A Cautionary Tale of Out of Town Experts, White Elephants and Erosion of Authentic Communities

It is an age-old story, out of area well-meaning experts descend on a community bearing big ideas, big money and big projects to improve things for the natives. They build a road, dam, or a well or a school and fundamentally change the dynamics of things that were working in those communities before their arrival. … Continue reading A Cautionary Tale of Out of Town Experts, White Elephants and Erosion of Authentic Communities

Supporting Long term Recovery and the Tragedy of the Commons

Strengthening and supporting long term recovery for diverse communities across multiple pathways of recovery is a goal that would reap huge benefits for our entire society. As I have written about before, the single most important focus of substance use treatment and recovery policy in the United States should be on getting as many people … Continue reading Supporting Long term Recovery and the Tragedy of the Commons

The Road Ahead: Marginalization or Inclusion of the Faces and Voices of Recovery?

"What is past is prologue" as William Shakespeare once said. While this does not mean that history is fated to repeat itself, it does point to the tendency for patterns to echo. Understanding those patterns can help us understand the present and potential risks we face currently. Readers interested in learning about our history, the … Continue reading The Road Ahead: Marginalization or Inclusion of the Faces and Voices of Recovery?

Cognitive Bias and Public Health Policy

JAMA has an article on cognitive bias as it relates to public health policy for COVID-19. These cognitive errors, which distract leaders from optimal policy making and citizens from taking steps to promote their own and others’ interests, cannot merely be ascribed to repudiations of science. Rather, these biases are pervasive and may have been … Continue reading Cognitive Bias and Public Health Policy