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Freakonomics Radio

516. Nuclear Power Isn’t Perfect. Is It Good Enough?

Freakonomics Radio

Freakonomics Radio + Stitcher

Society & Culture, Documentary

4.532.9K Ratings

🗓️ 22 September 2022

⏱️ 54 minutes

🧾️ Download transcript

Summary

Liberals endorse harm reduction when it comes to the opioid epidemic. Are they ready to take the same approach to climate change?

Transcript

Click on a timestamp to play from that location

0:00.0

This administration has been very clear for the first time in the history of the United States

0:10.6

federal government.

0:11.9

We have made harm reduction the central tenet of how we need to move forward.

0:17.9

That is Rahul Gupta, he is director of National Drug Policy at the White House.

0:22.9

The mission basically is to reduce the prevalence as well as the harms from illicit drugs across

0:31.1

the nation and address it from a global standpoint.

0:35.3

When Gupta talks about harm reduction, what is that?

0:39.3

You could think of harm reduction as not letting the perfect be the enemy of the good.

0:44.8

You could think of it as public health realism.

0:48.6

Do you remember the just say no anti drug campaign from the 1980s?

0:53.5

Harm reduction is pretty much the opposite of just say no because just say no is not been

0:59.2

working.

1:00.2

We're seeing over 108,000 Americans dying in any given year from either a drug overdose

1:08.2

or poisoning.

1:10.7

Most of those overdoses are from opioids, including black market fentanyl.

1:14.7

Gupta is also an internal medicine physician and he has a lot of experience with opioid

1:20.3

deaths.

1:21.3

He used to be public health commissioner of West Virginia.

1:24.2

When I became commissioner of health, West Virginia had the highest death rate from overdoses.

1:30.0

Historically, it was very important for me to look at why that's happening.

1:34.1

He commissioned an analysis that covered every West Virginia who died of an overdose.

1:38.5

Half of the victims who had received medical treatment, Gupta found, could have been saved.

...

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