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ORIGINAL ORIGINAL ADDRESS BY C EVERETT KOOP MID Sc D

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ORIGINAL ORIGINAL ADDRESS BY C EVERETT KOOP MID Sc D Powered By Docstoc
					                                       ORIGINAL



                    ADDRESS
                     BY
       C, EVERETT   KOOP,MID,, Sc,D,
               SURGEON GENERAL
                    OF THE
         UA   PUBLIC HEALTH SERVICE
U,S, DEPARTMENT OF HEALTH AND HUMAN SERVICES



              PRESENTED TO THE
SURGEON GENERAL'S WORKSHOPON DRUNK DRIVING
              WASHINGTON,  DA
              DECEMBER 14, 1988
                           1
         TO            FRIENDS,ETC,)
(GREETINGS HOSTS,GUESTS,


         TO
    I WANT THANK                  TO           FROM
                YOUALL FORTRAVELING THIS WORKSHOP
SO MANY     OF                     A             OF
       PARTS THE COUNTRY,YOUREPRESENT CROSS-SECTION A
           CONCERNED
NATIONDEEPLY          THE ANNUAL
                  ABOUT        TOLL OF DEATHAND
                BY    AND     DRIVERS,
DISABILITY CAUSED DRUNK DRUGGED


          CHOSEN A THOUGHTFUL,
    YOUWERE    BY                     INTERAGENCY
                            HARD-WORKING
       COMMITTEE,ITS MEMBERS FROM CABINET-LEVEL
PLANNING                   CAME  5
          TRANSPORTATION,
DEPARTMENTS:                             DEFENSE,
                       JUSTICE, EDUCATION,      AND
     ANDHUMAN
HEALTH      SERVICES,


     D      CALL IT A PAROCHIAL
    I’ HARDLY                     AND M        THAT
                              GROUP I’ DELIGHTED
        THE  ANDADDRESS EACHONEOF YOU,
THEYFOUND NAME        OF


                         A      OF        OF
    I ALSOWISHTO RECOGNIZE MEMBER THE HOUSE
             WHO                            WILLIAMF,
REPRESENTATIVES IS WITH US TODAY,a, CONGRESSMAN
       OF
GOODLING PENNSYLVANIA,


            GOODLING BEENA DEDICATED TIRELESS
    CONGRESSMAN    HAS             AND
      IN
LEADER EVERY    EFFORT THE US, CONGRESS FIGHT THE
            MAJOR    BY              TO
                             2
      OF    DRIVING, THE AMERICAN
SCOURGE DRUNK                        ARE
                                PEOPLE VERYFORTUNATE
                    R
TO HAVEHADHIM ON THE1 SIDE SO FAR , I, ANDWECANLOOKAHEAD
               LEADERSHIP SUPPORT THE lOlST CONGRESS,
TO HIS CONTINUED        AND     IN
   IT      NEXT
WHEN CONVENES MONTH,


          CONGRESSMAN
    WELCOME,             ,                  TO
                  GOODLING, m I'M VERYPLEASED HAVE
YOUWITH US THIS AFTERNOON,


                       HERE                  EXPERTS
    ALL OF YOU, GATHERED THIS WEEK,ARERESPECTED
IN THIS FIELD, BUT THATDOESN'TMEANYOUALL THINK ALIKE, I'M
                 SESSIONS
SUREAS THE WORKSHOP             WE            OF
                        CONTINUE, WILL BE AWARE THE
        OF
WIDERANGE OPINIONS            THATARE REPRESENTED
                  AND INTERESTS                HERE,


         THIS IS NOTTHE BESTTIME OF YEARTO ASK PEOPLE
    I KNOW                                          TO
               AND               A
LEAVETHEIR HOMES FAMILIES ANDSPEND FEWDAYSAT-A
         BUT                        IS
CONFERENCE, I BELIEVETHATTHIS WORKSHOP DIFFERENT,
                ABOUT
THERE'SAN URGENCY              DRUNK DRUGGED
                    THE SUBJECT:   AND    DRIVING,
                           3
              IS     PALPABLE THE MANY
    THE URGENCY ALMOST      IN              THAT COME
                                      LETTERS
IN TO MY OFFICEFROMSTATEANDLOCALOFFICIALSOF EVERYAREAOF
THE COUNTRY,


