The Utah Historical Society just produced a new, excellent map of "The Peoples of North America in 1776." Great resource for anyone teaching, writing, presenting about Native peoples as part of their 250th work. america250.utah.gov/power-of-pla...

The US immigrant population generated more in taxes than they received in benefits from all levels of government every year from 1994 to 2023. The Cato study provides the first-ever 30-year analysis of the fiscal effects of immigration on government budgets. https://ow.ly/jy8a50Y8kM3

#Hospice is failing because we built a structure that can’t support reality. If we want it to survive, we need to rebuild the benefit around comfort, continuity, and caregiver capacity—not paperwork and wishful thinking. rounds-and-rants.ghost.io/hospice-is-b... #HAPC #Palliative #HealthPolicy

"I am my own original sin. One someone is always willing to forgive. Until enough of you demand that I be better."

Academics vying for a spot in Epstein‘s world. There are so many. I feel the need to make a thread, so I don’t keep confusing them. 1/

ICE, CBP, and other law enforcement agencies are buying our personal information from data brokers instead of getting a warrant. Tell Congress: The government cannot be allowed to buy its way around the Fourth Amendment.

@geripal.bsky.social broke the news: #PalliativeCare 3.0 isn’t theoretical. It’s here. And the field is practicing like the old rules still apply. 🤠 #Palliative #HAPC

The Minnesota killings laid bare that Trump’s project is regime change. The goal was described by MAGA thinkers, the pattern set on Day One. The nation let his early moves—the Jan. 6 pardons, the TikTok power grab—slip by. Denial & complacency must end. Now My column www.nytimes.com/2026/01/25/o...

This, from @clintsmithiii.bsky.social, has been on my mind today.

1/ A longtime Wired editor just wrote a mush-brained essay about how he totally missed the political rot of Silicon Valley (& still doesn't get it). But in the late 1990s, a Wired journalist warned of a toxic ideology bubbling up from tech. Paulina Borsook has largely been erased. Let's change that

This is pure cowardice from the region’s only provider of children’s health care. “Rady Children’s in San Diego drops gender-affirming procedures, prescriptions” Please join me in supporting TransFamily Support: secure.givelively.org/donate/trans... www.sandiegouniontribune.com/2026/01/20/r...

New Rounds & Rants is up. I’m writing about #hospice, caregiver burden, and the quiet ways our systems treat unpaid family labor as a bottomless resource. rounds-and-rants.ghost.io/hospice-care... #HAPC #PalliativeCare #MedEd

More than 200,000 Danish citizens have signed a petition to buy California as a response to Trump’s attempt to take Greenland. They say they will provide Californians with “rule of law, universal health care, fact-based politics, and a lifetime supply of Danish pastries.”

It never fails to surprise me how many of these unAmerican dweebs don’t understand the lessons of science fiction. Let’s just leave it as: my Trekkie mama and Star Trek taught me all about how to be “woke” and how to spot a weak, pathetic, fascist, hateful badmiral.

🚨 Hot take: #Palliative spent a decade ignoring the real problem—how to pay for teams that meet NCP standards. If we don’t fix financing, we’re just rearranging deck chairs. rounds-and-rants.ghost.io/did-palliati... #HAPC #PalliativeCare

Blue Cross had refused to pay thousands of claims for the center’s patients, but on several occasions executives at the insurance company had signed special one-time deals with the center to pay for their wives’ cancer treatment. (Published April 2025)

"Defunded by Congress and fearing the Trump administration might pervert the organization to further undermine free media, the board members agreed it was better to salt the earth than leave behind a place for Trump to plant his poisonous, choking weeds." — @lizdye.bsky.social

I don't think you non-science people realize what it takes to get a grant funded by NIH. Started experiments in Sept 2021 to generate 3 new mouse mutants to model human disease. Prelim dara shows they have relevant disease phenotypes worthy of study. Need a small grant first to characterize /1

Open up this picture fully. Then look at the surface of Mars. Then look up to the top right. Spot Mars' moon Phobos high in the sky. Then notice the bright spot beside Phobos. That's Earth.

Medical training often focuses on checklists, but what about creativity and compassion? If we want care that truly heals, we need to teach clinicians how to connect and imagine—not just diagnose. Curious what you think. rounds-and-rants.ghost.io/death-creati... #HAPC #MedEd #palliative

When I am offering cancer/peer support or therapy for people with cancer - the thing I spend the MOST time doing is trying to get clients and their treatment teams to INCLUDE PALLIATIVE SUPPORT for ANY cancer that causes significant distress or discomfort

Rounds & Rants Latest: AI in #palliative *The real value? It supports clinical judgment *Big red flags: bias, equity, ethics, sustainability We need clear workflows, outcomes measures, & human-centered rollout. rounds-and-rants.ghost.io/year-end-ref... #HAPC

It all started in 1955 with a misprint in a Colorado newspaper and a call to Col. Harry Shoup's secret military hotline. Shoup played along with the tiny voice who called, and a tradition was born. From the NPR archives.

