🚨New Paper🚨 US doctors are paid very different amounts for treating different patients—even when providing identical services. How much less are physicians paid for treating non-White patients? In @jamahealthforum.com, we offer the 1st national estimates. (1/7) jamanetwork.com/journals/jam...

the white house is trying to destabilize the ACA markets by wrecking the risk pools. the end result is vulnerable people die

"Excluding MPH and DrPH from the 'professional degree' category could restrict students’ access to higher federal loan limits, making public health education less financially attainable and potentially weakening the future workforce pipeline." Get ready to submit comments! aspph.org/department-o...

Here is my latest for @msnbc.com, on Trump's ill-advised concept of a plan for health care, which entails repealing the ACA, and redistributing private insurers' tax breaks to the people for what would essentially amount to an HSA, which is unhelpful if not wealthy. www.msnbc.com/opinion/msnb...

Republicans have talked about having the concept of a healthcare plan to replace the ACA for a decade, but sure, this time they *really really* mean it.

i think this is key. taking the deal would amount to taking the blame. it would turn a clear political victory into an unambiguous defeat.

Fun bit of news: I am a contestant on Netflix’s next season of Squid Game: The Challenge Season 2. There are a lot of great personalities on this season, so tune in starting November 4th to see me and the rest of the cast. #squidgame #netflix #squidgamechallenge #squidgamethechallenge

A health insurance ‘death spiral’ looms if young people drop out as prices spike : Shots - Health News www.npr.org/sections/sho...

Opinion: Corporate support cannot make up for threats to the NIH budget www.statnews.com/2025/10/22/n...

Annual Family Premiums for Employer Coverage Rise 6% in 2025, Nearing $27,000, with Workers Paying $6,850 Toward Premiums Out of Their Paychecks www.kff.org/affordable-c...

The Consequences of Selective Defunding of Health-Relevant Research Areas url: jamanetwork.com/journals/jam...

Pritzker: "Stephen Miller is clearly ordering people to break the law. So he should know that yeah, it may be three years from now that he is held accountable, but I think it's important for them to know that whatever they do now, it's not like we're going to forget."

One disabled Marine veteran has not had a primary care doctor assigned to him since his previous doctor left in the winter, his wife said. The VA “was never like this before. There’s a lack of staff, empty rooms, locked doors.” (Published August)

Ugh... This study has existed for decades, providing valuable health data for all sorts of topics and publications. This is just more awful news. 🛟😷 Sociology medsky

I don’t know who needs to hear this but the CDC is being eviscerated right now. America is not going to have any kind of outbreak response capacity after tonight. Americans’ health data is no longer secure. Say goodbye to federal public health in any capacity. It’s a disaster. We won’t recover.

I can’t help but think of the absolute cowardice of the private sector, pharma and biotech in particular, who for decades have profited off of relationships with the public sector. Now that civil servants like those at the CDC are being fired en masse, the private sector is no where to be found.

Today my @nytimes.com colleagues and I are launching a new series called Lost Science. We interview US scientists who can no longer discover something new about our world, thanks to this year‘s cuts. Here is my first interview with a scientist who studied bees and fires. Gift link: nyti.ms/3IWXbiE

it’s less than 90 days until bills are due for the first month of coverage

RFK Jr. also falsely claims that with the government shutdown: “Democrats want to hurt hospitals and clinics in vulnerable communities by repeal of $50B in rural health care funding”. He omits the fact that the “One Big Beautiful Bill” cuts $187B and that rural health clinics are already closing.

This is alarming. Resources for dementia patients and caregivers are already stretched and expected to reach crisis level by 2030.

marrazzo is one of the most respected and accomplished physician scientists/public health experts in the world

There is always a grift with the current administration and those adjacent to it.

Mental health care services in the United States cannot be dependent on for-profit organizations to survive. Private equity and for-profit companies will strip them for cash and leave the communities they serve with nothing when it’s all said and done. stocks.apple.com/AcKuKvzHbRPu...

The label of a drug is close to a sacrosanct document. It represents the trust between the government and the user of the drug that the drug is safe and effective and that all risks and benefits are accurately outlined. Changing it to suit a political agenda is imo an earthshaking matter

Even before Trump, preterm births and low birthweight births are more prevalent under GOP presidencies than Dem presidencies. The negative association between Republican presidencies & infant health is especially pronounced for Black babies. Torche & Rauf 2021 using 1971-2018 state-level data.

Gupta: It is safe. That’s what the best-quality research shows. And how irresponsible, using the podium of the WH to put this out there when you’re not even offering an alternative. That is dangerous. An untreated fever is dangerous. Untreated pain in pregnancy is dangerous.

