When Experts Disagree – The Art of Medical Decision Making

Can You Design a Good Death?: Death is understandably difficult – and for some people, nearly impossible – to conceive of and talk about. Especially our own. It may seem like there’s nothing we can do to prepare for our last moments on earth, but several innovative panelists at the 2023 Aspen Ideas Festival would disagree. Alua Arthur is a “death doula,” who helps people find peace with themselves when nearing the end of their life. A former lawyer, she founded the organization Going With Grace to help redefine the end-of-life experience. Dan Diaz was thrust into advocacy when his wife, Brittany Maynard, was diagnosed with terminal brain cancer in 2014 at age 29. Maynard wanted control over how she died, and the couple moved to Oregon for the last months of her life, where medical aid in dying was legal. Diaz has been pushing to expand legalization of medical aid in dying ever since, and has helped pass legislation in several states since Brittany’s death. Designer Katrina Spade invent by Aspen Ideas to Go

49 min listen

Katharine Hayhoe on Fighting Climate Change: Climate change is demanding an extraordinarily rapid transformation of human society, and we don’t have a manual. The people who have done the least to cause the problem are the people who will be feeling it most, and that pattern of inequality exists both within and between nations. Mapping a course to an adapted planet is an incredibly complex task that requires the cooperation of millions. Atmospheric scientist Katharine Hayhoe is one of those pitching in, and she has co-authored the past four U.S. National Climate Assessment reports. She’s also the chief scientist at The Nature Conservancy and a professor in the Texas Tech University Political Science department. Her multiple insider roles give her a unique perspective on what it will take to solve and adapt to the climate crisis, and her practice of finding hope keeps her engaged. NBC “Today” show weather and feature anchor Al Roker interviews Hayhoe at the 2024 Aspen Ideas: Climate eve by Aspen Ideas to Go

19 min listen

What Makes a Life Worth Living?: For years, Yale undergraduate students have lined up to take a wildly popular course called Life Worth Living. Bucking the highly competitive tone you might expect at an Ivy League school, the class teaches students to look beyond traditional markers of success for deeper meaning. Theology professor Miroslav Volf is one of the co-teachers, and also one of the co-authors of a book version of the course that came out last year called “Life Worth Living: A Guide to What Matters Most.” Podcast and TV host Kelly Corrigan invited Volf to introduce the book and start an extended and lively conversation with a wide variety of writers and thinkers at the 2023 Aspen Ideas Festival. After setting the stage with Volf, Corrigan poses probing questions to Mónica Guzmán, the author of “I Never Thought of It That Way” and a senior fellow at Braver Angels, James Ijames, a playwright who won a 2022 Pulitzer for his play “Fat Ham,” Alexandra Reeve Givens, a lawyer and CEO by Aspen Ideas to Go

82 min listen

Fighting HIV Around the World: In the late 1990s, HIV and AIDS was killing people in Sub-Saharan Africa at an astonishing rate. Generations of children were growing up without parents and the workforce of civil society was hollowing out. Drugs effectively treating the disease were just becoming available, and the George W. Bush administration wanted to explore a way to bring treatment to Africa. Anthony Fauci was head of the National Institute of Allergy and Infectious Diseases at the time, and under near-secrecy, he was assigned to formulate a plan via several fact-finding trips to the continent. When the outline of the program came together, then-Senate Majority Leader Bill Frist rallied support in congress and led the passage of legislation for the President’s Emergency Plan for AIDS Relief, or PEPFAR. In today’s talk from Aspen Ideas: Health, Fauci and Frist meet on stage about two decades after the start of PEPFAR to tell the story of how it got started and reflect on where it’s g by Aspen Ideas to Go

51 min listen

Our Changing World with Thomas Friedman: The world seems to be moving and evolving faster than ever before, and democratic ideals are under threat in many countries around the globe. New York Times columnist and journalist Thomas Friedman has spent his career learning how to see things from many sides and identify the seams in the fabric of society. He believes we’re at a moment in time when it’s critical that we focus our energy on coming together and rebuilding functional democracy. In the closing session of the 2023 Aspen Ideas Festival last June, Friedman shares his experiences of reporting in the Middle East and at home in the United States, and reflects on witnessing the best and worst of humanity. by Aspen Ideas to Go

