。因为你不知道会不会是你的孩子。这是这里最重要的一点。
Cary, is carrying a particular burden. And I was most touched when Cary talked about her other children. But I thought about Malia and Sasha. They're wonderful girls, but they're teenagers. They do some things. And I remember me being a teenager -- and I’ve written about this, I did some stuff. And I’ve been very honest about it. So what I think about is there but for the grace of God, and that's what we all have to remember. And when we do, then I think we’ve got a chance to make a real change. 卡里承担着特别的负担。当卡里谈到她的其他孩子时，我最受感动。但我想到了玛利亚和萨沙。她们是很棒的女孩，但她们是青少年。她们会做一些事。我记得我十几岁的时候——我写过这个，我做过一些事。我对此非常坦诚。所以我想到的是，若非上帝恩典，我也会如此，这就是我们所有人都必须记住的。当我们这样做时，我认为我们就有机会做出真正的改变。
But thank you for sharing your story. 但谢谢你分享你的故事。
Ms. Shumate: This was from Natalie Laliberty, who is a principal at Ruthlawn Elementary School. And she says, as the principal of an elementary school, I see the harm being done to kids who are born addicted or live in traumatic and chaotic drug environment. Many of the kids have any number of learning and behavioral problems upon entering preschool and kindergarten. How can the community at large and schools work together to intervene in these children’s lives during their early years when brain growth stimuli is most critical? Thank you. 舒马特女士：这是娜塔莉·拉利伯蒂提出的问题，她是鲁斯劳恩小学的校长。她说，作为一名小学校长，我看到了对那些天生成瘾或生活在创伤和混乱的毒品环境中的孩子造成的伤害。许多孩子在进入学前班和幼儿园时就有许多学习和行为问题。社区和学校如何共同努力，在儿童早年——大脑发育刺激最关键的时期——干预他们的生活？谢谢你。
President Obama: Well, I’ll make sure to get the doctor involved in this one, as well. And I know that Sylvia and others through HHS were working on this a lot. 奥巴马总统：嗯，我也会让医生参与这个问题。我知道西尔维娅和其他人通过卫生与公众服务部在这方面做了很多工作。我只想简单说两点。第一，我们知道，从出生到三岁之间你学到的东西比你一生中其他任何时候学到的都多。那个年龄的你像海绵一样。所以我们越能投资于幼儿教育、父母产前教育、对高危妈妈的家访。
I’ll just make two quick comments. Number one, we know that you learn more between the time you're born and three years old than you will ever learn the reset of your life. You are a sponge at that age. And so the more we can invest in early childhood education, prenatal education for parents, home visitation with at-risk moms. And we know who they are. If you're a poor teenage single mom who maybe doesn't have a lot of support, then you are just much more likely to not know how to express the love you have for your child effectively, even if you love them just as much as we love our kids. 我们知道她们是谁。如果你是一个贫穷的十几岁单身妈妈，可能没有很多支持，那么你就更有可能不知道如何有效地表达你对孩子的爱，即使你和我们爱我们的孩子一样爱他们。但你只是没有方法。
But you just don't have the tools. So that has got to be an emphasis at the state and local levels. That's where we can really make a difference. But us being able to target at-risk parents, new parents, young parents, that can be extraordinarily helpful. 所以这必须是州和地方层面的重点。这是我们可以真正有所作为的地方。但我们能够针对高危父母、新手父母、年轻父母，这可能会非常有帮助。我想说的第二件事——然后也许医生，你可能想补充一下——在
The second thing that I’ll just say -- and then maybe, Doctor, you might want to chime in on this -- and here I’m going to be a little controversial, but I’m in my last term, I only got a year left. And it’s not like my poll numbers are that high. I figure I can go ahead and say it. I think one of the benefits of conversation like this is to highlight the fact that income and race make a difference here. The truth of the matter is, is that poor communities are more vulnerable. 这里我会有点争议，但我已经是最后一任了，我只剩一年了。而且我的支持率也没那么高。我想我可以直说。我认为这样的对话的好处之一是强调收入和种族在这里有影响。事实是，贫困社区更容易受到伤害。
