**important new paper** Privacy and Dignity for Undocumented People? Clinicians' Duties and Responses to Patient Immigration Status Inquiries David M Chooljian et al. @annalsats.bsky.social pubmed.ncbi.nlm.nih.gov/40986802/

New paper w/ Brian McGarry, Ashvin Gandhi, and Drew Wilcock in @jamainternalmed.com! Hospitals are complaining across the US that patients are "stuck" waiting for rehab beds at nursing homes when they are medically stable and ready for discharge. What is going on?? jamanetwork.com/journals/jam...

I have a list of things we can do to change this tempo of tragedy The proposals are based on real data They have had signals of efficacy It may feel hopeless today but: I refuse to give up. Because - Our babies & our communities deserve better than a rolling litany of horrors.

“Never delegate understanding.” That quote stuck with me—and it’s now the title of my new Substack. I’ll be writing about health, science, & how these things can be understandable. Subscribe here → neverdelegateunderstanding.substack.com/subscribe #health #science #medicine @yalemed.bsky.social

#Medicaldebt is an indicator of an inherent failure of our health system to protect the most vulnerable. Aggressively pursuing it does little to serve the financial bottom line of a hospital, while exposing the most vulnerable & their families to a lifetime of downstream consequences. @jama.com

few outcomes, except for 99% of FDA-approved drugs, 174 recipients of 104 Nobel Prizes, training ~30K MDs and ~10K PhDs per year to enter the workforce, and a 34% reduction in age-adjusted cancer deaths since 1990 -- the largest decrease in history

Heard from #AHRQ that the entire grants staff has been let go! They are unable to issue funds for grants already funded, let alone fund new grants. This is outrageous and will make Americans poorer and sicker. Why? A brief thread about just some recent AHRQ-funded research: #MedSky #HealthPolicy

"Even though I'm free, I ain't free." Formerly incarcerated Black men describe ongoing anxiety, hypervigilance, and feeling institutionalized years after release from prison. theconversation.com/i-just-could... By @helenaaddiphd.bsky.social @yale.edu

Among FDA anticancer drug approvals from 2009 to 2020, only 27 next-in-class drugs had direct randomized clinical trial comparisons with first-in-class drugs. https://ja.ma/3Gs6k1J

As a longtime public health reporter covering the rise of anti-vaccine groups, I have seen them use personal stories to raise doubts about vaccines. Today I saw immunization advocates push back by highlighting the stories of the toll of vaccine-preventable illness. A thread:

This is barbarism.

The facts are simple and devastating: Aid cuts have already cost lives, and the number of deaths will continue to rise. Here’s the evidence. ​

America's health data system is fragmented, outdated, and hard to access. This slows the response to emerging health threats. PopHIVE unites diverse partners and data in one location, creating a solution for improved public health data for action. 4/5 @meganranney.bsky.social

This is a travesty & a nightmare. The US was a founder of @gavi.org. It lowers global vaccine costs, has vaccinated 1B children, & averted 19M deaths. This pull out will cost 100s of thousands of children's lives a year - and RFK Jr will be personally responsible. www.politico.com/news/2025/06...

Proud to celebrate our Yale NCSP 2025 graduates! 🎉 Their leadership & commitment to improving healthcare will make a real difference. #NCSP #YaleNCSP @carygross.bsky.social @reshmagar.bsky.social @jsross119.bsky.social @ebronurse.bsky.social

Hepatitis B can be passed from parent to baby at birth - and when that happens, the consequences can be deadly. It is unscientific and dangerous to intentionally ignore the success of U.S. vaccination programs or argue that the U.S. should not vaccinate babies for hepatitis B at birth.

Makary makes many claims here that sound like "common sense" but are problematic. 1st he says FDA's reg reqs have made the US "less competitive in the global race for new drugs and treatments." I'm not aware of any sponsor planning to skip the US market. www.washingtonpost.com/opinions/202...

Our study examining health impacts — including deaths — from Medicaid cuts was just published in the Annals of Internal Medicine Overall, the Big, Beautiful Bill Act could lead to more than 16,500 medically-preventable deaths due to these cuts 🧵 www.acpjournals.org/doi/10.7326/...

Over the next 25 years, if proposed cuts in NIH funding are made real, “In a population of more than 340 million, this reflects **82 million** fewer years of life.” In the US alone. jamanetwork.com/journals/jam...

Hi All! Testing the waters about whether to join Bluesky. Just wanted to share a research letter that me and colleagues have out today in @jamanetworkopen.com. Check it out: jamanetwork.com/journals/jam...

In a new study, Yale researchers, including Profs. Xiaomei Ma and Kai Chen, found that ozone pollution, also called smog, and high temperatures together increase the risk of acute myocardial infarction, commonly known as a heart attack. Learn more ⬇️ news.yale.edu/2025/0...

We're doing a live-fact-check of Bhattacharya and Senators on Tuesday! Join us!

Lauren Cueto and @carygross.bsky.social shared new research from the Yale COPPER Center at #ASCO25 highlighting the time between study completion and publication/data sharing for NCI cooperative group trials. meetings.asco.org/2025-asco-an... @yaleschoolofmed.bsky.social @ascocancer.bsky.social

🚨🚨🚨 Presenting our new study on Medicare Advantage at #ASCO25! Lower use of low value cancer care among Medicare Advantage beneficiaries. Simultaneously published in JCO 👇🏼👇🏼👇🏼 ascopubs.org/doi/10.1200/...

