Épisodes

  • Pandemics Perspectives 15: The Dynamic Nature of Science
    Jul 2 2024
    In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to Michael Gordin, Rosengarten Professor of Modern and Contemporary History at Princeton University, about the differences between science and pseudoscience and how the COVID-19 Pandemic showed that most people don't realize that science is highly dynamic. Gordin is the author of (among other books) of On the Fringe: Where Science Meets Pseudoscience (Oxford UP, 2021). Ideas Roadshow's Pandemic Perspectives Project consists of three distinct, reinforcing elements: a documentary film (Pandemic Perspectives), book (Pandemic Perspectives: A filmmaker's journey in 10 essays) and a series of 24 detailed podcasts with many of the film's expert participants. Visit www.ideasroadshow.com for more details. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    1 h et 17 min
  • Holly Ashford, "Development and Women's Reproductive Health in Ghana, 1920-1982" (Routledge, 2022)
    Jul 2 2024
    Between the 1920s and 1980s, the choices that Ghanaian women made regarding their reproductive health were defined by development policy and practice. Spanning the colonial and immediate postcolonial periods, Holly Ashford's book Development and Women's Reproductive Health in Ghana, 1920-1982 (Routledge, 2022) demonstrates that whilst the substance of development discourse shifted over time, principles of development continued to be used to impact and legitimise reproductive health policy and practices well after independence. The book explores Ghana’s pluralist health system, the introduction of maternal and child welfare, the dominance of the Red Cross in Ghana’s maternal and child health landscape, nationalist pronatalism and global population activism. In order to understand how global iterations of development and health policy impacted ordinary lives in Ghana, the author uses evidence from multiple ‘levels,’ including private papers, national archives and records of international and transnational organisations. Providing balanced archival perspectives, the book includes extensive oral history interviews carried out with both rural Ghanaian women and traditional birth attendants, as well as with midwives, doctors and family planning fieldworkers. This book will have an important impact on a number of historical fields including Ghanaian history, global health history, global histories of population and family planning and histories of development. It will be of interest to researchers and students in the history of public health, development, Africa, Ghana and gender. Dr. Nicole Bourbonnais is an Associate Professor of International History and Politics and Co-Director of the Gender Centre at the Graduate Institute of International and Development Studies in Geneva, Switzerland. Her research explores reproductive politics and practice from a transnational historical perspective. More info here. Twitter: @iheid_history and @GC_IHEID Learn more about your ad choices. Visit megaphone.fm/adchoices
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    55 min
  • John Thomas Maier, "The Disabled Will: A Theory of Addiction" (Routledge, 2024)
    Jun 26 2024
    John T. Maier's The Disabled Will: A Theory of Addiction (Routledge Press, 2024) defends a comprehensive new vision of what addiction is and how people with addictions should be treated. The author argues that, in addition to physical and intellectual disabilities, there are volitional disabilities - disabilities of the will - and that addiction is best understood as a species of volitional disability. This theory serves to illuminate long-standing philosophical and psychological perplexities about addiction and addictive motivation. It articulates a normative framework within which to understand prohibition, harm reduction, and other strategies that aim to address addiction. The argument of this book is that these should ultimately be evaluated in terms of reasonable accommodations for addicted people and that the priority of addiction policy should be the provision of such accommodations. What makes this book distinctive is that it understands addiction as a fundamentally political problem, an understanding that is suggested by standard legal approaches to addiction, but which has not received a sustained defense in the previous philosophical or psychological literature. This text marks a significant advance in the theory of addiction, one which should reshape our understanding of addiction policy and its proper aims. Jeff Adler is an ex-linguist and occasional contributor to New Books Network! Learn more about your ad choices. Visit megaphone.fm/adchoices
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    50 min
