Across the border several times to be a finished part. And then to be shipped to places like the midwest. Its not only going to affect on whats the border, its going to affect the rest of the United States. Hillary wanted to put up wind. If you have a windmill anywhere near your house, congratulations, your house just went down 75 in value. And they say the noise causes cancer. You tell me that one. The thing makes and of course its like a graveyard for birds. If you love birds, youd never want to walk under a windmill, because its a very, sad, sad sight. Its like a cemetery for the poor birds. Its true. You know in california, if you shoot a bald eagle, they put you in jail for five years. And yet the windmills wipe them all out. Its true. It was weird. It was weird. And more than weird, it was inappropriate because hes the president of the United States and what he was telling that audience simply wasnt true. Were going to fact check the president on that claim shortly. But first, his threat to sit down the nations southern border. Something thats not a joke. A short time ago, a new warning from mr. Trump putting congress on notice and of course in a tweet, if it does not pass legislation immediately, expect a shutdown. On tuesday he downplayed any economic concerns. Worry about the on the u. S. Economy sure its going to be a negative impact on the economy. Its one of the biggest trade deals in the world. Trading is very important. The borders are very important. But security is what is most important. You have to have security. All you hear me talking about is trade. But let me just give you a little secret, security is more important to me than trade. This morning members of his own party are pushing back on the president , imploring him not to move forward. I would strongly urge the president not to try to shut down the border. We have so many people every day who go back and forth. We have so much economic goods on both sides. It would truly be a mess. I believe it would be a mistake to stop the trade flow across the southern border. That would be i think an economic mistake for our country. Lets take a look at the Trump Administrations own data regarding the border with mexico. In 2018, more than 192 million pedestrians and car or bus passengers crossed from mexico into the United States. These crossings are a boon for border commerce bringing customers, businesses and products to the United States every day. Put that aside. On top of that, more than 611 million with a b dollars with of freight across the border. Computer, computer parts, electrical machinery and auto parts, remember this one, this is billion dollars. Auto parts valued at 120 billion. These are all bs and this one deserves a closer look. The u. S. Auto industry relies heavily on trade the mexico on 113 billion worth of imports and 36 billion worth of exports. The average car part travels across the border eight times. If we want to see a small sampling of the economic impact, just look at the port that is directly south of san diego if youre going into mexico. In 2018, the port saw an average of 94,900 people crossing every day. Almost 100,000 people a day crossing. Trade exports worth 91 million traveling through the crossing. Thats exports. It was shutdown for about five hours in late 2018 when migrants waiting in mexico rushed the border, Border Agents responded by firing pepper spray. In five hours, they found that local businesses lost 5. 3 million in business. A Million Dollars an hour. With the Third Largest port of entry by trade value, just a few miles away, the losses would be magnified if that port closed. This is where freight trucks entering the United States are processed. In 2018, it saw 46. 8 billion worth of cross border trade. You know the one thing, i can think of thats more valuable than money, time. You know whats happening right now, the president s own economic adviser is having to spend his time explaining this because the president doesnt seem to understand what the impact is. Or he understands completely and is talking to a particular audience. Closing this border is bad for people in america or mexico. Or maybe he doesnt mean it and hes playing a game of bluff which he did in business. He went bankrupt four times. This aint private business. Lets go to our reporter. Hes live at a manufacturing plant along the border. You are actually at a place that would be hit. What are the concerns there if the border gets shutdown . What would it do to those people, those businesses . Reporter i have to say that the panic has almost started to set in with many of the employees and manufacturing plants like this. You see all these moving parts behind me, this could come to a near halt if President Trump follows through with this. What would be the backup plan . The manager tells me, they would have to contact suppliers and clients because theyre going to be hit on both sides and it would be a logistical nightmare. I brought in the plant manager. Your whole life, can you describe the sentiment among your peers. People are nervous and concerned. Reporter what does this job mean to you . I am the provider for my family. My livelihood depends on this job and im concerned and i am the i am the person who takes home the puts the food on the table. Reporter