AMERICAN DIAGNOSIS with Dr. Céline Gounder - podcast cover

AMERICAN DIAGNOSIS with Dr. Céline Gounder

KFF Health News and JUST HUMAN PRODUCTIONSkhn.org
“American Diagnosis” is a conversation about some of the biggest public health challenges across the United States, with insights on topics from teen mental health to opioids and gun violence highlighting the voices of experts and people on the ground working for the health of their communities.
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Episodes

S3E27 / Gun Violence in America / The Devil’s in the Details: Red Flag Laws Part II / Kimberly Wyatt, Peter Contos, Shannon Frattaroli, Tami Tunnell

Seventeen states and DC have red flag laws, aka Extreme Risk Protection Orders. But it's not enough to pass a law. That's just the beginning of the work that needs to be done. Guests: Tami Tunnell and Peter Contos, Illinois Coalition Against Handgun Violence; Shannon Frattaroli, Associate Professor, Johns Hopkins Bloomberg School of Public Health; and Kimberly Wyatt, Senior Deputy Prosecuting Attorney, King County Prosecutor's Office. | insicknessandinhealthpodcast.com | glow.fm/insicknessandinh...

Oct 03, 201923 minSeason 3Ep. 27

S3E26 / Gun Violence in America / See Something, Say Something: Red Flag Laws Part I / Amy Barnhorst, Jeffrey Swanson, Julia Spoor, Tom Sullivan

Extreme risk protection orders, aka red flag laws, have been passed in 17 states and DC, and now Congress is considering a federal red flag law. But how do Extreme Risk Protection Orders work? And do they save lives? Guests: Jeffrey Swanson, Professor of Psychiatry and Behavioral Sciences at the Duke University School of Medicine; Amy Barnhorst, Vice Chair for Community Mental Health in the Department of Psychiatry at the University of California, Davis; Julia Spoor, Founder of Students Demand A...

Sep 19, 201929 minSeason 3Ep. 26

S3E25 / Gun Violence in America / The Psychology of Mass Shooters / Adam Lankford, J. Reid Meloy, Jillian Peterson, Sue Klebold

Saying mass shooters are “evil” is overly simplistic and doesn’t do much to prevent them from killing. But understanding what they have in common, like suicidality, may help us intervene before it’s too late. Guests: Sue Klebold, the mother of one of the Columbine shooters, a suicide prevention activist, author of A Mother's Reckoning: Living in the Aftermath of Tragedy, and TEDMED 2016 speaker; Adam Lankford, Professor of Criminology at The University of Alabama; Jillian Peterson, Assistant Pro...

Sep 05, 201938 minSeason 3Ep. 25

S3E24 / Gun Violence in America / Why Do People Die by Suicide? / Michael Anestis & Thomas Joiner

People die by suicide when they think they’re a burden on others, when they’re socially isolated, and when they have the ability to injure themselves lethally. Dying by suicide is really hard to do. It's not an impulsive act. You need to have the knowledge and means to act on your feelings – with lethality. Guests: Thomas Joiner, Professor of Psychology at Florida State University and author of "Why Do People Die by Suicide?", and Michael Anestis, Associate Professor of Psychology at the Univers...

Aug 22, 201921 minSeason 3Ep. 24

S3E23 / Gun Violence in America / Lives in Blue / David Swedler, Franklin Zimring, Mark Jones

With almost 400 million guns in the U.S., law enforcement officers have good reason to fear for their lives. Every civilian they encounter in the line of duty could be armed and dangerous. Guests: Mark Jones, retired ATF agent and Senior Policy Advisor to the Illinois Council Against Handgun Violence; Franklin Zimring, Professor of Law at the University of California at Berkeley and author of The Great American Crime Decline; David Swedler, Associate Research Scientist at the Pacific Institute f...

Aug 08, 201932 minSeason 3Ep. 23

S3E22 / Gun Violence in America / Law Enforcement in the Digital Age / Charles West, Chief Paul Neudigate, Mark Jones

Have we entered the era of Minority Report and “true crime”? Yes… and no. Artificial intelligence, machine learning, facial recognition, and IPOs are very much part of the story, but so are paper records and microfiche. American law enforcement straddles the digital age… and the stone age. Guests: Paul Neudigate, Assistant Police Chief, Cincinnati Police Department; Charles West, Former Director of Innovation with the Mayor’s Office in New Orleans; and Mark Jones, retired ATF agent and former Pr...

