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Politics War Room with James Carville & Al Hunt

151: Revisionist History: The Triplicate Program and Opioid Epidemic

Politics War Room with James Carville & Al Hunt

Politicon

News Commentary, Politics, Government, News, National

4.73.5K Ratings

🗓️ 10 July 2022

⏱️ 14 minutes

🧾️ Download transcript

Summary

We’re sharing a bonus episode from our friends at Revisionist History, Malcolm Gladwell’s podcast about things misunderstood and overlooked.

This season, Malcolm’s obsessed with experiments – natural experiments, scientific experiments, thought experiments. In this preview, we learn about Paul Madden, who ran the California Bureau of Narcotic Enforcement in the 1930s. He enacted an expensive, burdensome, annoying bit of bureaucratic anti-drug hysteria known as the “triplicate program” that made every doctor in the state miserable because it involved a lot of paperwork. But Madden insisted this kind of paperwork would save lives.
Fast forward to the 90s and early 2000s, when opioids were being prescribed as painkillers at a rapid rate – and killing tens of thousands of Americans due to overdoses. The government looked to Madden’s triplicate program as a way of preventing the epidemic.
A handful of states started their own triplicate prescription programs, but most ignored the warning signs. The result was a devastating natural experiment.

You can hear more from Revisionist History at https://podcasts.pushkin.fm/rhs7?sid=warroom.

Transcript

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0:00.0

Hi listeners, we're doing something a little different today and sharing with you a preview

0:18.7

of a show we love, revisionist history.

0:22.2

You might be familiar with revisionist history.

0:25.2

It's best selling author Malcolm Gladwell's podcast that reexamines something from the past

0:30.9

and asks whether we got it right the first time.

0:33.9

This season Malcolm's obsessed with experiments, natural experiments, scientific experiments,

0:39.9

thought experiments.

0:41.2

His obsession takes him everywhere from salt factories to the set of the original A Star

0:47.4

is born movie.

0:48.7

The goal is to get us to approach evidence and that what if question with more open minds?

0:55.4

And this episode preview you're about to hear is a perfect example of why that is important.

1:01.2

Back in the 1930s a guy named Paul Madden ran the California Bureau of Narcotic Enforcement.

1:07.4

He was responsible for stopping the use of illegal drugs in the state at a time when anti-drug

1:13.0

crusaders feared doctors might be driving drug addiction.

1:17.0

So he enacted an expensive burdensome annoying bit of bureaucratic anti-drug hysteria known

1:23.9

as triplicate program and it made every doctor in the state miserable.

1:29.2

Because it involved a ton of paperwork around prescribing addictive painkillers and nobody

1:35.0

likes paperwork.

1:36.6

But Madden insisted this kind of paperwork would save lives.

1:40.6

Fast work to the 1990s and the early 2000s.

1:44.5

When opioids were being prescribed as painkillers at a rapid rate and killing tens of thousands

1:50.8

of Americans due to overdoses.

...

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