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Chris Hadfield
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We could cut the opioid death rate by 50% – but we’re not

As more and more people die, drug companies keep reaping in a massive profit.

Maia Szalavitz: Well, I think like in terms of—seeing famous people that we love die from drugs should make us question why we so stigmatize and attack people with addictions. I mean some of our most beloved artists, musicians, writers have been addicted. I mean I find it kind of interesting that we don't see addiction as a "white problem" when you have like William Burroughs and Lou Reed and Kurt Cobain—and I could list 20 other heroin addicted rock stars. So, this is a condition that can affect not just anybody, but people who are in some sort of emotional pain. Addiction kicks people who are already down. And it doesn't look like celebrities should be that kind of person. But I think that a lot of the drive and the grit and the, you know, what you need in order to achieve great success is also a risk for addiction. Because in order to be a successful rock star you have to process despite rejection a lot and you need to be able to just keep going and keep going. And if that kind of drive and passion gets focused on a drug it is particularly destructive.

So, I think in order to help deal with opioid addiction, for one we need to have naloxone in every first aid kit. There is absolutely no reason why people who are surrounded by other people should ever die of an overdose. If you are injecting and other people are there—which is the case 50 to 60 percent of the time—naloxone should be there. And this is not going to encourage more drug use, because it's an awful experience to get awakened with naloxone, but it will save lives. And so that's one way we can turn the tide on this. The other way that I think we can turn the tide on opioid addiction is we really need to provide greater access to drugs like methadone and Suboxone, which is also called buprenorphine.

Those two drugs taken indefinitely, i.e. potentially for life, are the only thing that cut the death rate by 50 percent. And if we really want to solve this problem we could get rid of half of it if we could enroll many more people in these maintenance programs. Now there's a lot of the barriers to that. One is that we only allow doctors prescribing buprenorphine to see a hundred patients—now they just raised it to 200—this is ridiculous. They can prescribe opioids for pain to 10,000 patients but you can only prescribe for addiction to a hundred patients? This is really silly. We also have this idea that you can't provide these medications without also providing counseling. And we don't to do that for any other medical service. We don't say, "You can only get your insulin if you do X counseling on diet," or whatever. We realize that people need the tools to stay alive regardless of if they are improving as quickly as we would like them to do. And forced counseling doesn't actually help anyway. So what we should do is we should have different thresholds for treatment. So with buprenorphine some people may just want to show up and get a dose, and that's it. And that will work as sheer harm reduction. That should be available in emergency rooms.

You need to register people so that you don't end up with people getting multiple doses, and you need to be a little more careful with methadone than with buprenorphine because there is a big overdose risk for patients who are naïve to methadone, and it's a difficult drug to prescribe. So that needs to be a little more controlled, but we have it way too controlled and isolate it from the rest of medicine in a way that we don't do with any other drug. So, we have the tools to dramatically reduce the death toll for celebrities and for everybody else—we're just not using them.

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Study details the negative environmental impact of online shopping

Frequent shopping for single items adds to our carbon footprint.

Photo by George Frey/Getty Images
Politics & Current Affairs
  • A new study shows e-commerce sites like Amazon leave larger greenhouse gas footprints than retail stores.
  • Ordering online from retail stores has an even smaller footprint than going to the store yourself.
  • Greening efforts by major e-commerce sites won't curb wasteful consumer habits. Consolidating online orders can make a difference.
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Childhood sleeping problems may signal mental disorders later in life

Chronic irregular sleep in children was associated with psychotic experiences in adolescence, according to a recent study out of the University of Birmingham's School of Psychology.

Personal Growth
  • We spend 40 percent of our childhoods asleep, a time for cognitive growth and development.
  • A recent study found an association between irregular sleep patterns in childhood and either psychotic experiences or borderline personality disorder during teenage years.
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    Neom, Saudi Arabia's $500 billion megacity, reaches its next phase

    Construction of the $500 billion dollar tech city-state of the future is moving ahead.

    Credit: Neom
    Technology & Innovation
    • The futuristic megacity Neom is being built in Saudi Arabia.
    • The city will be fully automated, leading in health, education and quality of life.
    • It will feature an artificial moon, cloud seeding, robotic gladiators and flying taxis.
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    Why do people believe in conspiracy theories?

    Are we genetically inclined for superstition or just fearful of the truth?

    Videos
    • From secret societies to faked moon landings, one thing that humanity seems to have an endless supply of is conspiracy theories. In this compilation, physicist Michio Kaku, science communicator Bill Nye, psychologist Sarah Rose Cavanagh, skeptic Michael Shermer, and actor and playwright John Cameron Mitchell consider the nature of truth and why some groups believe the things they do.
    • "I think there's a gene for superstition, a gene for hearsay, a gene for magic, a gene for magical thinking," argues Kaku. The theoretical physicist says that science goes against "natural thinking," and that the superstition gene persists because, one out of ten times, it actually worked and saved us.
    • Other theories shared include the idea of cognitive dissonance, the dangerous power of fear to inhibit critical thinking, and Hollywood's romanticization of conspiracies. Because conspiracy theories are so diverse and multifaceted, combating them has not been an easy task for science.

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