Top Of Mind With Julie Rose

People often assume that medical treatments prescribed by doctors and covered by insurance are safe and effective. After all, there’s a whole government agency – the Food and Drug Administration – to ensure that very thing. But most medical drugs and devices available in the U.S. were approved by the FDA through an expedited pathway that sped up the review or required less clinical trial evidence. In this episode of the podcast, we speak with a former FDA attorney about the debate over whether the FDA should prioritize safety and effectiveness or swift access to medical innovation. We hear from a mother whose daughter urgently needed an individualized treatment only available in Italy, as well as the Right to Try advocate who assisted her. And an ER doctor explains why it’s a problem that many drugs commonly prescribed to women were only been tested on men before being approved. Podcast Guests: Daniel G. Aaron, MD, JD, professor of law at the University of Utah’s SJ Quinney College of Law, former assistant c

Our “Stick With It” series on the Top of Mind podcast continues with playwright and producer Scott Carter. He was the long-time executive producer of “Real Time with Bill Maher” on HBO and is currently producing “Love & Respect with Killer Mike” on PBS. Carter is also the host of a new podcast called “Ye Gods!” where he talks with artists, actors, journalists and other public figures about the beliefs that shape their lives. In this “Stick With It” conversation, Scott Carter shares the strategies that helped him overcome fear and discomfort while becoming a standup comic. Similar strategies can help anyone learning to stay open and curious when confronted with challenging situations or perspectives. Top of Mind would love to hear your Stick With It story. Can you think of a time when you felt your perspective or worldview challenged and, instead of getting defensive, you chose to lean into the discomfort – and you’re glad you did? Email your story to topofmind@byu.edu.

Our “Stick With It” series on the Top of Mind podcast continues with Milan Kordestani – tech entrepreneur and author of “I’m Just Saying: A Guide to Maintaining Civil Discourse in an Increasingly Divided World.” Kordestani was already preaching the importance of civil discourse when he tweeted something during the pandemic that went viral and caused him to realize he’d fallen short. He tweeted an apology and recommitted himself to approaching difficult topics with humility and curiosity. “Civil discourse doesn’t always mean agreeing or feeling comfortable,” says Kordestani. His new book, “I’m Just Saying” is a guidebook for learning to lean into the discomfort of challenging topics. Top of Mind would love to hear your Stick With It story. Can you think of a time when you felt your perspective or worldview challenged and, instead of getting defensive, you chose to lean into the discomfort – and you’re glad you did? Email your story to topofmind@byu.edu.

Getting pulled over is the most common encounter Americans have with police, but how much do traffic stops really contribute to public safety? On a typical day, more than 50,000 of us see those flashing lights in our rearview, so we generally assume that enforcing traffic laws is an essential part of policing and public safety. Do traffic stops contribute to public safety as much as we expect? It’s clear the effects are not equal: across the nation, drivers of color are much more likely to get pulled over, and a troubling number of incidents where Black men are killed by police, start with a traffic stop. In this podcast episode, we’ll hear perspectives from both sides of the car window and explore how traffic enforcement could better ensure safety for all. Podcast Guests: Alexander Landau, founder and Director of Community Relations for Denver Justice Project. Valerie Castile, mother of Philando Castile and President of the Philando Castile Relief Foundation. Officer Mark Ross, St. Paul police officer a

We tend to view adoption in America as a win-win situation: a child in crisis is placed with new, stable parents who want to build a family. Everyone is finally in a position to thrive. That narrative tends to be fairytale-like. And it doesn’t resonate with many adoptees. In this episode, we hear adoptee perspectives on adoption and how we – as a society – can do better. We talk to a domestic infant adoptee from the baby scoop era, a person adopted out of the foster care system, and an international, transracial adoptee. And what we've come to find is that no matter when or how adoptions happen, assumptions about what's best can miss the mark. How can we do better by those impacted by the adoption process and create a system that enables children and families to thrive? Podcast Guests: Julie Ryan McGue, author of Twice a Daughter Jamerika Haynes-Lewis, journalist, child welfare advocate Astrid Castro, founder and CEO of adoption Mosaic **This episode is part of Season 4 on Top of Mind: Assessing Assump

