Sally L. Satel (born January 9, 1956) is an American
psychiatrist
A psychiatrist is a physician who specializes in psychiatry. Psychiatrists are physicians who evaluate patients to determine whether their symptoms are the result of a physical illness, a combination of physical and mental ailments or strictly ...
based in
Washington, D.C.
Washington, D.C., formally the District of Columbia and commonly known as Washington or D.C., is the capital city and federal district of the United States. The city is on the Potomac River, across from Virginia, and shares land borders with ...
She is a lecturer at
Yale University
Yale University is a Private university, private Ivy League research university in New Haven, Connecticut, United States. Founded in 1701, Yale is the List of Colonial Colleges, third-oldest institution of higher education in the United Stat ...
School of Medicine, a visiting professor of psychiatry at
Columbia University
Columbia University in the City of New York, commonly referred to as Columbia University, is a Private university, private Ivy League research university in New York City. Established in 1754 as King's College on the grounds of Trinity Churc ...
, a senior fellow at the
American Enterprise Institute
The American Enterprise Institute for Public Policy Research, known simply as the American Enterprise Institute (AEI), is a center-right think tank based in Washington, D.C., that researches government, politics, economics, and social welfare ...
, and an author.
Satel has written: ''P.C. M.D.: How Political Correctness is Corrupting Medicine'' (2001) and ''Drug Treatment: The Case for Coercion'' (1999).
Life
She received a
kidney
In humans, the kidneys are two reddish-brown bean-shaped blood-filtering organ (anatomy), organs that are a multilobar, multipapillary form of mammalian kidneys, usually without signs of external lobulation. They are located on the left and rig ...
on March 4, 2006, from writer
Virginia Postrel
Virginia Inman Postrel (born January 14, 1960) is an American political and cultural writer of broadly Libertarianism, libertarian, or Classical liberalism, classical liberal, views. She is a recipient of the Bastiat Prize (2011).
Early life a ...
, after being diagnosed in 2004 with
chronic kidney failure
Chronic kidney disease (CKD) is a type of long-term kidney disease, defined by the sustained presence of abnormal kidney function and/or abnormal kidney structure. To meet criteria for CKD, the abnormalities must be present for at least three mo ...
. She wrote an article in ''
The New York Times
''The New York Times'' (''NYT'') is an American daily newspaper based in New York City. ''The New York Times'' covers domestic, national, and international news, and publishes opinion pieces, investigative reports, and reviews. As one of ...
'' chronicling her experience of searching for an
organ donor.
Education
Satel has a
bachelor's degree
A bachelor's degree (from Medieval Latin ''baccalaureus'') or baccalaureate (from Modern Latin ''baccalaureatus'') is an undergraduate degree awarded by colleges and universities upon completion of a course of study lasting three to six years ...
from
Cornell University
Cornell University is a Private university, private Ivy League research university based in Ithaca, New York, United States. The university was co-founded by American philanthropist Ezra Cornell and historian and educator Andrew Dickson W ...
, a
master's degree
A master's degree (from Latin ) is a postgraduate academic degree awarded by universities or colleges upon completion of a course of study demonstrating mastery or a high-order overview of a specific field of study or area of professional prac ...
from the
University of Chicago
The University of Chicago (UChicago, Chicago, or UChi) is a Private university, private research university in Chicago, Illinois, United States. Its main campus is in the Hyde Park, Chicago, Hyde Park neighborhood on Chicago's South Side, Chic ...
and an
MD degree from
Brown University
Brown University is a Private university, private Ivy League research university in Providence, Rhode Island, United States. It is the List of colonial colleges, seventh-oldest institution of higher education in the US, founded in 1764 as the ' ...
. She completed her residency in psychiatry at
Yale University
Yale University is a Private university, private Ivy League research university in New Haven, Connecticut, United States. Founded in 1701, Yale is the List of Colonial Colleges, third-oldest institution of higher education in the United Stat ...
between 1988 and 1993.
