New Books In Public Health

Our ability to act on some of the most pressing issues of our time, from pandemics and climate change to artificial intelligence and nuclear weapons, depends on knowledge provided by scientists and other experts. Meanwhile, contemporary political life is increasingly characterized by problematic responses to expertise, with denials of science on the one hand and complaints about the ignorance of the citizenry on the other.Politics and Expertise: How to Use Science in a Democratic Society (Princeton University Press, 2021) offers a new model for the relationship between science and democracy, rooted in the ways in which scientific knowledge and the political context of its use are imperfect. Zeynep Pamuk starts from the fact that science is uncertain, incomplete, and contested, and shows how scientists' judgments about what is significant and useful shape the agenda and framing of political decisions. The challenge, Pamuk argues, is to ensure that democracies can expose and contest the assumptions and omissions of scientists, instead of choosing between wholesale acceptance or rejection of expertise. To this end, she argues for institutions that support scientific dissent, proposes an adversarial "science court" to facilitate the public scrutiny of science, reimagines structures for funding scientific research, and provocatively suggests restricting research into dangerous new technologies.Through rigorous philosophical analysis and fascinating examples, Politics and Expertise moves the conversation beyond the dichotomy between technocracy and populism and develops a better answer for how to govern and use science democratically.Zeynep Pamuk is assistant professor of political science at the University of California, San Diego.Caleb Zakarin is the Assistant Editor of the New Books Network (Twitter: @caleb_zakarin). Learn more about your ad choices. Visit megaphone.fm/adchoices

Although the dividing line between private life and public responsibilities can never be definite and clear, there is a moral threshold which is crossed both by those who assume power to change the lives of many men through public action and by those who undertake to represent in a public role the will and interests of many other men. A new responsibility, and even a new kind of responsibility, and new moral conflicts, present themselves.– Stuart Hampshire, foreword to Public and Private Morality (1978)Hampshire’s thoughts help articulate the inherent tensions underlying an institutionalized system of monopoly medicine that has commandeered the myth of free-market ideology in an ongoing and highly successful effort to profit from pharmaceutical patents generated by U.S. government-funded scientific research. This is the broader thesis of investigative journalist Alexander Zaitchik’s latest book, Owning the Sun: A People’s History of Monopoly Medicine from Aspirin to COVID-19 published by Counterpoint in March of 2022.Zaitchik highlights the politics and players from founding fathers to the FDA’s Francis Kelsey to Hayek and the Chicago School in an engaging and well-researched narrative laying bare the situational ethics across the professional domains of the pharmaceutical industry, publicly-funded university research, and medicine more broadly while highlighting the public-private tension baked into our ‘free market’ political economy and its reification of knowledge through patent and intellectual property law.Zaitchik’s narrative deftly outlines how generations of public health and science advocates have attempted to hold the line against pharmaceutical special interests and their allies in government while documenting privatized medicine’s evolution in the U.S. and its globalizing effects. From the controversial arrival of patent-seeking German chemical companies in the late nineteenth century to present-day coordination between industry and philanthropic organizations—including the influential Gates Foundation—that defeated efforts to loosen intellectual property restrictions for countries to produce vaccines against COVID-19. Relevant and smartly written with a disturbing message for everyone who cares about the cost and access of medicine.Listeners will find the book and Zaitchik’s observations in this interview engaging as well as his 2018 article in The New Republic that previews part of the book’s larger thesis:Complement and expand the topic focus with these recent NBN segments:1) Davos Man: How the Billionaires Devoured the World (2022) written by Peter S. Goodman andinterviewed by Caleb Zakarin.2) Disorder: A History of Reform, Reaction, and Money in American Medicine (2021) written by PeterS. Swanson and interviewed by Stephen Pimpare.Alexander Zaitchik is a freelance journalist and contributor to Atlantic magazine, The New Republic, The Nation and Foreign Policy among others, and has authored four books including this latest just published by Counterpoint Press in Berkeley.Keith Krueger lectures at the SILC Business School in Shanghai University. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to Lorraine Daston, director emerita of the Max Planck Institute for the History of Science in Berlin about a number of hugely relevant issues at the intriguing overlap between science and societal values.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

Within living memory, smallpox was a dreaded disease. Over human history, it has killed untold millions. In the eighteenth century, as epidemics swept Europe, the first rumours emerged of effective treatment: a mysterious method called inoculation.But a key problem remained: convincing people to accept the preventative remedy, the forerunner of vaccination. Arguments raged over risks and benefits, and public resistance ran high. As smallpox ravaged her empire and threatened her court, Catherine the Great took the momentous decision to summon the Quaker physician Thomas Dimsdale from Hertford to St Petersburg to carry out a secret mission that would transform both their lives. In The Empress and the English Doctor: How Catherine the Great Defied a Deadly Virus (ONEworld, 2022), Lucy Ward expertly unveils the extraordinary story of Enlightenment ideals, female leadership and the fight to promote science over superstition.Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to Samuel Moyn, Henry R. Luce Professor of Jurisprudence and Professor of History at Yale University, about neoliberalism, human rights and what our collective response to the COVID-19 pandemic reveals about our true values.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

