Physicians mush be exempted from this $100,000 fee rule! If they are not, it will hurt access to care in areas that are already underserved 👇🏻👇🏻👇🏻

Raising the H-1B visa fee to $100,000 risks shutting off the pipeline of highly trained physicians, especially in rural and underserved communities. The AMA stands ready to work with the administration and our partners in medicine to exempt health care workers from this policy.

Sanjay Desai from the AMA on the H1B visa fee EO👇🏻

There is truth to the idea that media outlets are drawn to negative, sensational news. Everyone writes about Florida eliminating vaccine mandates. Yet we have a letter signed by over 1,000 Florida physicians opposing this decision, and no outlet would published it. They don't even respond at all.

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 is truth to the idea that media outlets are drawn to negative, sensational news. Everyone writes about Florida eliminating vaccine mandates. Yet we have a letter signed by over 1,000 Florida physicians opposing this decision, and no outlet would published it. They don't even respond at all.

Note: Paywall. Florida moves away from protecting children. Via @orlandosentinel.com www.orlandosentinel.com/2025/09/21/w...

Climate change will continue to bring more flesh-eating bacteria. One way to address this would be to improve infrastructure to reduce flooding from rain/storms. Ron DeSantis has rejected over $11B in federal funds designated for such projects in Florida because he doesn’t believe in climate change.

Gupta: The impacts of this—H-1B visas—are going to show up once Trump is out of office. If fewer people are able to take those jobs, what happens? We’re just not going to have enough people to meet the demand for medical services.. And the irony here is it’ll probably impact red states more

We need the government to clearly state that the doctors are the exempt from this rule. Every year, several thousands of new H1B are required for physicians, particularly for those working for rural areas.

H1B fee increase will hurt the very voters that Trump claims to represent. Hospitals, already poorly staffed in rural counties, will feel the brunt. Turns out a few finance bros making sweeping changes to immigration policy isn’t a good idea. Hat tip: @nickmark.bsky.social @meidastouch.com

NEW: Hours before a new entry ban is supposed to go into effect, the federal government officially acknowledges for the first time that the restrictions do NOT apply to people who currently have H-1B visas. Link: www.uscis.gov/sites/defaul...

Hmmmm. So, 25% of the US doctors are foreign-trained, and most of them at some point of their career require H1B visa. I don't know how many doctors with active licenses require H1B visa currently, but this is really stupid 👇🏻

So many academics are on HB-1 visas. This is another attack by #RussellVought on universities and scientific research. Stop telling me anything this administration does is in good faith or with any sort of policy goal except destruction.

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Last week @rachelkleinfeld.bsky.social and I put out a provocation & set of suggestions on how influence has changed and why institutions (& funders) need to change their thinking on shaping public opinion and connecting w/audiences. The old way no longer works. carnegieendowment.org/research/202...

Here is the full proclamation, pages 1-4 out of 7. Final 3 pages in next post. For those who are using alt text, the operative portion of the document starts at the bottom of the fourth page.

My guess is at least 500 #doctors at my #hospital are on H1B visas including at least a few dozen #hospitalists, and if we lose even a handful to other countries our house of cards #healthcare system will fall apart, let alone all 500+

#OurAMA is concerned that ACIP's new process and recommendations not only reduce parental choice, but also reflects ACIP’s reliance on selective data in forming its guidance. Read our full statement: spr.ly/63323AVMwb

Jason Goldman, the President of the American College of Physicians said Secretary Kennedy’s vaccine committee is undermining confidence in vaccines and physicians’ ability to care for patients, and urged the Senate to exercise oversight to protect public health.

ACIP just voted to change the CDC's recommendation for Covid vaccination to "individual decision making"

Hmmmm. So, 25% of the US doctors are foreign-trained, and most of them at some point of their career require H1B visa. I don't know how many doctors with active licenses require H1B visa currently, but this is really stupid 👇🏻

Patient who got hepatitis B as a baby reminds us how hard it is to live with it, and how lucky we are to be able to protect babies from it.

"Unpopular"?! Is this a popularity contest?

Milhoan is now indicating that since COVID19 vaccines don’t always prevent infection, it’s not effective. The COVID19 vaccine prevents hospitalization and death very effectively. One might argue that this is an important fact.

RFK Jr.'s handpicked panel of anti-vaxxers blinks when confronted with science--postpones vote to kill recommendation for hep B vaccine at birth, saving thousands of infants from possible infection

Retsef Levi, extreme anti-vaxx activist who wants Covid vaccines pulled from the market, is wrong again Covid vaccination REDUCES your risk of Long Covid One meta-analysis of 4 studies found that full vaccination prior to infection could reduce the risk by 27% www.ecdc.europa.eu/en/publicati...

