No, I am not worried about 'declining' birth rates, I accept them as post-modern birth rates, the birth rates that naturally happen once the conditions are set that children can be expected to survive to adulthood reliably and that women are allowed to be educated and become full citizens.

In 2025, 30% of some pediatric subspecialty fellowship programs went unfilled. Not because trainees stopped caring about children. Because more of them are asking a different question: Can you build a sustainable life in pediatrics? #medsky #pedsky #academicsky

We spoke to Black women who started the Target boycott & who sustained it for a yr+. They'll likely never go back. Teacher Laverne Mickens put it like this: “[Black women] will say if & when it’s over. And I can tell you right now: That will be the 15th of never ever.” 19thnews.org/2026/03/targ...

There is a question institutions rarely ask out loud. How long is too long to hold a leadership seat? Let’s discuss how leadership stagnation is reshaping the future of academic medicine and why the next generation is quietly walking away. #medsky #academicsky open.substack.com/pub/faithdan...

Sometimes your thinking gets clearer over time. Lately I have been thinking more deeply about medicine and money and how physicians actually build stability. That is what I am exploring in The Wealth Dose. #medsky #pedssky #finance #wealthinmedicine

Sometimes your thinking gets clearer over time. Lately I have been thinking more deeply about medicine and money and how physicians actually build stability. That is what I am exploring in The Wealth Dose. #medsky #pedssky #finance #wealthinmedicine

Evidence-based child vaccine recommendations are about more than individual decisions A baby too young to be vaccinated contracted measles & recently died in childhood of a complication Vaccines protect kids who receive them — & babies & others in their communities www.latimes.com/science/stor...

Donald Trump has announced a deal to slash the cost of obesity drugs—but the biggest winners might be just a small number of patients, @nicholasflorko.bsky.social argues.

“For all the hype over GLP-1s, Americans have struggled to access these weekly injections.” @nicholasflorko.bsky.social on why some insurance companies aren’t covering them: https://theatln.tc/dl0vFIWo

Measles is back Whooping cough is back Now, diphtheria is staging a return with large outbreaks now in Somalia, Sudan, Yemen and Chad — countries with civil wars or large populations of refugees where vaccination coverage is low... www.nytimes.com/2025/10/27/h... @stephanienolen.bsky.social

For those asking how to support, here’s how: www.greenbootsgardens.com/get-involved

Black people still stay home. They still aren’t mad enough. They still don’t get it. It hasn’t moved them yet. They need more time. They excited about numbers Not the message. Stay home. #nokings #protest #blacksky

@sspadafore.bsky.social @faithdaniellemd.medsky.social be bold with your beliefs. Taking a stand on policy can close some doors, but those are likely doors you don’t want to walk through anyway.

@sspadafore.bsky.social @faithdaniellemd.medsky.social @rutgershealth.org @eagletonpoll.bsky.social OpEd workshop at RutgersNJMS.

People really gonna feel the impact of this in healthcare next year! Keep playing with the system. I’m telling you it’s not built the way you think it is. The medical workforce will be impacted #medsky

Critical part of the President's new $100,000 charge for H1-B visas: The Administration can also offer a $100,000 discount to any person, company, or industry that it wants. Replacing rules with arbitrary discretion. Want visas? You know who to call and who to flatter.

Even if RFK steps down, the deeper issue in public health, medicine, and wellness remains. The mentality fueling this problem is broader and more dangerous than one man, and dismantling it will take far more than his resignation. #publichealthsky #medsky #pedsky

We did our jobs too well. To the point even people in medicine think pediatrics doesn’t have challenging pathophysiology. We prevented disease too well. That’s our problem

What’s happening at the CDC is very sad to watch. I know the everyday people in the organization are just so disappointed in their leadership right now. But this won’t and will not last forever.

@ameracadpeds.bsky.social President Susan J. Kressly, MD, called the new proposal to limit the availability of COVID vaccines in children and young adults "deeply troubling."

Being a a US based pediatrician is like alternating days between groin kicks and throat punches.

US pediatric group breaks with federal policy, recommends COVID vaccines for young children… www.reuters.com/business/hea...

