This is a podcast about health and social justice.
Health is wealth.
Some of us have it, some don’t.
Some of us will live long and healthy lives… and some won’t.
But why me and not them? Why them and not me?
We bring you those stories...
In Sickness and in Health is produced and hosted by Dr. Celine Gounder.
Dr. Gounder is a doctor, a disease detective and a storyteller. When she’s not battling HIV, tuberculosis or Ebola in sub-Saharan Africa or caring for patients in some of the most underserved areas in the U. S., she’s at home in NYC.
Season 3: Gun Violence in America
Chapter 1: History and Culture
Episode 1 - An Unlikely Friendship: It's hard to imagine finding common ground on the problem of gun violence. In the 1990s, Dr. Mark Rosenberg and former Congressman Jay Dickey (R-AR) were "arch enemies." But over time, the "curly-haired, liberal, Jewish kid" and the "lifelong NRA member" became good friends. Science helped them bridge the gap, and together they proposed a way forward: a way to balance gun safety... and gun rights. Guest: Dr. Mark Rosenberg, President and CEO of the Task Force for Global Health, and the founding director of the National Center for Injury and Prevention Control at the Centers for Disease Control and Prevention. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 2 - A Uniquely American Compromise: Where does our Second Amendment come from? English law, like so many of our other laws? Or is it a uniquely American compromise? Guests: Lois Schwoerer, Professor Emerita of History at George Washington University and Scholar-in-Residence at the Folger Shakespeare Library; Carl Bogus, Professor of Law at Roger Williams University; and Alex Trimble Young, an expert on transnational settler colonialism at Arizona State University. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 3 - Guns & Honor: What is honor? When is it OK to use violence? And how do these ideas influence regional attitudes about guns and our nation’s laws? Guests: Eric Ruben, Fellow at the Brennan Center for Justice, Adjunct Professor at the New York University School of Law, and an expert on weapons law and the Second Amendment; Dov Cohen, Professor of Psychology at the University of Illinois at Urbana-Champaign, and an expert on honor, dignity and face cultures; Ryan P. Brown, Managing Director for Measurement at the Doerr Institute for New Leaders at Rice University, and an expert on the social and cultural dynamics of honor; and Sgt. Rory Miller, a self-defense and conflict communication trainer, and a former corrections officer and tactical team leader. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 4 - Gun Culture 2.0: Why do people own guns and how do they use them? What do guns mean to the people who own them? and to those who don’t? And is there anyone who can help bridge those worlds? Guests: David Yamane, Professor of Sociology at Wake Forest University, and an expert on Gun Culture 2.0 and the rise of guns as tools for self-defense; Kevin Creighton, a gun enthusiast and writer for Ricochet.com, NRA Family and Shooting Illustrated; and Chris Marvin, former army officer, Black Hawk helicopter pilot, and a combat veteran of the war in Afghanistan, who’s been awarded the Bronze Star, Meritorious Service Medal and the Air Medal. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Chapter 2: Gender & Race
Episode 5 - “Boys will be boys.”: Why are guns a symbol, for many, of masculinity? Are boys and men more violent? Or do they turn to violence and guns as tools in the absence of other alternatives to dealing with their problems? Guests: Niobe Way, Professor of Developmental Psychology at New York University, author of Deep Secrets: Boys' Friendships and The Crisis of Connection, and TEDMED 2018 speaker; Benjamin Sledge, former Army Special Operations Command and recipient of the Bronze Star, Purple Heart and two Army Commendation medals; and Jim Taylor, Professor of Sociology at Ohio University and an expert on gun subcultures and masculinity in America. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 6 - He’s got a gun: There’s an important link between intimate partner violence (i.e. domestic violence) and gun violence. The majority of mass shootings occurs in the context of intimate partner violence. And women are most likely to be killed by an intimate partner — a husband, ex-husband, boyfriend or ex-boyfriend — than by anyone else. Guests: Jacquelyn Campbell, Professor at the Johns Hopkins University School of Nursing; Ruth Glenn, CEO of the National Coalition Against Domestic Violence, and a survivor of both intimate partner violence and gun violence; April Zeoli, Associate Professor at Michigan State University School of Criminal Justice, and TEDMED 2018 speaker; and Michael Siegel, Professor at the Boston University School of Public Health. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 7 - She’s got a gun: Many Americans hold dear the right to a gun for self-defense, and the passage of Stand-Your-Ground laws has greatly expanded the right to use deadly force in self-defense in many states. But what happens when a woman uses SYG to protect herself from intimate partner violence? Guests: Caroline Light, Senior Lecturer of Studies of Women, Gender, and Sexuality, Harvard University; Callie Adams, a former Marine, a survivor of intimate partner violence, and cleared of murdering her husband; Mary Anne Franks, Professor of Law at the University of Miami. