Remembering today that having your heart broken is a necessary step on the path to becoming fully human. Whichever heartbreak is your first, it’s probably critical that a state break your heart so that you can develop a political imagination. If this is your first, I’m sorry and also welcome.

KFF’s Medicaid work requirements tracker compiles national and state enrollment and renewal outcomes data, related policies, implementation questions, 1115 waivers and more. We’ll continue adding information as federal guidance and state decisions take shape: https://on.kff.org/4ozQHFm

Honestly feeling quite a bit of distress re the undoing of public health etc being facilitated by doctors, while many of our professional societies are, it seems, just doing press releases.

Have you ever had someone you love dearly die from the very failures you spend your waking hours trying to address in our healthcare system?

Marjorie Taylor Greene might be yalls next president bruh

The Zohran press conference is your regular reminder that the entire administration folds like tissue paper at the slightest hint of confidence and conviction, and thus the fact that national democrats are playing a game of capitulation and weakness is exactly why they're all getting away with it

Zohran flip your hair again we need healthcare get him to give us healthcare.

Trump is so simple. He likes Zohran because he’s good looking and charismatic. Lolol

New from me: Kash Patel is engaged in purges, removal of real accountability, and impunity for loyalists at the FBI. Researchers told me that these are the exact patterns that create abusive national security organizations under authoritarianism. 🧵 donmoynihan.substack.com/p/how-the-fb...

And it was hours after 12 major airports banned private jets that the Democrats caved.

Finally in print - The 1st publication in the New England Journal of Medicine describing the devastation of healthcare infrastructure & horrors in Gaza, calling on US Medicine to break silence. And yes it’s still relevant after the ceasefire #SilenceIsComplicity www.nejm.org/doi/full/10....

In @nytopinion.nytimes.com “If Trump cares about Christians or anyone else in Nigeria, all he needs to do is restore aid and let babies live,” our columnist Nicholas Kristof writes.

Buprenorphine is safer than most if not any opioid we prescribe but people still act like dosing it is some esoteric practice. There’s no shortage of resources we can use to figure how to dose a medication for the first time. We should use them when prescribing a new medication.

Fewer choices may be on the menu again as Medicare patients shop for prescription coverage this fall.

Van Jones Isaiah 48:22!

Asking for the police to be abolished under whatever timeline is not an excess when this is how they act. Fucking insane.

Asking for the police to be abolished under whatever timeline is not an excess when this is how they act. Fucking insane.

If you’re white, your accomplishments are your own and you can resent and criticize the country all you like, but if you’re black and successful you should be grateful to white people for allowing you in their presence. bsky.app/profile/jess...

My friend Naftali Kaminski is an Israeli physician, a professor at Yale, and the child of Holocaust survivors. For me he is a model of absorbing his parents' stories intensely, looking the horror of the 20th century in the eyes, and drawing the lesson of radical empathy for the suffering of others.

How can i rationalize bed rotting as a good thing lol

He uses this framing a lot. His boss clearly loves it. It also works for him because, in his own way, he is the minoritized Other in that little power cabal — he isn’t really one of them. He does this to show *his* gratitude which I suspect they demand frequently. But also such a smarmy so and so.

An important part of racial segregation in public accommodations (that economists and economic historians regularly miss) is that it was NOT about racial animus. It’s about dehumanization and debasement. It’s using the public sphere to tell people that they are is not fit to walk the Earth.

They didn’t infiltrate. They were invited in by the Admin. And the mainstream WH press corps didn’t stand up for their own (Yamiche Alcindor, AP).

Most Americans, including most Republicans and MAGA supporters, say they want Congress to extend the ACA enhanced premium tax credits that help make Marketplace coverage more affordable. https://on.kff.org/4q7ElGy

Macron remarks are notable- some quotes: "We have been incredibly naive in entrusting our democratic space to social networks that are controlled either by large American entrepreneurs or large Chinese companies, whose interests are not at all the survival or proper functioning of our democracies."

A baby has died of whooping cough in Mississippi amidst their worst pertussis outbreak in more than a decade. If you have a loved one with an infant or are near babies a lot, please consider getting a pertussis booster, as is recommended by legitimate science and healthcare professionals.

