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Carl Hart

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2021-10-23
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2021-10-23
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  1. I don't really think that. You know, it's like why. You're trying to, I'm trying to help people to see how they can be happy. And then people are fighting me on that. I don't want to be happy. I want to be ignorant. Leave me alone. That's what people are saying.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  2. Certainly hope it has meaning. I mean, I'm certainly trying to live on like it has meaning. You know, I really love my life now. I just got back from Geneva. I spent the summer abroad in Europe and trying to be in a more civilized place where you can enjoy yourself as a responsible adult. And then it allowed me to decompress and then come back here The thing about coming back here is that you have to be ready to fight, and I don't want to fight anymore. You know, I just want to be able to help a society and people. And so I'll have to keep a place in Europe to go and decompress and then come back to be able to tolerate this situation. So life for me has a lot of meaning. I'm enjoying life. This is like the greatest, the best part of my life ever right now at this moment.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  3. Necessarily, you know, like my own children, I don't recommend that so science can, certainly my science can be a bit very petty sort of space to be in. But it was the only sort of path that I had. And so I had to do it. But no, I would really encourage people to just do something that they enjoy and something that makes them happy because the greater number of happy people in our society, the better off we all are.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  4. Absolutely. So that's the main thing that I would encourage people to do, really know your craft. If you know your craft, and then maybe you will be a service to your fellow citizens. There are so many people out here faking the funk and they don't know their craft and they're not a service to the people that they claim to serve. And that's a problem. And when you have a fairer number of people like that in positions of power, your society is going to crumble.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  5. Yeah, whatever career they choose, just make sure that they dedicate themselves to it and be the best at what they do first. That's what you have to do first. Like people see me advocating for this position. 30 years of science is in these opinions, this view. And trust me, I would be dismissed if I didn't know my if I was not.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  6. And people know this a lot of middle to upper class people know this. They elicit drug trade business is a multi-million dollar industry, multi-billion dollar industry. That could not be supported by people who are poor. And so that has to be supported by a lot of customers and a lot of people around the world know this. They're in the closet and in the book. I call for them to get out of the closet so we can start being more honest and we can take the pressure off of those people who are not as privileged.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  7. Just from a neurochemical perspective, I mean, everything I know about the brain, I learn through drugs, you know, because of my interest in drugs. So I learned a lot about dopamine neurons in certain regions of the brain, about neurophinephron neurons and a wide range of other sort of neural transmission happened because of drugs. And so that's a really valuable tool lessons for me. But then when we think that we move out a bit and we think more globally, what have I learned in terms of the mind from drugs? I have really learned how to be more forgiving of people and myself and tolerant, more tolerant of people and certainly learned a lot more about empathy as a result of drug use. And like I said earlier, I'm learning what we can be as a species. And it's quite incredible. But because of drugs.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  8. Yeah, Taurus, what cops are asked to do? Cops provide the shield for politician and those in power. Absolutely because I was in the military. I spent four years in the military and I did what I was told to do. And I was ignorant and thought I was doing the right thing. And I did what I was told to do. And so just like these guys are doing what they're told to do. But no, my real beef is with the power structure of folks who are telling them what to do. And also the folks who go play cops on television. That imagery, that sort of glorifying cops, that's a problem in a democracy.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  9. Yeah, I don't understand that, you know, but that's what they do again, those dissort of glorification of cops, that's dangerous for a society. And those cats who do that kind of thing, you know, I have a problem with that.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  10. Yeah, I mean, I really love what they're doing. I like what they accept the part where they get over 40 and they become fucking cops on TV. I mean, other than that, I dig. What's that about?

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  11. Oh, wow, who is the greatest hip hop artist? I don't know if I'm qualified to make that because you know. I have to go back to Gil Scott Herron, you know, like people think of him as one of the fathers of hip-hop. That's my all-time favorite, you know. And people like Chuck D from Public Enemy, some of the things that they were doing, I was really digging. But even though I was digging like public enemy, but even they got it wrong on drugs. Even Gil Scott Herron got it wrong on drugs. But they were doing so much other good stuff. It helped me to develop as a person. And so I think like my son is a hip-hop artist now. I think those folks who are in the game now, they might be, they are a lot more qualified to talk about who's Great as hip hop art is, I'm not qualified