One of the useful things about this forum is we're all vulnerable, but it’s almost like if you're healthy and you get sick, you have more antibodies and resistance. And if you're poor -- or if you’re already weakened and you get sick, then you're more vulnerable, right? 这个论坛的有用之处在于我们都是脆弱的，但这几乎就像如果你身体健康生病了，你有更多的抗体和抵抗力。而如果你很穷——或者如果你已经很虚弱了然后
There are some communities we know that are more vulnerable, and the kids there are more vulnerable. And part of what I hope this discussion does is to remind us that just as it could be Malia or Sasha, or Cary’s kids, or any of our kids, those kids who don't always look like us and don't live in the same neighborhood as us, they're just as precious. And their parents are much less equipped than you, sir, or I would be in terms of dealing with this stuff. And we got to get them help, too. 生病，那么你就更脆弱了，对吧？我们知道有些社区更脆弱，那里的孩子也更脆弱。我希望这次讨论能提醒我们的部分原因是，就像可能是玛利亚或萨沙，或者
So I think the doctor earlier talked about the importance of jobs and economic development and broad-based approaches so that growth helps everybody. There is some connection to substance abuse and the vulnerabilities that communities have. And we’ve got -- and let’s face it, part of the reason West Virginia probably has more cases partly has to do with the economics that have been taking place in some of these communities, which is why it’s so important for us to also push on that front, as well. 卡里的孩子，或者我们任何一个人的孩子一样，那些看起来不总是像我们、不住在和我们同一个社区的孩子，他们同样珍贵。他们的父母比你，先生，或我在处理这些事情方面的能力要差得多。我们也必须帮助他们。所以我认为医生之前谈到了就业、经济发展和基础广泛的方法的重要性，这样增长才能帮助每个人。
Doctor, any thoughts on that question about the vulnerability of children and how we can get to them quicker, more effectively? 药物滥用与社区的脆弱性之间存在某种联系。而且我们必须——让我们面对现实，西弗吉尼亚州可能有更多病例的部分原因与其中一些社区的经济状况有关，这就是为什么我们也必须在这方面努力也如此重要。医生，关于儿童脆弱性以及我们如何更快、更有效地帮助他们这个问题，你有什么想法吗？
Dr. Brumage: Yes, Mr. President. One of the things that I’m hoping to kick off here next week is a discussion about probably one of the most important studies that most people have never heard of called the Adverse Childhood Experiences Study. The baseline study was done with 17,000 people at Kaiser Permanente in San Diego, California. 布鲁马奇医生：是的，总统先生。我希望下周能在这里启动一项讨论，讨论可能是大多数人从未听说过的最重要的研究之一，叫做"不良童年经历研究"。基线研究是在加利福尼亚州圣地亚哥的凯撒医疗机构对17000人进行的。
And what they found out was that when people score high on a scale of 10 questions -- everybody has a score from zero to 10, the higher you are on that scale, the more likely you are to have problems with addiction with IV drug use, with smoking, with obesity, with all the public health problems that we're really seeing right now. I think a trauma-informed community and an open discussion about where these problems are going is the first step in addressing why people are using drugs in the first place. 他们发现，当人们在10个问题的量表上得分高时——每个人的得分从0到10，你在量表上得分越高，你就越有可能有成瘾问题、静脉吸毒、吸烟、肥胖，以及我们现在真正看到的所有公共卫生问题。我认为一个了解创伤的社区和关于这些问题发展方向的公开讨论是解决人们为什么首先吸毒的第一步。
And, Mr. President, you're absolutely right. What happens in those early years and reaching out to those families who we know are at risk and devoting the kind of resources that we would need to is really the first step I think in really truncating this. 总统先生，你说得完全对。那些早年发生的事情，以及接触那些我们知道处于风险中的家庭并投入我们所需的资源，我认为真的是真正遏制这一问题的第一步。