  • Carl Elliott, "The Occasional Human Sacrifice: Medical Experimentation and the Price of Saying No" (Norton, 2024)
    Jun 12 2024
    The Occasional Human Sacrifice: Medical Experimentation and the Price of Saying No (Norton, 2024) is an intellectual inquiry into the moral struggle that whistleblowers face, and why it is not the kind of struggle that most people imagine. Carl Elliott is a bioethicist at the University of Minnesota who was trained in medicine as well as philosophy. For many years he fought for an external inquiry into a psychiatric research study at his own university in which an especially vulnerable patient lost his life. Elliott’s efforts alienated friends and colleagues. The university stonewalled him and denied wrongdoing until a state investigation finally vindicated his claims. His experience frames the six stories in this book of medical research in which patients were deceived into participating in experimental programs they did not understand, many of which had astonishing and well-concealed mortality rates. Beginning with the public health worker who exposed the Tuskegee Syphilis Study and ending with the four physicians who in 2016 blew the whistle on lethal synthetic trachea transplants at the Karolinska Institute, Elliott tells the extraordinary stories of insiders who spoke out against such abuses, and often paid a terrible price for doing the right thing. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    49 min
  • Andrew McDowell, "Breathless: Tuberculosis, Inequality, and Care in Rural India" (Stanford UP, 2024)
    Jun 10 2024
    Each year in India more than two million people fall sick with tuberculosis (TB), an infectious, airborne, and potentially deadly lung disease. The country accounts for almost 30 percent of all TB cases worldwide and well above a third of global deaths from it. Because TB’s prevalence also indicates unfulfilled development promises, its control is an important issue of national concern, wrapped up in questions of postcolonial governance. Drawing on long-term ethnographic engagement with a village in North India and its TB epidemic, anthropologist Andrew McDowell tells the stories of socially marginalized Dalit (“ex-untouchable”) farming families afflicted by TB, and the nurses, doctors, quacks, mediums, and mystics who care for them. Each of the book’s chapters centers on a material or metaphorical substance - such as dust, clouds, and ghosts - to understand how breath and airborne illness entangle biological and social life in everyday acts of care for the self, for others, and for the environment. From this raft of stories about the ways people make sense of and struggle with troubled breath, McDowell develops a philosophy and phenomenology of breathing that attends to medical systems, patient care, and health justice. He theorizes that breath - as an intersection between person and world - provides a unique perspective on public health and inequality. Breath is deeply intimate and personal, but also shared and distributed. Through it all, Breathless: Tuberculosis, Inequality, and Care in Rural India (Stanford UP, 2024) traces the multivalent relations that breath engenders between people, environments, social worlds, and microbes. Andrew McDowell is Assistant Professor of Anthropology at Tulane University. He has a Ph.D. in socio-cultural anthropology from Harvard University. His research interests focus on care, contagion, pharmaceuticals, diagnosis, and inequality in North and Western Indian social worlds entangled with tuberculosis. His work has appeared in Medical Anthropology Quarterly, Ethos, and The Lancet among other venues. Yadong Li is a PhD student in anthropology at Tulane University. His research interests lie at the intersection of the anthropology of state, the anthropology of time, hope studies, and post-structuralist philosophy. More details about his scholarship and research interests can be found here. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    1 h et 27 min
  • Pandemic Perspectives 13: The Need for Genuine Communication
    Jun 9 2024
    In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to Elizabeth Anderson, Max Shaye Professor of Public Philosophy at the University of Michigan, on the need for making increased efforts to explicitly create occasions for people to frankly communicate with each other during a crisis. Ideas Roadshow's Pandemic Perspectives Project consists of three distinct, reinforcing elements: a documentary film (Pandemic Perspectives), book (Pandemic Perspectives: A filmmaker's journey in 10 essays) and a series of 24 detailed podcasts with many of the film's expert participants. Visit www.ideasroadshow.com for more details Howard Burton is the founder of Ideas Roadshow and host of the Ideas Roadshow Podcast. He can be reached at howard@ideasroadshow.com. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    48 min
