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Inner Cosmos with David Eagleman

Ep137 "Do cures ever create the next crisis?" with Thomas Goetz

Inner Cosmos with David Eagleman

iHeartPodcasts

Health & Fitness, Education, Science, Self-improvement, Mental Health

4.7620 Ratings

🗓️ 19 January 2026

⏱️ 47 minutes

🧾️ Download transcript

Summary

Medications are among the most important advancements of science, but their social consequences are often complex. What if some of our most common diseases are design flaws of modern life? Does it matter if we're fixing a root cause rather than just circumventing it? If a pill can quiet hunger, pain, or anxiety, is that "cheating"? Today we talk about the fascinating world of prescription drugs with science journalist Thomas Goetz. 

Transcript

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0:00.0

Today we're going to talk about the fascinating world of prescription drugs and their intersection with culture and society.

0:13.7

And for that, we're going to be joined by science journalist Thomas Gets.

0:18.2

Medications are some of the most consequential advancements of modern life, but their stories

0:24.6

are often quite nuanced and complicated. What if some of our most common diseases are design

0:32.2

flaws of modern life? In other words, we always need to be asking when we're treating biological illnesses

0:39.7

and when we're medicating our way around the world that we've built. Also, does it matter if we are

0:46.7

fixing a root cause versus just circumventing it? If a pill can quiet hunger or pain or anxiety, is that cheating? Do cures ever

0:59.0

create the next crisis? So today we're going to talk about the larger stories of social

1:06.1

ills and public health.

1:14.1

Welcome to Inner Cosmos with me, David Eagleman.

1:16.3

I'm a neuroscientist and author at Stanford,

1:20.8

and in these episodes, we sailed deeply into our three-pound universe to better understand the world around us.

1:35.3

Okay. around us. This is an I-Heart podcast, guaranteed human.

1:43.3

Generally, when we think about medicine, we picture a simple story, which is a disease appears,

1:52.0

science identifies the cause, and a drug fixes the problem.

1:57.0

But biology is sufficiently complicated, that it rarely cooperates with stories that are that clean.

2:05.2

Your body is trying to regulate hunger and mood and pain and sleep and anxiety.

2:11.7

It balances internal signals against the outside world.

2:15.4

But the fact is, that world has changed faster than our biology

2:20.2

ever could. And we now live in environments saturated with calories and stimulation and stress

2:28.6

and chemical shortcuts. And much of the world that we've built is designed explicitly to capture our attention

2:36.3

and to override satiety and to make us feel better fast. So it's no surprise that many of the

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