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  12. Those two things coupled. One of the sort of main points of the book, too, was to try and get people to understand possibilities that we could have if we embraced certain drug use, if we allowed adults to do this sort of thing, relationships can be better wide range of beneficial effects people would be or can learn to be more magnanimous. All of these pro-social things that we say we value.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  13. And then you come up with resistance, and you, like you say, there are a lot, there's a lot of resistance and people just have a hard time. And so if you know humans can be better and they refuse to be better. Why be here as someone who knows that we can do this better? I certainly don't want to do it the way we're doing it.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  14. Once you know you cannot know, as they say. And so I have to look in the mirror. And then looking in the mirror, I have to face myself. Have I lived honestly? And if I can't face myself, then what am I doing here? You know, that's how I see it. One of the things that people don't really talk about with drugs and people who die from some drug-related death. And I've been thinking about this a whole lot over the past couple years. It's like some of these drugs can take you to a place where you feel so optimistic and positive about humans, our fellow humans. And you want to do your best to contribute. Because you know the possibilities of what we can be as a society.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  15. Self sufficient, be critical, and keep your eyes open and watch out for the Okie doke. And that's what this whole drug thing is about. It's the Okie Doke. People, it really boils down to just simple things. We're all similar in that we're all just trying to live our life, trying to take care of our kids. We want the best for our kids, all of us. But yet, somehow we've been made to believe that we are different in that way. But fundamentally, we're all the same. So when people are seeking to feel pleasure, to feel better, why don't we celebrate that instead, we denigrate people for that. I mean, if I feel better, I'm more likely to treat you well.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  16. That's so hard to say, you know, my grandmother was really important. So maybe just her trying to make sure that I think critically. That was, I guess, that's the biggest one.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  17. Absolutely. It's so easy to say. I'm going to rid your community of drugs. I'm going to put more cops on the street. If you want a problem, Not to be solved. Just give it to the military or the cops.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  18. So those people are connected to the people in Northern Ireland. They're connected to the people in Brownsville. They're connected to the people in other places in the United States for the same reason. They're connected to the people in Sao Paulo, Brazil. Same thing. People are catching hell for the same reason in the Philippines for the same reason. And that's why I feel so strongly about this thing, because I know there are people getting paid and their paycheck is predicated on subjugating and the suffering of those other people.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  19. It has helped me think about other people's experience, right? So how we're all connected, like going to Northern Ireland. I don't know if you know much about the situation with the troubles and what those people went through. And so I see people there, Northern Ireland, by the way, is all white. And you see those people there suffering for the same reasons that people in Appalachian are suffering for neglected by politicians who told them lies about drugs and not dealing with the real problems like West Virginia, for example. Their waters polluted. The factories have gone away. People are desperate and they're blaming drugs. Are you kidding me? So the politicians don't have to bring back the job. So we don't have to really make sure they have clean drinking water, things of that nature.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  20. I mean, they write these things. I just think about some hip hop artists, they say, like, this is real, this is my experience and so forth. And that's how these movie writers, they write this bullshit and then say, well, this is real. Anyway, I get so upset talking about it because I know the harm it's doing. And I know those kind of movies are the reason that we have this war on drugs. And all of these people are going to jail because of those kind of movies.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  21. It's true. You have to think about Wait, wait, wait, wait, wait, wait. I like these movies. It's not a matter of taking them away, it's a matter of making no writers. Be more honest to the reality. That's it.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  22. Those movies, you know, I loved all those movies. I'm from Miami. I loved Scarface. I even liked the Sopranos that I started looking at that shit with a critical eye and see what it's doing. But Scarface is dependent upon the American viewer having a certain view of people who deal in drugs. And that view is that these people are animals, basically. And in the end,