Dying is inevitable. But medical advancements have made it possible to cheat death in many instances that would have been quickly fatal not so long ago. So it’s become easier to avoid thinking about death and default toward saying “yes” to whatever medical intervention will extend our lives. But when does living longer conflict with dying well? In this podcast episode we’re assessing the common assumption that we can extend life at all costs and still have a “good death” when the time comes. A hospital physician explains the complicated financial and emotional incentives that lead doctors and patients do too many tests, prescriptions and procedures that ultimately do more harm than good. An ICU doctor describes the risks of relying on a “living will” to guarantee a “good death” and what to do instead. If you’ve spent a life saying “yes,” by default, to everything medicine has to offer, it’s traumatic – and not at all straightforward – to know when to start saying “no.” We also hear how a man with terminal can

As a final bonus to finish Top of Mind Season 3 “Finding Fairness” we’ve compiled the best insight from guests throughout the season on how to be a better citizen, kinder neighbor and more effective advocate for the things we care about. We're not a "how-to" podcast with checklists and action items. We probe for more clarity and empathy on the topic and let you decide where to go next. But our guests often do offer practical advice that’s pretty great. So here it is for you in one quick listen! Right now is a great time to binge all of Season 3 “Finding Fairness” because we’re taking a short break for the summer. We’ll be back in August with Top of Mind Season 4 “Assessing Assumptions.” Could the systems we've built to keep our communities safe and thriving work better if we weren't so set in our ways?

We’re wrapping up Season 3 of Top of Mind “Finding Fairness” with a look at some of the Stick With It moments it delivered for our team. One of our goals for each episode is to find perspectives that will challenge us to examine our own views more closely. Often that’s uncomfortable, but if we stick with that discomfort, it can lead to finding new empathy or greater clarity. In this podcast episode, Julie and other members of the Top of Mind team reflect on episodes during Season 3 that challenged them to examine their own views and behaviors more closely around topics including prison reform, pollution, gun violence, healthcare, and free speech. Did you have a Stick With It moment listening to an episode of Top of Mind’s Season 3 about “Finding Fairness?” We’d love to hear it. Email your story to topofmind@byu.edu. Podcast Guests: Top of Mind producers Kimberly Beck, Cole Cummings, Vanessa Goodman, James Hoopes, and Madeleine McKenzie

Our “Stick With It” conversation series on the Top of Mind podcast continues with The Period Project founder Emily Bell McCormick’s story of realizing some common misunderstandings that prevented male legislators from taking menstrual public health policy needs seriously. Once she took the time to really listen to the concerns lawmakers had passing a law to make period products available for free in public schools and state buildings, she was better able to address their misconceptions and get the law passed. Podcast Guest: Emily Bell McCormick, founder of The Policy Project (Teen Health Centers and The Period Project) Top of Mind would love to hear your Stick With It story. Can you think of a time when you felt your perspective or worldview challenged and, instead of getting defensive, you chose to stick with the discomfort – and you’re glad you did? Email your story to topofmind@byu.edu.

Our “Stick With It” conversation series on the Top of Mind podcast continues with historian Greg Jackson’s story of committing to get the regional accents right on his podcast “History That Doesn’t Suck.” A few years ago, his audience had grown so large that he was immune to most listener criticism. But a message from “Lucy in Tennessee” about the Southern accent Jackson affected in his storyteller cut through the noise. Jackson chose to stick with the discomfort of that criticism and step up his accent game. His podcast is better for it. Podcast Guest: Greg Jackson, host of “History That Doesn’t Suck” podcast, professor at Utah Valley University Top of Mind would love to hear your Stick With It story. Can you think of a time when you felt your perspective or worldview challenged and, instead of getting defensive, you chose to stick with the discomfort – and you’re glad you did? Email your story to topofmind@byu.edu.

