New Books in Medicine

Latest Episodes:

Zeynep Pamuk, "Politics and Expertise: How to Use Science in a Democratic Society" (Princeton UP, 2021) Apr 05, 2022

Show notes

Our ability to act on some of the most pressing issues of our time, from pandemics and climate change to artificial intelligence and nuclear weapons, depends on knowledge provided by scientists and other experts. Meanwhile, contemporary political life is increasingly characterized by problematic responses to expertise, with denials of science on the one hand and complaints about the ignorance of the citizenry on the other.

Politics and Expertise: How to Use Science in a Democratic Society (Princeton University Press, 2021) offers a new model for the relationship between science and democracy, rooted in the ways in which scientific knowledge and the political context of its use are imperfect. Zeynep Pamuk starts from the fact that science is uncertain, incomplete, and contested, and shows how scientists' judgments about what is significant and useful shape the agenda and framing of political decisions. The challenge, Pamuk argues, is to ensure that democracies can expose and contest the assumptions and omissions of scientists, instead of choosing between wholesale acceptance or rejection of expertise. To this end, she argues for institutions that support scientific dissent, proposes an adversarial "science court" to facilitate the public scrutiny of science, reimagines structures for funding scientific research, and provocatively suggests restricting research into dangerous new technologies.

Through rigorous philosophical analysis and fascinating examples, Politics and Expertise moves the conversation beyond the dichotomy between technocracy and populism and develops a better answer for how to govern and use science democratically.

Zeynep Pamuk is assistant professor of political science at the University of California, San Diego.

Caleb Zakarin is the Assistant Editor of the New Books Network (Twitter: @caleb_zakarin).

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The Future of Delusions: A Discussion with Lisa Bortolotti Apr 05, 2022

Show notes

The accusation “you’re deluded” is often used as something of a cheap shot intended to silence an opponent in debate. But what is the nature of a delusion and how can we assess rationality and irrationality? In this podcast, Owen Bennett-Jones talks to Professor Lisa Bortolotti who studies the philosophy of psychology and psychiatry at Birmingham University and is the author of among many other things, Delusions and Other Irrational Beliefs(Oxford UP, 2010) and most recently edited Delusions in Context (Palgrave Macmillan, 2018).

Owen Bennett-Jones is a freelance journalist and writer. A former BBC correspondent and presenter he has been a resident foreign correspondent in Bucharest, Geneva, Islamabad, Hanoi and Beirut. He is recently wrote a history of the Bhutto dynasty which was published by Yale University Press.

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Pandemic Perspectives 4: Science, Societal Values and COVID Mar 30, 2022

Show notes

In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to Lorraine Daston, director emerita of the Max Planck Institute for the History of Science in Berlin about a number of hugely relevant issues at the intriguing overlap between science and societal values.

Ideas Roadshow's Pandemic Perspectives Project consists of three distinct, reinforcing elements: a documentary film (Pandemic Perspectives), book (Pandemic Perspectives: A filmmaker's journey in 10 essays) and a series of 24 detailed podcasts with many of the film's expert participants. Visit www.ideasroadshow.com for more details.

Howard Burton is the founder of Ideas Roadshow and host of the Ideas Roadshow Podcast. He can be reached at howard@ideasroadshow.com.

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Rachel E. Gross, "Vagina Obscura: An Anatomical Voyage" (W. W. Norton, 2022) Mar 30, 2022

Show notes

A camera obscura reflects the world back but dimmer and inverted. Similarly, science has long viewed woman through a warped lens, one focused narrowly on her capacity for reproduction. As a result, there exists a vast knowledge gap when it comes to what we know about half of the bodies on the planet.

That is finally changing. Today, a new generation of researchers is turning its gaze to the organs traditionally bound up in baby-making—the uterus, ovaries, and vagina—and illuminating them as part of a dynamic, resilient, and ever-changing whole. Welcome to Vagina Obscura: An Anatomical Voyage (W.W. Norton, 2022), an odyssey into a woman’s body from a fresh perspective, ushering in a whole new cast of characters.

In Boston, a pair of biologists are growing artificial ovaries to counter the cascading health effects of menopause. In Melbourne, a urologist remaps the clitoris to fill in crucial gaps in female sexual anatomy. Given unparalleled access to labs and the latest research, journalist Rachel E. Gross takes readers on a scientific journey to the center of a wonderous world where the uterus regrows itself, ovaries pump out fresh eggs, and the clitoris pulses beneath the surface like a shimmering pyramid of nerves.