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  23. First of all, they're killing people. Don't have any space, none to denigrate somebody who's just trying to alter their consciousness. Are you kidding me? And not bothering anyone else.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  24. They have an intervention in one season, and they are denigrating him. Are you kidding me? You just cut somebody's head off.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  25. Psilocybin or whatever. The thing is, we're trying to be better people and trying to make our society better. And you're killing people and you are Integrating people for using. Are you fucking kidding me? And we let them get away with that as a society.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  26. Another one, I mean, it's like these racist ass. And they also are killing people, but yet they say we don't do drugs. What kind of is that? I mean, people who are doing drugs.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  27. Positive effects are not difficult to quantify. You ask people about their euphoria. You can see how well people are getting along. Like in our studies, Sometimes in groups, and you see how well they get along under the various drug conditions or placebo conditions, it's really, it's not that difficult.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  28. Yeah, the way we define drugs like uppers and downers, that's a That's a really kind of inappropriate way, but it's a quick way. So we certainly say cocaine is an upper or stimulant. But, you know, it depends on the activity of the person before they take the drug. Say like if you're really active before taking a drug like cocaine, it might actually calm you. So it all depends on the activity of the person before they take the drug.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  29. No, it's very real. You know, like some drugs take people in places that other drugs can't. And that's very real. I have friends, some of them you know, they, for example, say that they've never had an experience like the one they had with ayahuasca. And they've done a number of sort of things. But they did the ayahuasca in a setting with a shaman and this group and they felt like they actually began to heal or solve some problems that they were trying to solve for some years. That's great. That's great for them. And nothing else does it for them like that. And that's absolutely fantastic. Argue is that if that kind of thing happens for you, would ayahuasca with psilocybin, with some other psychedelic, why isn't it possible that heroin does that for someone or cocaine does that for someone else? Or MDMA does it for someone. That's it.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  30. Are you kidding me? But that's the kind of thing that has been allowed to happen in this society because we think of drugs as this moral failing or drug addiction as this moral failing. And any idiot can provide treatment. And no disrespect to AA because I think what they do is a lot more than what some people do because at least they have this social interactions. You have a social group that's better than what a lot of these other idiots out here do.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  31. You cited alcohol anonymous, right? And so I don't think of alcohol anonymous as like a treatment that I would send any relative to, you know, like for a drug-related problem. You know, I think alcohol anonymous AA is really good for social interactions, making sure people have a social group and they have peers. I mean, that's a good thing we all need, that social interaction. But I don't think they know much about drugs. That's not, that's not, it's like saying, well, you know, my uncle broke his knee and he has this support group. And they said this. And then we follow that. That doesn't make any sense. But in our society, judges even sentence people to go to AA.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  32. But it's evolving, and it's the definition that people in science and medicine use. And so we all know we're talking about the same language. When we call someone a substance use patient or someone who meets criteria for addiction, we all are speaking the same language. We're not saying that simply because this person used heroin, they are an addict. That's not what we're saying. You have to meet these criteria where you have disruptions in your psychosocial functioning. That's one. And two, you, the person, are distressed by these disruptions. So people have to meet those two basic criteria before we say they are addicted.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  33. Absolutely. That's that point as well taken. And your point is that their definition of substance use disorder, that's addiction, that's what I'm talking about. But that definition continues to evolve. And so you're right. They still are working it out. We're getting new information from scientific studies and so forth. And so it's supposed to be incorporated into the DSM. But there are some problems with the DSM. Like, for example, they also have this sort of once an attic always an attic thing, and there's no evidence to support that.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  34. When I use the term addiction, I'm referring to the diagnostics statistical manual of the American Psychiatric Association number five, now the DSM5.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  35. Certainly withdrawal. They're more standardized than anything. So like if someone is going through alcohol withdrawal, there is a standard protocol that Moe's physicians in this business, they follow. The same is true with benzo withdrawal. But the thing where it gets murky is when they're treating addiction itself. So when you're thinking about the substance use disorder in the DSM, not just withdrawal, but the entire addiction, that's where you have this sort of divergence or diversity in terms of approaches. And many of those approaches are rubbish.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  36. Yeah, I don't know Jordan's specific case, but certainly what benzodiazepines in general, we talked about withdrawal earlier. When I said that with alcohol withdrawal, you can die. So benzos and alcohol, they're closely related. So benzol withdrawal, too, can kill you, just like alcohol. So when we think about the effects that benzodepines produce, think about the effects that alcohol produce. They're comparable or similar. And so I know that it's a difficult one to wean yourself off if you develop the dependence. But we have protocols for that. And I hope he's okay.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  37. People say, like, I'm presenting a too rosy picture of drugs, you know, like I don't want to do that or I don't want people to think that I'm not aware of the potential negative effects of any activity, including drug use. And so I do acknowledge that there are potential harms associated with drugs. I acknowledge that in the book. But the fact remains, the beneficial effects far outweigh the potential harmful effects. And we have technology, information to help people to minimize the likelihood of those negative effects. But this sort of approach that we have where we say we're only exclusively presenting the harmful effects. And that should make people keep people safe. I just have a problem with that. But I certainly take the point. That people say there are negative effects. Absolutely. I absolutely agree.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  38. I believe that too, obviously, that's why I'm out here and putting subjecting myself to this sort of criticism and so forth, but because I believe that truth ultimately wins out. But I might be wrong. But I have to live my life like it's true. Otherwise, then I have no hope, then why be here?