ali and steph were talking about the time and the impact to real people. What would be the impact, sir, to manufacturing jobs like yours if he closes the border . Absolutely. We live on a paycheck and our ability to obtain that paycheck affects the local economy and there are many repercussions that have a chain effect on the local economy. Reporter if the border closes, what would it do to this plant here and therefore your job . Detrimental results. We lose jobs, we lose business and it has a negative impact all over. Reporter thank you so much. This plant you see behind me, these folks have three just like this one. They employ almost 200 people, 37 of the auto parts that we import for u. S. Made cars are imported from where . From mexico. So as he explained, a lot of nervous people at the border and the ripple effects could be felt elsewhere in the country. Ali, steph . Thanks very much. Joining us now, the former bureau chief and author of the end of detroit. Our reporter said something about how car parts go back and forth across the border. The same thing where you are. They go back and forth across to canada and mexico, based on what was originally the freetrade agreement, which became nafta. But the bottom line is, its not cars that get made in one place, its all parts of the car manufacturing process . Its everything. Its finished cars, its finished suvs and pick ups that come from mexico but then its parts. The cars and trucks, dealers might be get pinched a little bit but youre not going to run a plant in the United States, youre not going to run some of the big parts plants in the United States without parts from mexico. I was racking my brain trying to think if theres a car company in the United States that doesnt use mexican parts and i think all of them do. Could parts and vehicles whats the workaround . If we shut the Mexican Border not to put out a whole lot of people who are employed in the auto business, and its not just people who work for ford or general motors, its all of these people, suppliers, is there a workaround . Could mexico and canada be shipping parts to each other . You could try doing Something Like that. Its like when americans couldnt visit cuba and you would fly up to toronto. Its going to be really hard. Theres a couple of workarounds. One is called people air flight. Assuming that trump doesnt stop flights from mexico, you could load of freighters and fly parts in. Thats extremely expensive and especially with the margins that are on vehicles these days, i dont think the Car Companies want to go that route. We could try rail. We dont know whats going to happen with rail from mexico to the United States and you could try some workarounds. There are ports in mexico, you could put stuff on freighter boats and end it up to vancouver. But that all adds time and cost. Would this put the United States in terms of Car Manufacturers at a big disadvantage to Foreign Companies . It actually is going to affect everybody. There are eight global manufacturers that have plants in mexico. And then many, many, many of the Foreign Companies in the United States use mexican parts as well as the detroit companies. So you might say, this will help china, this will help manufacturers in japan, korea, but you cant just dial up, like, steering columns. You have to design them, you have to order the material, you have to order the specifications and its not a drop it in and substitute kind of thing. And to be clear, we design people forget that the nafta came out of the freetrade agreement which came out of the auto pact. The first trade between canada and the United States was about automobiles and it worked so well that we expanded this into a threenation massive trading agreement. Everything about our supply chains are based on this transport and trade between these three countries . Right. This whole concept. I think the auto pact was Something Like 1964 and nafta superseded it around 1994. And the whole mexican Auto Industry exploded because of nafta, because you had free movement. This is a glowing example of how trade pacts can work to the benefit of a lot of people although i think unions might take issue with that, and i understand their concerns about it. But this is how its supposed to work. When you do Something Like, say, im going to shut down the border, everything comes to a screeching halt and people from all over the world, not just the United States, that are kind of left in shock by it. Thanks for your analysis. Good to see you again. Great to see you. When you put it in that context, that, again, is sort of this wakeup call, the president could say, people might have to do without avocados for a few weeks. Its not about this. This is how trade and commerce happens. Just look at it from the auto part, if the if they do the workarounds like mickey said, the cost of your car is going to go up. Car sales will go down, dealerships will suffer, people will get laid off. Its not what the president describes things are more complicated than build a wall, lock her up. Were looking at americas ambassador and how many of them were dbig donors to President Trumps campaign. We got the facts and data coming up. This news is getting a whole lot of focus today. Lori loughlin is appearing in boston court this