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Freakonomics Radio

405. Policymaking Is Not a Science (Yet)

Freakonomics Radio

Freakonomics Radio + Stitcher

Documentary, Society & Culture

4.632K Ratings

🗓️ 13 February 2020

⏱️ 45 minutes

🧾️ Download transcript

Summary

Why do so many promising solutions — in education, medicine, criminal justice, etc. — fail to scale up into great policy? And can a new breed of “implementation scientists” crack the code?

Transcript

Click on a timestamp to play from that location

0:00.0

Usually when children are born deaf, they call it nerve deafness, but it's really not

0:09.3

the actual nerve.

0:10.7

It's little tiny hair cells in the cochlea.

0:14.8

Dana Suskind is a physician scientist at the University of Chicago, and more dramatically,

0:20.4

she is a pediatric surgeon who specializes in cochlear implants.

0:24.7

My job is to implant this incredible piece of technology, which bypasses these defective

0:31.1

hair cells and takes the sound from the environment, the acoustic sound, and transforms it into

0:38.0

electrical energy, which then stimulates the nerve.

0:42.5

And somebody who is severe to completely profoundly deaf after implantation can have normal

0:49.9

levels of hearing, and it is pretty phenomenal.

0:53.5

It is pretty phenomenal.

0:54.8

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

1:01.4

You'll see little kids hearing sound for the first time, and their parents flipping out

1:07.1

with joy.

1:08.1

The cochlear implant is a remarkable piece of technology, but really it's just one of

1:36.5

many remarkable advances.

1:38.6

In medicine and elsewhere, created by devoted researchers and technologists and sundry smart

1:44.7

people, you know it's even more remarkable how often we fail to take advantage of these

1:50.7

advances.

1:51.7

One of the most compelling examples is the issue of hypertension.

1:57.7

About a third of all Americans have high blood pressure.

2:01.4

First of all, the awareness rate is about only 80% of those only 50% actually are controlled.

...

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