>> Ted: COMING UP NEXT ON"ARIZONA HORIZON,," MARICOPA COUNTY RECORDER STEPHEN RICHER TALKS ABOUT CONCERNS OVER NEW TIMELINES FOR NEXT YEAR'S PRESIDENTIAL ELECTION.

>> WE SPEAK WE WE WITH JONATHAN NEZ RUNNING FOR CONGRESS.

THOSE STORIES AND MORE ARE NEXT ON "ARIZONA HORIZON."

>> WELCOME TO ARIZONA HORIZON.

I'M TED SIMONS.

AS WE RECORD THIS SHOW, THERE'S STILL NO SPEAKER OF THE U.S. HOUSE OF REPRESENTATIVES.

THEY DID CHOOSE A NEW NOMINEE.

AND TOM EMMER DROPPED OUT AFTER WINNING THE NOMINATION.

IT CAME AS MEMBERS MADE IT CLEAR THEY WOULD NOT SUPPORT HIM IN A FULL VOTE FOR SPEAKER.

>> I LIKE TOM EMMER A LOT AS A PERSON, BUT I COULDN'T SUPPORT HIM AS SPEAKER OF THE HOUSE.

HE VOTED TO OVERTURN PRESIDENT TRUMP'S BAN ON TRANSGENDER FOR THE MILITARY AND HE HAS A VOTING RIGHT THAT I COULDN'T SUPPORT AND MOST REPUBLICANS, CONSERVATIVE REPUBLICANS, DON'T SUPPORT.

I THINK WE NEED A SPEAKER OF THE HOUSE THAT REFLECTS THE VIEWS OF REPUBLICAN VOTERS AND REPUBLICAN VOTERS LARGELY SUPPORT PRESIDENT TRUMP.

>> Ted: ENTER THE THIRD G.O.P CANDIDATE TO TRY TO WIN OVER A FRACTURED REPUBLICAN PARTY AFTER THE OUSTER SPEAKER KEVIN McCARTHY THREE WEEKS AGO.

>>> JENNA ELLIS PLEADED GRANTEE PLEADED GUILTY TO A FELONY CHARGE AND TOLD THE COURT SHE RELIED ON INFORMATION GIVEN TO HER BY MORE EXPERIENCED LAWYERS.

>> I FAILED TO DO MY DUE DILIGENCE.

I BELIEVE IN AND VALUE ELECTION INTEGRITY.

IF I KNEW THEN WHAT I KNOW NOW, I WOULD HAVE DECLINED TO REPRESENT DONALD TRUMP IN THE POST ELECTION CHALLENGES.

I LOOK BACK WITH DEEP REMORSE.

I NOW TAKE RESPONSIBILITY BEFORE THIS COURT AND APOLOGIZE TO THE PEOPLE OF GEORGIA.

THANK YOU.

>> Ted: ELLIS IS THE FOURTH PERSON INVOLVED IN THE GEORGIA ELECTION CASE TO REACH A DEAL WITH PROSECUTORS.

FORMER TRUMP LAWYER, MICHAEL COHEN, TOOK A STAND IN THE CIVIL FRAUD TRIAL IN NEW YORK TELLING THE COURT HE AND THE TRUMP ORGANIZATION'S CF O MANIPULATED THE DOCUMENTS SO THAT TRUMP'S ASSETS APPEARED TO BE WHATEVER TRUMP WANTED THEM TO BE AND COHEN ADMITTED TO LYING TO CONGRESS IN 2017 ABOUT HOW MANY TIMES HE SPOKE TO DONALD TRUMP ABOUT A PROJECT IN MOSCOW.

HE SAID HE LIED BECAUSE TRUMP TOLD HIM TO AND HIS FALSE STATEMENT WAS WRITTEN WITH IVANKA TRUMP, GEORGE W. BUSHER GEORGE W. , JARED KUSHNER AND OTHERS.

>>> THE HAMAS-GAZA MINISTRY SAID 700 PEOPLE WERE KILLED AND THERE ARE INCREASED CALLS FOR SOME KIND OF CEASE-FIRE BUT THE U.S. TODAY SAID THAT THIS IS NOT THE TIME FOR THAT.