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 8 - Good Guys with Guns & Bad Guys with Guns: What does it mean to be a “good guy with a gun” versus a “bad guy with a gun,” and how can you tell them apart? Who are the “sheep,” the “sheepdogs,” and the “wolves”? What does it mean to be law-abiding or not? And how much is the desire to own a gun about self-defense versus identity? Guests: Alexandra Filindra, Associate Professor of Political Science at the University of Illinois, Chicago; Angela Stroud, Associate Professor, Sociology and Social Justice, Northland College; Mary Anne Franks, Professor of Law at the University of Miami. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 9 - Why Blacks Need(ed) Guns: The black tradition of gun ownership is as long as our nation's history. But Blacks' rights to carry guns have been challenged at every turn. What's that history? And how did it inform attitudes among Civil Rights leaders and beyond? Guests: Nicholas Johnson, Professor of Law, Fordham University; Lisa Lindquist-Dorr, Associate Professor and Associate Dean, Social Sciences, University of Alabama; Caroline Light, Senior Lecturer of Studies of Women, Gender, and Sexuality, Harvard University. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 10 - This Nonviolent Stuff’ll Get You Killed: The Civil Rights Movement is famous for its nonviolent tactics, but was it really nonviolent? What role did guns play? Can you have a nonviolent movement and still be armed? Guests: Charles E. Cobb, journalist, author of This Nonviolent Stuff’ll Get You Killed, and former activist with the Student Nonviolent Coordinating Committee; and Akinyele Umoja, Chair of the Department of African American Studies at Georgia State University, author of We Will Shoot Back, and founding member of the New Afrikan People’s Organization and the Malcolm X Grassroots Movement. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 11 - Carrying A Gun While Black: How do you walk that fine line of being black and carrying a gun? with law enforcement? and the public at large? Can it be done? Guests: Justin McFarlin, U.S. Army veteran, and founding member of Everytown USA’s Veterans Advisory Council; Maj Toure, Founder of Black Guns Matter; and Jennifer Carlson, Assistant Professor of Sociology at the University of Arizona, and author of Citizen Protectors: The Everyday Politics of Guns in an Age of Decline. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Chapter 3: Are guns the problem?
Episode 12 - More Guns = More or Less Crime?: Since the late 1990s, two economists have dueled over whether more guns lead to more or less crime. In this episode, you’ll hear from both and learn whose science prevails. Guests: John Donohue III, economist, Professor of Law at Stanford University, and research associate at the National Bureau of Economic Research; and John Lott, economist, President of the Crime Prevention Research Center, FoxNews.com columnist, and author of More Guns, Less Crime. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 13 - In the Eye of the Beholder: The majority of Americans with guns own them for self-defense. But how common is defensive gun use? And what do these self-defense incidents look like? Guests: David Hemenway, Professor of Health Policy and Director of the Harvard Injury Control Research Center, and the author of Private Guns, Public Health; Sara Solnick, Chair of Economics at the University of Vermont; Gary Kleck, Professor Emeritus of Criminology at Florida State University, and author of Point Blank: Guns and Violence in America; and Philip Cook, Professor Emeritus of Public Policy, Economics and Sociology at Duke University, and the author of The Gun Debate: What Everyone Needs to Know. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 14 - The Instrumentality of Guns: In the late 1950s, England and Wales switched from coal-based gas to natural gas in their ovens, which was a lot less toxic. Suicide rates dropped dramatically. This has a lot to teach us about gun violence. Instrumentality refers to how good a weapon is as an instrument of killing. Gas was cheap, available and lethal — as are guns in the U.S. today. Would reducing the instrumentality of guns save lives? Guests: Ronald Clarke, Professor and former Dean of the School of Criminal Justice at Rutgers University; Franklin Zimring, Professor of Law at the University of California at Berkeley and author of The Great American Crime Decline; and Michael Anestis, Associate Professor of Psychology at the University of Southern Mississippi and author of Guns and Suicide: An American Epidemic. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 15 - The Big Australian Buyback: Australia shares a similar history and culture to our own. But yet after the Port Arthur massacre in 1996, Australians came to see the need for gun regulation very differently. Australia’s newly elected conservative prime minister at the time passed sweeping gun reform. How did that real-world experiment play out? What happens when you reduce the number of guns in a country nationwide? Guests: Rebecca Peters, former Chair of the Australian National Coalition for Gun Control, and former Director of the International Action Network on Small Arms; Philip Alpers, Adjunct Associate Professor of Public Health at the University of Sydney; Emeritus Professor of Public Health at the University of Sydney; Andrew Leigh, Labor member of the Australian House of Representatives and former Professor of Economics at Australian National University; and Roland Browne, Vice President of Gun Control Australia. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Chapter 4: Urban Violence
Chapter 5: Gun Safety
Chapter 6: Where do we go from here?
