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Despite GOP opposition, Trump says health care deal is close

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WASHINGTON — Making a final push, President Donald Trump said he doesn’t think congressional Republicans are “that far off” on a health overhaul to replace “the dead carcass of Obamacare.” Expressing frustration, he complained about “the level of hostility” in government and wondered why both parties can’t work together on the Senate bill as GOP critics expressed doubt over a successful vote this week.

It was the latest signs of high-stakes maneuvering over a key campaign promise, and the president signaled a willingness to deal.

“We have a very good plan,” Trump said in an interview broadcast Sunday. Referring to Republican senators opposed to the bill, he added: “They want to get some points, I think they’ll get some points.”

Trump’s comments come amid the public opposition of five Republican senators so far to the Senate GOP plan that would scuttle much of former President Barack Obama’s health law.

Unless those holdouts can be swayed, their numbers are more than enough to torpedo the measure developed in private by Senate Majority Leader Mitch McConnell, R-Ky., and deliver a bitter defeat for the president. That’s because unanimous opposition is expected from Democrats in a chamber in which Republicans hold a narrow 52-48 majority.

Trump bemoaned the lack of bipartisanship in Washington, having belittled prominent Democrats himself.

“It would be so great if the Democrats and Republicans could get together, wrap their arms around it and come up with something that everybody’s happy with,” the president said. “And I’m open arms; but, I don’t see that happening. They fight each other. The level of hostility.”

Trump has denigrated Democrats on numerous occasions, including a jab at Democratic Sen. Elizabeth Warren in the same interview: “She’s a hopeless case. I call her Pocahontas and that’s an insult to Pocahontas.”

Warren, a leading liberal and defender of the Affordable Care Act, has opposed efforts to pass a bill to replace the law. The Democrat reiterated her opposition in a statement to The Associated Press on Sunday, saying the health care bill being pushed by Senate Republicans is a “monstrosity.”

In a tweet last week after Georgia’s special House election, Trump also criticized House Democratic Leader Nancy Pelosi and Senate Democratic Leader Chuck Schumer. “I certainly hope the Democrats do not force Nancy P out. That would be very bad for the Republican Party — and please let Cryin’ Chuck stay!” he wrote.

In the broadcast interview, Trump did not indicate what types of changes to the Senate bill may be in store, but affirmed that he had described a House-passed bill as “mean.”

“I want to see a bill with heart,” he said, confirming a switch from his laudatory statements about the House bill at a Rose Garden ceremony with House GOP leaders last month. “Healthcare’s a very complicated subject from the standpoint that you move it this way, and this group doesn’t like it.”

“And honestly, nobody can be totally happy,” Trump said.

McConnell has said he’s willing to make changes to win support, and in the week ahead, plenty of backroom bargaining is expected. He is seeking to push a final package through the Senate before the July 4 recess.

At least two GOP senators said Sunday that goal may prove too ambitious.

“I would like to delay,” said Sen. Ron Johnson, R-Wis., one of the five senators opposing the bill. “These bills aren’t going to fix the problem. They’re not addressing the root cause,” he said, referring to rising health care costs. “They’re doing the same old Washington thing, throwing more money at the problem.”

Sen. Susan Collins, R-Maine, said seven to eight other senators including herself were troubled by provisions that she believes could cut Medicaid even more than the House version.

Collins, who also opposes proposed cuts to Planned Parenthood, said she would await an analysis Monday from the nonpartisan Congressional Budget Office before taking a final position on the bill. But she said it will be “extremely difficult” for the White House to be able to find a narrow path to attract both conservatives and moderates.

“It’s hard for me to see the bill passing this week,” Collins said.

Addressing reporters Sunday, the Senate’s No. 2 Republican said passing a health care bill won’t get any easier if Republican leaders delay a Senate vote on the GOP health care plan. Sen. John Cornyn of Texas said there is “a sense of urgency” to push forward but acknowledged the outcome is “going to be close.”

He told reporters at a private gathering hosted by the libertarian Koch brothers in Colorado that Trump will be “important” in securing the final votes.

“We’re trying to hold him back a little bit,” Cornyn said with a smile.

The Senate bill resembles legislation the House approved last month. A Congressional Budget Office analysis of the House measure predicts an additional 23 million people over the next decade would have no health care coverage, and recent polling shows only around 1 in 4 Americans views the House bill favorably.