afternoon. Were going to break down the charges theyre facing in the scandal and a new msnbc reporting that there will be new charges and arrests in the case. Weve been hearing a lot about this. It could be quite a few for families. The web is big. Youre watching velshi ruhle. Youre watching velshi ruhle. E and mouth with juvederm® xc. Tell your doctor if you have a history of scarring or are taking medicines that decrease the bodys immune response or that can prolong bleeding. Common side effects include injectionsite redness, swelling, pain, tenderness, firmness, lumps, bumps, bruising, discoloration or itching. As with all fillers, there is a rare risk of unintentional injection into a blood vessel, which can cause vision abnormalities, blindness, stroke, temporary scabs or scarring. Juvederm it. Juvederm it. Car vending machines and buying a car 100 online. Vented now weve created a brand new way for you to sell your car. 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Find them with the refrigerated desserts. 52, thats how many vacant ambassadorships there are in the United States. That is because the Trump Administration is only confirmed 66 of its nominees so far, more than two years into the presidency. Its half over. And we still havent got all of these ambassadors. Contrast this with president clinton who was at 96 , obama was at 89 . Donald trump 66 of his confirmations. There are reasons that confirmations have been lagging lately. Since the 1950s, roughly twothirds of ambassadors have been Career Foreign Service officials, about a third have been political appointees. Not so for the Trump Administration. Of its confirmed appointees its an even split. 50 are Career Foreign Service diplomats, 50 are political appointees and the qualifications of many of the political appointees who have not yet been confirmed but have donated big bucks to the Trump Inaugural Committee are coming into question. The president s pick for the ambassador to the bahamas, incorrectly told congress that the bahamas was part of the United States. Its an independent correct. But he did donate a Million Dollars. John rakolta is a wealthy real estate. He did donate 250,000 to Trumps Inaugural Committee. The nominee for mor rack koe, hes a car dealer, he also donated 250,000 to Trumps Inaugural Committee and trumps ambassador to slovenia, he nominated the founder of an evangelical charity whos known to have shared false posts on her facebook page. There are plenty more where that came from. Head to nbc news. Com to read the list of trumps bigs donors. And lets not forget the very same committee is currently under federal investigation. All right. Joining us now is the man behind all of this research. Im going to hand it over to my friend because she does make the point while the proportions are hiring in this Administration Political appointees do become ambassadors. Im pretty sure you just made it. You feel more strongly about it. I do. Walk us through this. Why is this significant . Because to that exact point, last i checked, ambassadors across the board, theres a lot of rich donors who end up as ambassadors and that happened long before President Trump was in office . Thats true. As you mentioned, ever since the truman administration, weve had a ratio of approximate twothirds political appoint twothirds career appointees to onethird, you know, the political type. So its a longstanding tradition. The reason why its argued that its problematic is that these individuals who are political nominees are typically underqualified in a variety of different ways. Theyre more likely to lack language abilities that are relevant, theyre more likely to lack experience in that state, lack knowledge about the state, lack knowledge about the region in which its located. Theyre more likely to lack Organizational Leadership experience. Whats new . Under the Trump Administration whats new is that a lot of these tendencies have become even more, you know, more significant. Theyve exacerbated in some bays. That is if we were to compare the average political nominee under the reagan administration, for example, to the average political nominee under trump, the Trump Nominee is inferior to the reagan nominee in a number of different ways. Even though were comparing apples to apples here, were not comparing reagan career nominees to trump political nominees. Even looking at the reagan political nominees, trumps political nominees are less qualified. What about obama reagan, trump, thats a lot of years. What about obama, trump . Even comparing obama and trump, theres been a dropoff with President Trump. The language abilities between the two different sets of nominees are comparable across obama and trump. But in terms of Foreign Policy experience, regional experience and i think Organizational Leadership as well, the Trump Nominees are inferior. Let me ask you about this, ive had people from other countries tell me that with donald trump in particular, different from obama, different from bush, different from clinton, different from reagan, all those things you listed that an ambassador should have are less important than whether or not that ambassador either speaks for or has the ear of the president of the United States . Right. That argument is commonly made. And i dont