This episode examines the political debates around public health and public health policy. It is a perfect case study to illustrate so many of the principles covered in earlier podcasts, such as capitalism, externalities, risk, paranoia, and the dumbing down of America.

Public health policy is a particularly odd political topic, because in a completely rational world there wouldn’t be much debate. Of course, scientific knowledge continually evolves, but unlike many other issues that we discuss (e.g. immigration, abortion, gun rights, etc), public health is one where we actually do have so many facts that aren’t really debatable. Yet, for for many reasons – political power, economic incentives, and psychological phenomena – we’ve transformed what should be anthe “easy” political discussion in politics into one that is incredibly contentious and one which denigrates experts and known facts. This is all tied to our poor ability to assess risk and to balance individual freedoms and rights with those of the community rules we need to get the most value out of our freedoms and rights.

Unfortunately, in the public health sphere, the ramifications of our collective stupidity has a direct – and often deadly – effect on us individually and collectively. We need to look no further than how poorly the U.S. fared when it came to excess mortality during the COVID-19 pandemic.  Unfortunately, this is a long-term problem that maywill take literally generations of work to reverse the trend and to Make America Smart Again!

Key Terms Used

Boiling Frog, Cognitive Dissonance, Dunning-Kruger Effect, Externality, Groupthink, Herd Mentality, Kakistocracy, Laissez Faire, Public Good, Risk, Tautological Externality

Related Resources

Fluoride Exposure and Children’s IQ Scores: A Systematic Review and Meta-Analysis | Pediatrics | JAMA Pediatrics | JAMA Network

A systematic review and meta-analysis of the association between fluoride exposure and neurological disorders | Scientific Reports

Fluoride exposure and cognitive neurodevelopment: Systematic review and dose-response meta-analysis – PubMed

Mortality Risk of COVID-19 – Our World in Data

Mortality Analyses – Johns Hopkins Coronavirus Resource Center

Myth or Fact? An Analysis of COVID-19 Deaths in Red or Blue States of America

Excess Death Rates for Republican and Democratic Registered Voters in Florida and Ohio During the COVID-19 Pandemic | Public Health | JAMA Internal Medicine | JAMA Network