33 min listen

Forging a Path to Ethical AI: It doesn’t look like we’re going to be able to put the generative artificial intelligence genie back in the bottle. But we might still be able to prevent some potential damage. Tools like Bard and ChatGPT are already being used in the workplace, educational settings, health care, scientific research, and all over social media. What kind of guardrails do we need to prevent bad actors from causing the worst imaginable outcomes? And who can put those protections in place and enforce them? A panel of AI experts from the 2023 Aspen Ideas Festival shares hopes and fears for this kind of technology, and discusses what can realistically be done by private, public and civil society sectors to keep it in check. Lila Ibrahim, COO of the Google AI company DeepMind, joins social science professor Alondra Nelson and IBM’s head of privacy and trust, Christina Montgomery, for a conversation about charting a path to ethical uses of AI. CNBC tech journalist Deirdre Bosa mod by Aspen Ideas to Go

56 min listen

Redemption Song?: History has the power to teach us what to do in the present, but do we actually make good use of that tool? Many events in our recent past might suggest otherwise. American history is complex and full of pain, suffering and missteps. Harvard professor Imani Perry’s interdisciplinary work draws from African American studies, legal history and cultural studies to find insights into how we live today. In this talk from the 2023 Aspen Ideas Festival, she joins author, historian and Vanderbilt professor Jon Meacham for a conversation about how to reckon with the United States’ difficult history. The two touch on the Civil Rights movement, the value of civics education and a collective mindset and what simply getting along with our neighbors can and cannot accomplish. by Aspen Ideas to Go

55 min listen

Our Modern Sex Lives: After millennia of human existence, we’re still figuring out and talking constantly about one of our most fundamental behaviors – sex. Despite the sexual revolution of the 60s and 70s and the growth of sex positivity in recent decades, a lot of people still report having a lot of bad sex. The reasons for that are varied and multiple, but culture has a role to play, and we can help each other get to the root of what might be making sex feel unsatisfying, or even scary or shameful. In this panel from the 2023 Aspen Ideas Festival, the renowned sex columnist Dan Savage, longtime author of the Savage Love advice column, joins Washington Post columnist Christine Emba, author of “Rethinking Sex: A Provocation,” for a candid conversation about building healthy sex lives and finding physical connection. Kelly Corrigan, the host of the PBS show “Tell Me More with Kelly Corrigan,” moderates the conversation and carefully chooses questions from the audience. by Aspen Ideas to Go

63 min listen

Parenting Teens and Young Adults in Challenging Times: Teenagers and young adults today are dealing with challenges their parents never experienced and couldn’t have prepared for. Nobody has a map and the road to resolution can be bumpy for all involved. Two adolescent psychologists published books last year aimed at helping parents understand and empathize with what their kids are going through and guiding everyone toward helpful solutions. Clinical psychologist and author Lisa Damour wrote “The Emotional Lives of Teenagers: Raising Connected, Capable and Compassionate Adolescents,” after demand for her professional help skyrocketed during the pandemic. Developmental psychologist and researcher Laurence Steinberg released “You and Your Adult Child: How to Grow Together in Challenging Times,” to meet a need in society for more guidance on adult children moving back in with parents and going through tough periods. Damour and Steinberg interview each other about their books at the 2023 A by Aspen Ideas to Go

56 min listen

Decoding Animal Communication with A.I.: Scientists could actually be close to being able to decode animal communication and figure out what animals are saying to each other. And more astonishingly, we might even find ways to talk back. The study of sonic communication in animals is relatively new, and researchers have made a lot of headway over the past few decades with recordings and human analysis. But recent advancements in artificial intelligence are opening doors to parsing animal communication in ways that haven’t been close to possible until now. In this talk from the 2023 Aspen Ideas Festival in partnership with Vox’s “Unexplainable” podcast, two experts on animal communication and the digital world come together to explain what may come next. Tragically, a few months after this conversation was recorded in June, one of the panelists, Karen Bakker, passed away unexpectedly. Bakker was a professor at the University of British Columbia who looked at ways digital tools can addr by Aspen Ideas to Go

