EPISODE 42: DECONSTRUCTING MEDICAL SOCIOLOGY WITH ANDREA KELLEY

Episode 42: Deconstructing Medical Sociology with Andrea Kelley | 8 September 2026

Stephen and Trent interview their friend and colleague, Dr. Andrea Kelley, about the intersection of healthcare, social systems, and worldbuilding pedagogy. In addition to discussing Andrea’s interdisciplinary work at Michigan State University’s Lyman Briggs College, the trio explores myths of scientific objectivity, what it means to look beyond biology, and creating a more equitable and empathetic medical landscape, including:

  • How Lyman Briggs College’s residential design fosters a close-knit community and faculty-student engagement;

  • Risks of siloing scientific and non-scientific disciplines within higher education and medical training;

  • The conflicting drive for certainty and predictability amid complex social realities;

  • Structural distinctions and historical stigmas separating osteopathic (DO) and allopathic (MD) medical pathways;

  • Dismantling the idea that scientific research, funding, and data collection can be truly impersonal and unbiased;

  • How social sciences clarify psychological, cultural, and socioeconomic dimensions of health and wellness;

  • Understanding familial and geographic privilege as foundational to the development of empathy and pre-med career expectations;

  • Radical capitalism as a fundamental driver of systemic health inequities and disproportionate exposure to illness;

  • Overlap between neurodivergence and gender non-conformity in rejecting rigid social categorizations;

  • Food deserts, time constraints, and how different environmental contexts limit individual agency;

  • The toxic symbiosis of direct-to-consumer advertising, FDA regulation, and pharmaceutical incentives to invent diagnoses for corporate profit;

  • Struggling hospitals and the systemic extraction of healthcare resources by venture capital firms;

  • How medical schools function as cisgendered, racialized institutions that reproduce social hierarchies and harms;

  • Deep-seated historical abuses and eugenicist legacies that justify medical mistrust among marginalized communities; and

  • Rejecting the urge to “burn it all down” and instead engaging in strategic community-based alternatives like mutual aid.

Episode References:

  • Jenkins, T. M. (2020). Doctors’ orders: The making of status hierarchies in an elite profession. Columbia University Press.

  • Collins, S. (2014). The hunger games trilogy. Scholastic.

  • National Academies of Sciences, Engineering, and Medicine. (2022). Measuring sex, gender identity, and sexual orientation. The National Academies Press.

  • Peterson, C. L. & Walker, C. (2023). The role of social sciences in epilepsy. In P. Liamputtong (Ed.), Handbook of social sciences and global public health (pp. 1391–1410). Springer Nature Switzerland AG. https://doi.org/10.1007/978-3-031-25110-8_96

  • American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787

  • Jones, J. T., Black, W. R., Moser, C. N., Rush, E. T., & Malloy Walton, L. (2022). Gender dysphoria in adolescents with Ehlers–Danlos syndrome. SAGE Open Medicine, 10.

  • Laster Pirtle, W. N. (2020). Racial capitalism: A fundamental cause of novel coronavirus (COVID-19) pandemic inequities in the United States. Health Education & Behavior, 47(4), 504–508.

  • Zachary, D. A., Palmer, A. M., Beckham, S. W., & Surkan, P. J. (2013). A framework for understanding grocery purchasing in a low-income urban environment. Qualitative Health Research, 23(5), 665–678. https://doi.org/10.1177/1049732313479451

  • Berg, L. (Director). (2009). Orgasm Inc. [Film]. CineMeant Films.

  • Swartzwelder, J. (Writer), & Kirkland, W. (Director). (1990, April 15). The crepes of wrath (Season 1, Episode 11) [TV series episode]. In J. L. Brooks, M. Groening, & S. Simon (Executive Producers), The Simpsons. Gracie Films; Twentieth Century Fox Film Corporation.

  • Tafel, A. (2019, October 25). Feel-good story (Season 6, Episode 3) [TV series episode]. In R. Bob-Waksberg (Executive Producer), BoJack Horseman. Tornante Company; ShadowMachine; Netflix.

  • Herman, E. S. & Chomsky, N. (2002). Manufacturing consent: The political economy of the mass media. Pantheon Books.

  • Kaba, M. (2021). We do this 'til we free us: Abolitionist organizing and transforming justice (T. K. Nopper, Ed.; N. Murakawa, Fwd.). Haymarket Books.

  • Nelson, A. (2011). Body and soul: The Black Panther Party and the fight against medical discrimination. University of Minnesota Press.

  • Spade, D. (2019, July 9). Shit’s totally FUCKED! What Can We Do?: A Mutual Aid Explainer [Video]. YouTube. https://youtu.be/PopmGAvsggg?si=RISnQZTgtj4O5BZM

  • Lowry, L. (1993). The Giver. Houghton Mifflin.

  • Reich, J. A. (2016). Calling the shots: Why parents reject vaccines. NYU Press.

  • Inman, M. (2017, May 2). You’re not going to believe what I’m about to tell you [Comic strip]. The Oatmeal. https://theoatmeal.com/comics/believe

  • Kelley, A. D. (2024). Medical schools as cisgendered organizations. Social Science & Medicine, 350, Article 116913.

The Worldbuilding Workshop Podcast | Episode 42: Deconstructing Medical Sociology with Andrea Kelley
Stephen Slota & Trent Hergenrader
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EPISODE 41: (RE)DESIGNING ONLINE EDUCATION WITH MICHAEL YOUNG