Because if we don't, what we're going to be doing 25, 30 years from now is having the same discussion about why these kids are abusing drugs, obese, and so on and so forth. So I think that that's a really important part and to have that sort of open discussion about that. Because it happens in good families, as well as in families who are disadvantaged. 因为如果我们不这样做，25年、30年后我们将进行同样的讨论，讨论为什么这些孩子滥用药物、肥胖等等。所以我认为这是非常重要的一部分，进行那种公开讨论。因为它发生在好的家庭中，也发生在弱势家庭中。
But I agree with you it happens probably more often in families that are disadvantaged. And it perpetuates the cycle of poverty, as well. 但我同意你的看法，它可能更常发生在弱势家庭中。而且它也延续了贫困的循环。
President Obama: And for those of us who are more advantaged, the disadvantaged communities create the markets that then seep into the more advantaged communities, right? So the reason we have a fire department is because if your neighbor’s house is burning down, you don't want to just leave it to the neighbor to figure out whether or not he can afford to put out the fire. You have an interest in making sure that fire gets put out before it burns your house. 奥巴马总统：对于我们这些条件较好的人来说，弱势社区创造的市场会渗透到条件较好的社区，对吧？所以我们有消防部门的原因是因为如果你邻居的房子着火了，你不想只让邻居自己想办法能不能把火扑灭。你有兴趣确保火在烧掉你房子之前被扑灭。
Well, the same is true with drugs. That child who is poor, you may think, well, I don't have to worry about that kid. That's not my kid. My kid is going to be okay. But if you start seeing more and more kids who are more and more involved in the drug trade, over time that migrates into every community. And that's part of the reason why we got to care about every kid out here and make sure they're vulnerable. 嗯，毒品也是如此。那个贫穷的孩子，你可能会想，好吧，我不用担心那个孩子。那不是我的孩子。我的孩子会没事的。但如果你开始看到越来越多的孩子越来越多地参与毒品交易，随着时间的推移，这会蔓延到每个社区。这就是为什么我们必须关心这里的每一个孩子，确保他们得到关怀。
Chief. 局长。
Chief Webster: And if I can add also on that issue to the question, that Handle With Care Program -- Ruthlawn Elementary is -- I don't believe -- it’s not in the city of Charleston. But the Handle With Care is about to go statewide if it hasn’t. But the Handle With Care Program will fix some of those issues. I know we're talking about addiction and maybe some others that are born with addiction. Well, the Handle With Care may not fix that, but it will at least alert the proper authorities that child is struggling because of some trauma or substance abuse in the home. 韦伯斯特局长：我也可以就这个问题补充一下吗，那个"小心照料"项目——鲁斯劳恩小学——我不相信——它不在查尔斯顿市。但"小心照料"项目如果还没有的话，即将在全州推广。但"小心照料"项目将解决其中一些问题。我知道我们在谈论成瘾，也许还有一些天生成瘾的人。嗯，"小心照料"可能无法解决这个问题，但它至少会提醒有关当局，孩子因为家里的一些创伤或药物滥用而在挣扎。
President Obama: I think it’s a really smart program. I got to tell you, before I came down I hadn’t heard about it. And I’d really like to see us advertise this more across the country and adopt this as a best practice. 奥巴马总统：我认为这是一个非常聪明的项目。我得告诉你，我来之前没听说过。我真的希望我们能在全国更多地宣传这个项目，并将其作为最佳实践加以推广。
Director Botticelli: I want to thank everyone for coming today. And I want to particularly thank our incredible panel here -- been sharing their experience, but I think also giving us some ideas. And your innovation I think can really help spur replication around the country. So I really want to thank you for doing that. And just for closing comments, I’ll ask the President to say a few things. 博蒂切利主任：我要感谢大家今天的到来。我要特别感谢我们出色的小组成员——分享了他们的经验，但我认为也给了我们一些想法。你们的创新我认为真的可以帮助推动全国的推广。所以我真的要感谢你们所做的一切。最后，我请总统说几句话。