Jul 25, 201935 minSeason 3Ep. 22

S3E21 / Gun Violence in America / Law & Order? / Andrew Papachristos, Cassandra Crifasi, Daniel Webster, Ekow Yankah, Justin Fenton

Cops are supposed to enforce laws, reduce crime, and make communities safer. But what happens when cops don’t make people feel safe? When people don’t trust the police? When cynicism about the legal system sets in? And when, as in the case of the Baltimore Gun Trace Task Force, the cops are criminals? Guests: Daniel Webster, Professor at the Johns Hopkins Bloomberg School of Public Health, Director of the Center for Gun Policy and Research, and TEDMED 2014 speaker; Justin Fenton, crime reporter ...

Jul 11, 201930 minSeason 3Ep. 21

S3E20 / Gun Violence in America / The Science of Soft Policing / Harold Pollack, Patrica Rogers, Patrick Sharkey, Sirena Cotton

We typically think of policing as something that’s done by police officers. But what if the most important policing… is self-policing... by individuals and communities? Guests: Sirena Cotton, Founder of Roc the Peace in Rochester; Harold Pollack, Professor at the University of Chicago, and Co-Director of the Crime Lab and Health Lab; Patrick Sharkey, Professor and Chair of the Department of Sociology at New York University, and author of An Uneasy Peace and Stuck in Place; Patricia Rogers, Execu...

Jun 27, 201930 minSeason 3Ep. 20

S3E19 / Gun Violence in America / A Tale of Two Cities / Barbara Lafitte-Oluwole, Charles West, Michael McLively, Vaughn Crandall

Up until recently, Oakland and New Orleans shared something in common: they had some of the highest murder rates in the country. They implemented some of the same strategies focused on high-risk individuals, but gun shootings and homicides dipped in one city, but in the other, not. Why the difference? Guests: Vaughn Crandall, Co-Director of the California Partnership for Safe Communities; Barbara Lafitte-Oluwole with Oakland Community Organizations; Michael McLively, Director of Giffords Law Cen...

Jun 15, 201938 minSeason 3Ep. 19

S3E18 / Gun Violence in America / Gangs / David M. Kennedy & Stan Ross

Urban gun violence is driven by small groups of high-risk individuals—what some of us call "gangs." They're high-risk for perpetrating violence and for being shot and killed. Guests: David M. Kennedy, Professor of Criminal Justice and Director of the National Network for Safe Communities at John Jay College of Criminal Justice, and author of Don't Shoot: One Man, a Street Fellowship, and the End of Violence in Inner-City America; Stan Ross, Program Manager, Cincinnati Initiative to Reduce Violen...

May 30, 201923 minSeason 3Ep. 18

S3E17 / Gun Violence in America / How Do Criminals Get Their Guns? / Cassandra Crifasi, Daniel Webster, Harold Pollack, Sheriff Lonny Pulkrabek

How are guns transmitted from person-to-person? How do they make their way from legal sources into the hands of criminals, and how we can block that transmission? Guests: Sheriff Lonny Pulkrabek, Johnson County, Iowa; Daniel Webster, Professor at the Johns Hopkins Bloomberg School of Public Health, Director of the Center for Gun Policy and Research, and TEDMED 2014 speaker; Cassandra Crifasi, Assistant Professor at the Johns Hopkins Bloomberg School of Public Health, Deputy Director of the Cente...

May 16, 201923 minSeason 3Ep. 17

S3E16 / Gun Violence in America / Violence Is Contagious / Andrew Papachristos, Desmond Patton, Gary Slutkin, Tómas Ortiz

Gun violence isn’t random. Both guns and violence spread like infectious diseases through social networks—in the real world and online. Understanding how gun violence spreads can help us control the contagion. Guests: Gary Slutkin, Founder of Cure Violence, Professor of Epidemiology at the University of Illinois-Chicago, and TEDMED 2013 speaker; Andrew Papachristos, Professor of Sociology at Northwestern University; Desmond Patton, Associate Professor of Social Work at Columbia University; and T...

May 02, 201925 minSeason 3Ep. 16

S3E15 / Gun Violence in America / The Big Australian Buyback / Andrew Leigh, Philip Alpers, Rebecca Peters, Roland Browne, Simon Chapman

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 ...