53 min listen

The Hot Truth About Menopause: Menopause is a normal phase of life, but can nonetheless be a challenging and confusing time for women reaching middle age. As a culture, we talk about the details of menopausal transition very little, and women often have to walk a gauntlet of sellers offering dubious cures and treatments before getting to medically sound and reliable solutions. Even experts frequently struggle to find the right combination of treatments for a particular patient’s hot flashes, memory lapses, sleep issues, sexual functioning changes and other symptoms that so many women experience. Two obstetrician and gynecologists meet on stage at the 2023 Aspen Ideas Festival to shed light on the latest menopause research, hormone replacement treatments and the misinformation clouding women’s paths to relief. Jen Gunter wrote “The Menopause Manifesto” and has been called “the internet’s OB/GYN.” Nanette Santoro has helped run several studies on menopause, including the Women’s Health I by Aspen Ideas to Go

52 min listen

From King Lear to Succession with Brian Cox: William Shakespeare started writing plays in an era when popular theater was exploding and cementing its place in culture. Audiences spanned economic classes, professions and educational backgrounds, and he was keenly aware of the need to write for all attendees. He frequently wrestled with topics that retain relevance for society across centuries, such as power struggles, relationships, politics, and love. Not only are Shakespeare’s plays still performed constantly, but his storylines and themes are also frequently borrowed for contemporary entertainment. The Scottish actor Brian Cox has performed classic Shakespeare roles, including King Lear, hundreds of times on stage. Most recently he played the iconic patriarch Logan Roy on HBO’s “Succession,” a modern King Lear story. Simon Godwin, the artistic director of the Shakespeare Theater Company in Washington, D.C., is tasked with keeping Shakespeare’s work fresh with every new season and rea by Aspen Ideas to Go

60 min listen

Arthur Brooks on Managing Your Emotions: Living a happy life isn’t as simple as having a smile on your face all the time. We often think that our negative emotions should be minimized and repressed, but acknowledging and managing them is actually key to achieving a healthy baseline. Author and Harvard professor Arthur Brooks studies the latest happiness research across behavioral science, philosophy, psychology, and neuroscience. He shares his findings with the business school students he teaches and with the general public he writes for, and explains how to understand and manage our emotions. We cannot control our emotional responses to the world, he says, but we can learn to control how we react to them. by Aspen Ideas to Go

59 min listen

The Empathy Diaries with Sherry Turkle: The human capacity for empathy allows us to communicate, collaborate and understand each other. But we all know empathy isn’t always easy, and we can feel worn down by the effort. MIT professor and researcher Sherry Turkle studies empathy, and particularly how technology can undermine our natural human tendencies to connect. After several books and many decades of work compiling research on other people, Turkle looked inward to write, “The Empathy Diaries: A Memoir.” She explores how she arrived at her subject matter, which she says is not just a profession, but a calling. In this interview from the archives, Tricia Johnson, the editorial director of the Aspen Ideas Festival, interviews Turkle on stage at the 2021 festival. The event was Turkle’s first in-person book talk since the Covid pandemic hit. They discuss the role and power of being an outsider, how to build your empathy muscles, and the vital function of long-term relationships. by Aspen Ideas to Go

42 min listen

A Deeper Look at the Immigrant Experience: The stories we hear about migrants trying to escape difficult circumstances tend to focus on hardship, conflict, statistics and policy. We rarely get a deep look at any of the people risking their lives to cross the U.S. border or take a boat to Europe, and we don’t get to know or understand them as fellow humans. Writer Javier Zamora came to the U.S. when he was nine years old, as an unaccompanied minor. Over the nine weeks it took to make the journey, he had to put his trust in a small group of strangers and the man paid to get him into the country. He revisited that experience to write a memoir called “Solito” that shows him and other migrants in full dimensions. Novelist Jamie Ford’s most recent book, “The Many Daughters of Afong Moy,” explores migration in a different time and place, along with the ways migrants’ decisions stretch across eras. Afong Moy was a Chinese woman brought to the U.S. as a performer in 1834. She became extremely w by Aspen Ideas to Go

