New Books in Medicine

A hard-hitting exposé of how methadone clinics fail people in recovery—and an urgent, unapologetic case for their abolition. 

Methadone is a life-saving medication. But the current system for obtaining it—the opioid treatment program, commonly known as the methadone clinic—is punitive, unjust, and often humiliating. In this eye-opening book Liquid Handcuffs: Policing and Punishment in Methadone Clinics and the Future of Opioid Addiction Treatment (North Atlantic Books, 2026), social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the “culture of cruelty” that polices, punishes, and profits from those they’re meant to serve. Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the “War on Drugs” as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone. Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction—and save thousands of lives.
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Neuroscientific evidence increasingly shows that consciousness is a remarkable but explainable function of a machinelike brain. Alan J. McComas' discusses his article for the American Scientist.

Alan J. McComas is an emeritus professor of medicine at McMaster University in Hamilton, Canada.

Greg is the Executive Director and Founder of the World War II Discussion Forum (wwiidf.org). He also has a strong interest in literature, culture, religion, science and philosophy (translation: he's an eclectic reader who is constantly missing deadlines for book reviews).
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In this conversation we hear about Kola’s journey as self-taught coder, business school, learning by doing, and how he is self-funding one person AI company for doctors: Kola Tytler’s parallel journey as an NHS Doctor while building pioneering and potentially world changing business is inspiring.

Listen in on a remarkable conversation between host Richard Lucas and Kola Tytler, now a qualified doctor who taught himself to code.

We explore

the roots of his entrepreneurial activity, despite knowing he wanted to be a doctor from a young age.

the influence and opportunities of being an immigrant from a different background as he went to medical school in London.

his first venture selling event tickets via a Facebook platform, scaling a fashion blog with millions of followers, and launching and exiting the successful Dropout retail business in Milan

Lessons of having investors who were not always aligned

How he dealt with realising that he might have a bigger financial opportunity through dropping out of his studies.

The benefits and limitations of bootstrapping when you have the resources to put together a great team

The impact of both his formal business school education and self tuition via online resources like Y Combinator, and prominent SV figures like Steve Jobs and Bill Gates.

The ambition and vision for his self funded AI platform for doctors iatroX which provides clinical guidance to over 20,000 users.

Kola's journey is a masterclass in calculated risk and relentless drive, Kola shares the critical lessons he has learned from his triumphs and challenges. Through insightful questions, Richard draws out the key takeaways on finding balance, the importance of a strong team, understanding domain expertise, and the necessity of continuous business education. This episode is packed with inspiration for anyone looking to bridge diverse passions and build a high-impact venture.

About Kola

Dr Kola Tytler – Doctor/MBA & full-stack developer

MBBS @ King’s College London

Certificates in Law & Business (LSE & Imperial)

MBA (with merit) @ University of Birmingham

MSt Entrepreneurship @ University of Cambridge ‘26

Forbes 30 under 30 Europe, Forbes 100 under 30 Italy

IBM-certified AI Engineer & MENSA member

Founder of YEEZY Mafia, dropout, & HypeAnalyzer

Links

iatroX is a UKCA-marked, MHRA-registered medical device. It acts as an AI‑driven assistant that centralizes clinical guidelines offering: 1 quick Q&A, 2 structured brainstorming, and 3 an adaptive quiz engine for medical students.

Kola Tytler's Linkedin

Kola Tytler's personal websiteDrop Out MilanoHype Analyzer

CAMentrepreneurs
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Dr. Hanna Pickard has written a revolutionary new paradigm for understanding addiction. 

Why do people with addiction use drugs self-destructively? Why don’t they quit out of self-concern? Why does the rat in the experiment, alone in a cage, press the lever again and again for cocaine—to the point of death? In this pathbreaking book What Would You Do Alone in a Cage with Nothing But Cocaine?: A Philosophy of Addiction (Princeton UP, 2026), Johns Hopkins University professor Pickard proposes a new paradigm for understanding the puzzle of addiction. For too long, our thinking has been hostage to a false dichotomy: either addiction is a brain disease, or it is a moral failing. Pickard argues that it is neither, and that both models stifle addiction research and fail people who need help. 

Drawing on her expertise as an academic philosopher and her clinical work in a therapeutic community, Pickard explores the meaning of drugs for people with addiction and the diverse factors that keep them using despite the costs. People use drugs to cope with suffering—but also to self-harm, or even to die. Some identify as “addicts," while others are in denial or struggle with cravings and self-control. Social, cultural, and economic circumstances are crucial to explaining addiction—but brain pathology may also matter. By integrating addiction science with philosophy, clinical practice, and the psychology and voices of people with addiction themselves, Pickard shows why there is no one-size-fits-all theory or ethics of addiction. The result is a heterogeneous and humanistic paradigm for understanding and treating addiction, and a fresh way of thinking about responsibility, blame, and relationships with people who use drugs.

Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). Her new book, Addiction, Inc.: Medication-Assisted Treatment and America's Forgotten War on Drugs, will be released in April 2026.
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In 99 Ways to Die: And How To Avoid Them (St. Martins Press, 2026) emergency medicine doctor Ashley Alker presents an illuminating, hilarious, and practical guide to 99 of the most terrifying ways to die and how to avoid them. Dr. Alker is a self-described death escapologist—or, in more familiar terms, an emergency medicine doctor. She has seen it all, from flesh-eating bacteria to the work of a serial killer to the more mundane but no less deadly, and her work outwitting the end has uniquely prepared her to write this book. Dr. Alker manages to shock readers while making them laugh, educating them on how to outsmart a wide range of deadly situations and conditions. Many of the chapters include stories from her experiences in life and medicine, at times heartwarming, others heartbreaking. Sections include explorations of sex, poison, drugs, biological warfare, disease, animals, crime, the elements, and much more. An Anthony Bourdain-style greatest hits tour of death, 99 Ways to Die is entertaining while it informs. Full of valuable advice and wild stories, this riveting read might just save your life.

Rebekah Buchanan is a Professor of English and Director of English Education at Western Illinois University. Her research focuses on feminism, activism, and literacy practices in youth culture, specifically through zines and music.
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