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Welcome to Shrink The Government, the digital home for The James Madison Project, where we test the hypothesis that citizens, provided with an organizing format, information and tools can be trusted to reclaim their role within the political ecosystem.

 

Setting the Madisonian Stage for Citizen Engagement  

A series of blogs and related material setting the Madisonian stage for a six months long experiment in Citizenism, that will focus on the challenges associated with the opioid epidemic and the US healthcare system.

For the next six months, we focus on The COVID-19 Pandemic Project starting with The Medical Case Presentation and The Citizen Commission to test our hypothesis for citizen engagement.

We will continue to focus on The Pain Opioid Epidemic Project and the Medical Case Presentation as well to test our hypothesis for citizen engagement.

The Medical Case of the Pain Opioid Epidemic and its Components:   We will introduce some of the elements for citizen engagement and how they are used in addressing the challenges of the opioid epidemic. 

The Narratives of the Opioid EpidemicWe review some of the narratives that have shaped the efforts to address the opioid-related challenges and shape the current conversation. 

The Path to the Current State: We systematically explore the many factors contributing to and maintaining the opioid epidemic.

The Ecosystem and the Stakeholders:  We take a deeper dive into the various stakeholders associated with the epidemic and highlight the potential for citizen action.

The Treatment PlanSalutogenesis and US 4.0: We provide a citizen-facing framework and treatment plan of sorts to address the many challenges associated with the opioid epidemic and more broadly the body politic.


Personal Statement

I am a United States citizen. Now more than ever, I realize that citizenship requires more active engagement in the political process. As a psychiatrist, I hope to contribute a unique voice to the current political conversation. 

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June 8, 2020

According to the World Health Organization and John Hopkins University tracking, as of May 26th, 2020, there are 5,370,375 confirmed cases and 344,454 deaths globally and more than 100,000 deaths across the U.S. The efforts to contain the pandemic that started only 6 months ago, have been widely criticized and have led to devastating economic problems, most acutely in the US 35,000,000 lost their employment, many businesses shut down and will likely fail,  and the overall economy...

February 16, 2020

The opioid epidemic continues to have a devastating impact on many individuals and communities throughout the United States. The statistics are overwhelming. The personal stories are heartbreaking. The financial cost staggering. The political theater riveting. The impact is experienced regardless of class, geography, gender, religious background, in other words its a unifying tragedy. 

During  the three decades I have practiced as a psychiatrist the most difficult and challenging i...

July 12, 2019

The opioid epidemic started at the turn of the century, continues to have a devastating impact on many individuals and communities throughout the United States. The statistics are overwhelming. The personal stories are heart-breaking.  According to the CDC, between 1999 and 2017 more than 400,000 people have died from a drug overdose, becoming a leading cause of injury and death in the United States.  In 2017, around 68% of the more than 70,200 drug overdose deaths involved an opi...

July 7, 2019

Political discourse in this country is broken. To a startling degree, dividing ideologies and sound bites have replaced rational debate. Special interests have replaced constituencies. Scandals and bickering talking heads have replaced reasonable media coverage and context. It’s clear the American public has lost its faith in its elected officials. We’ve all become cynics – about the political process, about the politicians we elect and about the outcomes we can reasonably expect...

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