57 min listen

On Being in a Body: Kate Bowler with Krista Tippett: When Duke divinity school professor Kate Bowler wrote her best-selling memoir, “Everything Happens for a Reason (and Other Lies I’ve Loved),” she was grappling with the consequences of a shocking cancer diagnosis. Many of the common messages about hardship, tragedy and success that she’d grown up hearing – and even studied as a religious scholar – no longer seemed to make sense. She was told she may likely die from her cancer, and at age 35 with a husband and young son, she wasn’t ready for that. Bowler talks about how being sick changed her relationship to her life, her body and her spirituality with Krista Tippett, the host of the public radio show and podcast On Being. This special On Being episode was taped live with an audience at the Aspen Ideas Festival. by Aspen Ideas to Go

61 min listen

The Sober Curiosity Movement: For adults, the pressure to drink at social engagements, work events, restaurants or almost anywhere outside the home can feel constant. Recent research has found that “no amount or kind of alcohol is good for your health,” and a wide variety of health problems can be linked to drinking. The growing “sober curious” movement offers people a way to think about cutting down on alcohol consumption at their own pace and in their own way, without the stigma that sometimes comes with sobriety. Quality non-alcoholic alternatives are more available than ever before, and sober bars and gathering spaces have popped up in a few cities. An expert panel from Aspen Ideas: Health breaks down sober curiosity for an audience at the festival. Chris Marshall is a mental health counselor and the founder of Sans Bar, a sober bar in Austin, Texas. Jen Batchelor started Kin Euphorics, a functional non-alcoholic beverage brand. And Katie Witkiewitz directs a substance abuse progra by Aspen Ideas to Go

54 min listen

Work and Life Advice for the Nonlinear Path: In today’s world, we tend to switch jobs more frequently than previous generations, and are more likely to have multiple jobs. Side gigs where we express passions or find meaning are also common, and many juggle additional roles as caregivers and community members, as people always have. In short, many of us are focused on a lot more than just climbing a corporate ladder. Our careers and lives aren’t linear, although a lot of the traditional advice about them is. Where do we look for updated guidance? In this panel discussion, three authors with recent books on finding our way in the world come together for a discussion on making life choices in modern times. Writer and speaker Bruce Feiler interviewed hundreds of people across the country for “The Search: Finding Meaningful Work in a Post-Career World.” Wired Magazine co-founder and co-chair of the Long Now Foundation, Kevin Kelly, compiled his lessons and experiences into a book inspired b by Aspen Ideas to Go

53 min listen

What Happened to the American Dream?: Most Americans today would agree that the dream of supporting a family and living a good life on one full time salary is not available to vast numbers of people. Wages have not risen at the pace of profits over the last several decades, and work with benefits is far from guaranteed for many. In his 2023 book, “Ours Was the Shining Future: The Story of the American Dream,” New York Times writer David Leonhardt explains how we got here. He points out that corporate culture moved from a communitarian mindset to an individual one, government policies deprioritized workers, and labor unions weakened, all contributing to where we are today. Businessman, economics advisor and co-founder and co-chair of The Carlyle Group investment firm, David Rubenstein, talks with Leonhardt about his book on stage at the festival. The two discuss the drivers of economic progress and consider what would bring the American Dream back. by Aspen Ideas to Go

52 min listen

How Do We Put Guardrails on A.I.?: Artificial intelligence is making world-changing advances every day. But these powerful tools can be used for malicious and nefarious purposes just as easily as they can be used for good. How can society put guardrails on this technology to ensure that we build the most safe and responsible version of the future, where A.I. is assistive rather than weaponized? Google’s senior vice president of research, technology and society, James Manyika, is trying to help solve this problem. He’s been working in A.I. since the 1990s, and is vice chair of Biden’s National AI Advisory Committee. He talks with New York Times journalist Thomas Friedman about finding the right balance between allowing innovation to flourish and preventing runaway negative outcomes. by Aspen Ideas to Go