>> WE'RE GOING TO CONTINUE TO MAKE SURE ISRAEL HAS THE TOOLS AND THE CAPABILITIES THAT THEY NEED TO DEFEND THEMSELVES AND TICK TO TRYCONTINUE TO GET THAT HUMANITARIAN ASSISTANCE IN AND PEOPLE OUT OF GAZA APPROPRIATELY.

AS YOU'VE HEARD US SAY, A CEASE-FIRE RIGHT NOW, REALLY ONLY BENEFITS HAMAS TEXAS THE U.S.. >> Ted: THEY CONFIRMED 33 AMERICANS WERE AMONG THE KILLED IN HAMAS.

>>> ELECTION OFFICIALS IN ARIZONA ARE PUSHING GOVERNOR KATIE HOBBS TO CORRECT WHAT THEY SEE AS A POTENTIALLY IMPOSSIBLE TIMELINE.

FOR MORE, WE WELCOME MARICOPA COUNTY, STEPHEN RICHER.

GOOD TO SEE YOU AND THANKS FOR JOINING US.

>> THANK YOU FOR HAVING ME.

>> Ted: NEW FEDERAL LAWS, NEW STATE LAWS AND WHAT IMPACT WILL THEY HAVE ON THE PRESIDENTIAL ELECTION?

>> WELL, THIS GOES BACK TO TWO LEGISLATIVE SESSIONS IN WHICH THE LEGISLATURE CHANGED THE RECOUNT MARGIN THAT WOULD TRIGGER A STATE-WIDE RECOUNT AND AS OUR RACES GET CLOSER IN ARIZONA, MORE AND MORE CONCERNED THAT SOME OF THE RECOUNT MARGINS EXPANDED WOULD BE TRIGGERED.

WHERE THAT BECOMES A PROBLEM IS BECOME OUR AUGUST PRIMARY EAR AND THE GENERAL ELECTION.

AFTER THE NOVEMBER GENERAL ELECTION, GETTING THOSE VOTES TO THE ELECTORAL COLLEGE SUCH THAT ARIZONA CAN AWHO IT SUPPORTS FOR PRESIDENT OF THE UNITED STATES.

>> Ted: IT SOUNDS LIKE THIS WAS A PROBLEM FROM THE GET-GO, TRUE?

>> POTENTIALLY, BUT I DON'T THINK PEOPLE APPRECIATED HOW IT WOULD MANIFEST BECAUSE IT WASN'T A PROBLEM IN THE 2022 CYCLE AND DIDN'T TAKE EFFECT IN 2022.

YOU DIDN'T HAVE A DEADLINE LIKE THE ELECTORAL COLLEGE.

>> Ted: I UNDERSTAND THAT COULD PUT IT IN THE BALLOT, IS THAT TRUE?

>> ALL 15 COUNTIES ARE UNITED, THE SECRETARY OF STATE UNDERSTANDS THIS, THE FOR UNDERSTANDS THIS AND I'M HOPEFUL EVERYONE CAN QUICKLY IRON OUT A SOLUTION BECAUSE WE DON'T WANT ARIZONA IN THAT POSITION.

WE DON'T WANT TO SAY ALL 49 OTHER STATES GET TO PARTICIPATE IN NAMING THE NEXT PRESIDENT OF THE UNITED STATES, BUT ARIZONA, WE'LL TAKE A PASS ON THIS ONE.

>> Ted: AS FAR AS A LEGISLATIVE, SPECIAL LEGISLATIVE SESSION, THEN, YOU WOULD SUPPORT SUCH A MOVE?

>> I WOULD, AND iTHINK THAT'S WHAT THE GOVERNOR THINKS IS NECESSARY AND SO DOES TOMA AND IT'S EASIER SAID THAN DONE AND WHAT ELSE WILL BE BUNDLED UP WITH BE THE NEXT QUESTION.

>> Ted: ONCE YOU OPEN THAT BOX, YOU OPEN THAT BOX.

ANYTHING COULD COME OUT.

