Cover art for podcast AMERICAN DIAGNOSIS with Dr. Celine Gounder

AMERICAN DIAGNOSIS with Dr. Celine Gounder

56 EpisodesProduced by aka IN SICKNESS AND IN HEALTHWebsite

The podcast formerly known as IN SICKNESS AND IN HEALTHWho gets to be healthy? who doesn’t? and what can we do about it? Money, education, gender, age, race—they all have something to do with it. But we’re talking about the divide between the people who’ll live long and healthy lives and those who w… read more

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S3E34 / Gun Violence in America / #ThisIsOurLane

January 16th, 2020


Joseph Sakran was shot in the neck as a teenager. He went on to become a trauma surgeon. When the NRA tweeted doctors should "stay in their lane," …

S3E33 / Gun Violence in America / #Vets4GunReform

January 9th, 2020


Vets know guns and gunfights better than most of us. Guns are a big part of their identity. So why have so many stepped up to speak out in favor of gun safety and gun reform? Guests: Peter Lucier, Marine veteran, …

S3E32 / Gun Violence in America / Badass Moms & Youth

December 19th, 2019


For a long time, there was a passion gap between the gun-rights and gun violence prevention movements. But then Sandy Hook and Parkland sparked a …

S3E31 / Gun Violence in America / The Gun Violence Prevention Movement

December 5th, 2019


Many social movements—including civil rights, women's rights, gay rights, and environmental protection—have their origins in the 1960s. In the aftermath of the assassinations of JFK, RFK, and MLK, the NRA joined the …


December 3rd, 2019


Hi, everyone. Dr. Celine Gounder, here. I’m the host of “In Sickness and in Health.”

On this #GivingTuesday, I’d like to say thank you for being a …

S3E30 / Gun Violence in America / What the Swiss can teach us

November 14th, 2019


Switzerland has one of the highest gun ownership rates in the world. The United States is the only other developed country with more guns per capita than Switzerland. And yet, Switzerland has one of the world's lowest …

S3E29 / Gun Violence in America / Lock It Up

October 31st, 2019


Americans have the right to own guns. But what responsibilities do gun owners have? to themselves? their families? and their communities? Guests: …

S3E28 / Gun Violence in America / Trusted Messengers

October 17th, 2019


Gun owners, their kids, and their families and friends are dying from gun-related suicides. By the numbers, this is the biggest gun violence problem …

S3E27 / Gun Violence in America / The Devil's in the Details: Red Flag Laws Part II

October 3rd, 2019


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, …

S3E26 / Gun Violence in America / See Something, Say Something: Red Flag Laws Part I

September 19th, 2019


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? …

S3E25 / Gun Violence in America / The Psychology of Mass Shooters

September 5th, 2019


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: …

S3E24 / Gun Violence in America / Why do people die by suicide?

August 22nd, 2019


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 …

S3E23 / Gun Violence in America / Lives in Blue

August 8th, 2019


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 …

S3E22 / Gun Violence in America / Law Enforcement in the Digital Age

July 25th, 2019


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. …

S3E21 / Gun Violence in America / Law & Order?

July 11th, 2019


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 …

S3E20 / Gun Violence in America / The Science of Soft Policing

June 27th, 2019


We typically think of policing as something that’s done by police officers. But what if the most important policing… is self-policing... by …

S3E19 / Gun Violence in America / A Tale of Two Cities

June 15th, 2019


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 …

S3E18 / Gun Violence in America / Gangs

May 30th, 2019


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 …

S3E17 / Gun Violence in America / How do criminals get their guns?

May 16th, 2019


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 …

S3E16 / Gun Violence in America / Violence Is Contagious

May 2nd, 2019


Gun violence isn’t random. Both guns and violence spread like infectious diseases through social networks—in the real world and online. Understanding …

S3E15 / Gun Violence in America / The Big Australian Buyback

April 18th, 2019


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 …

S3E14 / Gun Violence in America / The Instrumentality of Guns

April 4th, 2019


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 …

S3E13 / Gun Violence in America / In the Eye of the Beholder

March 21st, 2019


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 …

S3E12 / Gun Violence in America / More Guns = More or Less Crime?

March 7th, 2019


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 …

S3E11 / Gun Violence in America / Carrying A Gun While Black

February 21st, 2019


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 …

S3E10 / Gun Violence in America / This Nonviolent Stuff’ll Get You Killed

February 7th, 2019


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 …

S3E9 / Gun Violence in America / Why Blacks Need(ed) Guns

January 24th, 2019


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 …

S3E8 / Gun Violence in America / Good Guys with Guns & Bad Guys with Guns

January 10th, 2019


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,” …

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

January 7th, 2019


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 …

S3E7 / Gun Violence in America / She's got a gun.

December 20th, 2018


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 …

S3E6 / Gun Violence in America / He's got a gun.

December 6th, 2018


There’s an important link between intimate partner violence (i.e. domestic violence) and gun violence. The majority of mass shootings occurs in the …

S3E5 / Gun Violence in America / "Boys will be boys."

