Experts Matter. Find Yours.
Connect for media, speaking, professional opportunities & more.

Examining Biden's Decision to Forgo a 2024 Presidential Run in Historical Perspective
Presidential historian Meena Bose talked to Reuters, The New York Times, Voice of America, WCBS-AM radio, and News 12 Long Island about President Joe Biden’s historic withdrawal from the 2024 race and next steps for the Democrats as the DNC approaches. Dr. Bose is a professor of political science, executive dean of the Public Policy and Public Service program, and executive director of the Kalikow Center for the Study of the American Presidency. She is available to speak with media - simply click on her icon now to arrange an interview today.

CNBC talked to presidential scholar Meena Bose about next steps for the Democrats if President Joe Biden withdraws from the 2024 race. Dr. Bose is professor of political science, executive dean of the Public Policy and Public Service program, and executive director of the Kalikow Center for the Study of the American Presidency. “The vice president is the logical choice, obviously,” said Dr. Bose, who noted that Kamala Harris has already been vetted, and the fundraising war chest that the Biden campaign has amassed in the current election cycle would transfer to her if she took over the ticket. Dr. Meena Bose is available to speak with media - simply click on her icon now to arrange an interview today.

How Do Political Conventions Work?
Political conventions in America are a fundamental aspect of the democratic process, serving as pivotal events where major political parties select their presidential candidates, solidify party platforms, and galvanize their bases ahead of the general election. These conventions are not only newsworthy because of their immediate political significance but also due to their historical, cultural, and strategic importance. They provide a stage for showcasing party unity, leadership vision, and policy priorities, making them crucial for understanding the direction of American politics. Key story angles for journalists could include: Convention History and Evolution: Exploring the origins and historical changes in political conventions, including how their roles and significance have evolved over time. Nomination Process: Examining the mechanics of how delegates are selected, how they vote, and the strategies candidates use to secure their party's nomination. Party Platforms: Analyzing the process of developing and ratifying party platforms, highlighting key policy positions and their implications for voters. Role of Delegates and Superdelegates: Investigating the influence of delegates and superdelegates in the nomination process and their impact on the democratic process within parties. Media and Public Perception: Assessing how conventions are covered by the media, the role of speeches and presentations, and their effect on public opinion and voter behavior. Security and Logistics: Providing insights into the extensive planning and security measures required to host these large-scale events, especially in light of recent public health and safety concerns. By focusing on how political conventions work in America, journalists can provide the public with a comprehensive understanding of these complex and significant events, shedding light on their impact on the democratic process and the broader political landscape. Connect with an expert about the role, purpose and history of political conventions in America: To search our full list of experts visit www.expertfile.com Photo credit: Isai Ramos

The role of the Vice President of the United States is a cornerstone of the nation's political landscape, serving as both a key advisor to the President and a crucial leader in the Senate. This position is not only newsworthy due to its proximity to the highest levels of power but also because it often serves as a springboard for future presidential candidates. The Vice President's influence on policy, governance, and national discourse makes it a pivotal role that impacts numerous aspects of American life. Understanding this role and its implications can provide insights into the dynamics of the U.S. government and its decision-making processes. Key story angles for journalists could include: Historical Evolution: Exploring how the responsibilities and significance of the Vice Presidency have changed over time, from a relatively minor role to a central figure in the administration. Influence on Policy: Examining the Vice President's role in shaping and advocating for major policies, including economic, foreign, and domestic issues. Succession and Stability: Highlighting the importance of the Vice President in the line of presidential succession and their role in ensuring continuity and stability in the government. Senate Leadership: Investigating the Vice President's role as the President of the Senate, including their influence on legislative processes and their ability to cast tie-breaking votes. Public Perception: Analyzing how the public views the Vice President and how this perception can affect their effectiveness and legacy. Vice Presidential Candidates: Covering the selection process for Vice Presidential candidates, including the criteria and considerations that go into choosing a running mate. Photo Credit: Truman Library By focusing on the role of the Vice President of America, journalists can provide the public with a deeper understanding of the intricacies of the U.S. political system and the significance of this influential office. Connect with an expert about the Role and History of US Vice Presidents :

Discussion Time: Previewing 1st Presidential Debate
Dr. Meena Bose, professor of political science, executive dean of the Public Policy and Public Service program, and executive director of the Kalikow Center for the Study of the American Presidency, previewed the historic debate between President Joe Biden and former President Donald Trump on Fox 5 WNYW-TV. Watch the video below. Dr. Meena Bose is available to speak with media - simply click on her icon now to arrange an interview today.

