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The three Republican candidates vying to take on Democratic Rep. Annie Kuster this fall clashed over immigration and abortion Monday night during the New Hampshire Journal debate at Saint Anselm’s New Hampshire Institute for Politics. 

Bob Burns, the “pro-Trump” candidate from Pembroke, spent most of the night on offense. He attacked his opponents, Weare’s Lily Tang Williams and Keene Mayor George Hansel, over their stances on illegal immigration. 

Burns accused Tang Williams of supporting a path to citizenship for illegal immigrants and called out “Woke George’s sanctuary city, Keene.”

“So, you’re lying again, Bob, as usual,” Hansel responded. “Keene is not a sanctuary city.”

Hansel said Keene’s police chief assured him the department will cooperate with federal agents when enforcing immigration laws, as opposed to the policies in actual sanctuary cities where police do not assist federal immigration agents.

Tang Williams also accused Burns of lying about her record. She supports a pathway to citizenship for people who qualify for the DACA program, those brought to the U.S. illegally when they were children and who were raised in America. However, she said she does not support a pathway for people who came illegally as adults.

“Bob’s campaign has been attacking me from the very beginning,” Tang Williams said. “Who needs Democrats when you have Republicans attacking you?”

They also differ on abortion considering the U.S. Supreme Court’s decision in the Dobbs case. Burns said if elected he will push for a federal heartbeat bill that would limit abortions nationally.

“Instead of codifying Roe v. Wade, we should be codifying life,” Burns said.

Tang Williams supports the recent Supreme Court ruling to send the question of abortion back to the states, allowing local voters to make their own decision. Tang Williams does not support any new federal law regulating or banning abortion, saying the matter needs to be left to the people in each state.

“It should always belong to the states to let local people decide it,” she said.

Hansel, who is pro-choice, agrees with the Dobbs ruling, saying it allows states to craft laws that make sense for their own people. He does not support any federal law regarding abortion.

“This is an issue that is firmly with the states, which is where it belongs,” Hansel said. “This is a contentious issue, and the decisions belong as close to the people as possible.”

Hansel said voters are very concerned about record levels of inflation and soaring energy prices, issues where President Joe Biden’s administration has failed and they are not up for fighting more culture war battles.

“It’s all about inflation, it’s all about the higher costs that people are paying here in New Hampshire because of Joe Biden and Ann Kuster’s reckless Washington agenda,” Hansel said.

Both Tang Williams and Burns sent out press releases Monday night claiming victory in the debate.

The full debate, hosted by NH Journal, is available for streaming online at NH Journal’s Facebook page.

New Hampshire’s elected officials responded with anger and outrage to the news of the U.S. Supreme Court’s ruling overturning the 50-year-old Roe v. Wade decision, sending the regulation of abortion back to the states and the people. New Hampshire Democrats promised to fight. 

“I am angry and heartbroken by today’s Supreme Court decision. We knew this was coming, but it doesn’t make it any easier. Elections have consequences, and I will never stop fighting for access to abortion and a woman’s right to choose,” Sen. Jeanne Shaheen said on Twitter.

Sen. Maggie Hassan called the ruling a “radical” decision.

“The Supreme Court’s radical decision to take away a woman’s freedom – her right to bodily autonomy – has pulled us back decades,” Hassan said. “Abortion is a fundamental right. I won’t let this be the final word on our freedom, and I will keep fighting.”

U.S. Rep. Annie Kuster (D) said the conservative majority on the Supreme Court will go further unless Democrats win elections.

“Make no mistake – they are coming for contraception. They are coming for same-sex marriage. Elections matter. Vote,” she tweeted.

Alito’s majority opinion explicitly confronts that particular argument, saying, “Rights regarding contraception and same-sex relationships are inherently different from the right to abortion because the latter (as we have stressed) uniquely involves what Roe and Casey termed ‘potential life.'” However, Justice Clarence Thomas, in a lone concurring opinion, suggested any cases resolved based on “substantive due process precedents” — which includes cases involving birth control and same-sex marriage — should be “reconsidered.”

Governor Chris Sununu released a statement repeating the fact that New Hampshire’s law isn’t impacted in any way by this ruling. “Regardless of this Supreme Court decision, access to these services will continue to remain safe, accessible, and legal in New Hampshire,” Sununu said.

Nevertheless, U.S. Rep. Chris Pappas, D-Manchester, still claimed the Supreme Court’s ruling impacted women in the Granite State.

“This decision is a devastating blow against the health, well-being, and personal freedom of women in New Hampshire and all across our country,” Pappas said.

And state legislators like Senate Minority Leader Donna Soucy (D-Manchester) went so far as to “implore” Sununu  “to call the Legislature back in for a special session to enshrine the right to safe, legal abortion care here in New Hampshire.” She did not explain how the court’s ruling affected abortions in the state.

State Sen. Tom Sherman, D-Rye, who is running to unseat Sununu, said he would fight to ensure women continue to have the right to abortion in New Hampshire.

“I trust women to make their own medical decisions, & I will fight to codify into N.H. law the right to a safe and legal abortion,” Sherman tweeted. “Access to safe abortions & contraceptives have allowed women to grow their careers and make choices that are right for them & their families.”

All four members of the state’s federal delegation support the Women’s Health Protection Act, which, if passed, would force states to allow abortions without restriction through all nine months of pregnancy.

Dartmouth Health, the state’s largest healthcare provider, issued a statement on Friday affirming it would continue to provide abortion.

