Another great piece grappling w/ the tension of talk therapy as speech vs medical treatment, the threats this decision poses for states’ ability to enforce standards of care, and how this decision may undermine Chiles’s very own profession. @michaelrulrich.bsky.social www.nejm.org/doi/full/10....

Yes, the Chiles decision will be deleterious for LGBTQ populations and ALSO this article hits the nail on the head in terms of the broader concerns I have with the decision. How will this decision weaken states’ authority to regulate ANY discredited medical intervention that might involve speech?

🚨Update: The SCOTUS decision is HERE. The majority (8-1) decides CO’s SOGICE ban constitutes viewpoint discrimination, dismissing state police power to regulate medicine and the preponderance of evidence that SOGICE are associated with harm. Jackson dissents.🚨See our recs on how to take action.

Writing for @jamapediatrics.com, @solomonctryls.bsky.social student fellow Kyle Gavulic and co-authors @medlawdan.bsky.social and John Pachankis assess the history and regulation of conversion therapy as SCOTUS weighs the constitutionality of banning the practice. jamanetwork.com/journals/jam...

LGBTQ+ population health hangs in the balance @yaleschoolofmed.bsky.social @yalesph.bsky.social @sjquinney.bsky.social I'd also recommend this piece by Jack Turban and Michal Ulrich in @jamapediatrics.com : jamanetwork.com/journals/jam...

NEW): I have a paper in @jamapediatrics.com with @kylegavulic.bsky.social & John Pachankis describing the harmful history of "conversion therapy" & current efforts to revive it, including a Supreme Court case that may grant constitutional protections to practitioners jamanetwork.com/journals/jam...

New piece with @medlawdan.bsky.social and John Pachankis @yalesph.bsky.social on “conversion therapy” (SOGICE) in the US, motivated by Chiles v. Salazar heard by SCOTUS in October. This is espcially geared toward clincians, professional associations and policymakers to get out ahead of the decision.

NEW: Paper in @jama.com (me, Glenn Cohen, & @drsinhaesq.bsky.social) discusses FDA plan to approve leucovorin for new indication based on "case reports" and "mechanistic data" 1. Departure from FDA's evidentiary standards 2. May harm patients and set bad precedent jamanetwork.com/journals/jam...

Neighborhoods with high levels of both historical and contemporary structural racism, such as redlining and modern segregation, experienced higher rates of opioid overdose deaths, particularly during the COVID-19 pandemic. ja.ma/4otrgG3

When is the point of no return for extending ACA tax credits? They expire 12/31, so that’s a drop dead date. Open enrollment starts November 1. If they’re not extended by then, enrollees may start dropping out. Even if open enrollment is extended, people could be hard to reach.

#NOKINGS Cheshire, CT!

I just signed this. Please consider do so as well. alumni.controlshift.app/petitions/tr...

Join the 24-hour #SaveAIDSResearch livestream starting TODAY, Tuesday, September 16th at 11a ET: www.youtube.com/live/fbza_tI... I’ll hosting 2-4p ET today and 9-10a ET tomorrow morning. Join us!

Words cannot express the gratitude I hold to be able to work alongside my friends & colleagues in the TGD community, & an incredible multidisciplinary team of clinicians, to push fwd the frontier of equitable & inclusive UME. If you've never been to @glma-lgbthealth.bsky.social, I highly recommend.

Please to write this @washingtonpost.com Op-Ed with Eric Rubin about the importance of independent medical journals like ours @nejm.org & @jama.com wapo.st/4kUqfV9

Senate passes the so-called “One Big Beautiful Bill” with JD Vance’s tie-breaking vote. Now back to the House where there remains hope to still defeat this deeply harmful and unpopular bill.

Justice Sotomayor: "Today's ruling ushers in that new reality."   "Exposing students to the 'message' that LGBTQ people exist, and that their loved ones may celebrate their marriages and life events, the majority says, enough to trigger the most demanding form of judicial scrutiny."

#Breaking: Supreme Court rejects challenge to free preventive care, bolsters RFK Jr.’s power www.statnews.com/2025/06/27/s...

Good news! SCOTUS has ruled that the US Preventive Services Task Force can continue determining which preventive care services must be covered at no cost - meaning everything from PrEP to cancer screenings must be covered. While this is good news, let’s continue to push for healthcare for all!

Proud of Dr Pachankis @yalesph.bsky.social and his team. While #mentalhealth care for LGBTQ+ Americans is being gutted … this team keeps doing the work. 🏳️‍🌈 www.nature.com/articles/s44...

On this Juneteenth, I'm so happy to share my twin sister’s, Uché Blackstock, MD, powerful op-ed on Black children’s futures. As a Black mother and physician, she names the urgent need to protect and nurture our children especially in these challenging times. thehill.com/opinion/heal...

Young people can still contact The Trevor Project just as they always have by calling 1-866-488-7386, via chat at TheTrevorProject.org/Get-Help, or by texting START to 678678. (4/4)

Just because this Court chooses neither to acknowledge violations of the Equal Protection Clause in plain sight, nor to engage with the evidence base for gender affirming care, does not change the fact that this care is life-saving. The fight continues today and every day.

Nothing sums up the state of affairs for transgender Americans quite like the US Supreme Court denying trans people life-saving healthcare at the same time that the Trump administration shuts down suicide prevention programs for LGBTQ people. These bastards want us all dead.