Career
In 1993 and 1994, Satel was a
Robert Wood Johnson Health Policy Fellow with the
U.S. Senate Committee on Health, Education, Labor and Pensions.
Satel is a resident scholar at the
American Enterprise Institute
The American Enterprise Institute for Public Policy Research, known simply as the American Enterprise Institute (AEI), is a center-right think tank based in Washington, D.C., that researches government, politics, economics, and social welfare ...
(AEI), a conservative
think tank
A think tank, or public policy institute, is a research institute that performs research and advocacy concerning topics such as social policy, political strategy, economics, military, technology, and culture. Most think tanks are non-governme ...
.
In 2004, as
Purdue Pharma
Purdue Pharma L.P., formerly the Purdue Frederick Company (1892–2019), was an American privately held pharmaceutical company founded by John Purdue Gray. It was sold to Arthur Sackler, Arthur, Mortimer Sackler, Mortimer, and Raymond Sackler in 1 ...
, a company known as the maker of
OxyContin, one of the many drugs abused in the
opioid epidemic in the United States
There is an ongoing opioid epidemic (also known as the opioid crisis) in the United States, originating out of both medical prescriptions and illegal sources. It has been described as "one of the most devastating public health catastrophes ...
, was facing a threat to its sales due to rising lawsuits against it, Satel wrote an op ed for the ''
New York Times
''The New York Times'' (''NYT'') is an American daily newspaper based in New York City. ''The New York Times'' covers domestic, national, and international news, and publishes opinion pieces, investigative reports, and reviews. As one of ...
'' arguing that law enforcement was being overzealous, that patients require large doses of opioids to relieve pain, and that OxyContin is rarely the only drug found in autopsies of
oxycodone
Oxycodone, sold under the brand name Roxicodone and OxyContin (which is the extended-release form) among others, is a semi-synthetic opioid used medically for the treatment of moderate to severe pain. It is highly addictive and is a commonly ...
-related deaths but typically those addicted to it use multiple drugs. In 2019,
ProPublica
ProPublica (), legally Pro Publica, Inc., is a nonprofit investigative journalism organization based in New York City. ProPublica's investigations are conducted by its staff of full-time reporters, and the resulting stories are distributed to ne ...
reported that Satel's employer, AEI, has received funding from Purdue. According to AP, Satel "sometimes cited Purdue-funded studies and doctors in her articles on addiction for major news outlets and occasionally shared drafts of the pieces with Purdue officials in advance, including on occasions in 2004 and 2016." Satel responded that she was not aware that Purdue had provided funding to AEI and that she reached her conclusions independently.
In February 2019, ''
Columbus Monthly
''Columbus Monthly'' is a magazine that has been an important and influential voice in Central Ohio. The magazine which was created in June 1975 has a well-earned reputation for tweaking the local establishment, challenging the monopoly daily on ...
'' reported that a non-profit set up by ''
Hillbilly Elegy'' author
JD Vance
James David Vance (born James Donald Bowman, August2, 1984) is an American politician, author, attorney, and Marine Corps veteran who is the 50th vice president of the United States. A member of the Republican Party (United States), Republic ...
called
Our Ohio Renewal was sponsoring Satel to take a one year residency in southern
Ohio
Ohio ( ) is a U.S. state, state in the Midwestern United States, Midwestern region of the United States. It borders Lake Erie to the north, Pennsylvania to the east, West Virginia to the southeast, Kentucky to the southwest, Indiana to the ...
(an area hit by the opioid crisis), with the
Ironton-Lawrence Community Action Agency, based in areas along the
Ohio River
The Ohio River () is a river in the United States. It is located at the boundary of the Midwestern and Southern United States, flowing in a southwesterly direction from Pittsburgh, Pennsylvania, to its river mouth, mouth on the Mississippi Riv ...
near
Portsmouth, Ohio
Portsmouth is a city in Scioto County, Ohio, United States, and its county seat. Located in southern Ohio south of Chillicothe, Ohio, Chillicothe, it lies on the north bank of the Ohio River, across from Kentucky and just east of the mouth of th ...