President Obama: Well, I’ve been talking too much. I want to say three things. One is we're just talking about the Handle With Care Program and the gentleman here talked about his daughters’ lives being saved by an EMT and police officers on the spot. Our law enforcement officers sometimes get a lot of attention when something bad happens. They don't get enough attention every single day when they're out there saving lives, doing the right thing, looking out for people. 奥巴马总统：嗯，我说得太多了。我想说三件事。第一，我们刚才谈到了"小心照料"项目，这位先生谈到了他的女儿被现场的急救人员和警察救了一命。我们的执法人员有时在坏事发生时会受到很多关注。他们每天在那里拯救生命、做正确的事、照顾他人时，却没有得到足够的关注。
And when I’ve talked to law enforcement, there is an incredible sense of compassion and empathy. And most folks aren’t in there just to try to be hardnosed. Most of the time, they're just trying to help folks. And so, number one, they deserve our thanks. 当我与执法人员交谈时，他们有一种令人难以置信的同情心和同理心。大多数人不是为了逞强才加入的。大多数时候，他们只是想帮助人们。所以，第一，他们值得我们感谢。
But number two, the more we're supporting innovative policing that isn’t just thinking, my job is to clean up a mess after it happens, but rather, I’m part of the community and I need to be part of preventing crime and stuff from happening in the first place -- I think we have to encourage that mindset in a lot of law enforcement. I’m really proud of them, so they deserve some applause for that. 但第二，我们越多支持创新的警务工作，不只是想着"我的工作是在事情发生后收拾残局"，而是想着"我是社区的一份子，我需要成为预防犯罪和防止事情发生的一份子"——我认为我们必须在很多执法部门鼓励这种思维方式。我真的为他们感到骄傲，所以他们值得为此鼓掌。
Second thing I want to emphasize, we live in a time when our politics gets so polarized. We got talk radio and we got the Internet. And it seems like every year, sort of the rhetoric ratchets up about how this party is destroying the country, or those folks are unpatriotic, or they're evil, or what have you. And I am deeply encouraged by the fact that on this issue, we're seeing bipartisanship and we haven’t seen some of that rhetoric. And I hope that that continues because that's how we’ll solve this problem. And the elected officials who are here, they represent I think that best tradition. 我想强调的第二件事是，我们生活在一个政治变得如此两极分化的时代。我们有谈话电台，我们有互联网。似乎每一年，关于这个党正在摧毁国家，或者那些人不爱国，或者他们很邪恶，等等的言论都在升级。而我深受鼓舞的是，在这个问题上，我们看到了两党合作，我们没有看到一些那种言论。我希望这种情况继续下去，因为这就是我们解决这个问题的方式。
And I just want to commend them for that, because that's how we'll be able to get stuff done -- both at the congressional level and at the state and local levels, as well. 在座的民选官员，我认为他们代表了最优良的传统。我只想赞扬他们这一点，因为这就是我们能够做成事情的方式——在国会层面，在州和地方层面都是如此。
And then, finally, I just want to once again thank Cary, the parents who we heard from here. We are just so grateful that you're willing to share your story. It will save lives. And we want you to know that you're in our thoughts and prayers. And we want to just give you all the encouragement in the world. But just as importantly, or more importantly, we want to give your children encouragement, because they got great parents and these things could happen to any of us, but we want them to know that we love them and are looking out for them, as well. 最后，我想再次感谢卡里，以及我们在这里听到的父母们。我们非常感激你们愿意分享你们的故事。这将拯救生命。我们想让你们知道，我们与你们同在，为你们祈祷。我们想给你们全世界所有的鼓励。但同样重要的是，或者更重要的是，我们想给你们的孩子鼓励，因为他们有伟大的父母，这些事情可能发生在我们任何人身上，但我们想让他们知道，我们爱他们，我们也在照顾他们。
Thank you, everybody. 谢谢大家。