The right to free speech is considered a cornerstone of American democracy, but it can also be used to inflict harm. In this era of social media and polarized politics, we are constantly weighing the pros and cons of free expression. Is being offended by a statement the same as being harmed by it? Where should we draw the line between protecting one’s right to speak freely and ensuring the well-being of others? In this podcast episode, a reformed white supremacist explains why he turned to hate speech and how he's trying to make amends for the harm he caused. A legal expert debunks common myths about the First Amendment right to free speech and explains why universities and K-12 schools struggle to balance that right with the need to keep students safe. A newspaper opinion editor shares insights on learning to disagree respectfully and an advocate for civility in public discourse explains how to foster productive free expression in our communities. Podcast guests: Tony McAleer, reformed white supremacist, c

Children in America face economic, emotional and educational challenges that only worsened during the pandemic. They are the poorest age group in the country. America has the highest rate of children living in single parent households anywhere in the world. U.S. teens are in the midst of a mental health crisis marked by depression, anxiety and suicide. And the COVID-19 pandemic caused big learning gaps. How can we help more kids thrive in America? In this podcast episode, we’ll hear how a school in Iowa is training teenagers to be first responders for peers in emotional crisis. An MIT researcher urges us to focus less on what kids lost during the pandemic and lean into lessons that can make schools even better than before pandemic. Then, a leading researcher on child well-being explains why we need to give absent fathers more attention. We want all children in America to thrive and we know kids are amazingly resilient. How can we do better by them? Podcast Guests: Jen Schnormeier, Instructional coach at Gil

We all like to think we’d help someone in danger, but too often people stand by because they’re afraid to intervene or assume someone else will do it. Should it be a crime to be a bystander? What if you don’t witness the harm, but you suspect it’s happening, and you’re in a position to intervene? Does failing to stop the abuse make you an enabler? In this week’s podcast episode, we explore the impact of people choosing to stand by or enable abuse. We learn about an effort to pass laws that would put people in jail if they fail to help. We also hear from a young man whose heroic intervention on a subway platform went viral, and we discover how to resist the urge to be a bystander and become a helper instead. Podcast Guests: Aya Hibben, undergradute student in political science and pre-law, University of Utah, Research Assistant for The Bystander Initiative Amos Guiora, professor of law, Founder of The Bystander Initiative, S.J. Quinney College of Law at the University of Utah Bryce Demopoulos, pre-med s

Our “Stick With It” conversation series on the Top of Mind podcast continues with diversity advocate Susan Madsen’s story about being invited to attend an event and realizing she was the only white person in a room of several hundred people. Sticking with the discomfort she felt at the event gave her a window into how people of color must feel often in Madsen’s majority white community. That new measure of empathy served as an important motivation for Madsen in her research and advocacy with the Utah Women and Leadership Project. Podcast Guest: Susan Madsen, founding director of the Utah Women & Leadership Project, professor in the Huntsman School of Business, Utah State University. Top of Mind would love to hear your Stick With It story. Can you think of a time when you felt your perspective or worldview challenged and, instead of getting defensive, you chose to stick with the discomfort – and you’re glad you did? Email your story to topofmind@byu.edu.

Our “Stick With It” conversation series on the Top of Mind podcast continues with Corey Nathan, host of “Talkin’ Politics and Religion Without Killin’ Each Other.” He tackles tough topics on his podcast all the time, but talking with his Jewish father about his decision to become a Christian seemed doomed to failure. It would have been easier to not talk about it, says Corey. But he and his dad made a different choice. Their relationship will never be the same. Podcast Guest: Corey Nathan, host of “Talkin’ Politics and Religion Without Killin’ Each Other” – part of the Democracy Group podcast network. Top of Mind would love to hear your Stick With It story. Can you think of a time when you felt your perspective or worldview challenged and, instead of getting defensive, you chose to stick with the discomfort – and you’re glad you did? Email your story to topofmind@byu.edu.