              IS
    THE URGENCY ALSOCLEARIN THE CARDS,LETTERS,ANDTELE-
    I'VE RECEIVED
GRAMS           FROM        FAMILYMEMBERS
                    SURVIVING           GRIEVINGOVER
THE LOSSOF A LOVED            KILLED BY A DRUNK
                  ONE mm,SOMEONE              DRIVER,


              IS
    THE URGENCY CLEARFROM          WE'VEALREADY TO
                         THE RESPONSE         HAD
             AND     ABUSEINITIATIVE LAUNCHED
THE ALCOHOLISM ALCOHOL                      BY
       OTIS      LAST YEARANDREINFORCED A MAJOR
SECRETARY R, BOWEN                   AT
       MEETING SANDIEGOTHIS PASTOCTOBER.
NATIONAL      IN


          S
    AND IT’ CLEARFROM            EXPRESSED 99 UNITED
                     THE SENTIMENT      BY
STATES       AND   A       HOUSE REPRESENTATIVES,
      SENATORS FROM UNANIMOUS  OF
WHO         ME                                I
   HAVEASKED TO TAKEON THIS ISSUEANDDO WHATEVERCANTO
            CONTROL,
BRINGIT UNDER


           THEY                      TO
    ALTHOUGH ARENOTHERETODAY,I DO WANT RECOGNIZE
TWOOTHERINDIVIDUALSWHO                     HELP
                      HAVEBEENOF IMMEASURABLE IN THE
           SENATE , a SENATOR
UNITEDSTATES     ,                  PELL OF RHODE
                            CLAIBORNE           ISLAND
                            4
         JOHNW, WARNER VIRGINIA, THE TWOGENTLEMEN CO-
ANDSENATOR           OF                        WHO
       THAT           BY
SPONSORED LETTERSIGNED THEMAND97 OF THEIR COLLEAGUES,


                        WOODLING TAKEGREAT
    AND, AGAIN, CONGRESSMAN    CAN       CREDITFOR
          OF             --    CONCURRENT
THE PASSAGE THATRESOLUTION HOUSE                276
                                       RESOLUTION
               100~~ CONGRESS,
-- IN THE RECENT


              KNOWS AS I CERTAINLY ANDAS MOST YOU
    THE CONGRESS  --             DO,         OF
                        OF          GENERAL
    ALSO-- THATTHE POWERS THE SURGEON
KNOW,                                     ARE
        CIRCUMSCRIBED,
CAREFULLY


                   FUNDSa,, OR OPERATE
    I DO NOTALLOCATE                       1.1
                                     PROGRAMS OR CARRY
OUTANY SPECIFICLEGISLATION, NORDO I PRETEND
                                          THAT I DO,


               HAND,THE POWER AUTHORITY MY OFFICEARE
    ON THE OTHER            AND       OF
              IN
HEAVILYINVESTED PUBLICEDUCATION,


                         THEREFORE, TO INFORM
    MY PRINCIPLEASSIGNMENT,      IS         THE
       PEOPLE ANYTHREATS THEIR HEALTH TO ADVISE
AMERICAN    OF         TO           AND
          TO
THEMOF WAYS AVOIDSUCHTHREATS,IF THEYAREKNOWN,
                            5
              THATPOWER AUTHORITY,
    I INHERITED       AND            I      THE
                                 WHEN ASSUMED
               GENERAL
OFFICEOF SURGEON         7
                     OVER YEARSAGO, ANDTHE CREDITFOR
         TO               GOING         THANA
THAT GOES MY 12 PREDECESSORS, BACKFORMORE
CENTURY,


          THE        FOR
    ANDWHEN TIME COMES ME TO TAKEMY LEAVE, I HOPEAND
PRAYTHAT I WILL HAVEDONE      TO        THE
                        NOTHING COMPROMISE INTEGRITY
                          OFFICE, ON THE CONTRARY, HOPE
ANDCREDIBILITYOF THIS GREAT                     I
                      AS
I ALSOMIGHTBE REMEMBEREDHAVINGDONE        TO
                                  SOMETHING FURTHER
        THIS
STRENGTHEN OFFICE IN THE EYESOF THE NATION,


                 OF    DRIVING, THE SURGEON
    IN THIS MATTER DRUNK                          ROLE
                                          GENERAL'S
IS VIRTUALLY      MORE BUT CERTAINLY
            NOTHING  --                  LESS -- THAN
                                   NOTHING
PUBLICEDUCATION,