#ExpertSpotlight: Who is Vladimir Putin?
In the intricate arena of global politics, the life of Vladimir Putin stands as a pivotal narrative, encapsulating the rise of one of the most influential and controversial leaders of our time. This topic is not only newsworthy because of Putin's significant impact on international relations and global security but also due to the profound influence he wields over Russia’s political landscape and its socioeconomic dynamics. Understanding Putin’s life, leadership style, and strategic decisions offers critical insights into current geopolitical tensions, energy politics, and global governance. The biography of Vladimir Putin presents multiple angles that are of substantial interest to a broad audience, including: Early Life and Rise to Power: Exploring Putin's background, education, and career trajectory that led to his ascendancy in Russian politics. Leadership Style and Governance: Analyzing Putin's approach to leadership, his consolidation of power, and the mechanisms he uses to maintain political control. Domestic Policies and Economic Impact: Assessing the domestic policies implemented during Putin’s tenure, their impact on the Russian economy, and public opinion within Russia. Foreign Policy and Geopolitical Influence: Investigating Putin's foreign policy strategies, his influence on international relations, and key events such as the annexation of Crimea and involvement in Syria. Human Rights and Democratic Challenges: Examining issues related to human rights, freedom of speech, and the state of democracy under Putin’s rule. Energy Politics and Economic Leverage: Understanding Russia’s role in global energy markets, Putin's use of energy resources as a tool of political influence, and the economic implications for Europe and beyond. The life of Vladimir Putin offers journalists a rich tapestry of storylines that delve into the complexities of his leadership and its far-reaching consequences on both national and global stages. Connect with an Expert about Russia and Vladimir Putin: Glen Duerr, Ph.D. Professor of International Studies · Cedarville University Lynne Hartnett, PhD Associate Professor and Chair of History | College of Liberal Arts and Sciences · Villanova University Craig Albert, PhD Professor of Political Science and Graduate Director of the Master of Arts in Intelligence and Security Studies · Augusta University Stephen Dyson, Ph.D. Professor of Political Science · University of Connecticut Erica Frantz Assistant professor of political science · Michigan State University To search our full list of experts visit www.expertfile.com Photo credit: ANTIPOLYGON YOUTUBE

Small Changes Can Save Lives: How a Police Officer’s First Words Can Transform Communities
Britt Nestor knew something needed to change. Nestor is a police officer in North Carolina. Unlike many in her field, who recite interview-ready responses about wanting to be a police officer since childhood, Nestor admits that her arrival to the field of law enforcement was a serendipitous one. Told by teachers to start rehearsing the line “do you want fries with that?” while in high school, Nestor went to college to prove them wrong—and even graduated with a 3.9 GPA solely to prove those same people wrong—but she had absolutely no idea what to do next. When a local police department offered to put her through the police academy, her first thought was, “absolutely not.” “And here I am,” says Nestor, 12 years into her career, working in Special Victims Investigations as an Internet Crimes Against Children detective. A Calling to Serve Community Brittany Nestor, New Blue Co-Founder and President Though she’d initially joined on a whim, Nestor stuck around and endured many growing pains, tasting some of the problematic elements of police culture firsthand. As a woman, there was particular pressure to prove herself; she resisted calling for back-up on dangerous calls for fear of being regarded as weak, and tried out for and joined the SWAT team to demonstrate her mettle. "It took time to realize I didn’t need to make the most arrests or get the most drugs and guns to be a good cop. What was important was recognizing that I was uniquely positioned and given opportunities every single shift to make a difference in people’s lives—that is what I wanted to focus on." Britt Nestor Nestor found she took great pleasure in interacting with different kinds of people all day. She’s deeply fond of her community, where she is also a youth basketball coach. One of her greatest joys is being on call or working an event and hearing someone hail her from the crowd by yelling, “hey, coach!” When she landed in the Juvenile Investigations Unit, Nestor truly felt she’d found her calling. Still, what she’d witnessed in her profession and in the news weighed on her. And she’s not alone; while there is continued debate on the urgency and extent of changes needed, 89% percent of people are in favor of