52 min listen

Shakespeare in Contemporary America, with 'Fat Ham' Creator James Ijames: Shakespeare is ubiquitous in literature classes and theater, but the avenues of relating to his work are not always clear to young people and modern audiences. Some, such as Shakespeare scholar and professor Ayanna Thompson, argue that his plays make sense as living, breathing, adaptable instruments that can be shaped to fit the times. Playwright, director and professor James Ijames created a prime example of interpretation with his play “Fat Ham,” an adaptation of Hamlet that won the 2022 Pulitzer Prize for Drama. The two come together on stage at the festival to talk about what makes a good Shakespeare adaptation work, and why people have been inspired to run with his work and messages for centuries. Oskar Eustis, NYU Tisch School of the Arts professor and the artistic director of The Public Theater in New York, where “Fat Ham” premiered, moderates the conversation. by Aspen Ideas to Go

54 min listen

Building a Zero Carbon American Future: Climate change catastrophes are already happening with increasing regularity, and it’s clear we need to take action. The Biden administration has set a target of zero carbon emissions in the United States by 2050. Reaching that ambitious goal will require a major transition in many sectors, including energy, agriculture, transportation, manufacturing and construction. John Podesta leads the Office of Domestic Climate Policy in the White House, and is focused on implementing the projects funded by the Inflation Reduction Act, the largest investment in clean energy the country has ever made. As he puts it, we have to get good at building things again, with an eye toward a carbon-free future. Podesta talks with Noticias Telemundo reporter Vanessa Hauc about what it will take to meet our climate goals, and what success looks like. by Aspen Ideas to Go

60 min listen

Who Can Track and Hack Our Brains?: A technological future where our brain waves could be monitored and our thoughts decoded and analyzed — sometimes against our will — is not as far away as we think. But our existing legal protections and conception of human rights around cognitive liberty are trailing innovations in neurotechnology. Brain hacking tools and devices could bring massive benefits, for people suffering from dementia or mental health disorders, for instance. If we want to avoid dystopian outcomes, though, we have to be deliberate about how we allow this technology to develop, says Nita Farahany, a bioethics researcher and professor at Duke University. In this talk, Farahany points to what we need to watch out for, and explains how to proceed carefully. With her 2023 book, “The Battle for Your Brain: Defending Your Right to Think Freely in the Age of Neurotechnology,” as a guide, she explains why several major tech companies are betting big on brain data collection tools. A by Aspen Ideas to Go

52 min listen

Investing in Shared American Prosperity: Even when the economy is booming and unemployment is low, millions of Americans still face economic hardship. And in the last few years the United States has dealt with supply chain challenges, inflation and financial instability. The economic tools we have to identify, address and talk about those problems aren’t always up to the task, and sometimes the picture we get is hard to match with reality. Gene Ludwig is a longtime financial advisor to Wall Street, and founder of the Ludwig Institute for Shared Economic Prosperity. His organization aims to help middle and low-income families achieve prosperity, in part by developing new headline statistics for economic data that bring us closer to truly understanding Americans’ experiences. Ludwig joins Heather Boushey from Biden’s Council of Economic Advisors on stage at the Aspen Institute, for a conversation about how to truly invest in American industry from the ground up. What principles and polic by Aspen Ideas to Go

49 min listen

Where Ancient Faiths Meet Modern Lives: The United States is a more secular society than many, and the percentage of people who don’t identify with organized religion is rising. Some of the impacts from that shift might be obvious, such as declining membership in congregations or decreased support for religious organizations and institutions. But some of the consequences are less obvious. How do we change as people when we don’t practice religious ritual? When we aren’t part of a community? Three scholars and leaders from different religious traditions come together on stage at the Aspen Ideas Festival to grapple with these questions. They point out how ancient faiths permeate our modern lives even where we don’t notice, and speak about the spiritual gaps religion fills for people and society. Kate Bowler is a podcast host and history professor at Duke Divinity School. Haroon Moghul is an imam and director of The Concordia Forum, a network of Muslim leaders. And Shira Stutman is interi by Aspen Ideas to Go