                                NOT
    ANDBY "THE PUBLIC," I INCLUDE ONLYLAY CITIZENS BUT
               AT                      --
ALSOMY COLLEAGUES ALL LEVELSOF GOVERNMENTFEDERAL,
                             CITIZENS IN THE PRIVATESECTOR,
STATE, ANDLOCAL-- ANDMY FELLOW
                         ACTIVITIES,
BOTHIN PROFITANDNON-PROFIT
                            6
              GENERAL, HAVEA RESPONSIBILITY SPEAK THEM
     AS SURGEON      I                    TO     TO
A&                      THEY          WITH   I
        AND I DO, WHETHER ARECOMFORTABLE WHAT HAVETO
SAY aamOR NOT,


                       I                       IS
     ONEOF THE MECHANISMSHAVEUSEDFORTHIS PURPOSE THE
       GENERAL'S
"SURGEON       WORKSHOP/'


               PROVIDES, IT WERE,AN UMBRELLA
     THE WORKSHOP      AS                      WHICH
                                           UNDER
INDIVIDUALS        REPRESENTING DIVERSEINTERESTS
           ANDGROUPS         MANY              AND
                        AND
POINTSOF VIEW CANASSEMBLE TALK OUTAN ISSUEOF SIGNIFICANCE
            OF           PEOPLE.
TO THE HEALTH THE AMERICAN


                --              --
     THATUMBRELLA TO BE EFFECTIVE HASTO BE NEUTRAL,
                  ALL                     TO
HENCE,LET ME ASSURE OF YOUTHAT I DO NOTCOME THIS
      WITH             CONCLUSIONS RECOMMENDATIONS
WORKSHOP ANY PRE-ARRANGED       OR             OR
                   WHAT SHOULD NEXT,
ANYPRE-SETIDEASABOUT  WE     DO


                  BE                         ABOUT
     BUT LET THERE NO MISTAKE:I AM Nfl NEUTRAL   THE
            DRIVING, NO SENSIBLE
ISSUEOF DRUNK                        CAN        ABOUT
                                PERSON BE NEUTRAL
THAT,
                            7
        WE                          THAT
    WHERE DIFFERMAYBE ON THE APPROACH THE UNITED
STATES     TAKE, AS A CIVILIZED SOCIETY,TO REDUCE MAYBE
      SHOULD                                    AND
ONEDAY ELIMINATETHIS TERRIBLE              AND
                             THIEF OF HEALTH LIFE,


                     ADOPT
    I ASK YOUTO PLEASE   THATSPIRIT, AS YOUTAKEPARTIN
          SESSIONS
THE WORKING            AND               WORDS, ASK
                 TOMORROW FRIDAY, IN OTHER    I
                       YOURIDEAS 11, BUT ALSOBE WILLINGTO
YOUTO BE WILLINGTO SHARE
LISTEN ms, ANDBE WILLINGTO LEARNNEW             ADJUST
                                   THINGSANDMAYBE
   OF
SOME YOURTHINKING, IF NEEDBE,


                                     FROM
    IF WEHAVETHATKIND OF PARTICIPATION          THENWE
                                         EVERYONE,
            DEALCLOSER THE CORE THIS PROBLEM THE
MAYGET A GOOD        TO        OF          AND
      OF
ESSENCE ITS SOLUTION,


                 ME               THAT
    ANDTHATBRINGS TO THE ANNOUNCEMENT THE WORKING
       TOMORROW FRIDAYWILL NOTBE OPEN THE PRESS, THAT
SESSIONS     AND                     TO
            WITH PASTPRACTICES,
IS CONSISTENT


                 OVER     "SURGEON
    I HAVECONDUCTED A DOZEN              WORKSHOPS"
                                 GENERAL'S
      MY       IN                            AIDS,
DURING TWOTERMS OFFICE, THE ISSUESHAVEINCLUDED
                              8
                    THE                CHILDREN,
LIVER TRANSPLANTATION, CAREOF HANDICAPPED      FAMILY
                  AND
VIOLENCE,PORNOGRAPHY, SO ON,


                     THE              SESSIONS,
       IN EACHWORKSHOP, MAIN OR PLENARY       LIKE THIS
              BEENOPEN EVERYONE,
ONE, HAVEALWAYS       TO              THE
                              INCLUDING PRESS, BUT
          SESSIONS
THE WORKING                                    BEEN
                 HAVENOTBEENOPEN, THEYHAVEALWAYS
     TO              mm,               THE
CLOSED NON-PARTICIPANTS AGAIN, INCLUDING PRESS,