police reform, according to a CBS/YouGov poll. A few weeks after George Floyd’s murder in 2020, Nestor’s colleague Andy Saunders called her and told her they had to do something. It felt like the tipping point. “I knew he was right. I needed to stop wishing and hoping police would do better and start making it happen.” Andy Saunders, New Blue Co-Founder and CEO That conversation was the spark that grew into New Blue. Founded in 2020, New Blue strives to reform the U.S. Criminal Justice system by uniting reform-minded police officers and community allies. The organization focuses on incubating crowd-sourced solutions from officers themselves, encouraging those in the field to speak up about what they think could improve relations between officers and the communities they serve. “Over the years I’ve had so many ideas—often addressing problems brought to light by community members—that could have made us better. But my voice was lost. I didn’t have much support from the police force standing behind me. This is where New Blue makes the difference; it’s the network of fellows, alumni, partners, mentors, and instructors I’d needed in the past.” Nestor and Saunders had valuable pieces of the puzzle as experienced law enforcement professionals, yet they knew they needed additional tools. What are the ethical guidelines around experimenting with new policing tactics? What does success look like, and how could they measure it? The Research Lens Over 400 miles away, another spark found kindling; like Nestor, Assistant Professor of Organization & Management Andrea Dittmann’s passion for making the world a better place is palpable. Also, like Nestor, it was an avid conversation with a colleague—Kyle Dobson—that helped bring a profound interest in police reform into focus. Dittmann, whose academic career began in psychology and statistics, came to this field by way of a burgeoning interest in the need for research-informed policy. Much of her research explores the ways in which socioeconomic disparities play out in the work environment, and—more broadly—how discrepancies of power shape dynamics in organizations of all kinds. When people imagine research in the business sector, law enforcement is unlikely to crop up in their mind. Indeed, Dittmann cites the fields of criminal justice and social work as being the traditional patrons of police research, both of which are more likely to examine the police force from the top down. Andrea Dittmann Dittmann, however, is a micro-oriented researcher, which means she assesses organizations from the bottom up; she examines the small, lesser-studied everyday habits that come to represent an organization’s values. “We have a social psychology bent; we tend to focus on individual processes, or interpersonal interactions,” says Dittmann. She regards her work and that of her colleagues as a complementary perspective to help build upon the literature already available. Where Dittmann has eyes on the infantry level experience of the battleground, other researchers are observing from a bird’s eye view. Together, these angles can help complete the picture. And while the “office” of a police officer may look very different from what most of us see every day, the police force is—at the end of the day—an organization: “Like all organizations, they have a unique culture and specific goals or tasks that their employees need to engage in on a day-to-day basis to be effective at their jobs,” says Dittmann. Theory Meets Practice Kyle Dobson, Postdoctoral Researcher at The University of Texas at Austin What Dittmann and Dobson needed next was a police department willing to work with them, a feat easier said than done. Enter Britt Nestor and New Blue. "Kyle and I could instantly tell we had met people with the same goals and approach to reforming policing from within." Andrea Dittmann Dittmann was not surprised by the time it took to get permission to work with active officers. “Initially, many officers were distrustful of researchers. Often what they’re seeing in the news are researchers coming in, telling them all the problems that they have, and leaving. We had to reassure them that we weren’t going to leave them high and dry. If we find a problem, we’re going to tell you about it, and we’ll work on building a solution with you. And of course, we don’t assume that we have all the answers, which is why we emphasize developing research ideas through embedding ourselves in police organizations through ride-alongs and interviews.” After observing the same officers over years, they’re able to build rapport in ways that permit open conversations. Dittmann and Dobson now have research running in many pockets across the country, including Atlanta, Baltimore, Chicago, Washington, D.C. and parts of Texas. The Rise of Community-Oriented Policing For many police departments across the nation, there is a strong push to build closer and better relationships with the communities they serve. This