“Dartmouth Health is unwavering in its belief in the sanctity of the patient-physician relationship to make the best-informed decisions for patients to reflect their needs and healthcare priorities,” the statement read. “We also strongly believe that abortion is an essential component of healthcare. Like all medical matters, decisions regarding abortion should be made by patients in consultation with their healthcare providers.”

While Democrats in New Hampshire and national were blaming Republicans for the decision, Kristen Day, Executive Director of Democrats for Life, pointed out that the party’s extremist stance on abortion likely cost it the support needed to protect Roe.

“Abortion activists are responsible for the Roe being overturned. They overstepped by celebrating abortion and advocating for it for up to 9 months. The Democratic Party embraced these extremists leading to Republican majorities all over the country,” Day wrote on Twitter.

New Hampshire Republicans offered muted praise for the ruling, emphasizing the court’s decision moves the issue back to the states.

“I’m proud of my pro-life record in the New Hampshire State Senate,” said Senate President Chuck Morse (R-Salem), a candidate for U.S. Senate. “Last year we settled the law in New Hampshire that permits abortions in the first six months while banning late-term and partial-birth abortions in the last 12 weeks of a pregnancy – a policy that the vast majority of Granite Staters support. This decision has no impact on New Hampshire. I strongly believe that the states should have the right to govern policy in their respective states as the Supreme Court has ruled,” Morse said.

Retired Gen. Don Bolduc, who is also running in the GOP U.S. Senate primary, applauded the court’s decision as well.

“As a pro-life candidate, I believe the Supreme Court made the right decision. After the death and destruction I’ve seen across war-torn places in Afghanistan and Africa, I believe all life should be protected,” Bolduc said. “We must understand that this opinion does not outlaw abortion. It returns the decision to the individual states to make the decision they think is best for their citizens. Here in New Hampshire, our state has already passed our own laws well before this Court decision. That is precisely how the Founding Fathers intended our Constitutional Republic to function.”

Kevin Smith, R-Londonderry, another GOP U.S. Senate candidate, said state legislatures are the appropriate place to make decisions about abortion laws.

“I support returning the matter to the state legislatures, so the people in each of those states have a say in determining when it is appropriate to put reasonable restrictions in place, such as New Hampshire has done on late-term abortions,” he said.

In the GOP primary for the First Congressional District, several candidates were quick to give credit for the ruling to former President Donald Trump.

“I applaud the Supreme Court’s righteous decision to overturn Roe v. Wade. Today, life wins, and the rule of law has prevailed. God Bless the Justices, and thank you President Trump!” said Karoline Leavitt, who is hoping to challenge Pappas in November.

Rep. Tim Baxter (R-Seabrook), another candidate in the crowded First District field, also thanked Trump, and said more work needs to be done.

“We need proven conservative leaders in Congress who will stand up against the radical abortionists’ attempts to codify abortion into federal law, and I look forward to defending the lives of the unborn once I’m elected to Congress,” he wrote.

Cornerstone Action, which has promoted pro-life legislation, issued a statement predicting violence against pro-life groups as a result of the decision.

“We expect today’s news will hasten political polarization around the country and inflame a hateful totalitarianism which threatens America’s constitutional order. We must also focus—more than ever—on the physical safety of pregnancy care centers and churches and, ultimately, on protecting the separation of powers and the rule of law,” Cornerstone said.

The Sununu administration appeared to take those concerns seriously.

Friday afternoon, New Hampshire’s Homeland Security and Emergency Management Division issued a state-wide alert after activists were gathering to protest the decision at several locations throughout the state.

“The State Emergency Operations Center has been partially activated as of 4:00 PM on Friday, 6/24/22 to monitor multiple events taking place across the state in response to a Supreme Court decision.”

Gov. Chris Sununu made an unannounced stop at Mayor George Hansel’s campaign kickoff event Tuesday in Keene to back the GOP mayor’s bid for Congress in the Second District. 

“George Hansel is the first congressional candidate I’m endorsing,” Sununu pointed out. “I’m behind George 100 percent. His record of public service, the fact that he’s a businessman, and you’ve never seen someone better at constituent service. He really is just phenomenal at getting at the touchpoint, and that’s exactly what people want out of Washington D.C.,” Sununu said.

Hansel’s electoral success as a Republican in one of the Granite State’s most liberal cities has surprised many and has marked him as a rising star in the party. State GOP insiders have been speculating for weeks that he might enter the race, particularly after Sununu favorite Jeff Cozzens dropped out in April.

Hansel said he’s running on his record of fiscal responsibility in the face of growing economic uncertainty and crippling inflation that is hurting New Hampshire families.

“Inflation is really starting to erode our quality of life. I can’t stand by while Granite State families continue to fall behind through no fault of their own,” Hansel said. “Gas prices are surging, groceries are going up, our retirement savings are going down. Reckless federal spending has been bailing out big urban centers and it’s been raising costs for the rest of us.”

Hansel’s team sees an opportunity to unseat Rep. Annie Kuster, D-Hopkinton, the five-term incumbent they say has been AWOL during much of the current economic crisis. The campaign feels it has a real opportunity to win, especially given the support from Sununu.

Hansel said New Hampshire families are dealing with Washington’s inaction and economic malpractice.

“This winter, I can’t even imagine, families are going to be sitting around their kitchen tables and they’re gonna be opening the heating bills and figuring out how to get by,” he said. “They are going to have to make heartbreaking decisions between investing in the future of their children and just heating their homes.”

Hansel, an executive at the family business Filtrine Manufacturing in Keene, still needs to convince GOP primary voters he’s the best choice to take out Kuster and he’s got a big hurdle: winning a Republican primary in the era of Trump.

