516. Nuclear Power Isn’t Perfect. Is It Good Enough?

516.核电并不完美。够好吗?

Freakonomics Radio

社会与文化

2022-09-22

54 分钟
PDF

单集简介 ...

Liberals endorse harm reduction when it comes to the opioid epidemic. Are they ready to take the same approach to climate change?

单集文稿 ...

  • This administration has been very clear.

  • For the first time in the history of the United States federal government, we have made harm reduction the central tenet of how we need to move forward.

  • That is Rahul Gupta.

  • He is director of national drug policy at the White House.

  • The mission, basically, is to reduce the prevalence as well as the harms from illicit drugs across the nation and.

  • And address it from a global standpoint.

  • When Gupta talks about harm reduction, what is that?

  • You could think of harm reduction as not letting the perfect be the enemy of the good.

  • You could think of it as public health realism.

  • Do you remember the just say no anti drug campaign from the 1980s?

  • Harm reduction is pretty much the opposite of just say no, because just say no has not been working.

  • We're seeing over 108,000 americans dying in any given year from either a drug overdose or poisoning.

  • Most of those overdoses are from opioids, including black market fentanyl.

  • Gupta is also an internal medicine physician, and he has a lot of experience with opioid deaths.

  • He used to be public health commissioner of West Virginia.

  • When I became commissioner of health, West Virginia had the highest death rate from overdoses.

  • Historically.

  • It was very important for me to look at why that's happening.

  • He commissioned an analysis that covered every west virginian who died of an overdose.

  • Half of the victims who had received medical treatment, Gupta found, could have been saved.