ation conference in russia in 2014 is an outrages attack and it could open the door to all kinds of suppression of civil liberties. and we've all ready, you know, the trial is set to take place in september, but we've already got calls to prosecute pro palestine active as nancy pelosi said she wants the api. i to look into pro palestine active is we've got calls to prosecute people for alleged ties to china. this could open the floodgates of all kinds of persecution, of anti war activists and dissidence in america. in this case, that mainstream us media is largely ignoring, is vitally important via who are 3 and what they are facing is something that should be on the front page of every newspaper. every american and everyone in the world is concerned about civil liberties to be paying attention to this case and demanding that the bodily ministration drop the charges immediately. they have no right to lecture the world about human rights when they threaten support. a group of people that have been protesting to the rights of african americans in prison for allegedly being russian agents just because they had some web conferences just because they went to a conference just because they publish them articles. uh,

they, you know, they alleged their spreading russian propaganda well, they weren't doing that. they were speaking up and getting their perspective. but even if they were right, according to the american constitution, we can spread whatever kind of propaganda we want. right? freedom of speech, freedom of assembly, freedom to travel the by noon ministrations, efforts to intimidate people like us that are going to be attending this important gathering. it needs to be a pose, and that's why we were very happy to have the opportunity thanks to the russian mission, to highlight that at the united nations and the lead up to are very important trip to india. now where the nation supreme court has tried it, a political fundings keep loans by the more the government years ago. the crux of the matter, according to the court, is that the so hold electrical bonds valley, the citizens ride to information initially set up in 2017 the lowest a year later. what the intent of making and political fundraising more transparent . in contrast, the cash donations were heard from legal editor and joining list. i should go by

giving you a he told us cry, this came was so important between the in the system and what to expect. now, the whole idea at that point in time was to eliminate the you black money for political or electoral purposes. that was the idea with which the pod agent, the party government brought in the electoral bones the fall funding of political parties. now you have to understand that as far as corporate and individual funding goes through to the parties has done so ease the life dot or onto the ticket of bodies in india. but what happened in the last 70 years? the experience of video as why does it look to the politics is concerned and funding is concerned. there was a lot of black money, which was making way into the, in the door of the system. now what happened in 2017 was this was eliminated. and

the government of india said that this is the only 2 by which you will source funding to political parties. but now this has been struck down by the supreme court of india, and we go back to the 2017 regime where the cash will play a very important role. so was the supreme court of india? i said today was that this political, this elect the bonds keyboards not full through, but that has to be some alternate to method which is least restrictive. as far as like the information is concerned, can be found by the government of india and put in place. and that's the update best um, most stories coming your way on the top of the ally the the destruction of gaza and its people continue unabated by the administration

shows no meaningful interest in stopping israel's genocidal assault. at the same time, there is much talk of a ceasefire. in this one sided conflict, it would seem, it is just that just alcohol addiction is not just a personal struggle. it's impact echoes through individuals and society at large world wide $3000000.00 deaths every year. result from harmful use of alcohol representing 5.3 percent of all debts. but while it's an important social lubricant that plays an important part in every culture, excessive alcoholism is becoming a growing problem. i'm christy. yeah, you're watching the cost of everything. where today will delve into the hitting costs of alcoholism, shedding a light on the staggering toll it takes on communities. the

alcoholism effects millions of people all over the world and is not only harmful to the individual, but also to other people around them such as family members, friends, and co workers. on top of that, the health costs are substantial from liver diseases, to cardiovascular issues, and mental health disorder. the medical costs can quickly rack up not just in treatment, but in the long term care required for individuals dealing with alcohol related issues. and all the 100530 liver disease depths in 202147 percent of them involved alcohol abuse. excessive alcohol consumption can also cause death and disability relatively early in life. and is a casual factor in more than $200.00 diseases and injury conditions to now be on health consequences. so harmful use of alcohol brings significant social and economic losses to individuals and society. one of the most alarming consequences

is the connection between alcoholism and homelessness. studies reveal that 30 percent of homelessness can be attributed to alcohol abuse, approximately 25 to 30 percent of the homeless population grapples with alcohol related issues. and this not only contributes to the strain on shelters and social services, but also perpetuates a cycle of despair that is challenging to break. in total alcoholism cost the u. s . economy over $249000000000.00 in losses. $28000000000.00 comes from health care costs. a 179000000000 come from last productivity. and $13000000000.00 comes in collisions and di wise and $25000000000.00 in criminal activity. in 2020 to 29500000 people age 12 and older had alcohol use disorder. alcohol related incidents also placed a heavy burden on law enforcement. alcohol is often