                IS                   ALL INVITED
       THE REASON SIMPLEENOUGH, I WANT
           TO                    READY SPEAK
PARTICIPANTS GO INTO THESESESSIONS   TO     THEIR MINDS
I t I READY ENGAGE OPENANDCANDID
          TO     IN                         WITH
                                GIVE-AND-TAKE
        AND          aa,                      OF
COLLEAGUES COUNTERPARTS AND, YES, IN THE COURSE THE
           TO     THEIR OWN
DEBATE,READY CHANGE       MINDS, IF NEEDBE,


                   IS                                 AND
       THIS APPROACH NOTONLYLEGAL, IT'S VERYSUCCESSFUL,
                          SUCCESSFUL US AT JHIS WORKSHOP,
I AM SUREIT WILL BE EQUALLY       FOR
TOO,


                   YOU, HOWEVER,
       LET ME ASSURE          THAT, WHILETHE ACTUAL
            OF          SESSIONS
DELIBERATIONS THE WORKING                    THE
                               WILL BE CLOSED,
      OF
RESULTS THOSE       WILL BE MADE
             SESSIONS           PUBLICAT THE FINAL OPEN
                            9
       ON
SESSION FRIDAY,


                    WILL          TO
    THE RECOMMENDATIONS BE PRESENTED ME BY THE PERSON
WHOLEADSEACHSESSION, I WILL TAKEA LITTLE TIME TO REVIEW
THEM          BACKTO YOUWITH MY RESPONSE THE FINAL
    ANDTHENCOME                        IN
SESSION,FRIDAYAFTERNOON,


              WORD
    NOW,ONEMORE      THESERECOMMENDATIONS,
                 ABOUT


                      GENERAL'S
    THIS B THE "SURGEON                AND I AM THE
                              WORKSHOP,"
      GENERAL, BUT I HOPE
SURGEON                                    THE
                         You WILL LOOKBEYOND OFFICEOF
      GENERAL,
SURGEON         YOU
             WHEN MAKEYOURRECOMMENDATIONS,


                 A      AGO, THERE'SREALLY
    AS I INDICATED MOMENT                 ONLYONE
          FOR           GENERAL, THAT IS FORTHAT
RECOMMENDATIONTHE SURGEON      AND
     TO                ON               DRIVING,
PERSON SPEAKOUTPUBLICLY THE ISSUEOF DRUNK
       M       DOINGTHAT,
WELL, I’ ALREADY


                   YOUTO SET YOUR
    THAT'S WHYI URGE                        THE
                                 SIGHTSBEYOND S,G,'S
                FUTURE
OFFICEANDRECOMMEND                    --
                     ACTIONFOREDUCATION STATE, LOCAL,
                                      ma,
PUBLIC, ANDPRIVATEa, m FORLAWENFORCEMENT FORTHE HEALTH
                           10
         AND               COMMUNITY FORTHE TRANS-
PROFESSIONS THE PUBLICHEALTH       ,,a
        AND     INTERESTS a, ANDFORCOMMUNICATIONS,
PORTATION HIGHWAY       ,
        ADVERTISING BROADCASTING,
INCLUDING         AND


                 FEWGROUND
    SO, WITH THOSE                               FORWARD
                         RULESIN MIND, LET US MOVE
              BECAUSE
WITH OURAGENDA,     TIME IS NOTON OURSIDE,


                      HEREIN THE SAFETY THESEHOTEL
    EVENAS WEDELIBERATE                OF
WALLSDURING             FESTIVESEASON THE YEAR, ALCOHOL
           THIS OTHERWISE           OF
         IS                                      TRAFFIC
CONSUMPTION UP ANDSO IS THE TOLL OF ALCOHOL-RELATED
INJURIESANDDEATHS


         WE        THAT1988 -- LIKE 1987 AND1986 BEFORE
    HENCE, CANEXPECT
IT -- WILL BE A YEARIN WHICH                  WILL HAVE
                            24,000 Mm AMERICANS
                  IN             ACCIDENTS
DIED ON OURHIGHWAYS ALCOHOL-RELATED


    ANDMANY       MORE
           THOUSANDS WILL HAVEBEENKILLED IN ACCIDENTS
                  A          TO        DURING
THATAREDRUG-RELATED,FACTWEWANT EMPHASIZE     THIS
                    DRUGGED DRUNK
WEEK,WHICHIS NATIONAL    AND    DRIVINGWEEK,
                            11
         MY                           --          OR
    DURING BRIEF TIME AT THIS MICROPHONE 20 MINUTES SO
                                            DRIVER,
-- ONEOF OURCITIZENSWILL BE KILLED BY A DRUNK


               GRABBING QUICKLUNCH NOON-TIME,
    WHILEYOUWERE      A          AT         TWO
   WERE
MORE  KILLED.