“I’m the only conservative running,” said Bob Burns of Pembroke, an outspoken Trump supporter who is running in the Second District GOP primary along with another far-right Republican, Lily Tang Williams.

Burns has not wasted any time going after Hansel, tweeting Tuesday, “I’d like to welcome woke BLM activist and mask mandater @GeorgeHansel to the #nh02 Republican primary race!”

Burns says Hansel is to his left on abortion, and he criticizes the mayor for attending a Black Lives Matter rally in Keene and supporting a mask mandate. He said Hansel is just like Kuster when it comes to welcoming federal dollars for projects in Keene.

While Hansel did attend a Black Lives Matter rally in the summer of 2020 during the unrest following the murder of George Floyd, he has maintained he was there to talk to protestors and learn their concerns. He was at the rally with Cheshire City Sheriff Eli Rivera and Keene police officials.

Keene’s mask mandate ended in February when Hansel voted to break the tie. As mayor, Hansel can only vote to break ties under the city charter. Hansel says that while he supported people wearing masks if they choose, he thought the city-imposed mandate was too divisive.

Political analysts say the race is shaping up as a classic case of party purity vs. winnability. The district has tilted more to the left than the state as a whole for years. Even when it did elect Republicans, they were moderates like Charlie Bass and Judd Gregg. The Granite State GOP base remains solidly conservative and supportive of President Donald Trump, polls show.

Burns rejects the argument that he is too conservative to win in November. (Tang Williams did not respond to requests for comment). “Annie is barely in the district,” Burns said, a complaint often heard from Granite Staters on both sides of the aisle.

Kuster’s team did not respond to a request for comment.

Hansel’s team sees his opportunity as running as a “George Hansel Republican,” who focuses on the issues important to the voters. As for “energizing the base,” Hansel supporters note the most popular Republican in the state was at his event to endorse him: Chris Sununu.

Sununu thinks Hansel has a good shot.

“The polls say it all, 53 percent of people in this district want someone else to have a chance at Congress and George is the one to do it,” Sununu said.

Keene Mayor George Hansel has yet to announce his candidacy in New Hampshire’s Second Congressional District race, and he has already been targeted by a political dirty trick.

The Keene Sentinel ran a story on Sunday declaring, “Keene Mayor George Hansel announces run for Congress.” It was based on “a tweet from his new campaign account.” The paper did not speak to Hansel.

Less than 24 hours later, the Sentinel pulled the report and posted a correction: “A story written by The Sentinel and posted on our website Sunday evening claiming that Keene Mayor George Hansel would be running for the N.H. Congressional District 2 seat, currently held by longtime Democratic U.S. Rep. Annie Kuster, has been removed.”

The account, @Hansel4Congress, became active in just the past few days and it followed news outlets like NHJournal. Its few posts featured anti-Trump and pro-abortion messages likely to hurt a candidate’s efforts in a Republican primary, a sign that it was a political dirty trick. Sources familiar with the account tell NHJournal it was created by a Republican who opposes a Hansel candidacy.

On Monday, the account had been suspended by Twitter.

Hansel’s actual Twitter account had no mention of a potential congressional bid as of Monday afternoon. However, the Federal Election Commission reports the “George Hansel for Congress” committee was formally created on Friday, May 27. The treasurer is listed as David Hansel.

Republican insiders have been buzzing for weeks about the possibility Hansel might challenge Democrat Kuster, particularly since businessman Jeff Cozzens dropped out of the GOP primary in April. With polls showing President Joe Biden’s approval rating below 40 percent — and Kuster not doing much better — Republicans believe a 2022 wave could be big enough to bring down the five-term incumbent, despite her $2.4 million war chest.

After the GOP’s surprising successes in the 2021 election cycle, the National Republican Congressional Committee put Kuster on its expanded target list.

Hansel did not respond to multiple requests for comment about the FEC filing. He was first elected mayor of Keene in 2019 and had easy re-election in November, facing no serious challengers. Before becoming mayor of the left-leaning college community, Hansel was a two-term city councilor. He is currently vice president and manager of innovation/engineering and Keene’s Filtrine Manufacturing Company, a business founded by his uncle, Peter Hansel.

Because the lines of New Hampshire’s new congressional districts have yet to be finalized for November’s election, political analysts at organizations like the Cook Political Report have not released their view of the Second District’s midterm prospects. No Republican presidential candidate has won in the district this century, and the last Republican to represent the district was Rep. Charlie Bass, who won in the 2010 red wave midterm.

Hansel positioned himself as fiscally responsible in his first term as mayor. He pushed for an economic development action plan for the city and the creation of a home weatherization/renovation program for Keene’s eastside homes through a public/private partnership, according to his campaign. He also lobbied for the adoption of RSA 79E that allows Keene businesses to take advantage of New Hampshire’s development incentives.

He has also supported the Black Lives Matter movement and maintained a local mask mandate after the state order expired — positions likely to be problematic in a GOP primary.

Already in the race are Bob Burns and Lily Tang Williams.

The Keene man arrested after he took selfies inside the U.S. Capitol Building during the January 6 riots is headed to jail, in part because his current run for Congress shows a lack of remorse, according to prosecutors.

Jason Riddle, 34, pleaded guilty last year to one count of theft of government property, and one count of illegal parading in a government building. The charges stem from his actions during the riot on Capitol Hill following a Trump rally.

Riddle is currently seeking the GOP nomination in the 2nd Congressional District.

His defense attorney wanted Riddle to be sentenced to 30 months of probation rather than prison time. Prosecutors told United States District Court Judge Dabney Fredrich the outspoken Riddle deserves jail time as he appears to be attempting to use the notoriety he gained from his illegal actions to further his political career.