>> HEAVEN KNOWS, PEOPLE HAVE HAD IDEAS OVER THE PAST THREE YEARS AND SO, WILL THEY KEEP IT CLEAN AND FOCUS ON JUST IN ONE ISSUE THAT ALL 15 COUNTIES HAVE IDENTIFIED?

OR WILL IT BECOME THIS ELECTION OMNI-BUS BILL THAT ADDS IN OTHER STUFF?

>> Ted: THE STATE LAWS, WHAT WE THIS DESIGNED TO DO?

>> THE STATE LAW WAS DESIGNED TO BUILD CONFIDENCE IN THE SYSTEM IN THAT IT WOULD CAPTURE MORE RACES, SUCH AS A RELATIVELY NARROW MARGIN THAN, THEN WE WOULD DO A RECOUNT AND SAYING, HEY, WE GOT IT RIGHT AND JUST TO PROVE WE GOT IT RIGHT, WE'LL EXPAND THIS RECOUNT THRESHOLD SO THAT MORE RACES WILL BE RECOUNTED.

WHAT THEY DIDN'T TAKE INTO ACCOUNT IS HOW MANY RACES THAT WILL SWEEP IN AND HOW MANY WEEKS IT WILL TAKE TO RECOUNT MILLIONS OF STATE-WIDE BALLOTS.

>> Ted: AS AN OPTION, WOULD YOU RATHER SEE THEM GET RID OF THE THRESHOLD OR DO SOMETHING AS FAR AS MOVING UP THE TIMELINE?

WHAT DO YOU WANT TO SEE?

>> I THINK WE CAN THOROUGHLY FIX IT.

SO MAYBE WE REASSESS THAT MARGIN AND WE CHANGE SOME OF THE DATES.

WE MAY EVEN LOOK AT THE PRIMARY DATE OR WHEN OUR CANVAS DATE IS AND THINGS LIKE THAT.

>> Ted: CHANGING CERTIFICATION DEADLINES, OPTION?

>> POTENTIALLY.

>> Ted: GOOD OPTION?

>> WELL, YOU WANT TO BE CAREFUL AND THAT'S THE MOST IMPORTANT THING SO THAT WHEN YOU PRESENT THAT TO THE BOARD OF SUPERVISORS, INJURY CERTAIN THAT NUMBER IS, IN FACT, THE NUMBER.

MILLIONS OF BALLOTS AS WE KNOW FOR THE 2024 ELECTION CYCLE, YOU DON'T WANT TO RUSSIA.

RUSH THAT MAYBE IT CAN BE DONE.

>> Ted: AND YOU TALK ABOUT YOU DON'T WANT TO RUSH THE PROCESS BUT IF IT DOESN'T HAPPEN BEFORE THEY EMBARK IN JANUARY, THEN YOU NEED A CONCURRENT SPECIAL SESSION.

GOODNESS GRACIOUS, YOU'RE COMING UP ON PRIMARIES.

>> NO, I WANT TO RUSH THE LEGISLATIVE PROCESS.

WHAT I DON'T WANT TO RUSH IS THE ELECTION PROCESS, THE TAB ULATINO PROCESS.

>> Ted: IT HAS TO CONCERN YOU A LITTLE BIT ABOUT OPENING THE BOX BECAUSE ONCE YOU START THAT SESSION, ANYONE AND EVERYONE WITH ALL OF TEAR THEIR IDEAS WILL COME DOWN THERE.

>> WE WELCOME OVER 150 BILLS AND SOME OF THESE ARE GOOD, BAD AND SOME ARE UGLY.

SO WE GO THROUGH THOSE, I THINK THERE'S A LOT OF STEADY MINDS AND SENATOR BENNETT IS A PART OF THE TASK FORCE AND CERTAINLY GOVERNOR HOBBS FOR SOMEBODY WITH ELECTION ADMINISTRATION AS FORMER SECRETARY OF STATE.

SO THERE ARE PEOPLE WHO ARE VERY THOUGHTFUL ABOUT THIS.

>> Ted: HAVE YOU SEEN THE GOVERNOR'S TASK FORCE OUT WITH PROPOSALS AND IDEAS?

