The Lazarus Drug

拉撒路药物

Hidden Brain

社会科学

2019-06-25

46 分钟
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单集简介 ...

More than 70,000 people died of drug overdoses in 2017 — many of them from heroin and other opioids. One of the most widely-used tools to confront this crisis is a drug called naloxone. It can reverse an opioid overdose within seconds, and has been hailed by first responders and public health researchers. But in 2018, two economists released a study that suggested naloxone might be leading some users to engage in riskier behavior — and causing more deaths than it saves. This week, we talk with researchers, drug users, and families about the mental calculus of opioid use, and why there's still so much we're struggling to understand about addiction. This episode originally aired in October 2018.
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单集文稿 ...

  • Today's episode is a favorite from the Hidden Brain archives.

  • It first aired in October 2018.

  • This episode contains strong language and mature themes.

  • If you're listening with young kids, I strongly urge you to save this one for later.

  • This is hidden brain.

  • I'm Shankar Vedantam.

  • There's an old saying, the best things in life are illegal, immoral, or fattening.

  • There's another way to think about this.

  • Many things that give us pleasure, sex, food, adventure, they contain risks.

  • As a smart species, we've come up with ways to minimize those condoms, seat belts, drugs to lower cholesterol.

  • But something interesting happens as we do this.

  • As we move the risk benefit calculation for each activity away from the risk end of the spectrum to the benefit end of the spectrum, we imagine people will become safer.

  • Seat belts, for example, will keep drivers from getting hurt.

  • Now that would be true if people kept doing things exactly the way they did before.

  • But some people make another calculation.

  • If putting seatbelts in cars means you are likely to survive a crash, there's now a temptation to go faster.

  • An ocean swimmer might go out a little further when a lifeguard is nearby.

  • Football players who know their heads are protected by helmets might start to hit a little harder.

  • This phenomenon has a curious name.

  • Economists call it moral hazard.