*A Republican lawmaker objected to reference to Charlie Kirk holding “often racist and controversial views” in local Alaska news *The corporate owner took down the story and edited it *The journalists resigned This feels like more and more of our media now. www.nytimes.com/2025/10/03/u...

🚨 New preprint 🚨 Across 3 experiments (n = 3,285), we found that interacting with sycophantic (or overly agreeable) AI chatbots entrenched attitudes and led to inflated self-perceptions. Yet, people preferred sycophantic chatbots and viewed them as unbiased! osf.io/preprints/ps... Thread 🧵

It's unclear what the exact effect of a national Medicaid work requirement will be, but Aparni Soni et al. offer an important glimpse at who is doing community engagement to the required degree to sustain Medicaid coverage under these terms, & equity implications read.dukeupress.edu/jhppl/articl...

“I can see you clearly vividly emblazoned in my mind” is such a bar. Mariah Carey’s pen is really unmatched.

Mind you perp walks are unconstitutional

Thank god for family members with rare/unusual first names. Can’t be using max or jordan in any kind of password lol

Fetterman's numbers should alarm any pundits or consultants who believe Democrats should shift to the right and meet conservatives in the middle. open.substack.com/pub/extremea...

On October the third he asked me what day it was

PLEASED TO SHARE THAT OUR FINAL U.S. STOP IS LOS ANGELES AND WE'RE ALMOST SOLD OUT so if you want to come and support a #Blacksky owned bookstore, GET YOUR TICKETS: www.eventbrite.com/e/book-event...

Yes, New College is incredibly inefficient but it also dropped 60(!) spots on the US News & World Report rankings. Not easy! Everytime Chris Rufo is introduced as an impt voice in higher ed, remember that the one time he had a hand in running an institution has been a disaster. Competence matters.

CBS News will now be a megaphone for the country's most vicious crusader against free speech, and the most relentless propagandist of far-right disinformation. Cancel Paramount Plus, call every CBS advertiser until their only remaining ads are for MyPillow and Daily Stormer.

In case it wasn’t clear, the anti-DEI crusade has never been about merit. Zero news experience. Never been a reporter. Elevated to Editor in Chief of CBS News, one of the most storied news institutions in the nation. www.mediaite.com/media/news/p...

@maxjordan.bsky.social Bending science for political gain doesn't restore trust. It grows the market for false cures. open.substack.com/pub/adverser...

The FDA approved Leucovorin “for [autism]” after only(!) phase-2 trials. Over at HHS they’re blaming autism on Tylenol, while Nancy Mace recommends ibuprofen, a known teratogen. This doesn’t restore trust in science, it sows confusion. More on Adverse Reaction. open.substack.com/pub/adverser...

Hey Has anyone had a Walgreens pharmacist require your last visit note to “evaluate” prescriptions for opioids, when you are writing a script for a patient who has been on a stable regimen? I just had a pharmacist give me the most difficult time and saying it’s bc it’s dilaudid.

This is the values debate right here. I have said “Contrarianism without strong values always leads to the right.” That’s true for pundits generally. What this interview shows is Coates‘ values. And Klein’s lack of strong values.

- there is almost no circumstance where MTHFR genotyping needs to be done because it doesn't change management, and most of the claimed disease associations for it are not supported. - Folate receptor autoantibodies (FRAAs) ≠ cerebral folate deficiency (5/7)

- Glutathione is not an FDA-approved medication and IV glutathione infusions, though they can be obtained via compounding pharmacies, there have been cases where these infusions were contaminated with endotoxin, which causes distributive shock and can be fatal. (4/7)

In which a top US Border Patrol official, incredibly, tells my tall and Anglo colleague @chipmitchell1.bsky.social that he's not the type they're looking for as they go about downtown Chicago arresting people based on "how they look" chicago.suntimes.com/immigration/...

I didn’t travel for most of trump’s first term, I was afraid of waking up one day locked up abroad by an executive order. Many US workers felt that way last week bc of the new H-1B rules. I wrote about it + implications for healthcare, especially rural healthcare. open.substack.com/pub/adverser...

The way this lady flips her hair aside as she blithely insists there was an "overemphasis on slavery" at the Smithsonian is a perfect little touch. But more important -- museums aren't there to make you feel good. You're thinking of an "amusement park." The words look a little alike, I guess.

This may be the most important paper ever published about NIH funded research. www.science.org/doi/10.1126/...