This paradigm shift is made possible by the growing understanding that sex and gender are not binary; we all share the same universal body plan and origin in the womb. That’s why insights into the vaginal microbiome, ovarian stem cells, and the biology of menstruation don’t mean only a better understanding of female bodies, but a better understanding of male, non-binary, transgender, and intersex bodies—in other words, all bodies.

By turns funny, lyrical, incisive, and shocking, Vagina Obscura is a powerful testament to how the landscape of human knowledge can be rewritten to better serve everyone.

Sine Yaganoglu: Having trained as a neuroscientist and bioengineer, I switched to industry following my PhD at ETH Zurich and have been working in innovation management and diagnostics. Besides reading about science, innovation and entrepreneurship, I have become interested in the scientific and cultural aspects of parenting and motherhood since welcoming my first child.

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Natali Valdez, "Weighing the Future: Race, Science, and Pregnancy Trials in the Postgenomic Era" (U California Press, 2022) Mar 30, 2022

Show notes

In Weighing the Future: Race, Science, and Pregnancy Trials in the Postgenomic Era (University of California Press, 2022), Natali Valdez examines research trials that enroll pregnant people in the United States and England. These research trials aim to lower the health risks to future generations by intervening in and studying the diet and exercise of pregnant people. As an ethnographer, Valdez enrolled pregnant participants into the studies, met with them to administer the intervention, and observed the processes of the trials. Valdez argues that these studies focus on the pregnant individual without accounting for the social, cultural, economic, and environmental factors that present risk factors to their pregnancies. Structural factors such as racism, pollution, and poverty are not acknowledged, studied, or tracked. And this focus on the individual forecloses addressing issues, such as unstable housing, childcare, immigration, and racism. In the book, Valdez discusses how pregnancy trials have changed very little since the 1950s, the politics of recruiting participants to the trials, and how they handle racial diversity. Valdez asserts that these trials use race as an unstable and inconsistent marker of identifying participants, but they do not address racism, which is an underlying cause of health disparities. In the episode we discuss Valdez’s arguments, ethnographic work, and experience of writing the book. Weighing the Future would be of interest to those in medical anthropology, science and technology studies, as well as women and gender studies. Weighing the Future is the first book of its kind, and it contributes much to our understandings of the increasingly salient issues of maternal health, research, and race.

Natali Valdez is an Assistant Professor of Women’s and Gender Studies at Wellesley College.

Reighan Gillam is an Assistant Professor in the Department of Anthropology at the University of Southern California.

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Alexander Zaitchik, "Owning the Sun: A People's History of Monopoly Medicine from Aspirin to COVID-19 Vaccines" (Counterpoint, 2022) Mar 30, 2022

Show notes

Although the dividing line between private life and public responsibilities can never be definite and clear, there is a moral threshold which is crossed both by those who assume power to change the lives of many men through public action and by those who undertake to represent in a public role the will and interests of many other men. A new responsibility, and even a new kind of responsibility, and new moral conflicts, present themselves.

– Stuart Hampshire, foreword to Public and Private Morality (1978)

Hampshire’s thoughts help articulate the inherent tensions underlying an institutionalized system of monopoly medicine that has commandeered the myth of free-market ideology in an ongoing and highly successful effort to profit from pharmaceutical patents generated by U.S. government-funded scientific research. This is the broader thesis of investigative journalist Alexander Zaitchik’s latest book, Owning the Sun: A People’s History of Monopoly Medicine from Aspirin to COVID-19 published by Counterpoint in March of 2022.

Zaitchik highlights the politics and players from founding fathers to the FDA’s Francis Kelsey to Hayek and the Chicago School in an engaging and well-researched narrative laying bare the situational ethics across the professional domains of the pharmaceutical industry, publicly-funded university research, and medicine more broadly while highlighting the public-private tension baked into our ‘free market’ political economy and its reification of knowledge through patent and intellectual property law.

Zaitchik’s narrative deftly outlines how generations of public health and science advocates have attempted to hold the line against pharmaceutical special interests and their allies in government while documenting privatized medicine’s evolution in the U.S. and its globalizing effects. From the controversial arrival of patent-seeking German chemical companies in the late nineteenth century to present-day coordination between industry and philanthropic organizations—including the influential Gates Foundation—that defeated efforts to loosen intellectual property restrictions for countries to produce vaccines against COVID-19. Relevant and smartly written with a disturbing message for everyone who cares about the cost and access of medicine.