a common denominator in various criminal activities from domestic violence to public disturbances. to it not only puts a strain on resources, but also contributes to the cycle of recidivism, which has a tendency of convicted criminals to re offend each year or more than a $140000.00 deaths are attributed to excessive alcohol use. and now joining us today as dr. charles smith, medical director recovery 1st treatment centers. now doctor, how does alcohol addiction affect one's relationships with friends and family? what else? alcohol use disorder or problems with alcohol. it's very dramatic with interpersonal relationships. working in the front line of addiction and several rehabs that i work at, patients come in a totally overwhelmed with problems that they've developed with marriages problem. they develop with their children, work voice problems. it basically interferes with every aspect of your life. but i

would have to say the relationship aspect is the most influence of your basically not yourself. when you drank alcohol, there's changes in the brain. changes in the prefrontal cortex, changes with impulse control, it just makes functioning uh, in a healthy relationship, extremely difficult. how much of alcoholism is genetics and how much of it is personal choice and poor decision making? well, i was tell patients, an inside quite often were, were asked to say nature versus nurture. but when it comes to alcohol problems, we don't really have to make that decision. we know there's a high incidence of july like involved with a family member 1st or 2nd order role of, of having problems with alcohol. then each verse is 2nd order relative, has a 50 percent chance of developing that problem. also, we know it's

a product of nurture. your environment growing up 1st thing is like all of the trauma sizes, dual diagnosis. some things is early access to alcohol and drug and alcohol when you are very young. so i always give it about a $5050.00 is it's a product of your environment, certainly. and it also is a product of your genetics, as far as will power for those who have a predisposition for this disease, i don't think will powers much involved. because your ability to make decisions become so impaired, taking the next, drank, or having that next, the drinking yvette is what the impaired. and that's one of the 1st bad decisions that people make. so it's, it's, uh if they hit the bottom line, the answer to your question is about the product of bad decisions. i wouldn't say will tie though. and certainly there is a genetic predisposition. and also how we reacted to our environment,

stresses and bar environment. as i said, dual diagnosis, psychiatric conditions, age of early drinking and trauma. now from a health care standpoint, what are the direct health costs associated with alcohol addiction? yeah, the last article that i reviewed came from the c d. c. and this was published in 2019, and i think these numbers, at least for me, and i don't really have went up fits them. because after the pandemic, we did the rods in drinking during the pan them again after. but it's so tardy. steiger a numbers. the estimated loss in the united states is $249000000000.00 annually. in general, the american society of addiction medicine now gives the cost of addiction overall at 600000000000 in the united states. so certainly makes sense to me that alcohol

own is almost positive of responsible for half of that cost. can you disagree as any long term health consequences and the associated financial burden on both individuals and society? well, certainly discuss this with my patients all the time. we are now certainly training primary care physicians, internal medicine, doctors, family practice doctors to do alcohol screening. for example. we don't want them to fall out of the guidelines that are national institute of health, which is that women shouldn't drink over one drink a day or more than 7 in a week to be considered high risk. and man shouldn't have over 2 drinks a day or more than 14 in a week to be considered high risk. alcohol being fat soluble, permeates every cell in the body, everywhere from brian sales to heart, sales deliver sales to bone sales. we know these patients certainly develop liver

disease with fatty liver disease that certainly uh at least 10 percent will progress to fatal. cirrhosis of the liver is a one of the leading causes for dementia. in middle age, the elderly patients who have consumed consist considerable amounts of alcohol in their live. also heart disease and cancer are also associated with the a heavy to moderate alcohol is what i tell patients now. if they're interested in a healthy lifestyle, they simply no redeeming qualities. the drinking alcohol and one of the things outside of look when you went for your routine health maintenance. screening, has the doctor ever said, i think you should start drinking alcohol? of course, of course not. so that's really the way i poses the values of those,

no redeeming qualities to alcohol. if you have those significant risk factors that i've talked about before, or you have fallen out of the recommended guidelines for consuming alcohol, you need to seek help. and now can you discuss any studies that quanta, 5 economic burden of alcoholism, including loss productivity, and increased health care costs? yes, this is a 2019 c d c dot gov, forward slash alcohol article that i just quoted you. those numbers before. and it goes into detail explaining, breaking down the health care costs of breaking down the workplace productivity, and also the cost of the criminal justice system. an automobile accidents also in workplace uh productivity. the assessing the last work to assess things is actually doing the work that goes into breaking them down in, in

