Off Label
Alternative takes from Sally Satel MD. Sally Satel is a resident scholar at the American Enterprise Institute in Washington DC, medical director at a methadone clinic, and lecturer at the Yale University School of Medicine
- Indexed issues, last 90 days
- 5
- Latest publication
- Aug 20, 2026
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- Jul 10, 2026
Latest issues
Dear Readers. The headline of this piece is a bit too enthusiastic. But I guardedly hope we are seeing some cause for optimism. (opens the original)
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Medical schools are under scrutiny. In April, Harvard Medical School released a report from its “Open Inquiry Working Group” calling for a culture of free discussion. The report described an environment where a substantial fraction of faculty are reluctant to discuss controversial topics in medicine and public health and where social activism distracts from the medical mission. In May, after a year-long <a href="https://www.justice.gov/opa/pr/justice-department-investigation-determines-yales-med
Dear Readers - Most of my posts are articles I have already published elsewhere, but the essay below, on Narcan, is an Off Label original. Thank you for your interest, as always! (opens the original)
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There’s strange fruit hanging from tree trunks and telephone poles in Los Angeles; Greenville, Tennessee; and Kensington, Philadelphia. Boxes of Narcan (naloxone), a medication that reverses opioid overdoses, are
Dear Readers - This post is a book review of a scientific biography of psychiatrist and neuroscientist Solomon H. Snyder (opens the original)
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<img alt="" class="sizing-normal" height="736" src="https://substackcdn.com/image/fetch/$s_!RP2w!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c33f84f-c94e-4a1e-a9b3-a90826a3bbb4_1280x736.jpe
There’s an Effective Way to Treat Drug Addiction—but You May Not Like It (opens the original)
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<img alt="" class="sizing-normal" height="970" src="https://substackcdn.com/image/fetch/$s_!B6Vo!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe591e1a9-aad5-4287-967f-5a47d3e74d3a_2000x1333.w
“Social Media Addiction” Is Way More Complicated Than You Think (opens the original)
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This piece answers the question whether social media addiction is “real.” Turns out, in our opinion, that the answer differs greatly depending on whether social media addiction is being treated in a clinical setting or adjudicated as the legal cause of harm in a courtroom.<a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!eLAG!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa4b3185c-a332-4c62-
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