Realizing that the endpoint here is probably massively scaling back screening for autism spectrum disorders, limiting resources for people who need them, but leading to a decline in cases & declaration of victory. "If we stopped testing right now, we'd have very few cases, if any."

Since this is going to be headline news tomorrow… The highest quality research has shown Tylenol use in pregnancy is NOT at all associated with autism risk. To suggest otherwise is to be an amateur that cherry-picks data points from decades ago. What we discussed 2 weeks ago remains true today ⬇️

There have now been two ACIP members arguing patients at high-risk of severe Covid are likely already under the care of a physician, and that is just such a stunning level of ignorance on the prevalence of health inequities in America.

FDA political Tracy Beth Hoeg who is generally pretty against covid vaccine keeps suggesting there is legitimacy to some pretty ridiculous questions coming from ACIP on the covid vaccines. Hope people realize she is not a career FDA scientists, vaccine expert etc.

Kulldorff: “I’m sure our colleagues in the media understood this conversation [correlate of protection] with perfect clarity.” I am willing to bet most of ACIP didn’t understand that conversation. Stones and glass houses and what not.

This ACIP panel is repeatedly trying to present themselves as open to debate and scientific exchange, but the number of questions they ask that conclude with ”True or False” or “Yes or No” shows they have no intention of debate or robust scientific exchange.

Pharmacoeconomics is a challenging topic for most people. Myself included, to be fair. I am very interested to see what questions, if any, arise from this pharmacoeconomic presentation on COVID vaccination at this ACIP meeting. I am not optimistic this panel has even a rudimentary understanding.

For those who have followed ACIP hearings in less political times, in the past have presenters typically included the definition of efficacy versus effectiveness?

Dr. Malone asks if Covid symptoms present similarly to other respiratory illnesses, and follows up by asking about sensitivity and specificity of Covid tests in what appears to be an effort to discredit the data in Covid-Net and thus discredit any data coming out of it.

My thought on why the ACIP HepB vote was postponed. The scientific evidence that was presented by career CDC scientists as well as from the numerous expert public commenters inarguably demonstrated why the birth dose is NECESSARY. RFK Jr.’s ACIP couldn’t come up with a way to deny it in time.

former ACIP member and vaccine expert 👇

Thread:

CDC advisers make their first childhood vaccine edit They voted 8-3 against a little-used measles, mumps, rubella and chicken pox vaccine for children under four. www.washingtonpost.com/health/2025/...

Look at the drastic cuts President Trump asked Congress to throw at the CDC. He wanted zeroing out of all funding for chronic diseases, birth defects/developmental disorders, and injury prevention, and occupational health and a 65% reduction for environmental health at CDC...

I stopped commenting live on the ACIP hearing because every comment comes back to the same core principle: This ACIP panel is staffed by non-experts.

#ACIP The sign of an early career clinician or student is they instinctually include an industry affiliation, conflict of interest, or external funding source as a limitation to discredit a study, regardless of the robustness of the data source, methods, findings, or any of the actual science.

Jason Goldman’s challenge to ACIP’s MMRV vaccines recommendation omitting the expert work groups, clinician perspective, patient voice, and additional data and considerations are thoughtful and far-reaching. If anyone has the clip of his commentary, please share it below.

Proposed ACIP recommendations for MMRV: Combined MMRV not recommended before age 4 years. Separate MMR+V vaccines for children in this age group.

“How is the risk of febrile seizure communicated to providers?” The sort of question someone unfit to decide vaccine recommendations for the entire country asks. Anyone who has any credible experience should have an idea of how vaccine-related shared decision making conversations go.

CDC's John Su notes that any fever (such as those caused by infections) can cause a febrile seizure in kids. Although these seizures are scary, they tend to last 15 mins or less and do no longterm harm.

What we know about the financial impact of NIH cuts at a state level—and what it could mean for public health www.fiercehealthcare.com/research/wha...

Cody Meissner suggests the American Academy of Pediatrics risks irrelevance by not participating in this ACIP meeting. I would argue AAP participating would grant credibility to an ACIP panel that has not earned it. It’s disappointing Dr. Meissner is quicker to call out his peers than the panel.

The ACIP meeting begins: First panel question,” Can you address how much adjuvant is in the MMR versus MMRV vaccine?” Response,”There is no adjuvant in either..” Did I hear this right? The panel making vaccine recommendations doesn’t know basic composition of the vaccines they’re influencing?

They are literally canceling culture