often translates to police officers being encouraged to engage with citizens informally and outside the context of enforcing the law. If police spent more time chatting with people at a public park or at a café, they’d have a better chance to build rapport and foster a collective sense of community caretaking—or so the thinking goes. Such work is often assigned to a particular unit within the police force. This is the fundamental principle behind community-oriented policing: a cop is part of the community, not outside or above it. This approach is not without controversy, as many would argue that the public is better served by police officers interacting with citizens less, not more. In light of the many high-profile instances of police brutality leaving names like Breonna Taylor and George Floyd echoing in the public’s ears, their reticence to support increased police-to-citizen interaction is understandable. “Sometimes when I discuss this research, people say, ‘I just don’t think that officers should approach community members at all, because that’s how things escalate.’ Kyle and I acknowledge that’s a very important debate and has its merits.” As micro-oriented researchers, however, Dittmann and Dobson forgo advocating for or dismissing broad policy. They begin with the environment handed to them and work backward. “The present and immediate reality is that there are officers on the street, and they’re having these interactions every day. So what can we do now to make those interactions go more smoothly? What constitutes a positive interaction with a police officer, and what does it look like in the field?” Good Intentions Gone Awry To find out, they pulled data through a variety of experiments, including live interactions, video studies and online experiments, relying heavily on observation of such police-to-citizen interactions. "What we wanted to do is observe the heterogeneity of police interactions and see if there’s anything that officers are already doing that seems to be working out in the field, and if we can ‘bottle that up’ and turn that into a scalable finding." Andrea Dittmann Dittmann and her colleagues quickly discovered a significant discrepancy between some police officers’ perceived outcome of their interactions with citizens and what those citizens reported to researchers post-interaction. “An officer would come back to us and they’d say it went great. Like, ‘I did what I was supposed to do, I made that really positive connection.’ And then we’d go to the community members, and we’d hear a very different story: ‘Why the heck did that officer just come up to me, I’m just trying to have a picnic in the park with my family, did I do something wrong?’” Community members reported feeling confused, harassed, or—at the worst end of the spectrum—threatened. The vast majority—around 75% of citizens—reported being anxious from the very beginning of the interaction. It’s not hard to imagine how an officer approaching you apropos of nothing may stir anxious thoughts: have I done something wrong? Is there trouble in the area? The situation put the cognitive burden on the citizen to figure out why they were being approached. The Transformational Potential of the “Transparency Statement” And yet, they also observed officers (“super star” police officers, as Dittmann refers to them) who seemed to be especially gifted at cultivating better responses from community members. What made the difference? “They would explain themselves right from the start and say something like, ‘Hey, I’m officer so-and-so. The reason I’m out here today is because I’m part of this new community policing unit. We’re trying to get to know the community and to better understand the issues that you’re facing.’ And that was the lightbulb moment for me and Kyle: the difference here is that some of these officers are explaining themselves very clearly, making their benevolent intention for the interaction known right from the start of the conversation.” Dittmann and her colleagues have coined this phenomenon the “transparency statement.” Using a tool called the Linguistic Inquiry & Word Count software and natural language processing tools, the research team was able to analyze transcripts of the conversations and tease out subconscious cues about the civilians’ emotional state, in addition to collecting surveys from them after the encounter. Some results jumped out quickly, like the fact that those people whose conversation with an officer began with a transparency statement had significantly longer conversations with them. The team also employed ambulatory physiological sensors, or sensors worn on the wrist that measure skin conductivity and, by proxy, sympathetic nervous system arousal. From this data, a pattern quickly emerged: citizens’ skin conductance levels piqued early after a transparency statement (while this can be a sign of stress, in this context researchers determined it to reflect “active