Howard Burton has been talking to very wise people for decades--scientists, historians, political thinkers, philosophers, etc. When Covid "hit" he was, like many of us, puzzled. Where did it come from? How should we respond to it? What does it say about us? So he did what he does: Had conversations with 32 very wise people about Covid. From the filmed discussions, he created a terrific feature-length documentary film, Pandemic Perspectives, highlighting important societal issues illuminated by the pandemic through the prism of international experts in biology, education, history, law, philosophy, politics and more. You can watch the film here. Twenty-four related podcasts will be released as podcasts on the Ideas Roadshow Podcast, which you can find here.He also wrote a thought-provoking collection of essays that chart his personal attempt to figure out how we got ourselves into this mess, what we can learn from it, and what it says about us as a species with "biology watcher" Lewis Thomas as his inspiration: Pandemic Perspectives: A Filmmaker's Journey in 10 Essays (Open Agenda Publishing, 2022). You can buy it here.Today I talked to Howard about the book, and what he learned in his discussions with these people. Enjoy.Marshall Poe is the founder and editor of the New Books Network. He can be reached at marshallpoe@newbooksnetwork.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

As we saw with the Ebola outbreak--and the disastrous early handling of the COVID-19 coronavirus pandemic--a lack of preparedness, delays, and system-wide problems with the distribution of critical medical supplies can have deadly consequences. Yet after every outbreak, the systems put in place to coordinate emergency responses are generally dismantled.One of America's top biomedical researchers, Dr. Pardis Sabeti, and her Pulitzer Prize-winning collaborator, Lara Salahi, argue that these problems are built into the ecosystem of our emergency responses. With an understanding of the path of disease and insight into political psychology, they show how secrecy, competition, and poor coordination plague nearly every major public health crisis and reveal how much more could be done to safeguard the well-being of caregivers, patients, and vulnerable communities. A work of fearless integrity and unassailable authority, Outbreak Culture: The Ebola Crisis and the Next Epidemic (Harvard UP, 2021) seeks to ensure that we make some urgently needed changes before the next pandemic. Learn more about your ad choices. Visit megaphone.fm/adchoices

Vaccines have controlled or even eradicated some of the world’s most serious diseases. Throughout the last century and up until recently with the COVID-19 pandemic, the development of successful vaccines has widely been heralded a triumph to combat devastating virus outbreaks.The success of immunisations, however, has always been limited by issues of public acceptance. Understanding why people are or aren’t vaccinated is crucial to public health responses to diseases like measles and, of course, COVID-19. Many are concerned about the impact of anti-vaccination activism and misinformation on vaccine programs. But is vaccine hesitancy always due to misinformation, and how do we go about measuring it?Joining Dr Natali Pearson on SSEAC Stories, Dr Kerrie Wiley unpacks some of these issues, and discusses the various drivers of vaccine acceptance in Southeast Asia.About Kerrie Wiley:Dr Kerrie Wiley is a Senior Research Fellow with the University of Sydney’s School of Public Health, in the Faculty of Medicine and Health. Kerrie’s research focuses on the social and behavioural aspects of immunisation and other preventive health behaviours, and their implications for policy and practice. Kerrie is a member of the World Health Organization ‘Measuring Behavioural and Social Drivers of Vaccination’ (BeSD) Working Group, and a founding member of the Collaboration of Social Science in Immunisation.For more information or to browse additional resources, visit the Sydney Southeast Asia Centre’s website: www.sydney.edu.au/sseac. Learn more about your ad choices. Visit megaphone.fm/adchoices

Even after a decades-long opioid overdose crisis, intense controversy still rages over the fundamental nature of addiction and the best way to treat it. With uncommon empathy and erudition, Carl Erik Fisher draws on his own experience as a clinician, researcher, and alcoholic in recovery as he traces the history of a phenomenon that, centuries on, we hardly appear closer to understanding—let alone addressing effectively. As a psychiatrist-in-training fresh from medical school, Fisher was soon face-to-face with his own addiction crisis, one that nearly cost him everything. Desperate to make sense of the condition that had plagued his family for generations, he turned to the history of addiction, learning that the current quagmire is only the latest iteration of a centuries-old story: humans have struggled to define, treat, and control addictive behavior for most of recorded history, including well before the advent of modern science and medicine. A rich, sweeping account that probes not only medicine and science but also literature, religion, philosophy, and public policy, The Urge: Our History of Addiction (Penguin, 2022) illuminates the extent to which the story of addiction has persistently reflected broader questions of what it means to be human and care for one another. Fisher introduces us to the people who have endeavored to address this complex condition through the ages: physicians and politicians, activists and artists, researchers and writers, and of course the legions of people who have struggled with their own addictions. He also examines the treatments and strategies that have produced hope and relief for many people with addiction, himself included. Only by reckoning with our history of addiction, he argues—our successes and our failures—can we light the way forward for those whose lives remain threatened by its hold. The Urge is at once an eye-opening history of ideas, a riveting personal story of addiction and recovery, and a clinician’s urgent call for a more expansive, nuanced, and compassionate view of one of society’s most intractable challenges.Carl Erik Fisher is an addiction physician and bioethicist. He is an assistant professor of clinical psychiatry at Columbia University, where he works in the Division of Law, Ethics, and Psychiatry. He also maintains a private psychiatry practice focusing on complementary and integrative approaches to treating addiction.Thomas Kingston is currently a Huayu Enrichment Scholar, studying Mandarin Chinese at National Cheng Kung University, as he finds himself in post MPhil and pre PhD limbo. He holds an MA in Pacific Asian Studies from SOAS, University of London and an MPhil in Philosophy from Renmin University of China. His research interests focus on the political and intellectual histories of nationalism(s), imaginaries and colonialism in the East and Southeast Asian context. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to Stephen Scherer, Chief of Research at Toronto's Hospital for Sick Children, about how lessons learned from the pandemic might be best harnessed to increase the likelihood of future breakthroughs in biomedical research.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