Attorney George Eliopolous wrote in the government’s sentencing memo that Riddle has displayed a total lack of remorse.

“He has given two news interviews, one was months after his arrest in this case, in which he specifically stated that he did not regret his involvement in the January 6 riot and that he expected to benefit from it and the resulting criminal case when he runs for public office,” Eliopolous wrote.

During one of those television interviews, Riddle said he was happy to get the attention that the criminal case brought. 

“In the long run, if you’re running for office, any attention is good attention,” he told an NBC interviewer.

In the same interview, Riddle appeared unaware that Rep. Annie Kuster is a member of Congress. He indicated he thought she was a state representative who worked at the State House in Concord. 

Riddle has run unsuccessfully for office in Cheshire County since moving to New Hampshire with his husband. He was separated from the United States Navy in 2011 due to alcohol abuse, according to court documents.

Eliopolous also argued that Riddle deserves jail time for destroying evidence after learning FBI agents had begun an investigation. He allegedly deleted photos and videos from his phone — some of the same photos and videos he had already shared with the media. 

Riddle supplied reporters with video and photos he took inside the building, including numerous images of himself. Many of the photos of Riddle are included in FBI Special Agent Kevin Helson’s affidavit.

Helson writes that FBI agents interviewed Riddle in Keene on Jan. 22 when executing a search warrant to obtain digital photos and video. During that interview, Riddle admitted to going in as part of a “break in” led by a “big dude.”

“Riddle also admitted that he stole a small Fox News football from the same office, but tossed it aside as he exited the Capitol building,” Helson wrote.

Riddle told the agents that before they arrived he had tried to delete photos from his phone. 

“Riddle also admitted that at some point after the Capitol incident, he had deleted some messages, photos, and videos of his D.C. trip from his phone, during what he termed a ‘delete frenzy,’” Helson wrote.

Fredrich sided with prosecutors and sentenced Riddle to 90 days in jail, three years of supervised probation, and more than $750 in fines and restitution. Staying true to form, Riddle made light of the sentence soon after it was handed down on Monday.

“3 months in jail for 14 minutes of the most beautiful patriotic event in history. Works for me,” Riddle posted on Facebook.

Riddle is being allowed to surrender to authorities at a later date to begin serving his sentence.

Riddle took a photo of himself drinking from a bottle of wine he stole inside the building, a photo that he shared with multiple media outlets. He also stole a copy of the Senate Procedure manual and sold the book on eBay, according to court documents.

President Joe Biden came to New Hampshire Tuesday to hit the “local money” message hard: The infrastructure bill means big bucks for Granite State projects.

“Folks, it’s not hyperbole to say your delegation is laser-focused on your needs — the people of New Hampshire,” Biden said Tuesday at the bridge in Woodstock. “The concerns that are discussed around your kitchen tables. This isn’t esoteric. It’s about what happens to ordinary people.”

Ordinary people who drive electric vehicles.

According to a White House press handout for Biden’s trip to Woodstock, N.H., “Under the Infrastructure Investment and Jobs Act, New Hampshire would expect to receive $17 million over five years to support the expansion of an EV charging network in the state. New Hampshire will also have the opportunity to apply for the $2.5 billion in grant funding dedicated to EV charging in the bill.”

It’s part of the “$7.5 billion to build out the first-ever national network of EV chargers in the United States.”

Spending $17 million on EV charging stations in New Hampshire is an interesting investment of tax money given that, statistically speaking, there aren’t any EVs in New Hampshire. According to vehicle registration data, as of the end of 2020, there were just 2,690 EVs in the entire state.

Taxpayers will be spending $6,319.70 per EV in the Granite State. If the state somehow gets that $2.5 billion in grant funding, it would be more than $833,000 per electric car.

And that’s on top of the general tax subsidies people who buy EVs already get. The federal electric vehicle tax credit program gives up to $7,500 in taxpayer dollars for qualifying purchases. Households earning more than $100,000 collect about 80 percent of those EV kickbacks.

Not that there are a lot of EVs nationwide, either.

Of the more than 276 million vehicles registered in the United States, fewer than 1.5 million are plug-in electric vehicles and another 5.4 million are hybrid electric. That’s less than 2 percent of the registered vehicles on the road, and nearly half of all electric vehicles in the country are in California alone.

In fact, in 2017 more EVs were sold in California than all other states combined.

The EV money is also another example of New Hampshire getting less funding from the infrastructure bill than its neighbors in Vermont. Despite having less than half the Granite State’s population, Vermont will receive $21 million for its EV charging network, or $9,417 per electric vehicle.

All four members of the New Hampshire delegation voted for the $7.5 billion as part of the bipartisan infrastructure bill. Rep. Annie Kuster has pushed to get even more EV charging money in the social programs/green energy reconciliation budget bill.

“Folks, when you see these projects starting in your hometown, I want you to feel what I feel: Pride,” Biden said as he stood on the Green Bridge in Woodstock.

It’s unlikely more than a handful of EVs have ever driven across that span.

People with anxiety and depression are disproportionately prescribed painkillers. That’s what new research from the Dartmouth-Hitchcock Medical Center suggests, adding a complex layer to the opioid epidemic ravaging the United States and encouraging calls from New Hampshire’s congressional delegation to not move forward with the repeal of the Affordable Care Act.