A decade ago, there was not a single state where it was legal to use recreational marijuana. Today, nearly half of Americans live in states where pot is now legal. And many more are in states where medical marijuana has been legalized. But the federal government maintains that the drug has no currently accepted medical use and a high potential for abuse. How do we make sense of that? Our nation’s laws about marijuana are remarkably inconsistent. What are the effects of marijuana criminalization? And who gets caught in the middle? On this podcast episode, we talk to a man wrongly imprisoned for marijuana charges, a cannabis criminal justice reform advocate, a primary care doctor who’s been prescribing medical cannabis for years, and a drug historian to explains why the origin of our nation’s patchwork of marijuana laws. Podcast Guests: Donte West, Legacy Fellow at Last Prisoner Project Natalie Papillion, COO at Last Prisoner Project Peter Grinspoon, primary care doctor at Massachusetts General Hospital, ins

People all around the world look to the United States as a land of opportunity and safety. Every month, tens of thousands of people arrive at US border checkpoints and ask to be granted asylum. Over the last decade, the number of people showing up at the southern U.S. border seeking protection has increased five-fold to more than 200,000 every month. That huge increase has so overwhelmed the system that getting a final answer often takes years. There is bipartisan agreement that the asylum system is broken. How we fix the backlog, though, depends a lot on how we answer the question at the heart of today's podcast episode: what is our obligation to asylum seekers? Are we responsible for taking these individuals in? We’ll be hearing from two previous asylum seekers about the challenges of seeking asylum in the United States, a writer who had an eye-opening experience learning how America’s asylum process differs from other countries, and two former immigration judges with differing perspectives on how we should

When we drink the water, breathe the air and dig in the soil in our communities, we expect it to be safe. In the United States, we have regulatory agencies meant to protect us, but they sometimes fall short. Places populated by people of color or those in poverty are more likely to suffer the consequences. Who is responsible for combating pollution? How can we, as individuals, contribute to a cleaner environment? In this podcast episode, we explore various ways that Americans are combating pollution when our current systems fail. A concerned mother-turned-community-activist battles bureaucratic barriers to protect her family from PFAS pollution found in the Haw River, NC. A lifelong resident of Southwest Detroit fights pollution that is killing her majority Black community. An environmental policy maker advocates for corporations to take ownership of the pollution they create. A San Diego family offers an inside look at their zero waste lifestyle. Podcast Guests: Katie Bryant, co-founder of Clean Haw Rive

Our “Stick With It” conversation series on the Top of Mind podcast continues with sex therapist Tammy Hill’s story of feeling inspired to write a book that featured her own sexual experiences. She was so terrified at the thought – what would her parents think?! – that she put it off for seven years. Podcast Guest: Tammy Hill, LMFT, author of “Replenish: Creating Sexual Fulfillment in Marriage” (A Guide for LDS Couples), host of the “Live Your Why” podcast. Top of Mind would love to hear your Stick With It story. Can you think of a time when you felt your perspective or worldview challenged and, instead of getting defensive, you chose to stick with the discomfort – and you’re glad you did? Email your story to topofmind@byu.edu.

Our “Stick With It” conversation series on the Top of Mind podcast continues with life coach Jody Moore’s story about receiving some upsetting feedback from someone she respected. Rather than dismiss the criticism as misguided, Moore decided to explore it with an open heart and says she’s a better life coach because of it. Podcast Guest: Jody Moore, certified life coach, author of “Better Than Happy,” host of “Better Than Happy” podcast. Top of Mind would love to hear your Stick With It story. Can you think of a time when you felt your perspective or worldview challenged and, instead of getting defensive, you chose to stick with the discomfort – and you’re glad you did? Email your story to topofmind@byu.edu.