I SAW IT LATE THIS AFTERNOON.

WHAT DO YOU SEE?

>> SO THIS WAS A BIPARTISAN TEAM SHE ASSEMBLED WITH BROAD CONSENSUS.

THEY TACKED THE VERY ISSUE WE'VE BEEN DISCUSSING WITH RESPECT TO DEADLINES.

THEY TACKLE VOTER REGISTRATION AND WHEN YOU CAN DROP OFF AN EARLY BALLOT AND WHETHER OR NOT THE WEEKEND BEFORE IS CALLED EMERGENCY VOTING OR EARLY VOTING.

YOU THINK THESE ARE GOOD IDEAS AND I'M ONE WHO LIKES TO GENERATE IDEAS, ESPECIALLY WHEN THEY'VE UNDERGONE A THOROUGH VETTING PROCESS.

WE'LL SEE.

OBVIOUSLY, LEGISLATING IS UP TO THEM WHETHER OR NOT THEY WANT TO TAKE ANY OF THESE IDEAS.

>> Ted: ARE THESE GOOD IDEAS TO GET PAST A LEGISLATURE, THIS PARTICULAR LEGISLATURE?

>> WE'LL SEE.

[ Laughter ] >> Ted: YOUR BIGGEST CONCERN RIGHT NOW INVOLVING THE ELECTION?

IS IT THIS TIMELINE ISSUE OR OTHER THINGS BUGGING YOU?

>> THAT'S THE ONE STRUCTURAL ISSUE THAT WE'LL HAVE, BUT RIGHT NOW, WE'RE IN THE MIDST OF JURISDICTIONAL ELECTIONS AND WE COULD ALWAYS YOU MORE SPACE AND PEOPLE AND ESPECIALLY EARLY BALLOTS THAT ARE DROPPED OFF ON ELECTION DAY AND THAT'S ALL OF A SUDDEN A LOT OF WORK AND I WOULD LOVE TO THROW MORE BODIES AT IT.

WE'RE RENOVATING OUR FACILITIES TO HAVE MORE BIPARTISAN TEAMS ABOUT PROCESSERS AND THE TABULATIONS SO THAT WE CAN PROCESS THOSE MORE SPEEDILY.

>> Ted: STEPHEN RICHER, THANK YOU FOR JOINING US.

>> THANK YOU VERY MUCH AND HAPPY VOTING SEASON.

GET THAT BALLOT BACK TO US BY NOVEMBER 7th.

>> Ted: SOUNDS GOOD.

FORMER NAVAJO NATION, JONATHAN NEZ, TO RUN FOR CONGRESS.

>> Ted: FORMER NAVAJO NATION, JONATHAN NEZ, ANNOUNCED HE'S RUNNING FOR CONGRESS IN ARIZONA'S SECOND CONGRESSIONAL DISTRICT.

NEZ IS SEEKING TO UNSEAT INCUMBENT REPUBLICAN ELI CRANE.

JONATHAN NEZ JOINS US BY WAYEN ZOOM.

WAYZOOM.

WHY ARE YOU DOING THIS?

>> WELL, TED, YOU KNOW, WE TURN ON THE TELEVISION AND WE HEAR THE RADIO.

WE SEE IT ALL OVER SOCIAL MEDIA, ON THE WEB, THE DYSFUNCTION HAPPENING IN WASHINGTON, D.C. AND LOOK, EVEN TONIGHT, THEY COULDN'T ELECT ANOTHER SPEAKER.

AFTER DIALOGUE WITH A LOT OF THIS CONSTITUENTS IN DISTRICT TWO, THEY ENCOURAGED ME, THEY SPOKE TO MY FAMILY, MY WIFE, CECILIA, TO CONSIDER RUNNING FOR CONGRESS AND, YOU KNOW, AFTER MUCH PRAYER AND MUCH DELIBERATION WITH FRIENDS AND FAMILY, WE SAID THAT WE WILL TAKE ON THIS BID FOR A NEW STAGE IN OUR LIFE.

AS YOU KNOW, WE WERE ON THE NAVAJO NATION, DID SOME WORK ON THE NAVAJO COUNTY BOARD OF SUPERVISORS FOR SOME TIME.