Great coverage of the current state of LGBTQ mental health research in the words of Dr. John Pachankis @yalesph.bsky.social

As I was leaving the North Haven Pride fest, I ran into @delauro.house.gov on her way in. We spoke for a few min about the dire state of HHS & she held my hands the entire time. It really meant a lot, not to mention her making the time to attend the local Pride fest. 🏳️‍🌈🏳️‍⚧️ Thank you, Congresswoman!

We the People will prevail #Nokings great showing in New Haven, CT!

June 12th is Pulse Remembrance Day. Today we remember the victims of the Pulse Nightclub shooting in 2016.

Breaking: The 2022 US Trans Survey report is here! I have been itching for this report to come out for some time as the 2015 US Trans Survey has been such a valuable reference.

If people are interested in learning about the ACIP and its decades of contributions to US vaccine policy successes, here’s a short 2014 piece I wrote in NEJM with Adel Mahmoud (timed with its 50th anniversary) www.nejm.org/doi/full/10....

Excited to share that I've been awarded a Poynter fellowship to visit @yaleschoolofmed.bsky.social. "Law, Politics & Medicine: Understanding the Executive Orders" will discuss Trump actions on DEI, opioids, and trans ppl, the underlying strategy, and ways to respond poynter.yale.edu/events/2025-...

On HHS budget hearing with RFK Jr., Rep Watson Coleman demands SPECIFIC answers to her Qs about the CURRENT destructive decisions being made under his leadership. His response: "my time has expired." To which she responded, "& so has your legitimacy." Mic drop as she yielded back to the chairman.

Must-read report from @sanders.senate.gov ahead of tomm's HELP hearing with HHS Secretary RFK Jr. detailing the many ways he & the President are destroying biomedical research, worsening healthcare access, & harming patients through misinformation: www.help.senate.gov/dem/newsroom... #MedSky #EpiSky

After 35+ years, the National Cancer Institute seems to be ending its Cancer Prevention Fellowship Program If my sources are correct, this is a loss for cancer prevention—a field that saves lives before treatment is ever needed 🛡️💔 And also, it's a pipeline of future leaders—gone 1/🧵

Now seems like a good time to re-circulate this piece w/ @dusetzinas.bsky.social & @nathaliepelletier-fleury. The policy landscape has changed but the implementation challenges of tying US drug prices to those in peer countries remain... why not invest in our own health technology assessments?

All universities must stand firmly united in rejecting these abhorrent new terms by the NIH. Everything is at stake. We must defend our commitment to all people no matter their background, especially the most marginalized and underrepresented, not capitulate to censorship and fascism.

A STAT EXCLUSIVE NIH moving to ban all future grants to universities with DEI programs or Israel boycotts, document suggests www.statnews.com/2025/04/21/t...

🏥HHS ELIMINATIONS💀 We have created a list of all agency and program eliminations proposed in the HHS 2026 Budget. Feds: Please let us know if you have any clarity to share. The cuts are massive. Reach out if you would like a PDF or xlsx @alt-hhs.altgov.info @altfda.altgov.info

Glad to see CT & other states rejecting the Trump admin’s attempt to kill invaluable DEI practices in education, check out this map by Education Week👇🏻

Great exercise of our First Amendment rights on Yale’s campus today. #HandsOff our universities, our education, our science and innovation, our rights to free speech, and all people no matter their place of origin! Hats off to Harvard - Yale, will you step up next??

Harvard has set an example for other higher-ed institutions - rejecting an unlawful and ham-handed attempt to stifle academic freedom, while taking steps to make sure students can benefit from an environment of intellectual inquiry, rigorous debate and mutual respect. Let’s hope others follow suit.

BREAKING: On Friday, the federal government issued new demands of Harvard University. The university's lawyers just responded: back off.

New this evening (3/28): Major update in NIH grant termination numbers. ❌ 695 NIH grants now terminated (up from 429) ❌ 232 on HIV/AIDS ❌ 44 on cancer ❌ 28 on Alzheimer's ❌ 123 on Covid* *And this doesn't count cancelled non-NIH Covid grants. HUGE THANKS to @noamross.net for pushing the updates!

Another Trump rollback & loss for LGBTQ+ people: "On March 21, those fields [pertaining to sexual orientation and gender identity] were stripped overnight from the latest three versions of the standards [for the U.S. Core Data for Interoperability], which have yet to be required by any regulations."

New article: We discuss the role of executive orders for LGBTQI+ populations. It's important to remember the historic actions the last Administration took for LGBTQI+ health and equity -- efforts that are actively being dismantled. Great working with @kylegavulic.bsky.social, Gilbert, & Carson.

Check out our piece & share widely! TL;DR Through the limited but significant powers of the presidency, the landscape for LGBTQI+ civil rights & social determinants of health can be fundamentally altered. W/ co-authors @CarsonFerrara @medlawdan.bsky.social @GilbertGonzales

Today is Transgender Day of Visibility (TDOV). Events are happening around the country to celebrate the presence and resilience of transgender and non-binary folks who are our coworkers, friends, and neighbors. #TDOV www.newsweek.com/transgender-...

From 91 professors at Harvard Law School: a letter to our students. tinyurl.com/letter-to-ou...