propurport to offer a holistic evaluation. There are a variety of criteria that are difficult to quantify characteristics, capacity to negotiate, these are things that are beyond my own research and so i dont purport to offer any conclusions. My analysis is related to the objective characteristics such as experience in the region. Its conceivable that someone who lacks these characteristics that ive been looking at might still be qualified in a sense that theyre a really good negotiator, they really have the ear of the president , theyre tr trustworthy. These are also worthy but but the president would make that argument. The president would say, im guessing, these are business guys, i trust them. Theyre shrewd negotiates to. Ive known them for years. And i think we can probably narrow it down, there are these 52 evacuate sis, places like pakistan, these are critical countries that the United States needs to have very active engagement with because of the things that are going on in those regions. Government and business do not work the same. Thats correct. Right. Its clear that we have a whole we have a large number of career diplomats in the waiting that could fill these very same posts that are being al kit allocated to individuals that have no experience. It seems plausible to me that these same individuals, these career officers are just as capable in terms of the nonquantifiable criteria that i just mentioned. I would suspect that in a variety of different ways, just even beyond what ive looked at, the career nominees are probably superior. Thanks for talking with us. If you were to be a ambassador, where would you pick . I struggle with it all the time. If youre wondering what ali is doing in the dark of night, hes struggling thinking about where he would like to be the ambassador to. Its a serious thing to think about. You let me know. Im going to go with Something Like monoin a koe. It may come up in conversation. President obama was going to nominee mark laz ri and couldnt because he was a hedge fund guy. He was going to have to divest his business. Do it legal i because otherwise you could get into trouble. Were going to go live to boston at the courthouse where very famous actors Felicity Huffman and Lori Loughlin are appearing this afternoon. You know what it is about. We got brandnew reporting that there will be even more arrests in the College Admissions scandal. You are watching velshi ruhle right here on msnbc. Msnc you wanted to save on prescriptions. So, you went online and got so confused that your brain went offline. Next time, ask your helpful cvs pharmacist. We created a proprietary search tool that analyzes ways to help lower your prescription costs. Just drop in. Before you conk out. See what you might save at cvs pharmacy. Welcome back to vanivelshi ruhle. We got new developments in the College Admission scheme. More arrests and charges are expected in this case. We knew this was coming. It comes as two very high profile hollywood actors are set to appear in federal court today for their roles in the scandal. Felicity huffman walked into the boston courthouse more than three hours early for her hearing. Lori loughlin is also expected to appear. These two are among more than a dozen parents facing a judge for the first time in this scandal. Joining us now from boston, nbcs morgan khesky. We just confirmed that even more arrests will be coming in this case. As for those defendants, about a dozen or so will be arriving today at the courthouse. I want to show you the sea of cameras theyll be facing, where theyll be facing a judge for the very first time to hear those formal charges and theyll be discussing these pretrial arrangements on what they can and cannot do in the weeks leading up to a potential trial. For a lot of these defendants that could mean they would have to hand over their passport and agree not to leave the country internationally unless they had a clear business reason upon doing so. Conspiracy to committee fraud, felony offense, up to 20 years in prison, and a quarter Million Dollar fine, however this just an initial appearance before a judge today likely the first of many to come. 20 years . Help me understand this, theres a big difference, for example, in these two women in the amount of money they paid to get their kids into school. But theyre accused of the same crimes. How does that affect what happens from here . You have Lori Loughlin who paid half a Million Dollars to get both her daughters into usc and then Felicity Huffman whos alleged to spent 15,000 to have a professional test taker take the test for her daughter in hopes of getting into college. Two different scenarios, but in the eyes of the law, the charge remains the same. All that said, it still remains at the judges discretion when the sentencing phase comes on how that will be handed out because it is a clear difference when it comes to the money involved between these two actresses. Thanks very much. Well continue to follow that story. I wonder we wont know until we know, where this web goes. Because the guy who is cooperating, at the center of this whole thing has said that he helped hundreds of families. And theres a distinction, by the way. There seems to be evidence it was what you would normally think of legitimate