a little more detail. but that was the just of it was a staggering number of 249000000000. and this is a c, d, c study from 2019 other specific industries or sectors that they're a disproportionate economic burden. actually, not that i'm aware of. i think i, it certainly industry and the transportation industry particular are very susceptible to this, but i will give the transportation industry and the healthcare industry nod. there is a do a better job of monitoring. we quite often use the word when someone comes to treatment. if they are in a safe defense of the position, for example, the bus driver trained, or of, or a healthcare professional, nurse, doctor, et cetera. they, they are certainly monitored by their life and the agency. they are monitored

people of factory workers, farm workers, etc. don't get much attention and certainly don't get exposed to screening. thank you so much dr. smith, but please stick around. dr. charles smith will stay with us right here after the break. and when we come back, did you know that the per capita alcohol consumption in the country doesn't necessarily correlate directly with the prevalence of alcoholism? well, have more after the break, the take a fresh look around a life kaleidoscopic isn't just a shifted reality distortion by power to division with no real opinions fixtures designed to simplify. it will confuse really once

a better wills and is it just because it shows you fractured images, presented to this, but can you see through their illusion going underground can march the 112011. the largest us, great ever recorded in japan is we're interested. a 14 meet the 2 nami devastates the focus fema each in nuclear power plants. the, the nuclear reactors are flooded, sparking, and other risk disaster id be of any time in june is living in japan designs to go to the area that needs to

be a meltdown and focus. fema immediately drove me to talk to somebody about the us in the for the moment, for ya, investigation stats, watch on tv, the, the, well, you might think that the rates of alcoholism would correlate closely to the overall alcohol consumption per country. that's actually not the case. americans on average consume 8.7 meters, appear alcohol per capita annually, but it is only 38th on the list of countries with the highest alcohol consumption per capita. despite this is number 7 on the list of countries with the highest

rates of alcoholism. now hungry top the list as 21 percent of the population that suffer from alcohol abuse followed by russia at 20.9 percent. beller roost at 18.8 percent. lot via a 15.5 percent. and then the us, at 13.9 percent. alcohol misuse is now the 3rd leading cause of preventable death in the us after tobacco use and being overweight. the alcoholism can be caused by a con, donation of genetics, environmental and physiological factors, stressful life events, mental health disorders, peer pressure, early access, and the normalization of heavy drinking can all contribute to its development. drinking often causes you to experience positive outcomes, such as feelings of being confident, relaxed and stressed and number, which means that you want to drink alcohol over and over again to feel the same

effects. overtime. repeat a drink increase a physical towards to alcohol, and you'll end up experiencing withdrawal symptoms when you stop drinking. and this can quickly turn into a vicious cycle for those who are willing to get help. there are many choices including alcoholics anonymous, residential rehab, outpatient counseling, etc. now rehabilitation centers play a crucial role in offerings support therapy in a structured environment for recovery. however, there are challenges such as stigma, accessibility and relapse prevention that persist. these centers can costs from a few $1000.00 for outpatient programs to tens of thousands for inpatient facilities. factors include the duration of treatment, amenities provided, and the level of medical and therapeutic support. and they're also medications used in conjunction with counseling and therapy that can help to be balance chemicals in the brain that may be changed by drinking too much and decreasing the craving for

alcohol. other medications work by causing unpleasant effects such as nausea, vomit, a headache or flushing if you drink alcohol in order to create a negative association. so for this and more, let's bring in again dr. charles smith's medical director at recovery 1st treatment centers. now doctor, how can communities implemented preventative measures to reduce the societal costs of alcohol addiction? well, certainly out of mindset that alcohol is not considered acceptable for many situations, needs to be taken. for example, if there's going to be minors, add an a v a and how much and what sorts of alcohol would be served there. with professional sports, we've noticed that they started closing down the alcohol vendors an hour or possibly 45 minutes before the end of the game. so basically it is to put some curtailing events around alcohol don't make the ease of access quite so great

. certainly monitor for him under $21.00 so that there is not accessible to them. but it's the overall awareness that i believe should start with the primary care physician that the primary care physician asked dates, vivid. well, do you drank, how much do you drank? how often do you drag? do you exceed guidelines? and do you need some sort of medical intervention or referral? and i'm seeing that done now even when i go to my own private position. i notice that that i get those questions asked more often than we did 20 years ago. and what role do rehabilitation programs play and mitigating the long term consequences of alcoholism and how effective are these be, have programs? well, rehabilitation programs are very effective when combined with patient compliance,