The legislation would phase out extra federal money that more than 30 states receive for expanding Medicaid to additional low-income earners. It would also slap annual spending caps on the overall Medicaid program, which since its inception in 1965 has provided states with unlimited money to cover eligible costs.

Conservative Sen. Rand Paul, R-Ky., said he is opposing the Senate bill because it “is not anywhere close to repeal” of the Affordable Care Act. He says the bill offers too many tax credits that help poorer people to buy insurance.

“If we get to impasse, if we go to a bill that is more repeal and less big government programs, yes, I’ll consider partial repeal,” he said. “I’m not voting for something that looks just like Obamacare.”

Trump said he thinks Republicans in the Senate are doing the best they can to push through the bill.

“I don’t think they’re that far off. Famous last words, right? But I think they’re going to get there,” Trump said of Republican Senate leaders. “We don’t have too much of a choice, because the alternative is the dead carcass of Obamacare.”

Schumer said Democrats have been clear they will cooperate with Republicans if they agree to drop a repeal of the Affordable Care Act and instead work to improve it. Still, Schumer acknowledged it was too close to call as to whether Republicans could muster enough support on their own to pass the bill.

He said they had “at best, a 50-50 chance.”

Trump was interviewed by “Fox & Friends,” while Collins, Schumer and Paul appeared on ABC’s “This Week.” Johnson spoke on NBC’s “Meet the Press.”

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A crash course in stopping the opioid epidemic

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As the opioid epidemic has swept across the nation, proving it doesn’t discriminate against race, income or age, there has been a conversation visibly absent from schools and among young people about the dangers and addictive qualities painkillers, often prescribed by a doctor, can have.

But that is changing.

Rise Above Colorado, a drug prevention program that emerged from the Colorado Meth Project, now incorporates opioid abuse into its drug prevention campaigns, which have mostly focused on underage marijuana and alcohol consumption. And other organizations, such as Speak Now Colorado, are advising parents on how to talk to their kids about prescription drugs.

“In Colorado, (data shows) the larger rate of misuse in opioids is among 18-25 year olds, so if you want to prevent those outcomes you really need to start early,” said Kavitha Kailasam, the director of community partnership for Rise Above.

She said the move to incorporate education on the dangers of opioids in particular has been data-driven. Surveys conducted by Rise Above found that perceived risk of prescription pain relievers has decreased. In 2013, 66 to 80 percent of teenagers surveyed in southern Colorado said they perceived the risk of prescription opioids as “high.” In 2016 that perception of significant risk dropped to between 51 and 65 percent.

In Schools

Maelah Robinson-Castillo, a Centennial High School student in Pueblo who works with Rise Above, said she doesn’t think a lot of the students she goes to school with are aware of how dangerous opioids can be.

“In a way, it’s kind of accepted,” she said, explaining that those drugs seem safer than others because they come with a doctor’s discretion.

Rise Above has mostly taken this approach to drug prevention: highlighting that a lot of a student’s peers don’t use drugs or consume alcohol. Kailasam said there is a misconception among young adults that use is more common than it is. According to a Healthy Kids Colorado survey from 2015, only 14 percent of those surveyed said they have taken prescription drugs without a prescription. In comparison, 59 percent said they’ve consumed alcohol and 38 percent say they’ve consumed marijuana.

But even with that data, there isn’t much more on the opioid epidemic as it relates to teenagers.

Alexis Ellis, a regional health connector for the Pueblo Department of Public Health and Environment, said she thinks that’s going to be changing in the future, but where the data gap has presented the biggest problem is in schools where drug prevention programs are largely based on data.

Robinson-Castillo has taken on her own prevention program, called “Centennial on the Rise.” It’s an event where students highlight what they are passionate about. At its core, the high school junior said it’s a way for students to prove that they’re more than the negative stereotypes adults sometimes assign to high school students in relation to drugs and alcohol.

But she’d like to see schools do more.

“Prevention can be looked at in different ways, by just having a youth-adult connection can help. For me, (it’s helpful) going to an adult and them having the resources so I can talk about prescription drugs,” Robinson-Castillo said. “In Pueblo we really don’t have that engagement piece. That’s a place where it’s lacking. We don’t have those mentors in our schools that have the resources if we do come across wanting to get help or wanting to seek guidance. I don’t think our teachers are trained in that.”