I THINK IT'S ABOUT TIME THAT WE HAVE SOMEONE THAT'S ACTUALLY FROM THE DISTRICT GOVERNING DISTRICT TWO.

I WAS BORN, RAISED AND STILL HERE IN THE DISTRICT AND YOU THINK IT'S REALLY IMPORTANT THAT THERE'S SOMEONE THAT REPRESENTS THE DISTRICT THAT KNOWS WHAT'S GOING ON IN RURAL ARIZONA AND THE RURAL DISTRICT, AS WELL.

>> Ted: REPUBLICANS, THEY BLAME DEMOCRATS BECAUSE EVERY DEMOCRAT DID VOTE TO OUST MCCARTHY AND ALL DEMOCRATS WILL VOTE AGAINST WHATEVER REPUBLICAN CANDIDATE IS THERE.

ARE DEMOCRATS NOT AT ALL REPUBLICAN FOR GRIDLOCK IN WASHINGTON.

>> ELECTIONS HAVE CONSEQUENCES AND RIGHT NOW THE REPUBLICAN PARTY IS IN CONTROL AND IT JUST SHOWS THERE'S SO MUCH DIVISION WITHIN THE REPUBLICAN PARTY.

JUSTJUSTTO ELECT A SPEAKER.

THERE ARE STILL ISSUES, LOTS OF STRUGGLES THAT ARIZONANS ARE GOING THROUGH.

WHAT I WANT TO DO TO HELP IS TO LOWER INFLATION, LOWER THE COST OF CHILD CARE, CONTINUE TO FIGHT FOR QUALITY HEALTHCARE, AFFORDABLE HOUSING IS IN NEED IN RURAL ARIZONA.

AND, YOU KNOW, THESE ARE ISSUES THAT CONSTITUENTS WANT TO BE ADDRESSED, NOT THE DIVISION THAT IS HAPPENING IN WASHINGTON, D.C. AND YOU THINK REALLY THE NETWORK WE HAVE THROUGHOUT MY CAREER, 18 PLUS YEARS OF GOVERNMENT SERVICE, WE CAN BRING THAT NETWORK AND HELP, YOU KNOW, ALL OF ARIZONA AND, OF COURSE, THE FOLKS WHO LIVE IN CONGRESSIONAL DISTRICT TWO.

>> Ted: THE NATIONAL MONUMENT NEAR THE GRAND CANYON, SOMETHING YOU SUPPORT, CORRECT?

>> WE SUPPORT TRIBE AND PEOPLE WHO WANT TO PROTECT THEIR LAND, SECRET SITES.

LOOK AT WHAT'S HAPPENING IN ISRAEL RIGHT NOW, YOU KNOW.

ISRAEL HAS THE RIGHT TO DEFEND THEMSELVES.

UKRAINE, ALSO, HAS THE RIGHT TO DEFEND THEMSELVES AND HERE IN ARIZONA, WHAT WE WANT IS TO PROTECT THE LANDS FOR THE FUTURE OF EVERYONE, ALL AMERICANS.

>> Ted: WITH THAT IN MIND, YOUR POSSIBLE OPPONENT HERE, ELI CRANE, HE'S THE INCUMBENT AND LOOKS LIKE HE'LL BE RUNNING FOR REELECTION AND SAYS URANIUM MINING IS NEEDED FOR U.S. DEFENSE.

BANNING URANIUM MINING UP ANYWHERE NEAR THE GRAND CANYON MIGHT SOUND LIKE GOOD THINGS, BUT HE SAYS THAT MAKES US MORE DEPENDENT ON OTHER COUNTRIES FOR OUR DEFENSE.

WHAT DO YOU MAKE OF THAT?

>> WE HAVE TO REMIND OURSELVES THAT THESE URANIUM MINES THAT ARE OPEN THROUGHOUT THE SOUTHWEST -- I'M IN THE STATE IN NAVAJO NATION, THERE ARE 500 URANIUM MINES.

THE FEDERAL GOVERNMENT GAVE THE OK TO EXTRACT YOUR URANIUM.

