Out of more than 100,000 American pharmaceutical prescribers, just 2,500 or so are responsible for the opioid addiction crisis that killed a million or more. All told, then, most in the medical community acted responsibly. Unfortunately systems commonly have such “superspreaders” and “small-area variation” is common.
That’s the close of Revenge of the Tipping Point, celebrity intellectual-journalist Malcolm Gladwell’s book marking the 25th anniversary of his first bestseller with a new approach. Gladwell is a victim of his own popularity. But I respect him for developing, popularizing and mastering the form of narrative reporting that makes light-reading of seemingly dense subject matter.
Though the opioid crisis is his grand finale, the book’s theme is actually about how narrative shapes our understanding of ourselves, and of a place. He calls these “overstories,” or broad geographic identifiers that shape behaviors and culture.
“Overstories matter. You can create them. They can spread. They are powerful,” he wrote. “And they can endure for decades.”
Below my notes for future reference.
Continue reading Revenge of the Tipping Point