With Parents

It’s not just the classroom. Some argue parents should do more to education their children on the dangers of prescription drugs. That can start with educating themselves.

When DeEtte Kozlow took her 17-year-old daughter in to have her wisdom teeth removed last year, the Douglas County mom was sure of one thing: her daughter would not take any kind of opioid for the pain following the procedure.

Kozlow said the nurse insisted on the prescription. She was told her daughter would absolutely need it for the pain and that it is normal to take a painkiller after a molar extraction. That was the problem for Kozlow, who said she eventually took the prescription she felt was being forced on her daughter and then ripped it up.

Her daughter was able to treat the pain just fine the following days with Tylenol and smoothies, Kozlow said. She was confident her daughter wouldn’t need the drugs — and she was right — but she doesn’t think other parents are as educated about the dangers painkillers pose for young people, or that a simple prescription for a normal procedure could be so addictive.

In 2016, Kozlow lost her best friend, Bobby Hawley, to a heroin overdose. He was 39, finishing a master’s degree at Regis University and, as Kozlow put it, a beacon of hope for other addicts he knew. Since his death, Kozlow helped start a non-profit organization in her best friend’s name, appropriately called “Bobby’s House” for his work in the addiction community. Kozlow said Bobby would often let people crash on a mattress at his house when they were going through withdrawal.  

Bobby’s addiction started with painkillers, just like the ones Kozlow’s daughter would have taken after the wisdom teeth surgery.

For the previous decade he struggled with addiction, spending time in and out of rehab. His addiction was something Kozlow said she and the people close to him didn’t talk about a lot. But now she wishes that more people would talk about opioid addiction. It’s why she was so adamant about her daughter not taking any painkillers.

Kozlow said if other parents knew what a simple prescription could lead to, maybe they’d rip them up too.

“Parents can help stop this epidemic,” Kozlow said plainly. She describes the epidemic as an oil spill, and that to keep it from spreading it has to start with kids.

Kozlow said she doesn’t think parents are aware of the problem or that taking a prescription could eventually lead to addiction down the road, as it did for Bobby. Most parents probably have some type of opioid in their medicine cabinet, and then when it comes to their kids being prescribed some type of painkiller, parents don’t know what they’re taking.

Speak Now’s guide for parents — which Kozlow said is easy to follow and reference — is a start. It breaks down what opioids are, what their medical names are, what forms they take and why they’re addictive. The organization’s information paired with Rise Above’s alternative highlight has become a sort of two-pronged approach.

“We need to start paying attention,” she said. “We have to quit taking a pill for everything and cope.”

Kozlow can rattle off statistics about the opioid epidemic — that it’s surpassing the AIDS epidemic, that more than 100 people in the U.S. die from overdose each day — and has stories, too. Friends of Bobby’s who have relapsed have been admitted to the hospital only to be released with little help with recovery.

And there’s a lot to be done to address the epidemic, she said. But it could get a lot better with parents asking questions and educating kids even younger. The majority of addicts say they started using as teenagers.

That’s a statistic that has Kozlow convinced the epidemic can be stopped “from the bottom up.”

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Lost Youth: A rise in teenage suicides highlights a looming crisis for Pueblo County’s youth.

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A spike in teen suicides and attempted teen suicides in Pueblo last year is a matter of concern that is being met with a sense of urgency by local police and behavioral health professionals.

“We at the Pueblo Police Department are affected and concerned about these tragedies,” says Officer Brandon Beauvais with the department’s Community Services Division. “Our officers who respond to these calls along with the families and friends of the victims are all impacted. This certainly is a community-wide issue, and we must all work together on the preventative side of things to get these individuals the help they need before loss of life occurs.”

Preventative measures are being taken by police in tandem with others. “We work closely with our CIT [crisis intervention team] clinicians from Health Solutions [in Pueblo] who are out with us on patrol to provide initial resource information and follow-up with these type of incidents or parties involved,” Beauvais says.

Health Solutions is a non-profit behavioral health care organization and has been providing behavioral health services since 1962. The organization provides behavioral health services to Pueblo, Huerfano and Las Animas counties.