legal. Helping with the essays and the application. And those people paid somewhere in the neighborhood of up to 40,000 or 50,000. And thats another discussion about that. But not about illegality. And theres a big jump in the payments he received into the hundreds of thousands where all of a sudden that wasnt for somebody helping you write a better essay. They were paying it into a faux charity so they were able to write this off as a tax deduction. There are proctors who were on the take, there were test takers, coaches, what a story. Just last week, one of the most famous names in this, the partner at tpg, a judge denied him the chance to take his family on vacation to mexico and said, sorry, but you better stay home. President trump is now taking on Wind Turbines. He says they drop Property Value by 75 . Were breaking down his claims. The exaggerations, the lies, youre watching velshi ruhle live on msnbc. Hle live on msnbc. Dso should the way you bank. Virtual wallet from pnc bank. Just one way pnc is modernizing banking to help make things easier. Pnc bank. Make today the day. Hillary wanted to put up wind, wind. If you if you have a windmill anywhere near your house, congratulations, your house just went down 75 in value. [ laughter ] and they say the noise causes cancer. You tell me that one, okay . The thing makes and of course its like a graveyard for birds. If you love birds, youd never want to walk under a windmill because its a very sad, sad sight. Its like a cemetery, we put a little statue for the poor birds. Its true. You know, in california if you shoot a bald eagle, they put you in jail for five years. That was the president of the United States. Is that a real thing . That was the president of the United States of america last night and there was a lot in that one section. But the specific point we notice seconddegree one t ed was one point. He said windmills cause cancer. But thats not true. The atlantic looked into this theory and found it is a fact that Wind Turbines emit a lowlevel noise and an old theory is its harmful to human beings. Infrasound has been blamed for Health Issues in the past. It comes from research that was done back in the 1960s in which a russianborn french scientist performed an unscientific study. He claimed he found proof that intrasound harmed human health but later researchers pointed out that he had zero evidence that could measure infrasound. But it found harmful affects nonetheless, actual scientists looked at the study and found that he overlooked the difference between frequency and volume. And while there are no studies showing that infrasonic frequencies cause any harm, the dangerous volume he performed his studies with did cause harm. Infrasound is not inaudible. Its kind of like saying, baby shark is harmful to the human health after plague it at full blast through the speakers and bursting someones eardrums. I think its bad for my Mental Health and were surrounded by harmless sources from waves, storms, blowing winds, city noises, take your pick. We experience it in all parts of your lives and there are no negative affects. But there may be another reason that the president brought this up. Debunked conspiracy theory, the president lost a lawsuit over a wind farm now complete off the coast by his golf resort something that he claimed spoil it had view from his property, but a court ruled against him. I dont want to be thats just nuts. I dont want to be sassy about this. Its ridiculous. They waisted time debunking it that wasnt dinner party entertainment. Thats the president of the United States talking about Wind Turbines making nonsense up. If it were standup comedy, that might be interesting. I want to go into where these conspiracy theories get to where they get. Ben collins is with us. Where does this conspiracy develop . It started with money as most of these things do. The fossil fuel lobby in australia, weirdly enough, bankrolled a bunch of conspiracy theories. Not just on the internet but things Like City Council meetings and over time people started to realize that maybe the science isnt great. The science as you know was not great. But it seeded this into the ecosystem. And then there were websites which an antivax website, the creator of theres a website called natural news who was created by someone who created a website to troll parkland students . Thats sickening. People who trade in fear take this stuff and stay maybe it isnt debunked. And then you see these Little Community message boards, things on facebook, websites, that say, you know, we dont really want our wind turbine in our town, maybe this website is actually the truth about it. And so this is you can always find data to back up whatever argument you want. You can, but as ben has proved to us time and time again, that has reached ph. D. Level in america. People who will seed doubt has reached ph. D. Level. Its not trolls who know nothing about nothing. This is sophisticated to the point that the president of the United States now says this nonsense in front of a crowd and people and we know theres a base of people who take what he says and then when we debunk it, some guess what, some of those people are good americans who think you should listen to the president of the United States and its just so dangerous for him to spread such falsehoods. I think the same because we know the president doesnt really use the internet. He doesnt sit around and go to natural news. Com. Thats the same issue that the president has. They hear it, theyre on the golf course, they hear it from a friend and they dont want a wind turbine in town either. It starts with the narrative. Thats the whole point. Thank you. Ben hangs around some weird places. Beto orourkes change has released First Quarter fundraising numbers. Garrett, what are we hearing from the campaign . Reporter the top line number from the Orourke Campaign is 9. 