Joe Manchin actually said...

the decision that we make is one of the toughest decisions any of us have ever made since I've been here.

I know many Senators still have concerns--legitimate concerns, I might add--so I would like to address them head on.

But, let me just say that in my State of West Virginia, drug abuse is the number 1 killer.

I believe it does, thanks to the efforts of Congress and the administration to leverage sanctions in pursuit of that goal.