Congrats to Reshma Ramachandran MD, MPP, MHS (Yale NCSP '20–'22), winner of the 2025 Bernard Lown Award for Social Responsibility! 👏 A powerful voice for health equity. Learn More: bit.ly/reshma-lown2025 #HealthEquity #SocialResponsibility #YaleNCSP #PharmaReform #[email protected]

Excited to share new work in @jama.com on launch prices for cancer drugs in Medicare Part D. Prices are going up, but no trend change post-IRA. Mean monthly launch prices increased from $10,954 in 2012-2014 to $27,891 in 2023-2025. Many thanks to @arnoldventures.bsky.social for funding this work!

📢 Are you at #SGIM25? @societygim.bsky.social Check out these Reviews relevant to you, curated by our editors. 🧵

To anyone #SGIM25 - or anyone else! - the National Clinician Scholars Program is accepting applications for the 2026-2028 cohort! Interested in a career using research to understand and improve the healthcare system and policy? Apply! Connect with me, @reshmagar.bsky.social and many others #SGIM25

🎙️ In this podcast episode, Lisa Rotenstein, Seth Berkowitz, and Elizabeth Dzeng each discuss the work they are presenting at #SGIM25 with JAMA Internal Medicine Associate Editor @ishaniganguli.bsky.social. 🎧 Listen now: edhub.ama-assn.org/jn-learning/...

JAMA Internal Medicine is now on BlueSky! @jamainternalmed.bsky.social #MedSky

A @jamainternalmed.bsky.social Editor's Note from @ilanarichman.bsky.social + @carygross.bsky.social explain how even negative study results can improve future efforts to increase #colorectalcancer screening. jamanetwork.com/journals/jam...

Deeply saddened that the ENTIRE TEAM at NCI PDQ Cancer Information has been eliminated. Our evidence-based summaries were updated throughout the year with the latest research and supported informed decision making between clinicians & patients with cancer across the US. 🇺🇸

@yaleschoolofmed.bsky.social recently highlighted the work of Yale NCSP alum @reshmagar.bsky.social Reshma Ramachandran, MD, MPP, MHS and how clinician-led research can reshape health policy & enable treatment access. Congratulations, Reshma! tinyurl.com/yale-reshma Start your journey! #ApplyNow

A reminder that if the government can send migrants to a prison camp without any due process, it can send U.S. citizens there, too. I know because this happened to me and my family in 1942.

What’s happening to the stock market is what’s happened already to public health in the US. You just can’t see it… yet

As of March 30, there are approximately 529 measles cases across 20 states. Experts project that the Southwest outbreak, which has spread from West Texas to New Mexico, Oklahoma, and Kansas, could last up to a year as cases continue to rise. Read this full thread for what to know. ⬇️ 1/11 🧵

Investing in research had bipartisan support for decades. Let's build on this: Senator Todd Young (R-Ind) today: "Research isn’t a federal handout to help sustain academia. Instead, it is a vital ingredient in our economic & geopolitical competitiveness, & national security" bit.ly/4hSLW6c

The Yale & Penn NCSP Scholars and NYU Population Health Scholars had an inspiring day in NYC, engaging in policy discussions and connecting with healthcare leaders. Grateful for the insights and opportunities—excited to apply these lessons! @ncsp-penn.bsky.social #HealthPolicy #YaleNCSP #PennNCSP

Patients benefit from the Agency for Healthcare Research and Quality, which helps to reduce medical errors, protect patient safety, and make care more affordable. I joined @blumenthal.senate.gov and @beyer.house.gov in sending a message to Trump and DOGE last week: hands off AHRQ!

So for all of the Christian right’s words about the sanctity of life, they’ve all signed up for killing millions of children as an act of public policy. WWJD?

DOGE/Musk/White House are poised to announce massive cuts to federal public health agencies, firing thousands who work tirelessly to keep us healthy & safe. @jsross119.bsky.social & I recently wrote about how disastrous this would be in @medpagetoday.bsky.social: www.medpagetoday.com/opinion/seco...

Historian here: “To announce that there must be no criticism of the President, or that we are to stand by the President, right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public.” ― Theodore Roosevelt

Headed home from the meeting of medical school pediatric chairs - many of them also Chief Medical Officers for children’s hospitals. so much at stake for the health of children- all children

SCOOP: The National Academies of Science, Engineering, and Medicine, arguably the nation's most powerful scientific organization, is bending to political pressure and removing terms like "health equity" from pending reports. Members are not happy. Story by me: www.statnews.com/2025/02/20/n...

100 years of VA research (My guest column in the Cedar Rapids Gazette) www.thegazette.com/guest-column...

National Day of Action TODAY.

Decimating cancer research: the nation’s health is going exactly according to RFK Jr’s plan. He promised to “disrupt” health/health research—slashing cancer research is certainly highly “disruptive” Patients who were about to be enrolled in trials were told they no longer could enroll—such cruelty

🛟 That last-ditch chemo trial your family member was hoping to be in 🥙 The investigation of a food-borne illness outbreak in the next town over 🧠The study looking for preventable causes of Alzheimer’s 🧪The assurance that TAXPAYER-PAID-FOR studies & data collection see the light of day

The United States by virtue of a bipartisan commitment to biomedical research created one of the most vibrant, productive research ecosytems in the world. People came from all over to study here, do research here. It was a monumental accomplishment by both parties. 1/