Kristie Dorwart, Youth and Family supervisor at Health Solutions, has been working in suicide prevention since 2007.  She became interested in the field because of the widely perceived disgrace associated with suicide and mental health.

“I have had family members die by suicide and had a growing interest in the reason for so much stigma,” she says.

Dorwart is unaware of a career path or any way by which someone can be trained to work in suicide prevention. “It is more of a lot of immersing oneself in suicide prevention: reading on suicide prevention and attending training in the field.”

All of that reading and training is being put into practice in Pueblo.

Pueblo PD’s Beauvais says, “Generally speaking, on suicide attempts, they will be taken for medical treatment immediately and once that is taken care of they are put in contact with a hospital psych liaison who decides from there what the best option is moving forward as far as a hold or further help, treatment, additional resources, etc., while working with parents or guardians.”

Jeff Tucker, a public relations specialist with Parkview Medical Center in Pueblo, says the hospital does not treat teen attempted suicides any differently than adult suicide attempts. “Attempted suicides are one of the highest priorities in our Emergency Department and a behavioral health assessment is usually given following life-saving treatment,” he says.

And last year more attempted teen suicides occurred in Pueblo County than in the past five years.

Nine too many

In 2017, nine young people in Pueblo County between the ages 10 and 20 killed themselves, according to Coroner Brian Cotter. That compares with only three teens committing suicide in 2016, another three in 2015, two in 2014, one in 2013, and six teens in 2012. Cotter also reports that suicides among all age groups also spiked in 2017 compared with the previous five years — 28 in 2012, 34 in 2013, 47 in 2014, 46 in 2015, 34 in 2016, and 49 last year.

In the city, Pueblo Police Department incident reports show that over the past three-plus years, it responded to six teen suicides last year, one incident in 2016, and one in 2015. Mercifully, there have been no teen suicides in Pueblo from January to March in 2018 as of deadline.

The police also report there were 12 incidents of attempted teen suicide last year, another 12 attempts in 2016, and seven incidents of teens attempting suicide in 2015. And as of March of this year, two incidents of attempted teen suicide have been reported.

Why?

Health Solutions Dorwart explains that suicide is the result of a string of complex emotions. “There is not one single reason that someone dies by suicide,” she says. “There are many things that happen to a person that leads them to contemplate suicide.”

Shelby Miller, Parkview’s adolescent charge nurse on the hospital’s behavioral health floor, says poverty is a major factor behind teen suicides in Pueblo. “The majority of our patients are Medicaid clients and only have one resource — Health Solutions.”

Miller adds that other reasons for teens attempting to kill themselves include “a lack of effective coping skills, stress within the family or school, inability to effectively communicate with parents or caregivers, or they don’t feel parents are listening or want to hear about their issues.”

Teens contemplating suicide should seek help, Miller says. “Ask for help. Tell someone, anyone,” she says. “You’re not alone. There are lots of teens and young adults feeling the same way.”

And Miller emphasizes that comforting teens who are considering killing themselves brings its own reward. “Try and help someone and you will in turn help yourself,” she says.

Health Solution’s Dorwart imparts that hope and help is available for teens contemplating suicide. “I encourage anyone thinking about suicide to please reach out to a caring adult and let them know that you are hurting,” she says. “There are several places to go for help.”

Dorwart adds that in addition to calling the National Suicide Prevention Lifeline (844-273-8255), the Colorado Crisis Line (844-493-8255), or Health Solutions locally (719-545-2746), “Health Solutions has Crisis Living Rooms [at 400 W. 17th St. in Parkview Medical Center’s North Annex, and 1310 Chinook Lane] that are available 24/7 that anyone can walk into for help.”

More information, including a list of suicide prevention do’s and don’ts, can be found at www.suicidology.org.

Just girls and boys

Pueblo PD reports that the average age for teens committing suicide is about 15 and about 14 for those attempting to kill themselves.

Pueblo PD also separates suicide and attempted suicide incidents by gender. Those statistics show that in Pueblo, although boys younger than 17 commit more suicides than girls (six boys from January 2015 to March of this year as opposed to two for girls over the same time period), attempted-teen-suicide incidents over the same time period reveal that girls younger than 17 attempt to kill themselves more often than teenage boys (24 girls attempted to take their own lives and only nine boys).