                              WHEN RELAXOVER
    ANDTHIS EVENING,IN THE HOUR  YOU        DINNER,
THREE   WILL BE KILLED IN THE SAMEWAY,
     MORE


             OF           OF       CITIZENS AREKILLED
    AN AVERAGE TWOTO THREE OURFELLOW
            AND      EVERY
ON OURSTREETS HIGHWAYS              THE
                          HOUR,AROUND CLOCK,BECAUSE
            HAD           AND       IMPAIRED
THEYOR OTHERS THEIR JUDGMENT REFLEXES      BY
      AND   DRUGS,
ALCOHOL OTHER


                        THEN, SOME AMERICANS
    BY THIS TIME TOMORROW,       65        WILL HAVE
                  IN             ACCIDENTS
DIED ON THE HIGHWAY ALCOHOL-RELATED


                              TO             FATALITIES,
    THAT'S THE PICTUREIN REGARD ALCOHOL-RELATED
                         AND         CRASHES
BUT OVERA MILLION ALCOHOL- DRUG-RELATED        EVERY
                                           OCCUR
                           12
                 AND   OF   DO
YEARON OURHIGHWAYS MOST THEM NOTEND IN DEATH, BUT
            IN
THEYN RESULT INJURIES ,,a A HALF-MILLIONINJURIESAT A
MINIMUM,


       THE       WRECKAGE TOWED
    WHEN VEHICULAR     IS     AWAY,THE HUMAN
                                  BRAIN DAMAGE,
WRECKAGE LEFT BEHIND-- THE PERMANENT
      IS                                      THE
SPINAL CORD                              DEFORMED
           INJURIES, THE LOSTOR PERMANENTLY    LIMBS, THE
        AND           am,                   WITH
BLINDNESS THE IMPOTENCE THE LIFETIMESCRIPPLED
                    BY       NIGHTMARES HOW ALL
DISABILITY ANDHAUNTED RECURRENT      OF    IT
HAPPENED,


                  OF      am.     OF        OF
    TENSOF THOUSANDS DEATHS HUNDREDS THOUSANDS
INJURIES mum    ARE NUMBING
            THOSE         STATISTICS BUT THEYAREALSO
   THANJUST STATISTICS,
MORE


                                   LIVES
    THEYARE REALPEOPLEIn e REALHUMAN


               A DISPROPORTIONATE
    UNFORTUNATELY,                 OF      VICTIMS
                              NUMBER HIGHWAY
       PEOPLE YOUNG ANDWOMEN
AREYOUNG     11,  MEN            THE
                           BETWEEN AGESOF 15
AND24,          COMPARABLE COHORT SUCH RECORD
         NO OTHER       AGE     HAS   A     OF
DEATHAND INJURYON THE HIGHWAY,
                            13
                     BY              FOR
    ANDTHIS AGE GROUP, ITSELF, ACCOUNTS OVER8,000
             FATALITIES, OR ABOUT THIRD OF ALL FATALITIES
ALCOHOL-RELATED                 A
EACHYEARIN WHICH      IS
                ALCOHOL IMPLICATED,


              YOUNG
    FORTUNATELY,       THEMSELVES BECOMING
                  PEOPLE       ARE          AND
                                         MORE
   SENSITIVETO THIS ISSUE, THATWASONEOF THE MOST
MORE
         ASPECTS THE RECENT
ENCOURAGING    OF              OF
                          REPORT THE PUBLICHEARINGS
                  COMMISSION
HELDBY THE NATIONAL              DRUNK
                           AGAINST   DRIVING,


        PEOPLE TESTIFIEDAT THOSE
    YOUNG    WHO                       SUPPORTED
                                HEARINGS      THE
MINIMUM                            SEAT-BELT
       DRINKING-AGE ,,a THEYSUPPORTED
                  LAW                      LAWS11,
   PUBLICEDUCATION ANDSO ON,
MORE             18,