4 million for the First Quarter. But its really not a full quarter. Orourke had only been in the race for 18 days. So 9. 4 million stretched out over that 18day period. It works out to half a Million Dollars per day if you were to break it out over the average. The Campaign Says their average donation was 43 peridot nation and 98 people who gave, gave less than 200. It would put orourke in third place in money raised in the First Quarter. You cant make that apples to apples comparison given that Bernie Sanders, kamala harris, who would be in first and second place, were in the race for longer than orourke has been. If you look at the pacing, we know that the Orourke Campaign raised 6 million in their first 24 hours. They raised a Million Dollars in the last weekend. You see a bit of a slowdown in between. A very strong number for the Orourke Campaign. Can you compare it apples to apples. If you look at Bernie Sanders 18 million, kamala 12, pete buttigieg, 7, they were all in the race for a different amount of time. How do you normalize it and compare them to one another . Yeah, thats exactly right. For the quarter number is only sort of useful if youre an account ant. Orourkes campaign has raised more money on a per day basis. The bottom line is going to be how much money theyre able to keep raising, if theyre able to keep these kind of numbers up. The Orourke Campaign is a little bit smaller than some of these other campaigns, their burn rate is probably a little bit lower. But this is going to be a billion dollar effort between now and november of next year. How do you keep that going . Can you do it with just these small online donations . Do you have to do big fund raisers at some point, this is something that all these campaigns are going to have to work out along the way. Ali, you would beat me in a running race if i gave you a two hour head start . Could be. Depends how long the race is. Im not much of a runner myself. I am born in kenya. Thanks very much, garrett. Its hard to compare them at this point. You could break it down and we could do it by day, but it is they all got in at different times. We know its a whole lot of money. Thats right. That does show some degree of enthusiasm. Another topic, 130 million americans die every day in the opioid epidemic. We cover that a lot. It is harder to get pain medicine, what happens to americans dealing with chronic pain in the face of this crackdown on painkillers. Were going to hear their side of the story next. Many of you have asked for this. So were covering it. Youre watching velshi ruhle live on msnbc. Welcome to the place where people go to learn about their Medicare Options before theyre on medicare. Come on in. Youre turning 65 soon . Yep. And youre retiring at 67 . Thats the plan its also a great time to learn about an aarp Medicare Supplement insurance plan, insured by Unitedhealthcare Insurance Company. Heres why. Medicare part b doesnt pay for everything. This part is up to you. A Medicare Supplement plan helps pay for some of what medicare doesnt. Call Unitedhealthcare Insurance Company or go online for your free decision guide about the only Medicare Supplement plans endorsed by aarp. Selected for meeting their high standards of quality and service. This type of plan lets you say yes to any doctor or hospital that accepts medicare patients. Do you accept medicare patients . I sure do to learn more call or go online today for your free decision guide. Oh, and happy birthday. Or retirement. In advance. Today for your free decision guide. Its way day yes. Its wayfairs biggest sale of the year, and youre invited starting april 10, score our lowest prices since black friday on bestselling furniture, decor, and way more. Plus, everything ships free on way day. Everything . Everything. And flash deals launch all day long. Hey guys, check out the flash deal i just scored our biggest sale of the year only lasts 36 hours so shop way day starting april 10 at wayfair. Com. Welcome back. Every single day in the United States 130 people die after overdosing on opioids according to the National Institute of health. The tiniest of towns up to the federal to fight this crisis, but the battle is causing a different crisis for the 50 million americans who live with chronic pain. Nbc Senior National correspondent and sunday anchor kate snow, our dear friend, joins us now. Kate, this is a whole other side of the story we werent banking on. Almost the flip side. I do a lot of reporting of the devastating impact of opioids. You guys do it a lot on the show. That has doctors reducing the number of opioid prescription pain killer. But that is having this unintended consequence for people with