HOOKSETT, New Hampshire — Jeb Bush spoke intimately about his daughter's recovery, Carly Fiorina recalled begging a judge to not send her daughter back to jail, John Kasich appeared to choke up, and Chris Christie begged Americans to have more candid conversations about drug addiction. All those emotional reactions came Tuesday here at a forum on addiction.
Drug addiction has unexpectedly catapulted to the top of candidates' stump speeches this year, thanks in part to an epidemic of opiate addiction in New Hampshire that has affected a friend, family member, or acquaintance of nearly one in two Granite Staters, according to a WMUR poll. That survey from October found that voters in this key state picked it as the single most important public policy issue.
See Jeb Bush and his family through the years:
Jeb and George Bush through the years
Candidates get personal while discussing drug addiction
** FILE ** President George W. Bush, center, walks off the 18th hole with his brother, Florida Gov. Jeb Bush, right, and father, former President George Bush, left, at the Cape Arundel Golf Club in Kennebunkport, Maine, in this July 7, 2001 file picture. Could there be a third President Bush? The current chief said Wednesday May 10, 2006 that younger brother Jeb would make a great one, too, and has asked him about making a run. The first President Bush likes the idea as well. (AP Photo/J. Scott Applewhite)
President Bush, center, with former President George H.W. Bush, left, and Florida Gov. Jeb Bush, walk together after participating in the christening ceremony of the aircraft carrier George H.W. Bush in Newport News, Va., Saturday, Oct. 7, 2006. (AP Photo/Lawrence Jackson)
Florida Gov. Jeb Bush, left, listens as former President George H. W. Bush offers condolences to the Ford family during a news conference in remembrance of former President Gerald R. Ford at the Gasparilla Inn in Boca Grande, Fla., Wednesday, Dec. 27, 2006. (AP Photo/Armando Solares)
President Bush waves to the crowd with his wife, Laura, and brother Jeb Bush on Monday, Nov. 6, 2006, in Pensacola, Fla., where Bush was drumming up support for local Republican candidates. (AP Photo/Mari Darr~Welch)
President Bush, left, stands on stage with his brother Gov. Jeb Bush, right, at a campaign rally at Pensacola Civic Center, Monday, Nov. 6, 2006. in Pensacola, Fla. (AP Photo/Pablo Martinez Monsivais)
President Bush, left, spends a moment with his brother and Florida Gov. Jeb Bush, prior to the President's speech on Social Security at the Pensacola Junior College, Friday, March 18, 2005, in Pensacola, Fla. (AP Photo/Phil Coale)
President George Bush chats with brother Gov. Jeb Bush as they acknowledge cheering supporters at a fundraiser for the Republican Party of Florida at the Contemporary Resort at Disney World in Orlando, Florida, Friday, February 17, 2006. (Photo by Joe Burbank/Orlando Sentinel/MCT via Getty Images)
Texas Gov. George W. Bush, right, gestures as his brother Florida's governor-elect Jeb Bush looks on during a joint news conference in New Orleans Wednesday, Nov. 18, 1998. The Bush brothers are attending the Republican Governors Association meeting which runs through Friday. A flood of media requests to interview the Texas governor and the Florida governor-elect prompted the sons of former President Bush to schedule a news conference Wednesday. (AP Photo/Bill Haber)
Florida Gov. Jeb Bush, right, hugs his brother, President Bush, left, after introducing him at a campaign rally at Pensacola Civic Center in Pensacola, Fla., Monday, Nov. 6, 2006. (AP Photo/Pablo Martinez Monsivais)
President Bush jokes with his brother Florida Gov. Jeb Bush on Monday, Nov. 6, 2006, in Pensacola, Fla., where Bush was drumming up support for local Republican candidates. (AP Photo/Mari Darr~Welch)
Former U.S. President George H. W. Bush, center, is joined by his sons, former U.S. President George W. Bush, left, and former Florida Gov. Jeb Bush, as he speaks to reporters after his parachute jump with the Army Golden Knights parachute team to celebrate his 85th birthday, Friday, June 12, 2009, in Kennebunkport, Maine. (AP Photo/Robert F. Bukaty)