                  TO           COMMISSION,
    ALSO, ACCORDING THE NATIONAL            PEOPLE
                                        YOUNG
         "WITH NEARUNANIMITY DECLARED
THEMSELVES,                 mm,     THATADVERTISING
        ADOLESCENTS DRINK" ANDTHE COMMISSION SO FAR
ENCOURAGES       TO                        WENT
             THAT,            OF      INDUSTRY
AS TO RECOMMEND "IN THE ABSENCE ALCOHOL      ACTION,
          SHOULD ENACTED REGULATE
LEGISLATION    BE      TO             BEVERAGE
                                ALCOHOL
ADVERTISING,"


        PEOPLE NOTBE NUMERICALLY
    YOUNG    MAY                       HERE
                              REPRESENTED AS THEY
                            14
ARE IN THE DEATHAND INJURYSTATISTICSEACHYEAR, BUT THEYSHOULD
          IN
BE UPPERMOST OURMINDSDURING               TODAY,
                           OURDELIBERATIONS
       AND
TOMORROW, FRIDAY,


                      a,
    ANDNOW,A FINAL WORD a


                    SOME
    I'VE BEENSPENDING                     FOR
                       TIME LATELYPREPARING THE 25TH
         OF               OF                 GENERAL'S
ANNIVERSARY THE PUBLICATION THE FIRST "SURGEON
     ON      AND
REPORT SMOKING HEALTH? IN DOINGSO, I'VE BEENLOOKING
                    OF       AND
OVERTHAT25-YEARRECORD PROGRESS, I FIND IT VERY
INSTRUCTIVE,


              YEARS
    TWENTY-FIVE                      COMMUNITY,
                   AGOTHE PUBLICHEALTH       WITH THE
      OF              AND     OF       EMBARKED'
SUPPORT CITIZENS’GROUPS MEMBERS CONGRESS,
   A          PROGRAM RESEARCH THE RELATIONSHIP
UPON SYSTEMATIC     OF       INTO
      SMOKING HEALTH,
BETWEEN     AND


    AT THE SAME                        WAY,
               TIME, AND IN A RESPONSIBLE THEYALSOLOOKED
                              OF           RESULTS,
AT THE PUBLICPOLICYIMPLICATIONS THE RESEARCH      AS
    CAME LIGHT,
THOSE  TO
                          15
    FROM               THEY ABLE TO PLANWAYS HELP
        THAT INFORMATION WERE              TO
           PEOPLE THEIR HIGH-RISKROMANCE TOBACCO,
THE AMERICAN    END                   WITH
          THESE
CHIEF AMONG       WASA FAR-REACHING
               WAYS                     OF
                                  PROGRAM PUBLIC
        AND
EDUCATION INSTRUCTION,


                   TO               BE         OF
    ANDSO IT APPEARS ME THATWEMAYNOW -- IN TERMS
      AND                 WE   25    AGOIN TERMS
            DRIVING-- WHERE WERE YEARS
ALCOHOL DRUNK
         AND               CAUSED SMOKING,
OF TOBACCO THE FATALDISEASES    BY


                 ME               "CHARGE" THIS
    ANDTHATBRINGS TO THE PARTICULAR      FOR
      a,,                 OF      I
WORKSHOP THE SPECIFICAREAS INTEREST HOPE         IN
                                        YOUADDRESS
THE NEXTTWODAYS:


    *
                            THE      AGENDA
        FIRST, LET'S CONSIDER RESEARCH    REQUIRED
                            AND     DRIVING,
        FORTHIS ISSUEOF DRUNK DRUGGED


             QUITE A BIT ABOUT
        WEKNOW                                   STILL
                             THE ISSUENOW,BUT MUCH
              TO                    NEEDTO BUILD A
        REMAINS BE LEARNED, WECLEARLY
                       16
         SCIENTIFIC BASEWHICH
    STRONG                                ALCOHOL'S
                             EITHERCONFIRMS
                 TRAUMA a OR WHICH
    ROLEIN HIGHWAY    ,I                THE
                                  REFUTES
            BETWEEN
    CONNECTION          TRAUMA ALCOHOL OTHER
                  HIGHWAY    AND     AND
    DRUGS,


*
    NEXT, WENEEDTO LOOKAT -- OR ANTICIPATE, IF POSSIBLE
    -- THE MANY                 OF
               POLICYIMPLICATIONS THATRESEARCH,