engagement” in the conversation) and then recovered to baseline levels faster than in the control group, a pattern indicative of positive social interaction. Timing, too, is of the essence: according to the study, “many patrol officers typically made transparency statements only after trust had been compromised.” Stated simply, the interest police officers showed in them was “perceived as harassment” if context wasn’t provided first. Overall, the effect was profound: citizens who were greeted with the transparency statement were “less than half as likely to report threatened emotions.” In fact, according to the study, “twice as many community members reported feeling inspired by the end of the interaction.” What’s more, they found that civilians of color and those from lower socioeconomic backgrounds —who may reasonably be expected to have a lower baseline level of trust of law enforcement—“may profit more from greater transparency.” Talk, it turns out, is not so cheap after all. Corporate Offices, Clinics, and Classrooms The implications of this research may also extend beyond the particulars of the police force. The sticky dynamics that form between power discrepancies are replicated in many environments: the classroom, between teachers and students; the office, between managers and employees; even the clinic, between medical doctors and patients. In any of these cases, a person with authority—perceived or enforceable—may try to build relationships and ask well-meaning questions that make people anxious if misunderstood. Is my boss checking in on me because she’s disappointed in my performance? Is the doctor being nice because they’re preparing me for bad news? “We believe that, with calibration to the specific dynamics of different work environments, transparency statements could have the potential to ease tense conversations across power disparities in contexts beyond policing,” says Dittmann. More Research, Action, and Optimism What could this mean for policing down the road? Imagine a future where most of the community has a positive relationship with law enforcement and there is mutual trust. "I often heard from family and friends that they’d trust the police more ‘if they were all like you.’ I can hear myself saying, ‘There are lots of police just like me!’ and I truly believe that. I believe that so many officers love people and want to serve their communities—and I believe a lot of them struggle with the same things I do. They want to see our profession do better!" Britt Nestor “When I get a new case and I meet the survivor, and they’re old enough to talk with me, I always explain to them, ‘I work for you. How cool is that?’ And I truly believe this: I work for these kids and their families.” The implications run deep; a citizen may be more likely to reach out to police officers about issues in their community before they become larger problems. An officer who is not on edge may be less likely to react with force. Dittmann is quick to acknowledge that while the results of the transparency statement are very promising, they are just one piece of a very large story with a long and loaded history. Too many communities are under supported and overpoliced; it would be denying the gravity and complexity of the issue to suggest that there is any silver bullet solution, especially one so simple. More must be done to prevent the dynamics that lead to police violence to begin with. “There’s a common narrative in the media these days that it’s too late, there’s nothing that officers can do,” says Dittmann. Yet Dittmann places value on continued research, action and optimism. When a simple act on the intervention side of affairs has such profound implications, and is not expensive or difficult to implement, one can’t help but see potential. “Our next step now is to develop training on transparency statements, potentially for entire agencies,” says Dittmann. “If all the officers in the agency are interacting with transparency statements, then we see this bottom-up approach, with strong potential to scale. If every interaction you have with an officer in your community starts out with that transparency statement, and then goes smoothly, now we’re kind of getting to a place where we can hopefully talk about better relations, more trust in the community, at a higher, more holistic, level.” While the road ahead is long and uncertain, Dittmann’s optimism is boosted by one aspect of her findings: those community members who reported feeling inspired after speaking with police officers who made their benevolent intentions clear. "That was really powerful for me and Kyle. That’s what gets me out of bed in the morning. It’s worth trying to move the needle, even just a little bit." Andrea Dittmann Looking to know more? Andrea Dittman is available to speak with media about this important research. Simply click on her icon now to arrange an interview today.

#ExpertSpotlight: Who is Julian Assange?