President Bush greets his brother,former Florida Gov. Jeb Bush, right, and Jeb's son, George P. Bush, left, as he arrives at Palm Beach International Airport in West Palm Beach, Fla., Tuesday, March 18, 2008. (AP Photo/Gerald Herbert)
President George H. W. Bush, left, with his son former Florida Gov. Jeb Bush, right, enters the West Wing of the White House to meet with President Barack Obama Saturday, Jan. 30, 2010, in Washington. (AP Photo/Alex Brandon)
President George W. Bush, left, smiles while being introduced by his brother Florida Gov. Jeb Bush, right, at the Florida Victory 2004 rally on Sunday, Oct. 31, 2004 in Tampa, Fla. (AP Photo/Scott Audette)
This photo taken Feb. 15, 2011, show former Florida Gov. Jeb Bush greeting his mother, former first lady Barbara Bush, at the White House's 2010 Presidential Medal of Freedom ceremony in Washington, where her husband, former President George H.W. Bush is to receive the Medal. Jeb Bush has already heard his mother, Barbara, tell everyone âweâve had enough Bushesâ in the White House. In the lead-up to 2016 presidential campaign, the former Florida governor says heâs in his 60s and doesnât have to do everything his mom says. âI'm trying to avoid the family conversation,â he said. (AP Photo/Carolyn Kaster, File)
In this Oct. 22, 2002, file photo former first lady Barbara Bush makes a point as she campaigns for her son, Florida Gov. Jeb Bush, at Nova Southeastern University in Davie, Fla. Amid the celebration surrounding the opening of son George W. Bush's presidential library, Barbara Bush is brushing aside talk of her son Jeb running for president in 2016. When asked how she felt about it she told NBC's "Today" show, Thursday, April 25, 2013, "We've had enough Bushes." (AP Photo/Marta Lavandier, File)
Florida Gov. Jeb Bush, right, reaches out to grab his brother President George W. Bush before a speech Friday morning March 8, 2002 at America II Electronics in St. Petersburg, Fla. In the his remarks, Bush said he does not know whether Osama bin Laden is dead or alive but cautioned Americans against judging the success of the war on the fate of the terrorist mastermind. (AP Photo/Chris O'Meara)
Former first lady Barbara Bush laughs with her son, Florida Gov. Jeb Bush, during a campaign stop in Ellenton, Fla., Monday, Oct. 30, 2000. The two were campaigning for another of her sons, Republican presidential candidate Texas Gov. George W. Bush. (AP Photo/Chris O'Meara)
Republican presidential candidate Texas Gov. George W. Bush jokes with his brother, Florida Gov. Jeb Bush, left, during a bus ride to a rally at Florida International University in Miami, Fla., Sunday, Nov. 5, 2000. At left is New York Mayor Rudolph Giuliani. (AP Photo/Eric Draper)
Texas Republican Gov. George W. Bush, right, and Florida's Governor-elect, Jeb Bush, answer questions at a news conference in New Orleans Wednesday Nov. 18, 1998. A flood of media requests to interview the Texas governor and the Florida governor-elect prompted the sons of former President Bush to schedule a news conference. The governors are attending the Republican Governors Association. (AP Photo/Bill Haber)
Florida Gov.-elect Jeb Bush, left, laughs during a joint news conference in New Orleans Wednesday, Nov. 18, 1998, with his brother Texas Gov. George W. Bush. The Bush brothers are attending the Republican Governors Association meeting which runs through Friday. A flood of media requests to interview the Texas governor and the Florida governor-elect prompted the sons of former President Bush to schedule a joint news conference. (AP Photo/Bill Haber)
Former President George Bush, right, clenches his fist Sept.16, 1994 as he hugs son, Jeb during a Florida GOP fund-raiser in Tampa. After a hiatus, Bush has been hitting the campaign trail and lecture circuit with a vengence, raising millions for Republican candidates and getting digs in at President Bill Clinton along the way. (AP Photo/Chris O'Meara)
Former President George H. W. Bush, right, and son Jeb Bush chat with recruits at the Pinellas County jail's boot camp in St. Petersburg. FL., March 28, 1994. Jeb Bush, who is running for the Republican nomination for governor, was on a campaign swing with his father. (AP Photo/Peter Cosgrove)