.
According to
reason.com, she moved to
Ironton in 2018.
Satel also served on the advisory committee of the
Center for Mental Health Services
The Substance Abuse and Mental Health Services Administration (SAMHSA; pronounced ) is a branch of the U.S. Department of Health and Human Services (HHS). SAMHSA is charged with improving the quality and availability of treatment and rehabilitat ...
of the
Substance Abuse and Mental Health Services Administration
The Substance Abuse and Mental Health Services Administration (SAMHSA; pronounced ) is a branch of the U.S. Department of Health and Human Services (HHS). SAMHSA is charged with improving the quality and availability of treatment and rehabilitati ...
.
Viewpoints
Satel is considered a political
conservative
Conservatism is a cultural, social, and political philosophy and ideology that seeks to promote and preserve traditional institutions, customs, and values. The central tenets of conservatism may vary in relation to the culture and civiliza ...
, a description she rejects.
In her 2001 book ''P.C. M.D.'', Satel critiques what she sees as the burgeoning phenomenon of
politically correct
"Political correctness" (adjectivally "politically correct"; commonly abbreviated to P.C.) is a term used to describe language, policies, or measures that are intended to avoid offense or disadvantage to members of particular groups in society. ...
(PC) medicine, which seeks to address what its proponents view as social oppression by reorganizing the distribution of public health resources. She argues that incorporating social justice into the mission of medicine diverts attention and resources from the effort to prevent and combat disease for everyone.
In a June 2004 meeting of the
National Advisory Council
The National Advisory Council (NAC) was an advisory body set up by the first United Progressive Alliance (UPA) government in 2004 to advise the Prime Minister of India, Manmohan Singh. Sonia Gandhi served as its chairperson for much of the tenur ...
for the
Center for Mental Health Services
The Substance Abuse and Mental Health Services Administration (SAMHSA; pronounced ) is a branch of the U.S. Department of Health and Human Services (HHS). SAMHSA is charged with improving the quality and availability of treatment and rehabilitat ...
, Satel called for an increase in the amount of funding for responsible involuntary care for psychiatric patients who are a danger to themselves or to others, or who are gravely disabled.
Since 2004 she has written a series of op eds in support of the medical prescription of
opioids
Opioids are a class of Drug, drugs that derive from, or mimic, natural substances found in the Papaver somniferum, opium poppy plant. Opioids work on opioid receptors in the brain and other organs to produce a variety of morphine-like effects, ...
such as
hydrocodone
Hydrocodone, also known as dihydrocodeinone, is a semi-synthetic opioid used to treat pain and as a cough suppressant. It is taken by mouth. Typically, it is dispensed as the combination acetaminophen/hydrocodone or ibuprofen/hydrocodone fo ...
(
Vicodin
Hydrocodone/paracetamol (also known as hydrocodone/acetaminophen) is the combination of the pain medications hydrocodone and paracetamol (acetaminophen). It is used to treat moderate to severe pain. It is taken by mouth. Recreational use is ...
),
oxycodone
Oxycodone, sold under the brand name Roxicodone and OxyContin (which is the extended-release form) among others, is a semi-synthetic opioid used medically for the treatment of moderate to severe pain. It is highly addictive and is a commonly ...
(
Percodan
Oxycodone/aspirin (trade name Percodan) is a combination drug marketed by Endo Pharmaceuticals. It is a tablet containing a mixture of 325 mg (5 Grain (unit), grains) of aspirin and 4.8355 mg of oxycodone, oxycodone HCl (equivalent t ...
/
Percocet
Oxycodone/paracetamol, sold under the brand name Percocet among others, is a fixed-dose combination of the opioid oxycodone with paracetamol (acetaminophen), used to treat moderate to severe pain.