In the ever-evolving landscape of digital information and cybersecurity, Julian Assange stands as a central figure, symbolizing the complex intersection of transparency, secrecy, and journalism in the modern world. This topic is not only newsworthy because of Assange’s controversial role in founding WikiLeaks and exposing classified information, but also due to the profound implications his actions have had on national security, international relations, and the ethics of journalism. Furthermore, Assange's ongoing legal battles and the broader debates they spark about freedom of speech, whistleblower protections, and government accountability are crucial for understanding the dynamics of information control in contemporary society. The story of Julian Assange offers multiple angles of interest, including: The Genesis of WikiLeaks: Exploring the foundation and mission of WikiLeaks, and how it has changed the landscape of journalism and whistleblowing. Major Leaks and Their Impact: Analyzing significant leaks published by WikiLeaks, such as the Iraq War Logs and the diplomatic cables, and their impact on global politics and public opinion. Legal Battles and Extradition: Investigating Assange’s legal challenges, including the charges against him, the extradition process, and the implications for international law and human rights. Freedom of Speech vs. National Security: Examining the debates surrounding Assange's actions, balancing the right to information with concerns over national security and the protection of sensitive information. Role of Journalism in the Digital Age: Discussing the ethical considerations and responsibilities of journalists and media organizations in handling leaked information. Assange’s Personal Journey: Delving into Assange’s personal life, his motivations, and the psychological and physical toll of his prolonged legal and diplomatic battles. The life and actions of Julian Assange provide journalists with a wealth of storylines that illuminate the complex and often contentious relationship between transparency, security, and the right to know in the digital age. Connect with an Expert about Julian Assange : Keith Werhan Professor Emeritus · Tulane University School of Law Samantha Bradshaw Doctor of Philosophy Candidate · Oxford Internet Institute Michael Moreland, JD, PhD University Professor of Law and Religion; Director, Eleanor H. McCullen Center for Law, Religion and Public Policy | Charles Widger School of Law · Villanova University Craig Albert, PhD Professor of Political Science and Graduate Director of the Master of Arts in Intelligence and Security Studies · Augusta University Michael S. Rogers Senior Advisor, Washington, D.C. · Brunswick Group Robert Anderson National Security Consultant & Intelligence Analyst · Altadena Group To search our full list of experts visit www.expertfile.com Photo credit: Markus Spiske
Debate director and rhetoric expert on Biden vs. Trump presidential debate
John Koch, senior lecturer and director of debate at Vanderbilt University, is available for commentary on the presidential debate between Joe Biden and Donald Trump. A recognized scholar on presidential communication and rhetoric, John uses a wide range of methods to understand and explain political and policy debates. His research is guided by the question of how we can improve citizenship practices and debates within our political culture. He has served as chair of the National Communication Association’s Argumentation and Forensics Division and the Committee on International Discussion and Debate. John has published various book chapters on presidential rhetoric. Topics he can speak to include: What arguments to expect from the candidates What each candidate needs to do and not do in the debate How to determine who wins a debate What to watch for/what issues might come up in the debate History of presidential debates The usefulness of presidential debates and how we might improve them How adults can discuss politics and debates with their children by watching debates together After debate analysis of who may have won and what issues/moments may be salient to voters The debate styles of the candidates and their histories in debates

New research from Goizueta’s Diwas KC unpacks the dual impact of Prescription Drug Monitoring Programs on opioid prescriptions and heroin overdose deaths. More than two million individuals in the US are experiencing Opioid Use Disorder (OUD). The CDC defines OUD as “a problematic pattern of opioid use that causes significant impairment or distress.” Around 130 people die of opioid overdoses every day. Perhaps more startlingly, four million people over the age of 12 have reported using pain medication recreationally, including opioids. Prescription opioids are a highly-regulated class of drug. They interact with the opioid receptors on nerve cells throughout the body, as well as the brain, which reduces the intensity of pain signals to the body. For many, they are a necessary prescription to get through the pain of surgery or injury, as the body heals itself. Unfortunately, the function of opioids in the body—releasing endorphins and boosting feelings of pleasure, as well as reducing pain—also make them highly