TODAY WE HAVE HIGH RATES OF CANCER FROM THESE OPEN URANIUM MINES.

LET'S NOT FORGET THE DOWN-WINDERS.

SO, YOU KNOW, URANIUM RIGHT NOW ON TRIBAL LANDS HAS BEEN BANNED, ESPECIALLY IN THE NAVAJO NATION.

AND SO, WE ARE ADVOCATING FOR THE HELP OF ALL CITIZENS.

FOR THE RADIATION EXPOSURE COMPENSATION ACT, LOOK AT HOW MUCH FUNDING IS GOING INTO THE COMPENSATION OF THE PEOPLE THAT HAVE BEEN DEEPLY AFFECTED BY THE TESTING OF THESE NUCLEAR BOMBS.

>> Ted: WE HAVE ABOUT A MINUTE LEFT, AND THIS IS A HEAVILY REPUBLICAN DISTRICT.

THIS IS BRIGHT AND STRONG RED.

YOU'RE RUNNING AS A DEMOCRAT AND CRITIC SAY YOU DON'T HAVE A SHOT HERE.

WHAT DO YOU SAY?

>> DON'T DOWN ME OUT.

I GREW UP WITH CONSERVATIVE VALUES AND MY PARENTS WERE BOTH REPUBLICAN.

I WAS NAVAJO COUNTY BOARD OF SUPERVISOR FOR SIX YEARS.

I KNOW HOW TO WORK WITH THE FOLKS DOWN IN THE SOUTH COUNTY AND HEAVILY REPUBLICAN THERE.

YOU KNOW, WITH THOSE TYPES OF VALUES, I THINK, YOU WOULD BE ABLE TO BRING REPUBLICANS AND INDEPENDENTS AND EVEN PARTISANS OVER TO OUR TEAM AND REALLY ADDRESS AND FOCUS ON THE NEEDS OF ARIZONANS IN DISTRICT TWO AND NOT PLAY POLITICAL GAMES, NOT DIVIDE OUR PEOPLE BUT TO ADDRESS LIKE OUR VETERANS, THE NEEDS FOR OUR VETERANS, THOSE THAT ARE ACTIVE DUTY.

WE HAVE TO START PLANNING ON THE RETURN BACK TO AMERICA, TO CIVILIAN LIFE.

LET'S NOT FORGET ABOUT THE FAMILIES OF THOSE VETERANS AND ACTIVE DUTY WARRIOR.

WE HAVE TO MAKE SURE THEY HAVE THE RESOURCES TO BETTER THE QUALITY OF LIFE AND NOT JUST FOR VETERANS BUT FOR ALL OF ARIZONA.

>> Ted: JONATHAN NEZ, CANDIDATE FOR CONGRESS.

SIR, THANK YOU FOR YOUR TIME.

WE APPRECIATE IT.

>> THANK YOU, SIR.

>> Ted: A NEW FINDS ONE IN 20 ADULTS IN THE U.S.

EXPERIENCED THE KOA OCCURRENCE OF CHRONIC PAIN AND ANXIETY OR DEPRESSION RESULTING IN FUNCTIONAL LIMITATIONS IN DAILY LIFE.

HOW MUCH OF A CONNECTION IS THERE BETWEEN PAIN AND ANXIETY AND WHAT DOES RESEARCH SUGGEST IN THE WAY OF APPROVED TREATMENTS?

WE HAVE DR. JENNIFER DELAROSA FROM PAIN AND ADDICTION CENTER.

WELCOME TO ARIZONA HORIZON.

>> IT'S WONDERFUL TO BE HERE.

THANK YOU.

>> Ted: DEFINE CHRONIC PAIN.

WHAT ARE WE TALKING ABOUT HERE?

>> SURE.

THAT'S A DEFINITION THAT'S RECENTLY EVOLVING AND THE INTERNATIONAL ASSOCIATION FOR THE STUDY OF PAIN HAS DEFINED CHRONIC PAIN AS PAIN LASTING MORE THAN THREE MONTHS, VERY SIMPLE.