The findings, which appear in the July issue of the Journal of the American Board of Family Medicine, show that nearly 19 percent of the 38.6 million American adults with mental health disorders use prescription opioids compared to only 5 percent of those without a disorder. Adults with depression and anxiety receive 51 percent of the 115 million opioid prescriptions distributed each year in the U.S., the study found.

“Because of the vulnerable nature of patients with mental illness, such as their susceptibility for opioid dependency and abuse, this finding warrants urgent attention to determine if the risks associated with such prescribing are balanced with therapeutic benefits,” said Brian Sites, an anesthesiologist at Dartmouth-Hitchcock and one of the co-authors of the study.

Image Credit: Dartmouth-Hitchcock

Opioid prescribing in the U.S. quadrupled between 1999 and 2015, and during that time more than 183,000 people died from overdoses related to prescription opioids, according to the Centers for Disease Control and Prevention.

Sites also notes that because pain is subjective, “the presence of mental illness may influence the complex dynamic between patient, provider, and health system that results in the decision to write an opioid prescription.”

The study does not give a specific reason why people with mental disorders are more frequently prescribed opiates. The study encourages more research on this population to understand opiate addiction.

Those patients may have some form of physical pain, but their mental condition may cause them to feel that pain more acutely or be less able to cope with it, leading to increased requests for something to dull the pain. As a result, doctors trying to be empathetic to their patients’ complaints may tend to overprescribe opioid painkillers, Stiles said.

Research also shows that patients are more likely to take opioids when there aren’t specialists nearby. A study published earlier this year found that the number of seniors in rural America who take at least three prescribed psychotropic drugs ― including opioids and antidepressants ― tripled over a nine-year period. The study found that many of these prescriptions were given without a proper diagnosis.

Being able to identify a subset of the population that could be more likely to use opioids could help providers and policymakers address opioid use. It “suggests that there may be additional patient- and provider-related factors specific to those with mental illness that increase the likelihood of receiving prescription opioids,” the authors wrote.

U.S. Rep. Annie Kuster, D-N.H., was present for a press conference about the study on Monday. She said repealing Obamacare could be disastrous for New Hampshire’s opioid epidemic.

“This is critically important in New Hampshire, as we have gone from second in the nation in deaths from the opioid crisis and heroin to first for fentanyl,” she said. “That’s not what we want to be known as first in the nation for.”

The U.S. Congress is currently in a heated healthcare battle. The Senate is working on legislation to repeal the healthcare law, but a vote on the bill has been delayed due to opposition from Republicans. New Hampshire Democratic Sens. Jeanne Shaheen and Maggie Hassan have both stated their opposition to the healthcare overhaul and have sent many press releases condemning “Trumpcare.”

“This new study is yet another reminder that, to combat the devastating opioid crisis, we must make mental health treatment affordable and accessible,” Shaheen said in a statement.

Hassan said she opposes proposed cuts to Medicaid that would affect coverage of mental health and substance abuse services.

“As we work to combat the horrific substance misuse crisis that is devastating our communities and taking a major toll on our economy in New Hampshire, this study highlights how dangerous Trumpcare, which includes massive cuts to Medicaid, would be for our state,” Hassan said in a statement. “We need a comprehensive, holistic approach to combating this epidemic that addresses the underlying causes of addiction, including mental health issues.”

To address the overprescription problem within the mental health community, Sites has suggested physicians need more access to alternative medicine besides opioids, including acupuncture, massage therapy, physical therapy, and non-opioid pharmaceuticals.

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It’s a well-known figure that New Hampshire has the second-highest per capita drug overdose deaths in the United States, right behind West Virginia. The state also has the highest rate of fentanyl-related overdose deaths per capita, leading researchers, health care providers, first responders, and lawmakers to wonder what about the Granite State makes it one of the most ravaged by the drug epidemic.

That was the subject of a forum at Dartmouth College last month, which included Dr. Nora Volkow, director of the National Institute on Drug Abuse (NIDA) at the National Institutes of Health; Lisa Marsch, director of the Dartmouth Center for Technology and Behavioral Health (CTBH); and U.S. Rep. Annie Kuster, D-N.H.

“Not only did we want to bring together a broad group of stakeholders about the crisis in our communities, but we also wanted to have a discussion about the response to the crisis,” Marsch told NH Journal. “Why New Hampshire? What’s going on in New Hampshire that’s distinct and giving rise to it?”

To find out why the rate of opioid overdoses increased by nearly 1,600 percent from 2010 to 2015, the New Hampshire Fentanyl “HotSpot” Study was funded by the NIDA. The rapid epidemiological study focuses on the increase of overdoses from fentanyl, a drug that is 50 to 100 times more potent than heroin and often is mixed with heroin. In Phase I of the study, researchers spoke with medical responders, law enforcement officers, state authorities, and policymakers.

The study was conducted by the CTBH, in collaboration with the National Drug Early Warning System, and funded by the NIDA.

Marsch said they quickly realized that they needed to speak with opioid users to better understand the trajectory of fentanyl use, the tracking of the drug, and fentanyl-seeking behavior in order to effectively inform policy and community response.

Phase II was then commissioned to do just that. March’s team interviewed 76 opioid users, 18 first responders, and 18 emergency department clinical staff from six counties in New Hampshire during October 2016 to March 2017. The results of the study are not publicly available yet, but Marsch presented key findings at the forum.

The report found that the recent increase in the availability of fentanyl is because it is less expensive and quicker to take effect than heroin. However, the high doesn’t last as long and requires users to use more often, increasing the risk of overdose.

About 90 percent of the drug users interviewed for the study indicated they actively sought out drugs that would cause overdoses.