The combination vaccine for Measles Mumps Rubella and Varicella has long been known to have a *very* small associated risk of a condition called febrile seizures for infants. It’s precisely why it wasn’t recommended for this group as a first line option.

It would be a grave mistake to change pediatric guidelines on Hepatitis B. For parents confused by this confusing mess, please go to healthychildren.org for clear, unbiased information on childhood vaccines and always speak to your child’s medical provider. @ameracadpeds.bsky.social

Robert Malone just accused Pfizer of “editing” their data to make it appear more positive.

ACIP voted to table the hepatitis B vaccine decision for now.

US vaccine panel votes against use of combined measles shot in children under 4 reut.rs/46tC27u

The West Coast Health Alliance exists to maintain continuity and credibility in vaccine recommendations. Expertise is welcome and elected, quackery is sidelined. Proud to help shine a light on #WCHA and other efforts to combat ongoing federal negligence on these vital issues.

Bob Morris has written an excellent post about Makary’s false claims that COVID19 vaccines cause pediatric deaths. He points out that, based on epidemiological data, in the two weeks following COVID19 vaccination, “we would expect 24 childhood deaths BY CHANCE ALONE”. @rdmorris.bsky.social

We may continue to act as if we don’t really need public health services & view public health as nothing more than bureaucracy. But the reality is that threats don’t care what we think of them, or how prepared or unprepared we are. They exist. The only choice is whether we prepare for them. Or not.

ACIP member and anti-vax conspiracy theorist suggests fired CDC Director Monarez has been trained to lie by the CIA. This is so bonkers.

Got my Covid-19 💉 in FL. These are the ways to get it: 🔹️Some PCP offices may offer it, ask your PCP. 🔹️Or ask your PCP for a prescription & bring it to CVS. 🔹️Some CVS locations have a provider on site who can prescribe 💉. They will ask you if you have medical conditions to qualify. This is the list

Former CDC head Susan Monarez defends her reputation and vaccine science at a Senate hearing. “I was fired for holding the line on scientific integrity,” Monarez said.

BREAKING—in rebuke to RFK Jr—the West Coast Health Alliance—health officials in California, Oregon, Washington, Hawaii—recommended every resident 6 months & older receive the flu vaccine, most get Covid-19 shot, including pregnant women and all kids 0.5-2 yrs Gift 🎁🔗 www.nytimes.com/2025/09/17/h...

"Vaccines are safe. They are life-saving, and I would encourage any parent who is concerned about whether or not their child should get a vaccine to talk to their pediatrician to understand the benefits of these life-saving medical products..." — Former CDC director Susan Monarez

Bill Cassidy behaved today as he should have behaved during RFK Jr.’s confirmation. The problem is that now he can’t unring the bell. His actions in confirming Kennedy and convincing others to do so has already caused irreparable damage to science and public health in the United States.

Dr. Houry calls on RFK Jr. to resign:   "After seeing his Senate Finance testimony and the number of misstatements, seeing what he has asked our scientists to do and to compromise our integrity, and the children that have died under his watch, I think he should resign."

Former CDC Director Susan Monarez testified that RFK Jr. told her to only deal with political appointees and to avoid working with career scientists. For the sake of public health, RFK Jr. must resign.

Got my Covid-19 💉 in FL. These are the ways to get it: 🔹️Some PCP offices may offer it, ask your PCP. 🔹️Or ask your PCP for a prescription & bring it to CVS. 🔹️Some CVS locations have a provider on site who can prescribe 💉. They will ask you if you have medical conditions to qualify. This is the list

Dr. Susan Monarez: “I could have stayed silent, agreed to the demands, and no one would have known. What the public would have seen were scientists dismissed without cause and vaccine protections quietly eroded…I would have lost the one thing that cannot be replaced: My integrity.”

Sen. Bill Cassidy: HHS Secretary Robert F. Kennedy Jr. expected you to change the childhood vaccine schedule, despite a lack of science or data to support that move? Former CDC Director Susan Monarez: "Correct."

Monarez and Houry are doing an excellent job at this Senate hearing, but god is it frustrating to listen to the bad-faith questions from Senators

Monarez: "Kennedy demanded 2 things of me that were were inconsistent w/ my oath of office. He directed me to commit in advance to approving every ACIP recommendation regardless of the scientific evidence. He also directed me to dismiss career officials responsible for vaccine policy without cause"

former CDC official Dr. Houry: "I first learned that the secretary had changed our CDC covid vaccine guidance on an X social media post. CDC scientists have still not seen the scientific data or justification for this change. That is not gold standard science."