legitimate, chronic pain. This is the hardware. The nuts and bolts that came out of my spine. All this was in your back. Yeah. Reporter maria has had 13 back surgeries. Shes in so much pain she rarely goes further than her front porch. Her bodys own immune system is destroying her connective tissue. This is probably five times worse than child birth. Five times worse. Every day. Every day. All day. For more than a dozen years, high doses of opioid doses kept the pain at bay. Her doctors say she never abused them, but two years ago they tapered the strength of her opioid patch and pill to half of what it used to be. I could go outside and plant a flower and walk the dogs and all those things i cant do anything. She tried everything from medical marijuana to steroid injections and nothing else works. You either live in agonizing pain that doesnt ever go away or go to the street and get the drugs off the street which can kill you or you commit suicide. She understands why the cdc issued new guidelines in 2016 encouraging doctors to consider tapering patients off high doses too many lives have been destroyed by abuse of opioids but maria and many other chronic pain patients feel they are being punished when they do nothing wrong. There have been good aspects that have come out of the cdc guidelines, incredibly detrimental consequences. Dr. Sean mackie says those cdc guidelines have made a lot of physicians worry they will be in trouble if they dont reduce prescriptions. The fear is incredibly real. I am on the phone on a regular basis with docs who are being told just get people off opioids or get rid of the patients. Get them out of theict pr pract. They sent a letter to the cdc last month urging it to clarify the guidelines for patients like maria. Im not involved in my life any more and i want my life back. I want to be able to function. Were really glad that youre doing this because people feel that while solving a very serious problem that you have been reporting on for a long time. Which is a crisis. Which is a crisis that there is this other crisis. How real is it that people who have real chronic pain dont get diagnosed or cant get the medication they need . Get addicted. Is the question is how real is it that there are people like maria out there suffering from chronic pain . Absolutely real. The numbers i cant tell you. But an estimated 50 million americans have chronic pain. I dont know how many of them are on opioids but many of them are. If you look at my twitter feed right now, you see all kinds of response to this piece because we aired it last night on nightly news of people saying with their individual stories of pain that theyre in and not being able to get what they feel is the correct dosage because of these cdc guidelines that doctors, as you just heard, are saying, well, doctors are kind of taking a second look and thinking, i better dose down. I better reduce the amount that someones on because im going to get a second look if it impacts their insurance, malpractice. You know, their reputation, if theyre seen as overprescribing. You cant get the same length of dosage sometimes because theyre controlled substances and you have to physically go to the doctor. Which is all a good thing because its controlling Substance Abuse disorder. These folks are saying, what about us . The cdc put out the new guidelines three years ago and theyre now saying they are going to review and look, theyre doing research to see what the impact has been but theyre also saying we didnt mean to mandate doctors and tell doctors they had to reduce people, you know, who really need it. You had a good question, though. To what, how do you manage when people actually have the pain and they get the drugs that they need. How do you manage them not becoming addicted . Its a really good question. Im not a doctor. But that is something that they struggle with is where is that line between someone becoming dependent and someone really needing these drugs. And thats why this is such a tricky issue. Because theres that balancing act trying to figure out how to both protect against Substance Abuse and help people who have cancer, for example. And bone cancer. Something that is really, really affecting their daily life and need treatment. Kate, thank you for telling this story. Important story. Thank you. Kate snow. All right. Well take a quick break and be right back. re more of the plant and protect kind of help. Voya. Helping you to and through retirement. Hey allergy muddlers. Achoo . Do your sneezes turn heads . Try zyrtec. It starts working hard at hour one. And works twice as hard when you take it again the next day. Zyrtec muddle no more. I cant tell you anything about myself. As someone in witness protection, but believe me, im not your average consumer. Thats why i switched to Liberty Mutual. They customized my Car Insurance, so i only pay for what i need. And as a man, uh, or a woman with very specific needs that i cant tell you about say cheese. Mr. Landry . Oh no. Hi mr. Landry [ grunting ] Liberty Mutual customizes your Car Insurance so you only pay for what you need. Liberty. Liberty. Liberty. Liberty. The latest inisnt just a store. Ty its a save more with a new kind of Wireless Network store. 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