One, thing I always love about Adam Sandler movies is that it’s so New England coded. And it’s awesome.

People don’t understand how hard it is to be a pediatrician these days but so glad AAP took a stand!

The reason why this matters: We need the support of our professional orgs if we are going to be making recommendations beyond the FDA and CDC. There is always a risk of side effects so having institutional backing is appreciated.

What bothers me most is how quiet the science and health community is about what’s happening in DC. I get it we’re busy, in our own bubble. But if you only focus on yourself, by the time you notice DC, it’ll be at your front door. Time to wake up.

It might be science and healthcare’s gun violence moment but not a Jan 6th moment. Jan 6th stopped the news; everyone knew. Race and class was central to that story. Which is not mention in the op-ed But a lot of people don’t even know this happened last week.

We need to start calling these the “Water Been Wet” Studies

Exactly.

DC is FORTY-ONE PERCENT Black. Do you understand?

He’s going to kill and maim entire Black communities to avoid talking about Epstein.

I think a lot about the ppl who will have to explain in this era. The filmmaker trying to shape chaos into a story. The historian piecing together the mindset of a nation. The spiritual leader searching for a way to lead their congregation back to redemption History is now. Choose wisely.

Today one of the Blackest cities in America may be put under federal control. Unhoused residents will be arrested to clear the way. 7 months into a 4 yr term and Moody’s says we’re in a recession. People are protesting, but not the masses It’s just Monday, a workday Are we great yet?

The outcome of anti-science movement will always hurt our society.

He must love infections and cancer. A short list of what’s been achieved or is in active development with this tech: – Seasonal flu (Phase 3) – RSV (FDA-approved, 2024) – CMV (Phase 3) – HIV (early trials) – Rapid-response design for emerging pathogens www.theguardian.com/us-news/2025...

The new books arrived, looking great! @michaelemann.bsky.social @peterhotezmdphd.bsky.social @publicaffairs1796.bsky.social

60 yrs ago, Dr. Montague Cobb helped make Medicare & Medicaid a tool for desegregation. Now, the “Big Beautiful Bill” guts that progress with Medicaid cuts & work rules. Cobb fought for equity we must too. #Medicare60 #healthpolicy #medsky www.faithdaniellemd.com/p/the-story-...

The American Academy of Pediatrics is calling for states to end all exemptions for childhood vaccinations that are required for school entry, unless there is medical condition that contraindicates vaccines. So am I. But I don’t think I have quite the same reach as the AAP. Let’s do this.

Man these people are petty.

“I had to come back for the insurance, because they informed me this year that I’m on COBRA,” said Venus Williams in a post-match interview at the Mubadala Citi D.C. Open. Williams, 45, became the oldest woman to win on the Women’s Tennis Association tour since 2004. Learn more about COBRA.⤵️

Making sure #medsky #pedsky and #healthpolicy see this sad update.

It’s unfortunately official the state of Connecticut no longer provides gender affirming medication care to children under 19 years of age. Both CT Children’s and Yale Children’s Hospitals are rolling back their programs sad day for LGBT+ right to health care. ctmirror.org/2025/07/23/c...

Rough week to be a kid in the 80- early 90s Like what did we do wrong?!?

Our public health system been in hot water but seeing it crumble before our eyes is rough.

This is why the AAP suing RFK Jr matters in case anyone was wondering . #medsky #healthpolicy

Sadly this has been true since the 1930s this is why Medicare for All was being pushed. Health care is a human right!

The U.S. system of linking health care to your job & whether you’re working is ridiculous. We should have a universal health care system, where everyone gets health care access — regardless of whether you’re working & regardless of whether your boss decides to provide good health insurance.

Excited to see a Barbie represent T1DM community but I do feel like again it falls short when only one style of doll is created to reflect the community. #medsky #t1dm #barbie I have written about the importance of Black Barbie for this reason: msmagazine.com/2023/07/20/b...

Becoming a physician is now for the rich. As the BBB set to be sign will limit grad loans to 200K As a first gen doc we might be the last of them for awhile. #pedsky #medsky #healthpolicy