“We want whatever is strongest and the cheapest. It’s sick,” one respondent said. “I now me using, when I hear of an overdose, I want it because I don’t want to buy bad stuff. I want the good stuff that’s going to almost kill me.”

Marsch said the study allowed researchers to analyze “a whole array of factors that set up the perfect storm” for New Hampshire to be one of the hardest hit states by the opioid crisis. She said the Granite State consistently rates in the top 10 states with the highest drug use rates and opioid prescribing by doctors exceeds national averages.

New Hampshire is also in close proximity to a supply chain for the fentanyl drug in Massachusetts.

According to the U.S. Drug Enforcement Administration’s 2014 National Drug Threat Assessment Summary, most heroin supplies in the New England region are brought in from New York along the vast interstate highway system, naming I-95 and I-93 as the major routes for New Hampshire’s heroin traffickin. The report also named Lawrence, Mass. as a main distribution center for northern New England states.

The New Hampshire “HotSpot” Study pointed to these other factors contributing to the heroin and fentanyl crisis in the Granite State:

• Treatment admission rates per capita are lower than both the national average and all other New England states
• N.H. has the lowest per capita spending on treatment in all of New England and it’s the 2nd lowest in the nation
• The state has the lowest rate of Suboxone, a medication used to treat opioid addiction, providers per capita in all of New England
• Public health funding per resident is lower than the national average and surrounding states
• N.H. is the only state in the Northeast with no needle exchange program (The legislature recently passed a bill legalizing the programs and Gov. Chris Sununu said he would sign it.)
• The state’s rural setting keeps people in tightly knit social networks and has limited access of “things to do.”

“The economic factors, the rural nature, the politics, lack of resources, and the close proximity to the source of these drugs has created a really bad scenario for the state,” Marsch said.

In order to curb the alarming trend of opioid overdose deaths in the Granite State, the researchers suggested the state increase public health resources for substance use prevention and treatment, expand prevention programs in elementary and middle schools, assist physicians with understanding opioid prescribing, and collaborate with Massachusetts on addressing the manufacturing and trafficking of fentanyl and other opioids.

At the forum, Kuster, who co-chairs the House Bipartisan Task Force to Combat the Heroin Epidemic, said she was confident that Granite Staters’ “certain blend of tenacity and creativity” will help find solutions to this epidemic. Officials point to the Safe Station program, which allows anyone who is struggling with drug addiction to go to fire stations in the state to connect with recovery resources, as a New Hampshire solution to the drug epidemic.

Yet, Kuster was worried that it would be difficult to get more funding and resources under President Donald Trump’s leadership.

“We cannot get this job done without Medicaid expansion. I’m concerned about cuts for mental health and behavioral health services,” she said. “If they’re [Republicans] going to walk the walk, as they have talked about opioid addiction, they’ve got to fund the programs that will bring the services to our communities.”

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As with the rest of the country, it appears New Hampshire is pretty divided on the Paris Climate Agreement. At the state level, Republicans are applauding President Donald Trump’s decision to pull the United States out of the global climate pact, while Democrats are hoping to use the issue as political ammo in next year’s elections. At the local level, a couple cities, colleges, and universities are figuring out how they can commit themselves to reducing carbon emissions to show the rest of the world that not everyone agrees with Trump.

That division was very apparent Thursday during one of the last full House sessions of the year. Several House Republicans staged a walkout after Rep. Lee Walker Oxenham, D-Plainfield, was granted the right to speak on the House floor about Republican Gov. Chris Sununu’s decision not to join the U.S. Climate Alliance, a group of 12 states and Puerto Rico that are committed to upholding the Paris climate deal.

NH Reps narrowly ok member to speak on Climate Change. GOP choose to walk out. Forced to return. pic.twitter.com/uhO10aNfX7

— Raymond Gagnon (@gagnon03743) June 8, 2017

The representatives that walked out were forced to return to their seats because House Speaker Shawn Jasper needed quorum in order finish the day’s business. In her speech, Oxenham mentioned Trump’s withdrawal from the Paris climate accord and Republicans let out a cheer. The New Hampshire Democratic Party was quick to criticize Republican members for their actions.

“Rather than hear their colleague on a key issue, Republicans decided to continue to plug their ears in ignorance on climate change,” said Ray Buckley, NHDP chairman, in a statement. “In doing so, they are standing with Governor Sununu and President Trump against the rest of the world. This Republican walkout is symbolic of their willful ignorance on basic science.”

Sununu stated last week that he “stands by” Trump’s decision to leave the Paris Climate Agreement and he said Monday that New Hampshire would not join the U.S. Climate Alliance.

“Not at this time, especially when we do not yet know its impact on our economy and environment,” he told the Concord Monitor.

That drew criticism from U.S. Sens. Maggie Hassan and Jeanne Shaheen, and U.S. Reps. Carol Shea-Porter and Annie Kuster — all four members of New Hampshire’s Democratic congressional delegation — who wrote a Wednesday letter to Sununu encouraging him to change his mind.

“Governor, we write in support of New Hampshire joining the U.S. Climate Alliance. It is vital that the Granite State continues to be a leader on climate change and clean energy,” they wrote. “Just as the United States’ withdrawal from the Paris Climate Accord cedes American global leadership, New Hampshire’s refusal to acknowledge the clear consensus on climate science will similarly damage our state’s reputation.”

New Hampshire already participates in a regional cap-and-trade pact with nine other states in the Northeast that works to reduce carbon emissions. Under the Regional Greenhouse Gas Initiative, fossil fuel power plants have to buy allowances for every ton of carbon dioxide they emit. Sununu has previously indicated he would be support withdrawing from RGGI, but only if other states also did it.