THIS COULD BE TIED TO A DISEASE PROCESS OR NOT, BUT IT'S PAIN LASTING MORE THAN THREE MONTHS.

>> Ted: SO IT'S MORE OF A TIME FRAME AS OPPOSED TO THE SEVERITY OF THE PAIN?

>> CORRECT.

THE SEVERITY COULD VARY.

>> Ted: THIS MAKES SENSES THAT IF YOU HAVE CHRONIC PAIN, ANXIETY AND DEPRESSION ARE RIGHT AROUND THE CORNER, DOES IT NOT?

>> IT DOES.

SCIENTISTS ARE WELL AWARE THAT THE CONNECTION BETWEEN CHRONIC PAIN AND ANXIETY IS BIOLOGICAL AND THEY RUN ON THE SAME HIGHWAY.

IT'S THE NERVOUS SYSTEM.

CLINICIANS SEE THIS IN THEIR PATIENTS EVERY DAY.

PEOPLE TREATING CHRONIC PAIN FIND PATIENTS ARE HAVING ANXIETY AND DEPRESSION IF THEY HAVE CHRONIC PAIN AND THOSE TREATING PEOPLE WITH ANXIETY AND DEPRESSION ARE MORE LIKELY TO EXPERIENCE CHRONIC PAIN.

OUR GOAL WITH THE STUDY, THE GAP WE WERE FILLING WAS TO EXAM THE NATURE AND SCALE OF THIS PROBLEM IN THE WILD, IN THE GENERAL AND ALL POPULATIONS.

NOT EVERYBODY IS A PATIENT.

AND ESPECIALLY THOSE WHO ARE HAVE LESS ACCESS TO RESOURCES, THOSE ARE THE INDIVIDUALS WE CARE MOST ABOUT AND YET, THEY'RE NOT CAPTURED IN THE CURRENT CHARACTERIZATION.

>> Ted: WHAT DID THE RESEARCH FIND AS FAR AS FOLKS IN THE WILD?

>> WE FOUND 12 MILLION U.S.

ADULTS WERE AFFECTED BY ANXIETY AND DEPRESSION.

NOT JUST AS A DIAGNOSIS BUT UNCONTROLLED.

THIS IS MODERATE TO SEVERE ANXIETY AND DEPRESSION NOT MANAGED ALONG WITH CHRONIC PAIN.

THAT'S 5% OF THE U.S. PLACE AND IT'SPOPULATION.

>> Ted: IF YOU HAVE A POPULATION THAT DEALS WITH ANXIETY AND DEPRESSION AND THERE'S A BIOLOGICAL HIGHWAY, AS YOU SAY, IS THERE A WAY TO BRIDGE THAT GAP, MEDICALLY SPEAK.

>> WE THINK SO.

THERE'S OFF-LABEL USE THAT SHOWS PROMISE WITH MEDICATIONS AND, OF COURSE, WE'RE INTERESTED IN DEVELOPING THERAPEUTICS.

THOSE OF US INVOLVED IN DRUG DEVELOPMENT, WHICH I AM NOT.

MY INTEREST IS EP EPIDEMIOLOGICAL AND WE FOUND THAT AMONG THOSE WITH ANXIETY AND DEPRESSION THAT WAS RESOLVED, MODERATE TO SEVERE, THESE INDIVIDUALS, OVER HALF OF THEM WERE EXPERIENCING CHRONIC PAIN ACROSS THE COUNTRY.

WE HAD NO -- I CERTAINLY DID NOT EXPECT IN RESULT AND IT REALLY HAS A TAKE AWAY AT A POLICY LEVEL IN MY OPINION THAT IF WE'RE SERIOUS ABOUT RESOLVING THE MENTAL HEALTH CRISIS OF ANXIETY AND DEPRESSION THAT IS OUT OF THE CONTROL AND UNTREATED, WE ALSO NEED TO CENTER THE EXPERIENCES AND THE DIFFICULTY, THE LOSS OF FUNCTION AND THE LOSS OF HOPE OF PEOPLE WHO ARE LIVING WITH CHRONIC PAIN.

