Barry Baines
speaker
1,145 appearances
30 recordings
1 series
first heard Feb 2024
last heard 3 Apr
Barry Baines’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 6 in all, peaking in Jan 2026 with 2.
Appearances
You know, and those cues of seeing their parents smoke all the time in the house, if they're not there, it's less reinforcement of the norm of, of, of smoking. So it's, I know that doesn't really clarify, you know, things, but it's sort of like we have all the tools and, you know, we have a big toolbox and how do we deploy what's in the toolbox that works for this particular person or this family.
And a lot of times it's for me, it was, it was trial and error, but I had the advantage of relationship over years. And, you know, so that they, you know, I'd have patients come in and say, so when are you going to ask me about my smoking?
Dr. B, you know, cause they knew, you know, but that was good because they knew to, you know, to expect that and they can prepare their excuses, what have you, or they say, you know, I think I'd like to, you know, then invest, look into that a little bit more. So it's, you have to take, like in public health, you have to take the longitudinal view.
There are very few acute, you know, immediate things that you could do where you're going to see impacts. So I hope that informs the conversation a little.
Barry? I think keep working with the goal of reduction of use. I think the goal of eradication in our capitalist society where a lot of other factors are at play. Eradication is not going to work just like prohibition didn't really help for alcohol. But I think long-term reduction and just incrementally and coming up with newer ideas.
We're never at a loss for coming up with creative ideas to try out. And then researchers like Dr. Patton can tell us if we're on the right path or not. So thank you so much for sharing your information. It was really I really enjoyed it quite a bit. Thank you.
Yeah, I have a lot of thoughts on this. I'll try and keep them under control. So just, you know, give me the, okay, that's, you know, that's good. So really wearing the medical hat, at a very high level, labeling and stereotyping, I would say that stereotyping is a subset of of labeling. And like most things, as in our research pointed out, it can be a double-edged sword.
There are things that can make it very helpful and things that make it not. And actually, Matthew, I think your story is the perfect example of the double-edged sword, not to say geographically that because you're in South Carolina, it was not so good. And then in Minneapolis, it was actually very helpful.
So I'd like to just break that down because this is something that goes back from a medical history perspective centuries. And at the very basis, this is labeling or stereotyping, depending where you go, men and women had always in medicine up to, actually it still happens, so I'm not going to say up until recently, are treated differently within the medical care system.
And all you have to do is look at a lot of the research that's done. Now, things have been changing, so there is a bit of self-correcting with mistakes, but almost all research has been done, you know, on men. And biologically, men and women are different. And so these broad generalizations of treatment go across the whole population when that's not the case.
And then when we had our pre-meeting to just talk about this topic a bit, some of us brought up this very idea that in research, labeling can be very helpful. Because you can identify groups that have specific health care needs depending on, you know, quote, their profile might be. So there is a positive for that.
But where I see this thing coming down as being, you know, more on the more negative side for stereotyping is that you make assumptions and you almost de-individualize a person by doing that. I remember reading articles when I was in medical school and in residency. I don't have the citations now, but, you know, you could find it where it looked to group ethnic groups by what they need medically.
So that one group, you know, literally one group, because they're educated, if you're treating them, you need to explain everything to them. so that they can make choices. And then if you're part of this other ethnic group, you don't really have to explain stuff, you just tell them what, you know, what you're going to do. And what it, you know, clearly, people are individuals.
And unless you decide to delve in to the individual goals of a person, what they know, what they don't know, what they'd want to know, If you don't have that approach that every patient you see is an individual, you're going to wind up going down a path that's totally inappropriate.
And as a result of that, when you go down those inappropriate paths, you're not going to be able to deliver individualized medical care. And necessarily, you know, how do you deliver good medical care if you don't you know, kind of wash away this lumping piece that we tend to do to make things more simple and more efficient.
So I, you know, and obviously that idea of ethnicity, maybe as a larger group, there might be some truths to it, but every individual in that group, it does not, they don't have the playbook for how they're supposed to be because they're part of an ethnic group. What does that even mean?
The answer is, yeah. I mean, the thing is, you know, yes, because number one, humans are not infallible. Okay. Quite the opposite. And you cannot take a person out of their environment and And the biases that all of us have.
And I think actually one, you know, a case in point was maybe it does, you know, depending where you go, the biases in a community in South Carolina are likely to be different than the biases in a community in Minneapolis. Yeah. And the people that are in that carry those biases with them. Oftentimes we tend to say, oh, I'm not, you know, I'm not that way.
But at a subconscious level, I think people treat people differently based on the biases that they have. And that carries over whether you're a physician, whether you're in law enforcement, whether you're a judge in court. And I mean, cases of this built-in bias in our society and the negative impacts it has, you know, we'll never run out of information that, that supports that.
Um, and one of the first steps has to be, if you can't be aware that this is how you're approaching things, how can you change if you don't know where you, where you're starting from?
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