           WORDS, MAYFEEL WE'REJUSTIFIED BY
    IN OTHER    w+
             TO         OPINIONS
    EXPERIENCE HAVESTRONG           THIS AND
                                ABOUT
                        NEEDS OBJECTIVE
    THAT, BUT THE COUNTRY   AN                OF
                                      ASSESSMENT
               BASE                  FOR
    THE KNOWLEDGE AND ITS IMPLICATIONS PUBLIC
    POLICY,


*
                                     OF
    THIRDLY, -- ANDALSOON THE STRENGTH AN ONGOING
           PROGRAM ITS POLICY IMPLICATIONS WENEED
    RESEARCH     AND                     --
                                AND       PUBLIC
    TO LAY OUTA PLANWITHNEAR-TERM LONG-TERM
         OBJFCTIVES,
    HEALTH
                          17
               WORDS,
        IN OTHER       KINDS OF ACTIONS
                    WHAT              MUSTWETAKE, IN
                                       IN     TO
        BOTHTHE PUBLICANDPRIVATESECTORS, REGARD DRUNK
                DRIVING? WHAT
        ANDDRUGGED                     ANDOBJEC-
                            ARE OURGOALS
        TIVES, ANDHOW     WE      REACHING
                     SHOULD GOABOUT      THEM,a a
           ANDOVER
        SOON      THE LONGRUN.


    *
                                            STRATEGY
        ANDFINALLY, WENEEDTO DEVISEAN OVERALL      FOR
               OUT   A       PLAN,
        CARRYING SUCH NATIONAL


        IN THESE                AND               WE
                DAYSOF RESTRICTED LIMITED RESOURCES,
        MUSTMAKEEVERY     AND
                     PERSON EVERY     COUNT,
                                 DOLLAR


                NOT         A
        THATMEANS ONLYHAVING PLAN, BUT ALSOHAVINGA
              AND            APPROACH THE
        COHERENT COST-EFFECTIVE     TO
                 I ON
        IMPLEMENTAT OF THATPLAN,


        FOURELEMENTS,
    THOSE                          MY       TO
                    THEN, CONSTITUTE "CHARGE" THIS
       RESEARCH POLICY s m A PLANOF ACTION,I t ANDAN
WORKSHOP:     aam         m
            STRATEGY THAT PLAN,
IMPLEMENTATION     FOR


                         FOR                   WORKSHOP,
    THAT'S A BIG ASSIGNMENT WHATIS ONLYA TWO-DAY
                            18
                         PAST,       TENDTO WORK
BUT I'VE FOUND,IN WORKSHOPS THATPEOPLE         MORE
         AND
CREATIVELY AT A HIGHER     LEVEL, IF TIME IS OF THE
                      ENERGY
ESSENCEm


                            IS                TRAINING
    IN ANY CASE, THIS WORKSHOP NOTAN ON-THE-JOB
         FOR                           AND
EXPERIENCE ANYOF YOU, YOUAREALL SEASONED EXPERIENCED
INDIVIDUALS,


           M            FOR          STATEMENT THE
    ALSO, I’ NOTSEARCHING THE ULTIMATE      ON
              AND   DRIVING, RATHER,I’ HOPING A
ISSUEOF DRUGGED DRUNK                M      FOR
      THAT                   A      PUSHIN THE MOST
DOCUMENT WILL GIVE THE COUNTRY STRONG
FRUITFULDIRECTION.


                               OF           a       S
    THIS MAYBE THE FIRST MEETING THIS KIND ma AND IT’ AN
        ONE              THAT IT WILL BE THE LAST,ONE,
IMPORTANT , ,, BUT I DOUBT


                                      PEOPLE ARE
    I AM SUREALL OF YOUCANTHINK OF SOME    WHO
MISSINGFROM             MAYBE
           THIS WORKSHOP,   THEYWILL BE AT THE NEXTONE
                              19
I I I ANDTHE ONESTHATWILL FOLLOW, BUT FIRST, LET'S MAKETHE
VERYBESTSTARTWECAN,


    AGAIN, THANK                        AT
                YOUFORJOININGME THIS WEEK THIS WORKSHOP,
                             WILL SURELY
I APPRECIATE amaANDTHE COUNTRY
           IT                          BENEFITFROMYOUR
            THANK
CONTRIBUTION,    YOU,
                          #####

				
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