Policymaking Is Not a Science — Yet (Update)

政策制定非科学之道——尚非如此(更新)

Freakonomics Radio

社会与文化

2025-04-09

45 分钟
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Why do so many promising solutions in education, medicine, and criminal justice fail to scale up into great policy? And can a new breed of “implementation scientists” crack the code?
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  • Hey there, it's Stephen Dubner.

  • We just published a two-part series on what some people call sludge,

  • meaning all the frictions that make it hard to fill out tax forms or find a healthcare provider or even cancel a subscription.

  • One part of our series involved government sludge and how it interferes with getting policy done.

  • The series reminded me of another episode we once made that I thought was worth hearing again,

  • so we're playing it for you here as a bonus episode.

  • It is called policy making is not a science yet.

  • We have updated facts and figures as necessary.

  • As always, thanks for listening.

  • Usually when children are born deaf, they call it nerve deafness.

  • But it's really not the actual nerve.

  • It's little tiny hair cells in the cochlea.

  • Dana Susskind is a physician scientist at the University of Chicago and,

  • more dramatically, she is a pediatric surgeon who specializes in cochlear implants.

  • My job is to implant this incredible piece of technology which bypasses these defective hair cells and takes the sound from the environment,

  • the acoustic sound, and transforms it into electrical energy which then stimulates the nerve.

  • And somebody who is severe to completely profoundly deaf after implantation can have normal levels of hearing and it is pretty phenomenal.

  • It is pretty phenomenal.

  • If you ever need a good cry, a happy cry, just type in cochlear implant activation on YouTube.

  • You'll see little kids hearing sound for the first time and their parents flipping out with joy.