When it comes to the gender split for attempted teen suicides, Pueblo is not unique.

“Historically across the nation, females have always attempted [suicide] more than males, but what is important to remember is help is available, and it is OK to reach out and ask for help,” says Health Solution’s Dorwart.

“Some factors [for girls attempting suicide more than boys] include suicide pacts, sexual, physical, or emotional abuse or neglect,” Parkview’s Miller says. “Others can be child-parent relationships, and a lack of supervision or too much freedom.”

There is hope

“Across the nation suicide has been on the rise, however, there are great strides being made in the prevention side of suicide prevention,” Health Solution’s Dorwart says. “The approach in suicide prevention is moving upstream — helping people before suicide becomes an option.  Getting people into treatment early.”

And the community does seem to be getting involved as well.

Suicide was a popular topic of concern in Pueblo judging by the sizable crowd that attended a presentation about suicide at the city’s South High School auditorium on April 5. The presentation was given by Kevin Hines, the man who survived jumping off the Golden Gate Bridge in 2000. He says he landed feet first on granite rocks when he plunged into San Francisco Bay and was later rescued by the Coast Guard. Innovative spine surgery, he says, helped him to recover from his suicide attempt and he demonstrates the procedure’s success by kicking up his heels during his presentation. He emphasized the importance of self-affirmation and greeting others with a smile to prevent people from taking their own lives.

If you are someone you know is contemplating suicide call 1-800-273-TALK (8255) for resources or to speak to a trained counselor.

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Local and independent journalism is under threat in the West and you change that.  With corporate raiders slashing newsrooms across the West, the PULP is one of the "Last Locals" in Colorado to produce original, compelling journalism missing in today's profit hungry world. But that costs money, time and hard work. We don't believe in spamming you with ads or putting up restrictive paywalls and that's why we need your help.

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Colorado, Arizona teachers pressure lawmakers for 2nd day

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Colorado and Arizona teachers plan to don red shirts and descend upon their respective Capitols for a second day in a growing educator uprising.

Educators in both states want more classroom resources and have received offers either for increased school funding or pay, but they say the money isn’t guaranteed and the efforts don’t go far enough. The walkouts are the latest in demonstrations that spread from West Virginia, Oklahoma and Kentucky.

On the first day of the historic statewide walkout, around 50,000 educators and their supporters marched Thursday through downtown Phoenix in nearly 100-degree (38-Celsius) heat and swarmed the Capitol grounds.

In much cooler Colorado, several thousand educators rallied around the Capitol, with many using personal time to attend two days of protests expected to draw as many as 10,000 demonstrators.

Lawmakers in Colorado have agreed to give schools their largest budget increase since the Great Recession. But teachers say Colorado has a long way to go to recover lost ground because of strict tax and spending limits.

Arizona’s Republican governor, Doug Ducey, has proposed 20 percent raises by 2020 and said he has no plans to meet with striking teachers or address other demands.

Teachers voted to walkout after Ducey unveiled his plan, saying that it failed to meet their other demands including about $1 billion to return school funding to pre-Great Recession levels and increased pay for support staff.

“We’re going to get this 20 percent pay increase, we’re going to get $100 million for support staff and other needs,” he said on KTAR radio. “And then if there’s still a teacher strike I don’t think that will make sense to parents, I don’t think that will make sense to kids.”

More than 840,000 students were out of school as a result of Thursday’s walkouts, according to figures from The Arizona Republic.

Most of Arizona’s public schools will be closed the rest of the week, and about half of all Colorado students will see their schools shuttered over the two days as teachers take up the Arizona movement’s #RedforEd mantle. In Oklahoma and West Virginia, teacher strikes stretched beyond the one-week mark.

Organizers say they haven’t decided how long their walkout will last.

“We want to make sure we can gauge the membership about what they want to do,” said Derek Harris, one of the organizers of grass-roots group Arizona Educators United.

At least one Arizona school district, the Chandler Unified School District, has said school will be held on Monday. The district said it polled staff and determined there are enough teachers to re-open.

___

Associated Press reporter Bob Christie contributed to this report.

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For every contribution, we put 100% back into producing original and amazing journalism. That's a promise only a local and independent newsroom can promise. Take heart because you will fuel stories just like this one and the future of journalism.
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