While lawmakers battle it out at the State House on climate change, several cities and universities in New Hampshire are reaffirming their commitment to reducing greenhouse gas emissions.

A national movement called “We Are Still In” has gained steam since Trump made his announcement last week. As of Monday, a total of 1,219 governors, mayors, businesses, investors, and colleges and universities across the country declared their intent to ensure the United States remains a global leader in the effort to combat climate change.

“In the absence of leadership from Washington, states, cities, colleges and universities, businesses and investors, representing a sizable percentage of the U.S. economy will pursue ambitious climate goals, working together to take forceful action and to ensure that the U.S. remains a global leader in reducing emissions,” the statement reads.

While no Granite State cities have signed on to that specific statement, two colleges have joined the cause — the University of New Hampshire and Southern New Hampshire University.

In a separate statement from the Mayors National Climate Action Agenda, 274 mayors committed to adopt, honor, and uphold the Paris Climate Agreement goals.

“We will continue to lead. We are increasing investments in renewable energy and energy efficiency. We will buy and create more demand for electric cars and trucks,” the statement reads. “We will increase our efforts to cut greenhouse gas emissions, create a clean energy economy, and stand for environmental justice

Nashua Mayor Jim Donchess and Portsmouth Mayor Jack Blalock have signed on to that statement, but not the one from “We Are Still In.”

In other communities in the Granite State, Durham officials held a Tuesday forum about the feasibility of scaling down the targets of the Paris agreement to a municipal level. The town of Hanover also voted in May to establish a goal of transitioning to 100 percent clean and renewable energy by 2050.

Dartmouth College President Phil Hanlon didn’t sign on to the “We Are Still In” statement, but he signed onto a similar letter with the presidents of 11 other leading research universities. That letter commits the universities to transition to low-carbon energy and enhance sustainability practices on their campuses.

In the letter released Monday, the presidents “reaffirm that commitment, which is consistent with the Paris Agreement and recognizes the concerted action that is needed at every level to slow, and ultimately prevent, the rise in the global average temperature and to facilitate the transition to a clean energy economy. Universities have a critical role to play in reducing our own greenhouse gas emissions, continuing to advance evidence-based understanding of the causes and effects of climate change on the environment, the economy and public health, and developing solutions.”

The other signatories include all the Ivy League institutions, except Princeton University, and also Duke University, Johns Hopkins University, Massachusetts Institute of Technology, and Stanford University.

Earlier this year, Dartmouth announced it would reduce greenhouse gas emissions from campus operations by 50 percent by 2025 and by 80 percent by 2050. They also pledged to transition their campus to renewable resources by 2025.

In its announcement, Dartmouth admitted that it had fallen behind some of its peer institutions on a number of sustainability fronts.

“Although Dartmouth has substantially reduced campus energy use and made other significant advances over the last decade, we lag our peer institutions with respect to commitments, actions, and reporting in the sustainability domain,” the college released in its sustainability report. “Our report recommends principles, standards, and commitments in the areas of energy, waste and materials, water, food, transportation, and landscape and ecology.”

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As the New Hampshire Legislature wraps up its session this month, the rest of the year will see more election activity — specifically, with Republicans who want to run for the U.S. House of Representatives. It’s expected that Democratic U.S. Rep. Carol Shea-Porter in the 1st Congressional District and U.S. Rep. Annie Kuster in the 2nd Congressional District will seek reelection, leaving the field wide open for the GOP to try to defeat them.

Eddie Edwards, former law enforcement professional and chief of N.H. Liquor Commission’s enforcement and licensing division, is the only declared candidate in either district to say he is running for Congress. He announced his candidacy for the 1st District U.S. House seat in April. He said Shea-Porter is “outside of the mainstream of New Hampshire politics.”

The 1st Congressional District seat has always been a competitive race. Since 2010, the seat has flipped back and forth in every election between Shea-Porter and former Republican U.S. Rep. Frank Guinta. Guinta has kept a low public profile since his defeat in 2016, so it’s increasingly unlikely that he would run against Shea-Porter again for an unprecedented fifth matchup. The 1st District also voted for President Donald Trump in the presidential election, yet political analysts have indicated that Shea-Porter holds an advantage in the district, moving the 2018 race from “toss up” to “tilt Democratic.”

Eddie Edwards at Laconia Harley-Davidson (Photo Credit: Edwards for New Hampshire Facebook page)

Edwards said that during the campaign he will be “traveling throughout the district, listening to voters, and offering my vision for positive solutions to bring new jobs to New Hampshire, cut taxes and reduce the size of government, strengthen national security and provide for our veterans, reduce the burden of student loan debt, and fight the opioid epidemic.”

He has been racking up several endorsements since he announced, so the early announcement has definitely moved some people into his corner, but several others are still expected to enter the race. Besides Edwards, here’s a look at the top three Republican candidates in each district that are currently mulling a bid to be the Granite State’s next U.S. representative:

1st Congressional District:

State Sen. Andy Sanborn, R-Bedford (Photo Credit: N.H. Senate)

State Sen. Andy Sanborn, R-Bedford

Sanborn has reportedly been exploring a run for the past few months. It’s expected that he would make his decision after June. The fourth-term senator is the chairman of the Senate Ways and Means Committee where he has put his strong fiscal conservatism on public display.

In fact, the timing of a recent fundraising email has some GOP activists wondering if an announcement is imminent. During a committee meeting in May, he voted against his fellow Republicans on general fund revenue estimates for the biennium state budget.