Listeners will find the book and Zaitchik’s observations in this interview engaging as well as his 2018 article in The New Republic that previews part of the book’s larger thesis:

Complement and expand the topic focus with these recent NBN segments:

1) Davos Man: How the Billionaires Devoured the World (2022) written by Peter S. Goodman and

interviewed by Caleb Zakarin.

2) Disorder: A History of Reform, Reaction, and Money in American Medicine (2021) written by Peter

S. Swanson and interviewed by Stephen Pimpare.

Alexander Zaitchik is a freelance journalist and contributor to Atlantic magazine, The New Republic, The Nation and Foreign Policy among others, and has authored four books including this latest just published by Counterpoint Press in Berkeley.

Keith Krueger lectures at the SILC Business School in Shanghai University.

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Lucy Ward, "The Empress and the English Doctor: How Catherine the Great Defied a Deadly Virus" (ONEWorld, 2022) Mar 25, 2022

Show notes

Within living memory, smallpox was a dreaded disease. Over human history, it has killed untold millions. In the eighteenth century, as epidemics swept Europe, the first rumours emerged of effective treatment: a mysterious method called inoculation.

But a key problem remained: convincing people to accept the preventative remedy, the forerunner of vaccination. Arguments raged over risks and benefits, and public resistance ran high. As smallpox ravaged her empire and threatened her court, Catherine the Great took the momentous decision to summon the Quaker physician Thomas Dimsdale from Hertford to St Petersburg to carry out a secret mission that would transform both their lives. In The Empress and the English Doctor: How Catherine the Great Defied a Deadly Virus (ONEworld, 2022), Lucy Ward expertly unveils the extraordinary story of Enlightenment ideals, female leadership and the fight to promote science over superstition.

Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.

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Pandemic Perspectives 3: A Conversation with Samuel Moyn Mar 23, 2022

Show notes

In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to Samuel Moyn, Henry R. Luce Professor of Jurisprudence and Professor of History at Yale University, about neoliberalism, human rights and what our collective response to the COVID-19 pandemic reveals about our true values.

Howard Burton is the founder of Ideas Roadshow and host of the Ideas Roadshow Podcast. He can be reached at howard@ideasroadshow.com.

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Howard Burton, "Pandemic Perspectives: A Filmmaker's Journey in 10 Essays" (Open Agenda, 2022) Mar 22, 2022

Show notes

Howard Burton has been talking to very wise people for decades--scientists, historians, political thinkers, philosophers, etc. When Covid "hit" he was, like many of us, puzzled. Where did it come from? How should we respond to it? What does it say about us? So he did what he does: Had conversations with 32 very wise people about Covid. He filmed the discussions, and you can watch them here. Some of them will be released as podcasts on the Ideas Roadshow Podcast, which you can find here. He also wrote a book about his conversations: Pandemic Perspectives: A Filmmaker's Journey in 10 Essays (Open Agenda, 2022). You can buy it here.

Today I talked to Howard about the book, and what he learned in his discussions with these people. Enjoy.

Marshall Poe is the founder and editor of the New Books Network. He can be reached at marshallpoe@newbooksnetwork.com.

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Pardis Sabeti and Lara Salahi, "Outbreak Culture: The Ebola Crisis and the Next Epidemic, With a New Preface and Epilogue" (Harvard UP, 2021) Mar 18, 2022

Show notes

As we saw with the Ebola outbreak--and the disastrous early handling of the COVID-19 coronavirus pandemic--a lack of preparedness, delays, and system-wide problems with the distribution of critical medical supplies can have deadly consequences. Yet after every outbreak, the systems put in place to coordinate emergency responses are generally dismantled.

One of America's top biomedical researchers, Dr. Pardis Sabeti, and her Pulitzer Prize-winning collaborator, Lara Salahi, argue that these problems are built into the ecosystem of our emergency responses. With an understanding of the path of disease and insight into political psychology, they show how secrecy, competition, and poor coordination plague nearly every major public health crisis and reveal how much more could be done to safeguard the well-being of caregivers, patients, and vulnerable communities. A work of fearless integrity and unassailable authority, Outbreak Culture: The Ebola Crisis and the Next Epidemic(Harvard UP, 2021) seeks to ensure that we make some urgently needed changes before the next pandemic.

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