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  39. Alcohol can be destructive to some people, but alcohol also is a hugely beneficial drug, to be honest, which I couldn't have gotten through many of the sort of receptions and functions I had to go through as the chair of the department without alcohol.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  40. Of all, would not we wouldn't be arresting anybody for drugs anymore? That would go away. The folks who are in prison for drugs, that would go away. Their records would be expunged. That would just go away. And then we work on a system to make sure that responsible adults can legally obtain these substances. And we'll have a corresponding educational system to teach people how to do this. That's where I would start initially.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  41. Who else have benefited? People who provide treatment, many of them benefit from the war on drugs. The folks who do urine testing for drugs, they've all benefited. They're making mad money. People who run prisons, the phone companies who charge the prisoners, the people who run the hotels that are around the prisons where people's family have to come and stay, the restaurants, they are making out like bandits. But many of us are getting screwed as a society. In general, we're getting screwed, but there are people who are just benefiting handsomely. That's why it continues. Politicians benefit. I mean, whether you're Democrat or Republican, you have the same stance on drugs anyway. So they all benefit from this.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  42. Depends on which world you live in. The war on drugs has been hugely beneficial to law enforcement, to the media, to people who make bullshit TV shows, the sopranos, the wire, all of those shows, they benefit from this kind of nonsense.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  43. That's the bigger issue that we can't get to. It's like this issue of freedom and freedom comes with a tremendous amount of responsibility. I am responsible for my neighbors, my brothers. I mean, I can't impede their freedoms. Like some people think that their freedom supersedes everybody else's freedoms. No. And that's what I'm trying to remind people in this book. I am responsible to you as a citizen. And we're in this together. And I tried to make that point in the book. And people have conveniently ignored things like that.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  44. What do you want me to say to that? I mean, they have access to alcohol, they have access to You know, we live in this country called the United States, where our declaration of independence says that we are free to live like we want to live so long as we don't disrupt other people from doing the same. But it's remarkable to me how we try to control the behaviors of other people. That's just remarkable.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  45. No, we have to change our education about these things. I mean, let's just take a drug like cocaine. Cocaine's a stimulant. And you want to make sure people understand that they shouldn't be taking cocaine in their bedtime. You know, if they need to get a certain amount of hours of sleep and they need to get up in the morning, cocaine probably isn't a drug for you at night. Certainly not. Certainly not amphetamines at night for most people. And also, if you want to make sure that they need to understand that cocaine can also disrupt your food intake, not as much as the amphetamines, but all of these kind of things people need to know so they can have proper nutrition and they can time their drug use around these other important functions that's the same human life. So we have to make sure that we educate people. We can't just throw

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  46. Will say, okay, we won't be selling intravenous preparations of any of these drugs. The drugs, the routes of administration will be oral and I don't know, let's say intranasal again, routes of administration, the dose that you have in each unit all can minimize harm based on how you do these things. And we can do that. We have the technology, we have the know-how.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  47. The drugs that people seek certainly should be legally regulated and available to adults. So when I say the drugs people seek, like cannabis, MDMA, cocaine, heroin, those drugs certainly should be available. And some of the psychedelics that people seek. Now, the thing about it is that some people think that, oh, it'll be a free-for-all. These drugs are available to everyone. That's not true. I mean, it would be, there will be age requirements and maybe other requirements, but they should be available. And we should also do like what we do with alcohol. We can put enough alcohol in a bottle to kill you, but we don't. So we regulate it such that the amount that's in the bottle enhances the safety and minimizes the potential harms. We can do the same thing with these other drugs.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  48. Well, this is the problem, though, but we have a scientific database. We don't need personal evidence for this. In my book, I try to go through some of the science so people could understand. It's like when you have a math problem, you don't want people saying, well, you know, I feel like this, fuck what you feel. What does the data say

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  49. What evidence you have for that book? Yeah, because there is none. There is absolutely none. I mean, people say stuff like that, and that's the problem. That's precisely the problem.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source

  50. Certainly can be. There are people who are suffering from co-occurring mental illness like depression, anxiety. I mean, that's within the person, of course. And that increases the likelihood for addiction. So that's not so much the environment. But there are people who, for example, they have chronic unrealistic expectations heaped on them. Those people are more likely to have some problems with drug. There are people who are just immature, not develop, haven't developed responsibility skills. They are likely to have some problems if they engage in some of these behaviors. There are people who lost their jobs, COVID, factories went away. A wide range of things. And those people used to have standing in their community. Now they have none. Those people might be susceptible to having a drug related problem.

    2021-10-23 · Lex Fridman Podcast · #233 – Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society · IDENTIFIED FROM THE TRANSCRIPT · source