His colleagues voted to go with higher revenue estimates, but Sanborn voted against them saying they were too high. Sure enough, after the meeting, he blasted out a fundraising email from his “Andy Sanborn for State Senate” campaign about what just happened.

“As you would expect, my tax-loving elected friends spent hours trying to artificially raise the estimates of what the state will bring in, all so they can spend more of your money,” he wrote. “I am happy to report that, with the thanks to some fellow like-minded senators, we were able to fight off fanciful attempts to drive up more bloated government spending without raising a single tax or fee.”

If Sanborn decides to run, he couldn’t use the funds from his state Senate campaign, but it does keep his public profile high.

Matt Mayberry (Photo Credit: Facebook)

Former State Republican Party Vice Chairman Matt Mayberry

Mayberry, of Dover, has also indicated that he is close to making a decision if he’ll run against Shea-Porter. Apparently, he’s been strongly considering a run for Congress since he decided not to run for chairman of the New Hampshire Republican Party after Gov. Chris Sununu endorsed former state Sen. Jeanie Forrester for the position.

Mayberry has remained active in the New Hampshire political scene since he left his job as NHGOP vice chairman. He is one of the founder and co-vice chairs of the New Hampshire Log Cabin Republicans, which officially launched in the state last month.

The 1st District U.S. House race is often seen as swing district, so perhaps his moderate Republican values can appeal to independents in the area. Regardless, he’s inching closer to a run since he reportedly was making the rounds in Washington, D.C. last week.

“I’ve been approached and talked with about 100 grassroots activists so far. And they’re hungry for real leadership. They want real visibility in their communities. They want somebody who’s actually going to work for them,” he told NH1 News in May. “What Carol Shea-Porter’s done is she’s come in, asked for their vote, gone to D.C. and never come back. She appears every two years. They want somebody who’s going to work for them.”

State Rep. John Burt, R-Goffstown (Photo Credit: N.H. House)

State Rep. John Burt, R-Goffstown

The fourth term representative is a well-known figure in the N.H. House — mostly because of his Annual Hot Dog Day on June 1 where lawmakers and staff members meet on the State House plaza to eat hot dogs and raise money for animal shelters and humane societies.

But he’s also seriously considering a run for the 1st Congressional District seat and said he would make a decision at the end of June.

Burt is one of the most conservative members of the Legislature, scoring a 92 on last year’s Americans for Prosperity-New Hampshire legislative scorecard. However, if he decides against a campaign for Congress in 2018, he might challenge longtime state Sen. Lou D’Allesandro, D-Manchester, for his seat.

D’Allesandro has served nearly 20 years in the state Senate. Before that he spent 25 years serving in the N.H. House and on the Executive Council.

“I’m still talking with some people in D.C. and of course with a lot of groups in New Hampshire,” Burt told WMUR. “Many of the New Hampshire groups are asking me to stay where I am and run for the state House or the state Senate, believing I would be more effective here than in Washington. I’m looking at all my options.”

2nd Congressional District:

The National Republican Congressional Committee has their work cut out for them to defeat Kuster. The incumbent Democrat has been in office since 2013 and GOP candidates in the district haven’t been able to drum up enough support.

In the 2016 election, former Republican state Rep. Jim Lawrence did surprisingly well against Kuster despite spending significantly less than her. She won by less than 5 percent of the vote, 50-45 percent. The NRCC is hoping to capitalize on that and recruit a strong candidate in the district.

State Rep. Steve Negron, R-Nashua (Photo Credit: N.H. House)

State Rep. Steve Negron, R-Nashua

The first term state representative told WMUR last week that he’s been seriously considering a run for the 2nd District U.S. House seat for many weeks and will make a decision by the end of June.

Negron is the president and CEO of Integron LLC, a New Hampshire engineering firm, and is a retired U.S. Air Force officer.

“I had actually been approached by some people I hold in high regard in the state and in Washington, asking me if I would be interested in taking an opportunity to see if running against Rep. Kuster would be something I’d be interested in,” he said.

Negron describes himself as a fiscal conservative and he currently sits on the House Election Law Committee, which has seen a lot of action during this legislative cycle with the GOP-led voting reform.

Joe Sweeney (Photo Courtesy of Joe Sweeney)

Former State Rep. Joe Sweeney, R-Salem

The two-term state representative is also the former chair for the New Hampshire Young Republicans. He first entered the Legislature in 2012 and continued when he was a student at the University of New Hampshire.

He previously indicated on WMUR’s CloseUP in April that he was looking into a run for Congress and what he lacks in experience due to his age, he makes up for in new ideas and new leadership.

Sweeney has already registered a candidate committee with the secretary of state’s office for the Rockingham District 8 seat.

Lynne Blankenbeker (Photo Credit: LinkedIn)

Former State Rep. Lynne Blankenbeker, R-Concord

This potential candidate is one of the most talked about within inner state GOP circles. Blankenbeker won a special election in 2009 in a heavily Democratic Concord seat and served in 2012. She’s also an active member of the military, where she has recently been promoted as a captain in the U.S. Navy. She has served in Iraq and Afghanistan as a combat nurse, is a former nurse and risk management specialist at Dartmouth-Hitchcock, and is an attorney.

With those impressive credentials, GOP campaign consultants are heavily encouraging her to give Kuster a run for her money. She’s expected to finish up her time in the military in January and they’re hopeful she’ll hop into the 2nd Congressional District race then.

Blankenbeker recently delivered a speech to the New Hampshire Federation of Republican Women, one of the state’s most prominent Republican groups, at its annual Lilac Luncheon on June 2 at the Grappone Conference Center in Concord.

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