Apr 18, 201935 minSeason 3Ep. 15

S3E14 / Gun Violence in America / The Instrumentality of Guns / Franklin Zimring, Michael Anestis, Ronald Clarke

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. So how can we reduce the instrumentality of a weapon? Guests: Ronald Clarke, Professor and former Dean of the School of Criminal Justice at Rutgers...

Apr 04, 201925 minSeason 3Ep. 14

S3E13 / Gun Violence in America / In the Eye of the Beholder / David Hemenway, Gary Kleck, Philip Cook, Sara Solnick

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 Amer...

Mar 21, 201924 minSeason 3Ep. 13

S3E12 / Gun Violence in America / More Guns = More or Less Crime? / John Donohue & John Lott

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. | insicknessandinhealthpodcast.com | glow.fm...

Mar 07, 201932 minSeason 3Ep. 12

S3E11 / Gun Violence in America / Carrying A Gun While Black / Justin McFarlin, Maj Toure, Philip Smith

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. | insicknessandinhealthpodcast.com | glow.fm/insi...

Feb 21, 201921 minSeason 3Ep. 11

S3E10 / Gun Violence in America / This Nonviolent Stuff’ll Get You Killed / Akinyele Umoja, Fletcher Anderson

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 ...

Feb 07, 201924 minSeason 3Ep. 10

S3E9 / Gun Violence in America / Why Blacks Need(ed) Guns / Caroline Light, Lisa Lindquist-Dorr, Nicholas Johnson

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. | ins...

Jan 24, 201924 minSeason 3Ep. 9

S3E8 / Gun Violence in America / Good Guys with Guns & Bad Guys with Guns / Alexandra Filindra, Dave Grossman, Mary Anne Franks

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, ...

Jan 10, 201928 minSeason 3Ep. 8

BONUS: Dr. Gounder's Keynote at the Institute for Health Improvement's meeting in 12/2018

Happy New Year! Here’s a post-holiday bonus episode before we get back to our regularly scheduled programming next week. In December 2018, I gave a keynote address at the Institute for Health Improvement’s annual meeting in Orlando, Florida. I talked about the importance of storytelling in medicine… why health care providers need to share their personal stories and bear witness. Have a listen… and please tune in again later this week!

Jan 07, 201913 min

S3E7 / Gun Violence in America / She’s Got a Gun / Callie Adams, Caroline Light, Mary Anne Franks

Many Americans hold dear the right to a gun for self-defense, and the passage of Stand-Your-Ground laws has 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, former Marine, survivor of intimate partner violence, and cleared of murdering her husband; Mary Anne Franks, Pro...

Dec 20, 201823 minSeason 3Ep. 7

S3E6 / Gun Violence in America / He’s Got a Gun / April Zeoli, Dana Loesch, Jacquelyn Campbell, Michael Siegel

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 bo...

Dec 06, 201822 minSeason 3Ep. 6

S3E5 / Gun Violence in America / “Boys will be boys.” / Benjamin Sledge, Jim Taylor, Niobe Way

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 Commendatio...

Nov 22, 201820 minSeason 3Ep. 5

S3E4 / Gun Violence in America / Gun Culture 2.0 / Chris Marvin, David Yamane, Kevin Creighton

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 ...

Nov 08, 201828 minSeason 3Ep. 4

S3E3 / Gun Violence in America / Guns & Honor / Dov Cohen, Eric Ruben, Ryan Brown, Rory Miller

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 th...

Oct 25, 201823 minSeason 3Ep. 3

S3E2 / Gun Violence in America / A Uniquely American Compromise / Alex Trimble Young, Carl Bogus, Lois Schwoerer

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. | insicknessandinhealthpodcast.com | glow.fm/insicknessandinhealth ...

Oct 11, 201822 minSeason 3Ep. 2

S3E1 / Gun Violence in America / An Unlikely Friendship / Mark Rosenberg

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 ...

Sep 27, 201825 minSeason 3Ep. 1

S2E13 / The Opioid Overdose Crisis / Religion, Responsibility, Blame & Shame / Bill Kinkle, Farha Abassi, Father Luis Barrios, Hanna Pickard, Kayla Kalel, Pastor Steve Gallimore

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 R...

Jul 12, 201834 minSeason 2Ep. 13

S2E12 / The Opioid Overdose Crisis / Can We Sue Our Way Out of the Opioid Crisis? / David Courtwright, James Tierney, Joe Rice, John Banzhaf, Robert Rabin, Rosalie Pacula

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, forme...

Jun 12, 201832 minSeason 2Ep. 12
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