CURRENTLY, I DON'T SEE A FOCUS ON CHRONIC PAIN IN THE MENTAL HEALTH CONVERSATION.

I THINK THAT NEEDS TO CHANGE.

>> Ted: INTERESTING.

EMPHASIZING, MAYBE, FUNCTION AS FAR AS TREATMENT IS CONCERN, A POSSIBILITY?

>> ABSOLUTELY.

IN MANY CASES, WE CANNOT REMIT ALL THE SYMPTOMS.

IF WE ARE CLINICIANS, WE TELL PATIENTS, LISTEN, WE CAN GET RID OF SOME OF IT AND GIVE YOU SKILLS TO COPE AND CONTINUE LIVING YOUR LIFE.

AND FOR US, IT'S NOT SAFE.

WE COULD REMIT ALL OF YOUR PAIN AND THEN YOU WOULD HAVE SUBSTANTIAL RISK FOR ADDICTION OF ALL KINDS OF DOWN-STREAM IMPACTS THAT ARE NOT SAFE AND WE'RE DOING A BALANCING ACT WITH REMITTING PAIN OR RESOLVING PAIN.

AND SO, WHAT WE'RE LEFT WITH IS A FOCUS ON FUNCTION.

CAN YOU HAVE A LIFE THAT'S MEANINGFUL TO YOU AND WHAT ARE THE THINGS MEANINGFUL TO YOU?

HOW DO YOU PRESERVE THOSE THINGS, EVEN IF WE CAN'T REMIT ALL OF YOUR PAIN?

>> Ted: IT SEEMS SOME PEOPLE CAN WORK THROUGH THIS, THAT AND THE OTHER AND OTHER PEOPLE, THE SLIGHTEST BIT OF PAIN AND THEY'RE DOWN AND OUT.

HOW DO YOU BRIDGE THAT?

>> IT'S DIFFICULT.

AND THEY'RE OFTEN, PEOPLE HAVE A BUILD-UP OF OTHER PAIN, SOCIAL PAIN.

THEY HAVE SOCIAL DISADVANTAGES OR THEY MAY HAVE HAD EXPERIENCE AS A TRAUMA EXCLUSION, DISCRIMINATION AND WE FIND THIS NOT ONLY IMPACTS THE EXPERIENCE OF PAIN BUT FUNCTIONAL RESILIENCE AS WELL.

>> Ted: YOU REFER ODD REFERRED TO THIS EARLIER, THERE'S NOT A LOT OF HARD RESEARCH ON THIS.

WHY DO YOU THINK THAT IS?

>> FOR ONE THING, RESEARCH IS LIKE ASTRONOMY, YOU HAVE TO WAIT FOR THINGS TO LINE UP PROPERLY.

FOR US, WE SAW THE OPPORTUNITY FOR THE NATIONAL HEALTH SURVEY, WHICH IS A FANTASTIC SURVEY.

IT'S A SURVEY WE USE TO ESTABLISH OUR PROGRESS AS A NATION TOWARD HEALTH OBJECTIVE.

WE FOUND THAT ONE YEAR, THEY USED CHRONIC PAIN AS A MODULE.

AT THE SAME TIME IN THE SAME DATA SET, A WONDERFUL DISCOVERY, THEY HAD SCREENERS FOR ANXIETY AND DEPRESSION.

MANY WHOM ARE INTERESTED IN THIS TOPIC TOOK THE OPPORTUNITY AND RAN WITH IT.

>> Ted: GREAT RESEARCH ON THIS AND IT SOUNDS LIKE SOMETHING WE'LL LEARN A LOT MORE AS THE RESEARCH AND STUDY GOES ON.

JENNIFER, UA HEALTH SCIENCES, THANK YOU FOR COMING UP FROM TUCSON TO TALK TO US ABOUT CHRONIC PAIN AND ANXIETY AND DEPRESSION.

CONTINUED GOOD WORK AND THANK YOU TO MUCH.

>> MY PLEASURE.

>> Ted: THAT'S IT FOR NOW.

I'M TED SIMONS AND THANK YOU SO MUCH FOR JOINING US.

YOU HAVE A GREAT EVENING!