  • Tom Mueller, "How to Make a Killing: Blood, Death and Dollars in American Medicine" (Norton, 2023)
    May 29 2024
    Dialysis is a medical miracle, a treatment that allows people with kidney failure to live when otherwise they would die. It also provides a captive customer for the dialysis industry, which values the steady revenues that come from critically required long-term care that is guaranteed by the government. Tom Mueller's six year deep dive into the dialysis industry has yielded his latest book, How to Make a Killing: Blood, Death, and Dollars in American Medicine (W. W. Norton, 2023). It's both an historical account of this lifesaving treatment and an indictment of the industry that is dominated by two for-profit companies that control ~80% of the market. There is a precarious balance between ethical care for patients and the prioritization of profits for the providers, a tension that has led to ethical, political, and legal debates about the rationing and exploitation of life-saving care and quality of life. Dialysis services are desperately needed by patients who require the dangerous, uncomfortable, and exhausting treatments multiple times per week, and pay for it through complex insurance procedures. Tom Mueller’s book includes a vivid account of CEOs who lead their companies with messianic zeal to drive revenues continually up while simultaneously reducing the cost of care. He introduces us to the doctors charged with reducing those costs even at the expense of high-quality care and negative health outcomes. And we meet the patients themselves, who have little choice but to put their lives and well-being at the mercy of this system. How did a lifesaving medical breakthrough become a for-profit enterprise that threatens many of the people it’s meant to save? And who are the brave people -patients, doctors, and employees of the system who are willing to tell their stories despite tremendous pressure to remain silent? And why do we as Americans accept worse outcomes at higher costs than the rest of the world? Tom Mueller's highly readable yet devastating book illustrates the dialysis industry as a microcosm of American medicine. Mueller challenges us to find a solution for dialysis, an approach that could also provide the opportunity to begin fixing our country’s dysfunctional healthcare system and a fighting chance at restoring human health outcomes, rather than the extraction of profits, as its true purpose. To contact Tom Mueller, visit www.tommueller.co Suggested reading: The Body's Keepers by Paul L. Kimmel, M.D. The Occasional Human Sacrifice: Medical Experimentation and the Price of Saying No by Carl Elliott Also mentioned: How to Get Away with Merger by Thomas G. Wollman (NBER working paper, 2020) "How Acquisitions Affect Firm Behavior and Performance" by Eliason, Heebsh et al. (The Quarterly Journal of Economics, 2020) Learn more about your ad choices. Visit megaphone.fm/adchoices
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    1 h et 9 min
  • Premilla Nadasen, "Care: The Highest Stage of Capitalism" (Haymarket Books, 2023)
    May 25 2024
    During the COVID pandemic, billions of dollars in relief aid was sent out to help us ride out the storm, although many people who struggled through it might scratch their heads at such a number, having seen little of it make any concrete impact in their own lives. This discrepancy is indicative of the underlying problem with the contemporary care economy, a series of federal and state programs, healthcare facilities and NGO’s, all trying to bend the needs of those under their care to the mechanisms and incentives laid out by capitalism. The result is a massive apparatus that regularly fails to fulfill its supposed intentions, leaving workers and those in need of help in precarious and often dangerous situations. This apparatus is untangled and explained in clear detail by Premilla Nadasen in her book Care: The Highest Stage of Capitalism (Haymarket Books, 2023). Informed by both her work as a historian and as a political activist, she manages to untangle and explain why the massive apparatus regularly fails to fulfill its purpose. She also outlines offramps, forms of resistance that workers and activists have taken to develop alternative anticapitalist forms of care that might someday allow us to truly flourish together. Premilla Nadasen is a professor of history at Barnard College, Columbia University. She is the co-director of the Barnard Center for Research on Women. She is also the author of Welfare Warriors: The Welfare Rights Movement in the United States and Household Workers Unite: The Untold Story of African American Women Who Built a Movement. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    1 h et 10 min