Cheerleaders shout their encouragement as Florida Republican gubernatorial candidate Jeb Bush and former President George Bush applauds Barbara Bush, center, during her address to a rally on Oct. 10, 1994 at Church Street Station in Orlando, Florida. Jeb Bush is running for governor against incumbent Democrat Gov. Lawton Chiles. (AP Photo/Peter Cosgrove)
President George H. W. Bush talks with his son Jeb, during a round of golf at the Cape Arundel Golf Club in Kennebunkport ME., Aug. 27, 1990. The president is scheduled to meet with Canadian Prime Minister Brian Mulroney Monday, at his Walker's Point home. (AP Photo/Doug Mills)
MACDILL AIR FORCE BASE, UNITED STATES: US President George W. Bush (R) reaches out to shake hands with his brother Florida Governor Jeb Bush (L) shortly after Air Force One arrived at MacDill Air Force Base, Florida, 09 May 2006. AFP Photo/Paul J. Richards (Photo credit should read PAUL J. RICHARDS/AFP/Getty Images)
Washington, UNITED STATES: US President George W. Bush (L) looks on as his brother Florida Governor Jeb Bush speaks 19 April, 2006. Governor Bush was among several governors who met with the president after an Easter trip to Iraq, Afghanistan and Kuwait. AFP PHOTO/Jim WATSON (Photo credit should read JIM WATSON/AFP/Getty Images)
President George Bush (left) and brother Gov. Jeb Bush acknowledge cheering supporters at a fundraiser for the Republican Party of Florida at the Contemporary Resort at Disney World in Orlando, Florida, Friday, February 17, 2006. (Photo by Joe Burbank/Orlando Sentinel/MCT via Getty Images)
ST. PETERSBURG, FL - OCTOBER 19: U.S. President George W. Bush (L) and his brother Florida Governor Jeb Bush (R) smile while greeting supporters during a campaign rally at Progress Energy Park October 19, 2004 in St. Petersburg, Florida. Recent polls indicate Bush is maintaining a slight lead over his Democratic challenger U.S. Sen. John Kerry (D-MA). (Photo by Mark Wilson/Getty Images)
PARK CITY, UT - JANUARY 22: Jeb Bush is seen at Salt Lake City Airport on January 22, 2015 in Park City, Utah. (Photo by JOCE/Bauer-Griffin/GC Images)
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Virtually every candidate of both parties speaks about the issue at many stops in the first-in-the-nation primary state, but Tuesday's forum brought together five Republican presidential candidates and offered them a place to speak personally about addiction in front of many of the state's top addiction advocates, experts and law enforcement officials. It served as a forum about a critical issue, and a forum where the candidates were free to get more emotional than they typically do at other campaign stops.
"I felt like they were all authentic," said Marcia Graber, whose transgender son CJ passed away from a heroin overdose in 2009. "I was glad that they were able to share their personal stories. I felt as though they were sincere in their hope to have an impact and have an effect in the work of addiction."
She added, "I was grateful to learn that they had some awareness and they had some compassion." With her son, "the hope was that he would go to college as his true authentic self and it didn't quite work and he fell into drugs."
In one way or another, the issue affects most people in New Hampshire. "The biggest thing for me was when I attended a funeral this summer for a parent of a 4-year-old that I knew and sat with him at his dad's funeral," said Amy Michaels of Somersworth. "And I was like, okay, enough."
Critics are quick to denounce the outsize influence this small state has in choosing the next president of the United States. But in 2016, that influence has led candidates to take seriously an issue that was previously getting little attention in Washington and that might otherwise have been comparatively ignored.
Bush, whose daughter publicly struggled with addiction, acknowledged that he never expected to be talking about addiction here. "It was my first official trip [here] where it hit me like a brick wall. At the hotel we usually stay in, two people had loved ones that died of an overdose in the last six months," he said. "Now, so you don't feel like you're alone in New Hampshire, this is a national problem now. It may have risen dramatically in New Hampshire first, but it is a national problem."