Season 2: The Opioid Overdose Crisis
Episode 1 - Is addiction a brain disease?: Is addiction a brain disease? a moral failing or lack of willpower? or neither? And why does it matter? Guests: Prof. Owen Flanagan, expert on the philosophy of mind and psychiatry, ethics and moral psychology at Duke University, and in recovery from substance abuse; Dr. Nora Volkow, Director of the National Institute on Drug Abuse at the National Institutes of Health, and TEDMED 2014 speaker; Dr. Carl Hart, Chair of Psychology at Columbia University, author of High Price: A Neuroscientist's Journey of Self-Discovery That Challenges Everything You Know About Drugs and Society, and TEDMED 2014 speaker; Prof. Candice Shelby, professor of philosophy at the University of Colorado, and author of Addiction: A Philosophical Perspective. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 2 - Neonatal Abstinence Syndrome (NAS): Is neonatal abstinence syndrome -- babies whose mothers used opioids in pregnancy and who go into withdrawal after birth -- is another form of intergenerational violence? And how can a community stop the cycle? Guests: Lieutenant Debbie Richmond, specialist in child abuse investigations at the Bristol Tennessee Police Department; Lisa Carter, CEO of Niswonger Children's Hospital in Johnson City, Tennessee; Ashlie Harrod, nurse educator with the Sullivan County Health Department in Tennessee; Chris Miller, Chief Patient Experience Officer of Mountain States Health Alliance's Washington County Market, and the adoptive father of a baby boy with neonatal abstinence syndrome. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 3 - The Rise of Fentanyl: How has the rise of fentanyl led to a spike in drug overdose deaths? And why would anyone want to take or deal in such a deadly drug? Guests: Mark Kinzly, co-founder of the Texas Overdose Naloxone Initiative, staff member with the Austin Harm Reduction Coalition in Texas, board member for the National Harm Reduction Coalition, and former heroin user; Carole Rendon, former US attorney for the Northern District of Ohio and a partner at Baker Hostetler LLP; Dr. Thomas P. Gilson, medical examiner for Cuyahoga County, and executive director for the Cuyahoga County crime laboratory; Christopher Tersigni, Assistant Special Agent at the Drug Enforcement Administration (DEA); Dr. Denise Paone, Senior Director of Research and Surveillance at the Bureau of Alcohol and Drug Use Prevention, Care and Treatment at the New York City Department of Health and Mental Hygiene. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 4 - Is there fentanyl in my drugs?: Could we save lives by offering drug users anonymous purity testing of their drugs for adulterants and dangerous cutting agents like fentanyl? Guests: Dr. Carl Hart, Chair of Psychology at Columbia University, author of High Price: A Neuroscientist's Journey of Self-Discovery That Challenges Everything You Know About Drugs and Society, and TEDMED 2014 speaker; Daan van der Gouwe, a researcher at the Trimbos Instituut in the Netherlands; Tino Fuentes, freelance harm reduction consultant, former Director of Syringe Access and Naloxone programs at St. Ann’s Corner of Harm Reduction in New York City, and former heroin dealer and user. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 5 - Adverse Childhood Experiences (ACEs): In the 1990s, researchers recruited 17,000 adults to answer questions about childhood stressors and trauma and their health. What does this groundbreaking research -- the Adverse Childhood Experiences (ACEs) study -- show us about how to treat substance abuse? Guests: Phillip Fiuty, Coordinator for Harm Reduction Programs at Santa Fe Mountain Center, and in recovery from substance abuse; Dr. Daniel Sumrok, Director of the Center for Addiction Science at the University of Tennessee Health Science Center in Memphis; Dr. Nora Volkow, Director of the National Institute on Drug Abuse at the National Institutes of Health, and TEDMED 2014 speaker; Dr. Gabor Maté, expert on addiction, stress and childhood development, co-founder of Compassion for Addiction, former physician with the Portland Hotel Society and Insite in Vancouver, Canada, author of In the Realm of Hungry Ghosts, and a Holocaust survivor. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 6 - Cops as social workers?: What if the criminal justice system emphasized housing and social services over crime and punishment? Guests: Amy Kroll, administrator for re-entry services in Allegheny County, Pennsylvania; Dr. João Castel-Branco Goulão, the national drug coordinator for Portugal and the architect of Portugal's drug policy; and Kris Nyrop, national support director for Law Enforcement Assisted Diversion (LEAD). iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 7 - A Safe Space to Use Drugs: What if we gave drug users a clean, safe place to use? out of the alleys and off the streets? Could that be the first rung on the ladder to recovery? Or would we be creating magnets for drug-related crime? Guests: Liz Evans, co-founder of Vancouver’s InSite, the first supervised consumption site in North America; Linda Rosenthal, New York State assembly woman representing the 67th district in Manhattan and TEDMED 2017 speaker; Patricia Sully a staff attorney for the Public Defender Association and coordinator of VOCAL Washington; and Washington State Senator Mark Miloscia, who’s trying to block the opening of such sites in his state. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 8 - Drugs to treat addiction? (even heroin & hydromorphone): Medications can play an important role in helping people recover from addiction. And sometimes, those medications can be the very drug they’re trying to quit. We talk about medication-assisted treatment -- from methadone and buprenorphine to heroin and hydromorphone. Guests: Dr. Mark Tyndall, Director of the British Columbia Center for Disease Control in Canada and TEDMED 2017 speaker; Paul Cherashore with the Philadelphia Overdose Prevention Initiative; and Dr. Barbara Broers, Director of the Dependency Unit at the University of Geneva, and Vice President of the Swiss Federal Commission for Drug-Related Affairs and of the Swiss Society for for Addiction Medicine. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 9 - Sharing Opana & Syringes in Small Town Indiana: Opioid abuse is affecting small towns across the U.S. in unprecedented ways. In 2015, Austin, Indiana was ground zero for one of the biggest HIV outbreaks in U.S. history -- the end result of sharing Opana and syringes. Guests: Bekki, a resident of Austin and mother to an injection drug user who got HIV; Dr. Will Cooke, the only doctor in Austin; Wayne Crabtree, Director of the Office of Addiction Services at Louisville Metro Public Health and Wellness; and Dr. Carolyn Wester, the Medical Director for HIV, STD and Viral Hepatitis at the Tennessee Department of Health. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 10 - What comes after you survive an overdose?: Naloxone can save the lives of drug users from deadly overdose, but what happens after someone survives an overdose? Does naloxone give users a false sense of security, encouraging them to use more? Guests: Jonathan Goyer, manager of Anchor MORE at the Providence Center, a drug recovery program, and advisor to the Rhode Island governor’s overdose taskforce; and Dr. Julie Donohue, a professor at the University of Pittsburgh School of Public Health. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the Transcript
Episode 11 - This Is America: Race and the War on Drugs: The U.S.'s unique history of slavery and race relations have played no small part in how we approach drug abuse and addiction differently from other developed countries—from the supposed “Negro cocaine fiends” of the early Jim Crow era… to the “law-and-order” politics that emerged, partly, in response to the race riots of the Civil Rights years… to “crack babies” in the '80s. But our history may, finally, be changing. Guests: Ekow Yankah, Professor of Law and Criminal Theory at Yeshiva University's Cardozo Law School; Philippe Bourgois, Professor of Anthropology and the Director of the Center for Social Medicine and Humanities in the Psychiatry Department at the UCLA Medical School; and David Courtwright, Professor of History at the University of North Florida. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 12 - Can we sue our way out of the opioid crisis?: Is anyone to blame for the opioid overdose epidemic? Should we be going after white-collar criminals like pharmaceutical company executives, distributors and doctors? What can we learn from the lawsuits against Big Tobacco? And will suing Big Pharma help get us out of this crisis? Guests: David Courtwright, Professor of History at the University of North Florida; Joe Rice, a lead negotiator in the Big Tobacco, BP Oil Spill, 9/11 victims and asbestos manufacturer settlements; James Tierney, former Attorney General of Maine and a key strategist in the fight against Big Tobacco; John Banzhaf, Professor of Law at the George Washington University; Robert Rabin, Professor of Law at Stanford University; and Rosalie Pacula, Senior Economist and Co-Director of RAND’s Drug Policy Research Center. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 13 - Religion, Responsibility, Blame & Shame: Is drug use immoral? Can religious leaders and communities help people recover from addiction? And can we hold people responsible without blame and shame? Guests: Pastor Steve Gallimore, Tennessee Valley Community Church; Kayla Kalel, in recovery from opioid addiction and a volunteer for Young People in Recovery; Bill Kinkle, health care provider who's in recovery from opioid addiction; Father Luis Barrios, Holyrood Episcopal Church-Iglesia Santa Cruz and co-founder of St. Ann's Corner of Harm Reduction in New York City; Dr. Farha Abassi, Assistant Professor of Psychiatry at Michigan State University and founder of the Muslim Mental Health Conference; and Hanna Pickard, Professor of Philosophy at the University of Birmingham in the UK. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Season 1: Youth & Mental Health
Episode 1 - Communication & Contagion: How do we communicate responsibly about depression and suicide without fueling contagion? During the 2016-2017 academic year, Columbia University was rocked by at least five student suicides. Guests: Jacqueline Basulto and Sean Ryan, Columbia University graduates; Dr. Dan Reidenberg, Executive Director of Suicide Awareness Voices of Education (SAVE); Jennifer Michael Hecht, historian, poet and author of Stay: A History of Suicide and the Arguments Against It. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 2 - Switch or Die: why trans teens are at such high risk for suicide: Why are LGBTQ youth at such high risk of depression, anxiety and suicide? Guests: Ed Tully, father of a transgender teen in Minnesota; Dr. Ximena Lopez, pediatric endocrinologist specializing in adolescent trans care at UT Southwestern Medical Center and TEDMED 2017 speaker. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 3 - Academic & Social Pressure: How do new stressors contribute to the risk of suicide among young people? Guests: Kristine Bernardoni, mother in California whose son was one of a cluster of students to die by suicide at his high school; Sarah Molina and Brandaly Mora, high school students in Florida who have themselves experienced suicidal ideation and are now doing what they can to help others through their work with the HOPE Sunshine Club; Dr. Denise Pope, adolescent stress researcher at the Stanford Graduate School of Education, co-founder of Challenge Success, and author of Overloaded and Underprepared: Strategies for Stronger Schools and Healthy, Successful Kids. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 4 - Social Media, Big Data & Other Solutions: How can social media, texting and big data be used to improve mental health and prevent suicide? And what can colleges and universities do to help their students? Guests: Nancy Lublin, founder and CEO of the Crisis Text Line, founder of DoSomething.org and Dress for Success, TEDWomen 2015 speaker; Bob Filbin, Chief Data Scientist at the Crisis Text Line; Dr. Glen Coppersmith, founder and CEO of QNTFY; John MacPhee, Executive Director and CEO of the JED Foundation; Brandaly Mora and Sarah Molina, students at Cooper City High School and members of the HOPE Sunshine Club. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript
Episode 5 - The Role of TV & Film: Can movies and shows like Netflix's 13 Reasons Why raise awareness about mental health and help those at risk for suicide? Guests: Dr. Victor Schwartz, suicide prevention expert and Chief Medical Officer at the JED Foundation; Erahm Christopher, director of Listen; Michael Lehman, director of the cult classic Heathers; Jenny Jaffe, writer, actress and comedienne, founder of Project UROK, and star of IFC's Neurotica. iTunes Google SoundCloud Spotify RadioPublic Stitcher Read the transcript