In 2022, it was the 98th most commonly presc ...
mmediate release OxyContin low release),
morphine
Morphine, formerly also called morphia, is an opiate that is found naturally in opium, a dark brown resin produced by drying the latex of opium poppies (''Papaver somniferum''). It is mainly used as an analgesic (pain medication). There are ...
or
methadone
Methadone, sold under the brand names Dolophine and Methadose among others, is a synthetic opioid used medically to treat chronic pain and opioid use disorder. Prescribed for daily use, the medicine relieves cravings and opioid withdrawal sym ...
to relieve the pain of patients for whom
nonsteroidal A nonsteroidal compound is a drug that is not a steroid nor a steroid derivative. Nonsteroidal anti-inflammatory drugs (NSAIDs) are distinguished from corticosteroids as a class of anti-inflammatory agents.
List of nonsteroidal steroid receptor mo ...
anti-inflammatory
Anti-inflammatory is the property of a substance or treatment that reduces inflammation, fever or swelling. Anti-inflammatory drugs, also called anti-inflammatories, make up about half of analgesics. These drugs reduce pain by inhibiting mechan ...
drugs and other interventions have proved ineffective. Satel acknowledges that such opioids have abuse potential. She points to data showing that people who abuse prescribed medications often have a history of substance abuse, or they are currently in psychological distress or have a psychiatric illness. She argues that data also show they are not typically pain patients who fell unwittingly into a drug habit: “When you scratch the surface of someone who is addicted to painkillers, you usually find a seasoned drug abuser with a previous habit involving pills, alcohol, heroin or cocaine. Contrary to media portrayals, the typical OxyContin addict does not start out as a pain patient who fell unwittingly into a drug habit.”
She signed an April 2014 statement in
Real Clear Politics
RealClearPolitics (RCP) is an American political news website and polling data aggregator. It was founded in 2000 by former options trader John McIntyre and former advertising agency account executive Tom Bevan. It features selected politi ...
supporting legally recognizing
same-sex marriage
Same-sex marriage, also known as gay marriage, is the marriage of two people of the same legal Legal sex and gender, sex. marriage between same-sex couples is legally performed and recognized in 38 countries, with a total population of 1.5 ...
but opposing any penalties against those who do "dissent" from this position.
Selected works
* 1999 – ''Drug Treatment: The Case for Coercion''. American Enterprise Institute for Public Policy Research.
7 p..
* 2001 – ''P.C. M.D.: How Political Correctness is Corrupting Medicine''. Perseus. .
* 2005 – ''One Nation Under Therapy: How the Helping Culture is Eroding Self-Reliance'' (with
Christina Hoff Sommers). St. Martin's Press. .
* 2006 – ''The Health Disparities Myth: Diagnosing the Treatment Gap''. AEI Press.
2 p..
* 2013 – ''Brainwashed: The Seductive Appeal of Mindless Neuroscience'' (with
Scott O. Lilienfeld). Basic Books. .
See also
*
Kendra's Law
Kendra's Law, effective since November 1999, is a New York State law concerning involuntary outpatient commitment also known as assisted outpatient treatment. It grants judges the authority to issue orders that require people who meet certain cr ...
*
Laura's Law Laura's Law is a California state law that allows for court-ordered assisted outpatient treatment. To qualify for the program, the person must have a serious mental illness plus a recent history of psychiatric hospitalizations, jailings or acts, ...
*
New Freedom Commission on Mental Health
*
Outpatient commitment
Outpatient commitment—also called assisted outpatient treatment (AOT) or community treatment orders (CTO)—refers to a civil court procedure wherein a legal process orders an individual diagnosed with a severe mental disorder to adhere to an o ...
*
TeenScreen
References
External links
*
*
{{DEFAULTSORT:Satel, Sally
1956 births
Living people
American social sciences writers
American women psychiatrists
American psychiatrists
Alpert Medical School alumni
Cornell University alumni
University of Chicago alumni
Yale School of Medicine faculty
American women academics
21st-century American women
Columbia University faculty