On Nalaxone, the drug which can reverse opiate addiction, Bush noted, "I wouldn't have known anything about this had I not been a candidate for president and coming here."
For Christie, the addiction issue helped propel him from bottom-of-the-field status to the top tier here. A lengthy video clip of him speaking emotionally about his good friend's addiction went viral in October, showcasing the New Jersey governor's compelling political talent and earning him plaudits even from liberals for his call to treat addiction as a disease rather than a moral failing.
See more of Chris Christie on the campaign trail:
Chris Christie on the campaign trail
Candidates get personal while discussing drug addiction
Republican presidential candidate, New Jersey Gov. Chris Christie talks as he meets with a supporter before a news conference Monday, Jan. 25, 2016, in Concord, N.H. (AP Photo/Matt Rourke)
Republican presidential candidate, New Jersey Gov. Chris Christie greets Fidelity Investments employees, Monday, Jan. 25, 2016, at their facility in Merrimack, N.H. (AP Photo/Matt Rourke)
New Jersey Gov. Chris Christie listens to a briefing on a snowstorm during a visit to the New Jersey Department of Transportation Traffic Management and Technology Center, Saturday, Jan. 23, 2016, in Woodbridge, N.J. Towns across the state are hunkering down during a major snowstorm that hit overnight. (AP Photo/Julio Cortez)
Republican Presidential hopeful Governor Chris Christie of New Jersey speaks during the 2016 Republican Jewish Coalition Presidential Candidates Forum in Washington, DC, December 3, 2015. (Photo credit should read SAUL LOEB/AFP/Getty Images)
Republican presidential candidate New Jersey Gov. Chris Christie speaks during the Republican Presidential Debate, hosted by CNN, at The Venetian Las Vegas on December 15, 2015 in Las Vegas, Nevada. AFP PHOTO/ ROBYN BECK / AFP / ROBYN BECK (Photo credit should read ROBYN BECK/AFP/Getty Images)
Republican presidential candidate New Jersey Gov. Chris Christie steps off the bus with his wife Mary Pat during a campaign stop at the launch of his four day bus tour, Saturday, Dec. 19, 2015, in Exeter, N.H. (AP Photo/Mary Schwalm)
Republican presidential candidate, New Jersey Gov. Chris Christie, speaks during a meet and greet with local residents, Wednesday, Nov. 11, 2015, in Bettendorf, Iowa. (AP Photo/Charlie Neibergall)
Republican presidential candidate, New Jersey Gov. Chris Christie speaks during the APPS National Security Forum, Friday, Dec. 4, 2015, in Fort Dodge, Iowa. (AP Photo/Charlie Neibergall)
Republican presidential candidate New Jersey Gov. Chris Christie speaks during a campaign event at the Glory Days Sports Bar and Grill in Council Bluffs, Iowa, Friday, Oct. 30, 2015. (AP Photo/Nati Harnik)
Republican presidential candidate, New Jersey Gov. Chris Christie speaks at a No Labels Problem Solver convention, Monday, Oct. 12, 2015, in Manchester, N.H. (AP Photo/Jim Cole)
Republican presidential candidate New Jersey Gov. Chris Christie talks with employees during a campaign stop at East Coast Lumber Wednesday, Oct. 7, 2015, in East Hampstead, N.H. (AP Photo/Jim Cole)
THIS WEEK - 10/4/15 - Presidential candidate and New Jersey Governor Chris Christie appears on THIS WEEK WITH GEORGE STEPHANOPOULOS, airing on the ABC Television Network. (Photo by Ida Mae Astute/ABC via Getty Images)
Chris Christie, governor of New Jersey, waves while waiting for Pope Francis, not pictured, to arrive for a joint meeting of Congress in the House Chamber at the U.S. Capitol in Washington, D.C., U.S., on Thursday, Sept. 24, 2015. Pope Francis, the first pontiff to address U.S. Congress, is preaching to a less-than-harmonious congregation as he faces a Congress riven by disputes over issues closest to his heart: income inequality, immigration and climate change. Photographer: Pete Marovich/Bloomberg via Getty Images
MEET THE PRESS -- Pictured: (l-r) New Jersey Gov. Chris Christie appears on 'Meet the Press' in Washington, D.C., Sunday, Sept. 13, 2015. (Photo by: William B. Plowman/NBC/NBC NewsWire via Getty Images)
New Jersey Gov. Chris Christie speaks to supporters during an event announcing he will seek the Republican nomination for president, Tuesday, June 30, 2015, at Livingston High School in Livingston, N.J. (AP Photo/Julio Cortez)