i tell my patients to solve the time for their best success. i need them to approach is just the they would part disease just as they would have blood pressure just as they would that be the if i need them to adhere to a treatment plan, it is a chronic, long term relaxing disease. so this will be a treatment that i expect them to participate in the rest of their life. as far as coping skills. relapse prevention, healthy boundaries, a better decision making. it's a, it's a process that the therapist work with patients all the time on. now in what ways does alcohol eviction contribute to mental health disorders? and how do these conditions complicate the recovery process? can you discuss the correlation between alcoholism and issues such as depression, anxiety, or cognitive decline? well, 1st of all, when you are treating mental health issues, anxiety, depression,

mood disorder, skipped. so for any of any of our spectrum of psychiatric illnesses, adding alcohol to the mix. it is a is a real burden. and a real complicated because we're working on the doping mean reward system. when we're trying to treat these patients for depression, either with their tone, with nor up and now for an inhibitor, is with the main stabilizers and alcohol interferes with those. it also interferes with our medications that we use. our anti depressants are anti and the agents are sleep. medications are all interfered with by alcohol. so it or really complicates the field, makes it much, much more difficult to treat a depression and patient anxiety to patient a mood patient. when alcohol is involved for all those reasons, the interviews with the domain reward system,

it also interferes with any medical interventions that we would be posing. it also causes complications in the personal life that we talked about earlier, relationship problems that said or possibly been involved in the criminal justice system. one of the 1st things with depression or anxiety, or any mental health patients, when we see them, we certainly want to know what substances they use, see if they fall out of the range and do an intervention to see if they need rehab . and how much does alcohol addiction contribute to criminal behavior? what kind of a stray does it put on the criminal justice system? well, it perfect stream uh, on both of the criminal justice system and the health care system. there's many studies that show over 50 percent of emergency room encounters have alcohol or drug involved. but there's also a large correlation between domestic violence and the alcohol use. and simply

because the alcohol interferes with our impulse control and our decision making, it's heavily involved in crime. there's many crimes that wouldn't be committed as if the individual wasn't under the influence of alcohol. and how does alcohol addiction impact employment rates and jobs to ability apples, an individual and societal level? well, i thought that was interesting that work place productivity was there has cost here 179000000000. so that's basically 2 over 2 thirds of the cost of, of excessive alcohol use is directly on in the street and workplace productivity. so we have patients who may not be intoxicated as the time they come to work, but they had drank accessibility the day before. so their productivity is, is down. i know, certainly we don't want health care professionals or safety sensitive position.

patients to come to work either impaired or recovering from the effects of alcohol . it's a very big factor in the industry. and as i said, the cost of 249000000000 was even eye opening. the may, i knew the overall cost of addiction, but uh, the alcohol compound, it alone, i think is very high. almost half. how has the prevalence of alcoholism changed over the years? and are there more notable trends or patterns and different demographics? well, i'm certainly starting to see with generation x even for example, alcohol free drinks. we started seeing things like mot. tales. i know heineken now has alcohol for a beer, and i'm sure there's many others out there. i just saw the in los angeles and alcohol free bar opened up. so i think the trans heading there,

just just that have for many other health concerns over the years, education is our way out of this. people and young people, particularly just need to be taught the fac, certainly they are very smart, and they can make good decisions. when posed with the facts and the facts are, alcohol is not good for humans to consume even in small amount for those no redeeming qualities. if you have the risk factors, it's even worse. thank you so much, dr. smith for all your time today. now the question of whether alcohol addiction is a disease or personal choice as a topic that has been widely debated. many medical professionals and organizations recognize alcohol addiction as a disease, as it emphasizes the physiological and neurological changes that occur in the brain as a result of repeated substance abuse. studies show that the prolonged abuse of alcohol

can lead to alterations in the brain structure and function which affects the decision making impulse control and reward pathways. however, psalm argue that alcohol addiction is a result of a series of personal choices. those subscribing to the personal choice model maybe addiction through a more or ethical lens, attributing it to a lack of willpower or moral character. ultimately there's a widespread agreement on the importance of providing support and effective treatment using a combination of medical, psychological and social interventions. i'm christy, i thanks for watching and we'll see you right back here next time on the cost of everything the

the the destruction of gaza and its people continue unabated by the administration shows no meaningful interest in stopping israel's genocidal assault. at the same time, there is much talk of a ceasefire in this one side in conflict. it would seem, it is just that. just on the

show school who is a civilian deaths sold in belgrade rises to 7 with 18 people. when did this ukraine slides, residential area of environment for the region of bell garage? we are in the town of came in, i and the front is just a few kilometers away from the pip. ukrainian complex containing a correspond report from near the front. on the verified footage from the national medical complex be in con units as it stormed by use ready forces. it comes as the idea of pauses. those shells read their to leave alleging that use rally hostages taken by him as on the premise.