addictive. PDMP: A Successful Federal Mandate The United States continues to see increases in deaths from opioid overdoses. So, federal and state governments have been working in enact policies that are designed to decrease those fatalities. One of the methods states are using to prevent common abuse patterns like “doctor shopping,” which is the pattern of visiting multiple physicians to obtain prescriptions, is the Prescription Drug Monitoring Program (PDMP), designed to be used in conjunction with Health Information Technology (HIT) programs. PDMP serve two purposes: identifying drug-seeking behaviors in patients, and identifying physicians with patterns of inappropriate prescribing. Nearly all 50 states have enacted PDMPs of some degree. Some programs require physicians to check the PDMP before prescribing restricted pharmaceuticals, but in others it’s only suggested. Intrastate communication between PDMPs is not always possible, however. The Unintended Consequences The use of PDMPs has been shown to reduce the number of opioid prescriptions, the intended outcome of the program. Enter a recently published study by Diwas KC, Goizueta Foundation Term Professor of Information Systems & Operations Management. The research shows that during time the research was conducted, prescriptions for opioids declined by 6.1%. However, the research also brought to light a very serious and unintended consequence of the implementation of PDMPs. The study concluded that while the implementation of PDMPs did reduce opioid prescriptions, it did not reduce overall numbers of prescription opioid deaths. In fact, it may have contributed to a 50% increase in heroin overdose fatalities. “The heroin increase was definitely something we were not expecting, it was a total surprise,” says KC. "It was something that we had hypothesized. You’ve got a bunch of individuals who have used prescription opiates and had presumably been dependent. Now with the passage of this PDMP law, it has become more difficult to obtain prescription opiates. Therefore, some people might be forced to turn to the street version of it." Diwas KC “We didn’t expect the effect size it to be as significant as it is,” says KC. Heroin and commonly prescribed opioids like oxycodone and hydrocodone are very similar on a biochemical level. What’s more, they generate a similar sensation in the body, according to KC. That’s why he and his team had the initial hypothesis that some addicted individuals, when unable to get prescription medication, might turn to street drugs, which are much more dangerous on many levels. “There are many aspects to this. One has to do with the potency and the toxicity of the things you get on the streets. There are very little checks and balances on those. There’s no control in quality for sure,” KC says. He also notes the lack of checks and balances on the frequency of usage. “So the frequency of usage, the quality of the substances you’re putting inside your body, and possibly the circumstances of acquiring it might also be very risky too.” A Dual Impact The research concludes that mandating PDMP use is an example of a successful use of policy for intervention. It does, in fact, decrease the number of opioid prescriptions available to patients. That’s critical information for policy makers and physicians to take in. And it’s a solid reason to keep using and expanding PDMP usage, according to KC. "I should point out very clearly that the policy did have the intended effect of reducing prescriptions. So, it definitely benefited people who might otherwise have become addicted." Diwas KC “By reducing unnecessary prescriptions it might have limited the number of people who would have gotten hooked on the drugs in the first place. So there’s definitely the benefit of that,” says KC. “It’s just that when the policy was implemented, there was also this side effect because of people who were already using it. So, when those people were forced to look for alternatives, that’s when things got bad.” Research papers like this one show an important side of using data to mark successes and failures of government policies. Taken on the surface, data can show a policy’s impact for the greater good. But a deeper dive into the surrounding data—like the increase in heroin use after the implementation of PDMPs—gives everyone a better idea of the full impact of this mandate. "Policies have intended as well as unintended consequences. In this case of PDMP it had the desired effect of reducing prescriptions. That probably helped a lot of people not get addicted to opiates in the first place." Diwas KC “But sometimes policies also have unintended consequences,” says KC. “Like in the case of people who were already addicted to painkillers suddenly stopping it, causing them to take drastic actions, and that’s what happened for some of the people in the study. Policies need to consider the possibility of unintended consequences and take actions to also mitigate those unintended consequences.” Interested in knowing more? Diwas KC is the Goizueta Foundation Term Professor of Information Systems & Operations Management. He is available to talk about this important topic - simply click on his icon now to arrange an interview today