THE TONIGHT SHOW STARRING JIMMY FALLON -- Episode 0319 -- Pictured: (l-r) Governor Chris Christie during an interview with host Jimmy Fallon on August 31, 2015 -- (Photo by: Douglas Gorenstein/NBC/NBCU Photo Bank via Getty Images)
Republican presidential candidate, New Jersey Gov. Chris Christie talks with Joan Vlangas, left, during a campaign stop at a Greek festival in Manchester, N.H., Saturday, Aug. 29, 2015. (AP Photo/Michael Dwyer)
SQUAWK BOX -- Pictured: Governor Chris Christie in an interview on August 27, 2015 -- (Photo by: David Orrell/CNBC/NBCU Photo Bank via Getty Images)
New Jersey Gov. Chris Christie answers a question as he addresses a gathering at the Chabad House at Rutgers University Tuesday, Aug. 25, 2015, in New Brunswick, N.J. Christie urged Democratic Sen. Cory Booker and the state's congressional delegation to oppose the Iran deal, which is aimed at curbing Iran's nuclear weapons development.(AP Photo/Mel Evans)
NEW BRUNSWICK, NJ - AUGUST 25: New Jersey Governor and Republican presidential hopeful Chris Christie speaks at Chabad House at Rutgers University to express his opposition to President Obama's Iran deal on August 25, 2015 in New Brunswick, New Jersey. Christie also encouraged U.S. Senator Cory Booker (D-NJ) to oppose the deal. (Photo by Andrew Burton/Getty Images)
Republican presidential candidate, New Jersey Gov. Chris Christie, right, talks with Joe Hedrick at the Iowa State Fair Saturday, Aug. 22, 2015, in Des Moines, Iowa. (AP Photo/Paul Sancya)
DES MOINES, IA - AUGUST 22: Republican presidential candidate New Jersey Governor Chris Christie tosses a pork burger on the grill at the Iowa Pork Producers Tent at the Iowa State Fair on August 22, 2015 in Des Moines, Iowa. Presidential candidates have a long tradition of making campaign stops at the fair. (Photo by Scott Olson/Getty Images)
Moderator Campbell Brown listens as Republican presidential candidate, New Jersey Gov. Chris Christie speaks during an education summit, Wednesday, Aug. 19, 2015, in Londonderry, N.H. (AP Photo/Jim Cole)
New Jersey Gov. Chris Christie, left, congratulates Triple Crown winner American Pharoah's trainer Bob Baffert after American Pharoah won the Haskell Invitational horse race at Monmouth Park in Oceanport, N.J., Sunday, Aug. 2, 2015. Keen Ice was second. (AP Photo/Mel Evans)
Republican presidential candidate, New Jersey Gov. Chris Christie talks with drivers in the garage area before the NASCAR Xfinity Series auto race, Saturday, Aug. 1, 2015, at Iowa Speedway in Newton, Iowa. (AP Photo/Charlie Neibergall)
Republican presidential candidate New Jersey Gov. Chris Christie appears on "The Five" television program, on the Fox News Channel, in New York, Wednesday, July 22, 2015, with two of the show's co-hosts Dana Perino and Greg Gutfeld, right.(AP Photo/Richard Drew)
Republican presidential candidate New Jersey Gov. Chris Christie talks with supporters at a house party in Salem, N.H. Friday, July 17, 2015. (AP Photo/Winslow Townson)
New Jersey Gov. Gov. Chris Christie observes clients in the computer room at the hall during a tour of Volunteers of America Hope Hall as part of his focus on criminal justice reform, Thursday July 16, 2015 in Camden, N.J. Christie is calling for changes in the criminal justice system, seeking in part to give nonviolent drug offenders a better shot at rebuilding their lives and to improve frayed relations between communities and police. (Chris Pedota/Northjersey.com via AP, Pool)
Republican presidential candidate, New Jersey Gov. Chris Christie speaks to potential voters during a campaign town hall meeting, Thursday, July 2, 2015, in Rochester, N.H. (AP Photo/Elise Amendola)
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On Tuesday, Christie distilled the message, saying the best way to combat addiction is to bring it into the open and talk about it. "You don't go to a dinner party and say, you know what, my daughter is addicted to heroin, what's new with you? But if your daughter had cancer, you would tell people," he said. "We are contributing the stigma our unwillingness to talk about this openly."
