There are 2 previous historical cases of countries destroying their science and universities, crippling them for decades: Lysenkoism in the USSR and Nazi Germany. The Trump administration will be the 3rd. It's not just budgets but research, institutions, expertise, and training the next generation.

Seattle's DESC is pioneering new protocols to initiate buprenorphine in the community, meeting them where they are with impressive retention rates. We MUST defend funding for projects like this — I've seen buprenorphine change lives in my practice & it's very exciting to hear about this approach.

Doctor Here 👋 -41% of babies’ births are covered by #Medicaid. -49% of #children are covered by Medicaid or CHIP. -62% of long-term care residents in nursing homes are covered by Medicaid. -35% of people with #disabilities are covered by Medicaid. - Medicaid saves lives! #medsky #publichealth

For folks who are looking for an explainer on how federal research funding supports universities' infrastructure, here's a video created by the folks at the Association of American Universities: www.youtube.com/watch?v=NtqK...

🔖🌐 Archivists re-created a mirror of the CDC site prior to all the censorship, edits, & takedowns. It won't replace live updates on vital topics like flu & measles, but does bring back all the data that was purged on an easy-to-use, navigable, & fast website. #medsky restoredcdc.org/www.cdc.gov/

For decades, the US government has painstakingly kept American science #1 globally—and every facet of American life has improved because of it. The internet? Flu shot? Ozempic? All grew out of federally-funded research. Now all that's being dismantled. 1/ www.technologyreview.com/2025/02/21/1...

Medicaid is one of the most cost-effective health programs. It costs less per enrollee than private insurance & has lower administrative costs. Besides direct harms to people who lose their coverage, cutting Medicaid will put people out of jobs & close rural + community hospitals.

So needlessly cruel to those who need help most. These cuts will kill patients, limit care, close hospitals, & raise prices for EVERYONE -- including many children. Just to make the rich richer. #medsky www.forbes.com/sites/arthur...

In a new Editorial, JAMA editors, JAMA Network Editors in Chief, and JAMA editorial leadership address the recent executive orders that have impacted the scientific process and reaffirm their commitment to scientific and editorial integrity. ja.ma/4b5LsIt

Abortion is evidence-based, guideline-directed healthcare — bans cause devastating complications & death. TX & CDC choosing not to study them doesn't make it not true. #medsky How does this protect women & babies again? Great reporting by @propublica.org

We need the cerulean sweater scene from The Devil Wears Prada, but for science funding.

My latest from inside NIH as well as universities that get its funding. I think it is important to say clearly what moves like this will actually do to people.

1. Today the NIH director issued a new directive slashing overhead rates to 15%. I want to provide some context on what that means and why it matters. grants.nih.gov/grants/guide...

NIH doesn’t just support infectious disease research—it drives breakthroughs in cancer, childhood diseases, heart disease, diabetes & more. Thanks to NIH, we have: 💉 Cancer immunotherapy ❤️ Cholesterol-lowering statins 🩸 Insulin for diabetes Investing in NIH = investing in life-saving discoveries.

The loss of research and clinical funding (USAID, PEPFAR, NIH, CDC, etc) directly impacts human beings in trials, who are being treated for HIV/TB/malaria, and who are now at greater risk of dying. The halt of funding is unethical and violates our commitments to study participants and to patients.

Editorial from the @thelancet.bsky.social "The health, medical, and scientific communities have a vital role in advocating for their patients, defending programmes, and lobbying for policies and institutions that are good for health and wellbeing." #GoodTrouble

The entire archive of CDC datasets can be found here. HUGE shoutout to data archivists- this work is important 👏🙌🏻 archive.org/details/2025...

Giving people more facts is insufficient - we need to help people become competent outsiders, teaching them to critically analyze sources, understand normal uncertainty, evaluate expertise and peer review debate, & assess whether stakeholders are sowing doubt for their own benefit.

It's all gone. They've taken down all the CDC datasets from data.cdc.gov Data that's critical for public health & research. Data paid for by citizens. That the government now censors. "Do not fear those who tell the truth. Fear those who try to hide it. They are willing to sacrifice other things."

Have you or a loved one been treated for cancer? Ever have a vaccine? Had someone you love revived by chest compressions? If so, then you have benefited from NIH-funded research, which has just been effectively shut down by the cancellation of NIH study sections. No new research allowed.

"Health care workers have an obligation to help protect our patients, reassuring them that our primary duty is to them and their health."

Q: Was there ever really a time when America was healthier? A: "No." See www.nytimes.com/2025/01/13/h... "'MAHA' obscures a past during which this country’s people ate, smoked & drank things that mostly left them unwell." Plus: "...all the real health disparities that characterize our system..."

Send this @pauloffit.bsky.social op-ed to everyone you know. Better yet send it to your Senators. www.nytimes.com/2025/01/13/o...

I've seen a child with tetanus, I've treated near fatal infections after chicken pox, and I've pronounced children dead from COVID whose parents refused to have them vaccinated. We have lost our minds... and are about to lose so many of our precious children.

"2 things can be true... Murder is bad, that even bad people who do bad things don't deserve to be executed... It can also be true that UHC is an evil corporation that has caused pain & suffering to millions of people over the years." Well put, @glaucomflecken.bsky.social bit.ly/glaucUHC #medsky

2 new PCT studies, same issue -- super long ABx durations. Both show PCT ⬇️ ABx therapy vs standard care, but in both studies standard & PCT durations are same or ⬆️ than guideline-directed ABx duration. Remain unsure on benefit, especially given 💰 of PCT. #medsky bit.ly/ADAPTsepsis bit.ly/pctcancer

Sometimes the combination of arrogance and ignorance is breathtaking. Yes, US health care has high admin costs; that's because it relies so much on private insurers. Govt-run health insurance has much lower overhead

You can find our full answers to the top 12 childhood vaccination questions at m.yale.edu/cyy8. We also put all the information together in a PDF that you can download and distribute, doodle on, or use to guide organic conversations with others. 5/6

If your patient can't GET the new, fancy 💊, doesn't have 🥪 to take it with it or anyone to help them take it at home (or a 🏠 at all)... does it really matter that you prescribed it? Health policy defines what care we can give patients - it's past time to make it a bedrock of 👩‍⚕️ training. #medsky

Hypertensive "urgency" is so very rarely urgent... and treatment has real consequences. Treat pain, withdrawal, anxiety, and delirium. Stop mIVF. Help patients sleep. No more IV hydral. #medsky