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Freakonomics Radio

Policymaking Is Not a Science — Yet (Update)

Apr 9, 2025
John List, a renowned economist at the University of Chicago, explores why great policies often fail to scale, emphasizing the need for rigorous implementation science. Dana L. Suskind, a pediatric surgeon, highlights the critical role of early childhood interventions in improving outcomes for disadvantaged children. Patti Chamberlain discusses the complexities of translating evidence-based practices into effective policies across sectors like education and child welfare. Together, they delve into the challenges and strategies necessary to bridge the gap between research and impactful policymaking.
45:28

Podcast summary created with Snipd AI

Quick takeaways

  • Cochlear implants exemplify medical advancements but struggle with adherence, highlighting the challenges of ensuring consistent usage in real-world applications.
  • Implementation science is crucial for translating research into effective policies, as it navigates the complexities of diverse social systems and human factors.

Deep dives

The Impact of Cochlear Implants

Cochlear implants represent a significant advancement in medical technology that allows individuals who are profoundly deaf to experience sound. This device transforms acoustic sounds into electrical energy, stimulating the auditory nerve and enabling hearing. The emotional reactions of children hearing for the first time, as showcased in videos, underscore the profound impact of this technology on their lives and families. Despite its effectiveness, challenges remain in ensuring consistent use of the external device needed for proper functioning, as compliance is often an issue.

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