November 22nd, 2018


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 …

S3E4 / Gun Violence in America / Gun Culture 2.0

November 8th, 2018


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 …

S3E3 / Gun Violence in America / Guns & Honor

October 25th, 2018


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 …

S3E2 / Gun Violence in America / A Uniquely American Compromise

October 11th, 2018


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 …

S3E1 / Gun Violence in America / An Unlikely Friendship

September 27th, 2018


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) …

S2E13 / The Opioid Overdose Crisis / Religion, Responsibility, Blame & Shame

July 12th, 2018


Is drug use immoral? Can religious leaders and communities help people recover from addiction? And can we hold people responsible without blame and …

S2E12 / The Opioid Overdose Crisis / Can we sue our way out of the opioid crisis?

June 12th, 2018


Is anyone to blame for the opioid overdose epidemic? Should we be going after white-collar criminals like pharmaceutical company executives, …

S2E11 / The Opioid Overdose Crisis / This Is America: Race and the War on Drugs

May 22nd, 2018


The U.S.'s unique history of slavery and race relations have played no small part in how we approach drug abuse and addiction differently from other developed countries—from the supposed “Negro cocaine fiends” of the …

S2E10 / The Opioid Overdose Crisis / What comes after you survive an overdose?

May 4th, 2018


Naloxone can save the lives of drug users from deadly overdose, but what happens after someone survives an overdose? Does naloxone give users a false sense of security, encouraging them to use more? Guests: Jonathan …

S2E9 / The Opioid Overdose Crisis / Sharing Opana & Syringes in Small Town Indiana

April 20th, 2018


Opioid abuse is affecting small towns across the U.S. in unprecedented ways. In 2015, Austin, Indiana was ground zero for one of the biggest HIV …

S2E8 / The Opioid Overdose Crisis / Drugs to *treat* addiction?

March 15th, 2018


Medications can play an important role in helping people recover from addiction. And sometimes, those medications can be the very drug they’re trying …

S2E7 / The Opioid Overdose Crisis / A Safe Space to Use Drugs

February 21st, 2018


What if we gave drug users a clean, safe place to use? out of the alleys and off the streets? Could that be the first rung on the ladder to recovery? …

S2E6 / The Opioid Overdose Crisis / Cops as social workers?

February 21st, 2018


What if the criminal justice system emphasized housing and social services over crime and punishment? Guests: Amy Kroll, administrator for re-entry …

S2E5 / The Opioid Overdose Crisis / Adverse Childhood Experiences (ACEs)

January 17th, 2018


In the 1990s, researchers recruited 17,000 adults to answer questions about childhood stressors and trauma and their health. What does this …

S2E4 / The Opioid Overdose Crisis / Is there fentanyl in my drugs?

January 17th, 2018


Could we save lives by offering drug users anonymous purity testing of their drugs for adulterants and dangerous cutting agents like fentanyl? …

S2E3 / The Opioid Overdose Crisis / The Rise of Fentanyl

January 17th, 2018


How has the rise of fentanyl led to a spike in drug overdose deaths? And why would anyone want to take or deal in such a deadly drug? Guests: Mark …

S2E2 / The Opioid Overdose Crisis / Neonatal Abstinence Syndrome (NAS)

January 17th, 2018


Is neonatal abstinence syndrome (NAS) -- babies whose mothers used opioids in pregnancy and who go into withdrawal after birth -- is another form of …

S2E1 / The Opioid Overdose Crisis / Is addiction a brain disease?

January 17th, 2018


Is addiction a brain disease? a moral failing or lack of willpower? or neither? And why does it matter? Guests: Prof. Owen Flanagan, expert on the …

Season 2 Trailer / The Opioid Overdose Crisis

January 17th, 2018


Over the course of my career as a doctor, I’ve been committed to working with populations in greatest need. But when nearly every community in the …

S1E1 / Youth & Mental Health / Communication & Contagion

September 11th, 2017


How do we communicate responsibly about depression and suicide without fueling contagion? During the 2016-2017 academic year, Columbia University was …

S1E2 / Youth & Mental Health / Switch or Die: why trans teens are at such high risk for suicide

September 11th, 2017


Why are LGBTQ youth at such high risk of depression, anxiety and suicide? Guests: Ed Tully, father of a transgender teen in Minnesota; Dr. Ximena …

S1E3 / Youth & Mental Health / Academic & Social Pressure

September 11th, 2017


How do new stressors contribute to the risk of suicide among young people? Guests: Kristine Bernardoni, mother in California whose son was one of a …

S1E4 / Youth & Mental Health / Social Media, Big Data & Other Solutions

September 11th, 2017


How can social media, texting and big data be used to improve mental health and prevent suicide? And what can colleges and universities do to help …

S1E5 / Youth & Mental Health / The Role of TV & Film

September 11th, 2017


Can movies and shows like Netflix's 13 Reasons Why raise awareness about mental health and help those at risk for suicide? Guests: Dr. Victor Schwartz, suicide prevention expert and Chief Medical Officer at the JED …

In Sickness and in Health - trailer

September 2nd, 2017


This is a podcast about health and social justice.
Health is wealth.
Some of us have it, some don’t.
Some of us will live long and healthy lives… and some won’t.
But why me and not them? Why them and not me? | …

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