53 min listen

Balancing Work and Life with Mary Louise Kelly: About two decades ago, NPR host Mary Louise Kelly had her first child and went down the extremely common yet commonly daunting life path of balancing a demanding career with a family. As a national security correspondent on assignment war zones, she missed family events and emergency phone calls from her kids’ school. As the daily weekday co-host of “All Things Considered,” she missed almost all of her sons’ soccer games. She’s tried working full time, working part time, working from home and working far away from home, and in each, there’s been something missing. Every year, she said she would figure it out next year. But as she writes in her latest book, the memoir “It. Goes. So. Fast.: The Year of No Do-Overs,” next year came quickly. Her sons were about to leave for college, and she had to make the most of the time they had left. Kelly talks with podcast and TV host Kelly Corrigan, host of PBS’ “Tell Me More with Kelly Corrigan,” abou by Aspen Ideas to Go

60 min listen

Thinking, Innovating and A.I. with Walter Isaacson: Artificial intelligence is clearly going to change our lives in multiple ways. But it’s not yet obvious exactly how, and what the impacts will be. We can predict that certain jobs held by humans will probably be taken over by computers, but what about our thoughts? Will we still think and create in the same ways? Author and former Aspen Institute president Walter Isaacson has been writing biographies about big thinkers and innovators for decades, including Albert Einstein, Steve Jobs, Benjamin Franklin and Jennifer Doudna. Isaacson returned to the world of technology for his most recent book on Elon Musk. Journalist Andrew Ross Sorkin interviews Isaacson on stage at the Aspen Ideas Festival about whether a society fully integrated with AI can foster the same qualities shared by many influential people. Will A.I. augment the best that humans have to offer, or will it compete with or even degrade human intelligence? And are there some t by Aspen Ideas to Go

54 min listen

Harnessing A.I. in Education with Sal Khan: When Sal Khan created Khan Academy, he was trying to scale up the successful experiences he’d had tutoring his cousins one-on-one in math. He saw how effective it could be for students to go at their own pace, ask questions and be questioned about their reasoning, and he wanted to make those benefits available to as many kids as possible. The organization eventually grew to include free online content on just about every subject taught in schools, and even test prep for the LSATs and MCATs. Now Khan Academy has been experimenting with the next level of scalable tutoring. In March, the organization launched Khanmigo, a generative artificial intelligence tool made specifically for learning. Educators have been embroiled in debate about the role A.I. could and should play in school, and how to ensure that it’s effective for students and trustworthy for teachers. Khanmigo is aimed at quelling some of those fears and finding the opportunity in tec by Aspen Ideas to Go

57 min listen

The Dilemmas of Hostage Diplomacy: The White House has declared hostage-taking to be a national emergency. In July 2022, Biden issued an executive order outlining steps to deter the practice and help bring Americans back sooner. Increasingly, autocratic nation states such as Russia and Iran are detaining U.S. citizens unlawfully or on minor and bogus charges with the aim of getting something they want. Hostage diplomacy is no longer a tactic of terrorists or rogue actors, but a tool government officials are turning to. Roger Carstens, the special presidential envoy for hostage affairs, is the person who takes charge and tries to start negotiations when the State Department determines that a detainment is a diplomatic issue. At the Aspen Ideas Festival, NBC correspondent Tom Llamas talks with Carstens about the process, as well as Jason Rezaian, who spent 544 days in an Iranian prison for being a Washington Post reporter. Hostage expert Dani Gilbert, a political science professor at Nor by Aspen Ideas to Go

59 min listen

Wicked Problem: The Road Ahead for Immigration Policy: Almost everyone agrees that immigration policy in the United States is lacking, but despite decades of debate, Congress has not been able to pass comprehensive reform on the issue. For some, the primary issues are border security and economic concerns, and for others, labor needs and a commitment to humanitarianism take precedence. Why is it so hard to find common ground, and what are some visions for a different immigration future? NBC correspondent Tom Llamas moderates a panel of experts at the Aspen Ideas Festival who identify the key immigration pressure points and share thoughts on moving forward. Former Arizona Governor Doug Ducey joins Krish O’Mara Vignarajah, the head of Lutheran Immigration and Refugee Service, U.S. representative Tony Gonzales from Texas and Mary Kay Henry, the international president of the Service Employees International Union. by Aspen Ideas to Go

41 min listen

Discover this podcast and so much more

When Experts Disagree – The Art of Medical Decision Making

When Experts Disagree – The Art of Medical Decision Making

Description

Titles in the series (100)

More Episodes from Aspen Ideas to Go

Related podcast episodes