Christie continued, adding that "We need to talk about this in ways that are not only clinical, but are personal. And if the president stands there with the seal of the presidency, and talks about this from a personal perspective, I think it begins to lower the stigma."
Bush, who has sometimes struggled to connect personally with voters, spoke candidly about how his daughter's struggle with addiction, which played out in the public while he served as governor of Florida, helped him relate. "The pain that you feel when you have a loved one who has addiction challenges and spirals out of control is something is shared with a whole lot of people," he said. "I could go in my public life and I could go to the chamber of commerce and someone would look at me with a feeling that I felt. I could just look them in the eyes and know."
While looking into the eyes of her stepdaughter, Fiorina said she knew something was not right. "The light, the sparkle she once had, left her," Fiorina recalled Tuesday. "And what remained was a dull, flat void. It is the look of hopelessness. It is the look that too many of us see. And it is that look that haunts me most when I think of her." Her stepdaughter, Lori, passed away from addiction in 2009.
Fiorina dove into greater detail than she usually does in talking about losing her stepdaughter, telling those gathered that she remembers begging a judge not to send Lori back to jail because she knew that it would not help. Her family only learned of Lori's death when two officers came to their home, she said. "At the moment those two police officers delivered the news to Frank and me, we lost both the woman that Lori was and the woman she could have been."
Kasich mentioned that among the people gathered for Tuesday's forum, there were surely those who suffered from addiction themselves, and he made a direct personal plea to people to hang in there. "You just can't give up," he firmly told them. "I don't want you to give up. You cannot give up because there is a purpose for your life. Do you understand this? Everybody in this room has a God-given purpose."
Kasich continued, adding "I have no clue how hard it must be. I don't know, it must be just impossible. But if you can climb out of it, people will learn from you." He went silent at one point, appearing to choke up for a moment, before saying, "there's always room for miracles ... there's always room for one more."
"I liked that a lot of them had done their homework, were well-versed, were speaking from an empathetic understanding of a disease process, that it's truly a disease," said Kathleen Beede of Dover, who also has a family member in recovery.
"They are all saying the right things. I think they've all learned a lot in the last year campaigning in this state," added Kerry Norton, the chief operating officer of Hope on Haven Hill, a recovery center in Rochester. She said her son has been in recovery from heroin addiction for the last year.
Democratic candidates, meanwhile, have devoted significant time and resources to the issue as well. Former president Bill Clinton, stumping on behalf of his wife yesterday for the first time in New Hampshire, spoke emotionally about how three personal friends of his have had children who suffered from addiction.
New Hampshire Sen. Jeanne Shaheen praised activists for continually pressing presidential candidates on their drug addiction proposals at countless town halls across the state this year. "Thank you to the people who have raised the issue in the presidential campaign," she said. "That has gotten national attention at a critical time and it's very important. Sadly, it's very bipartisan."
There is concern from some members of the recovery community in New Hampshire that after the primary is over, after the candidates leave, and the bright camera lights and national spotlight shifts, that the focus on addressing addiction issues will lapse, with one questioner even asking what happens then.
"It's a big concern that they are coming here to just to appease a few people in New Hampshire," Beede added. "They are recognizing that this is a national epidemic and there needs to be huge changes all over the country. So I'm hoping that they will do the things that they say they want to do."