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Freakonomics Radio

Policymaking Is Not a Science — Yet (Update)

Freakonomics Radio

Freakonomics Radio + Stitcher

Documentary, Society & Culture

4.632K Ratings

🗓️ 9 April 2025

⏱️ 45 minutes

🧾️ Download transcript

Summary

Why do so many promising solutions in education, medicine, and criminal justice fail to scale up into great policy? And can a new breed of “implementation scientists” crack the code?

Transcript

Click on a timestamp to play from that location

0:00.0

Hey there, it's Stephen Dubner. We just published a two-part series on what some people call sludge,

0:10.5

meaning all the frictions that make it hard to fill out tax forms or find a health care provider

0:16.0

or even cancel a subscription. One part of our series involved government sludge and how it interferes with

0:23.0

getting policy done. The series reminded me of another episode we once made that I thought was

0:28.6

worth hearing again, so we're playing it for you here as a bonus episode. It is called

0:33.1

Policymaking is not a science yet. We have updated facts and figures as necessary. As always,

0:41.0

thanks for listening.

0:45.9

Usually when children are born deaf, they call it nerve deafness.

0:54.4

But it's really not the actual nerve.

0:56.7

It's little tiny hair cells in the cochlea.

1:00.6

Dana Suskind is a physician scientist at the University of Chicago.

1:04.7

And, more dramatically, she is a pediatric surgeon who specializes in cochlear implants.

1:10.6

My job is to implant this incredible piece of technology

1:13.9

which bypasses these defective hair cells

1:18.0

and takes the sound from the environment, the acoustic sound,

1:22.9

and transforms it into electrical energy,

1:25.1

which then stimulates the nerve.

1:28.4

And somebody who is severe to completely profoundly deaf after implantation can have normal levels of hearing.

1:37.3

And it is pretty phenomenal.

1:39.3

It is pretty phenomenal.

1:40.8

If you ever need a good cry, a happy cry, just type in cochlear implant

1:45.7

activation on YouTube. You'll see little kids hearing sound for the first time and their parents

...

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