My sense is that the “male loneliness crisis” is not really about addressing men’s emotional needs but rather the relatively newfound absence of having someone to perform domestic labor for you quietly in the background now that there is a longer gap between your mother and your wife doing it

The name "Popular Science" doesn't mean we shift our coverage depending on public opinion. It means we cover relevant subjects that are rigorously researched, reliable, and grounded in reality. And trans lives are grounded in reality. We see y'all. No matter what. www.popsci.com/science/tran...

Why does compassion always end up on clearance? New post: “Compassion on Clearance: Why #Palliative Values Always Seem to End Up Out of Stock.” rounds-and-rants.ghost.io/compassion-o... #PalliativeCare #HAPC #HealthPolicy #RoundsAndRants

Healthcare didn’t just get complicated. It got monstrous. #PalliativeCare isn’t a “nice-to-have.” It’s the slayer. Read why: rounds-and-rants.ghost.io/the-monster-... #Palliative #HAPC #HPM

Healthcare didn’t just get complicated. It got monstrous. #PalliativeCare isn’t a “nice-to-have.” It’s the slayer. Read why: rounds-and-rants.ghost.io/the-monster-... #Palliative #HAPC #HPM

The UCSD Health, Scripps Health, Elizabeth Hospice, and Sharp Hospice partnership continues with another #Hospice & #Palliative Medicine Match! We welcome our class of 2026-27! #HAPC #MedEd @ucsdggpc.bsky.social @ucsdhealth.bsky.social @ucsdhealthsci.bsky.social @scrippshealth.bsky.social

California physicians are united: the Hep B birth dose is essential for public health. It prevents infections, closes equity gaps and protects newborns when screening is missed. CDCgov #ACIP's decision must reflect science. Keep the birth-dose recommendation.

The U.S. is the only democracy in the world with: - Lifetime terms for high court judges - An electoral college for choosing an executive - A legislative chamber where legislative minorities routinely and permanently thwart legislative majorities - 75% requirements for constitutional amendments

What did I learn this week? That medicine’s myths die harder than Bruce Willis. Comfort care ≠ doing nothing. Communication isn’t magic—it’s a skill. If you’re curious about the hills I’m dying on, read the latest rant: rounds-and-rants.ghost.io/what-kyle-le... #PalliativeCare #HAPC #MedEd

The downstream effects for pain management in #palliativecare could be enormously disruptive. But there’s absolutely no perspective in this article from those who manage pain and prescribe therapeutic opioids. #hapc #palpharm

The effort to wrest control of the language of physician billing from the control of physicians and into the hands of politicians and kooks continues apace.

Precision Symptom Management: Why #PalliativeCare Is Poised for a Genomic Revolution Tempus AI’s acquisition of OneOme’s PGx assets is making headlines. Most see this as an onc play...the bigger picture: this move could catalyze a transformation in how we manage symptoms. #R&R #HAPC #PalPharm #HPM

Today is the 70th anniversary of Rosa Parks' arrest. Six myths: 1) She wasn't old or tired. 42 years old that day, she had a "life history of being rebellious" & had spent two decades helping to turn the Montgomery NAACP into a more activist branch alongside ED Nixon and Johnnie Carr.

🚨New Paper🚨 US doctors are paid very different amounts for treating different patients—even when providing identical services. How much less are physicians paid for treating non-White patients? In @jamahealthforum.com, we offer the 1st national estimates. (1/7) jamanetwork.com/journals/jam...

I was really thrilled to get to work on The WIRED Guide to Digital Opsec for Teens with @aumasson.jp. I think we did a good job but also apologies in advance to the teens that we tried to make jokes and generally Be Chill. Also no paywall to make it easier to share! www.wired.com/story/digita...

“Student loan caps could strain clinician workforce” I would edit that headline to, “will.” Per usual, this policy is a half-baked solution to a mounting problem that will hurt so many patients in the long run.

Launching today: Rounds & Rants w/Me. Will this be a good outlet for me? Will I have interesting things to say? Sign up &find out! I'm already lining posts up for you. rounds-and-rants.ghost.io/why-rounds-r... #palliative #HAPC #PalliativeCare #PedPC #PalPharm

Baby names aren’t just personal choices; they reflect culture, geography, gender, identity, and as i've been investigating, politics too. I’ve been analyzing 50 years of U.S. baby naming to see how they map onto political polarization in the U.S. Here’s what I found 🧵

Learners (for years): “You should blog.” Kyle: “Nah, sounds like work.” Turns out, they were right—and I’m out of excuses. Launching soon: Rounds & Rants with...me Medicine, musings, and the occasional rant—because #palliative rounds aren’t enough. Subscribe here: rounds-and-rants.ghost.io

I'm thinking this Roon for Doctors site might end up being very cool. #HPM #Palliative #HAPC www.roon.com/doctors/roun...

Learners (for years): “You should blog.” Kyle: “Nah, sounds like work.” Turns out, they were right—and I’m out of excuses. Launching soon: Rounds & Rants with...me Medicine, musings, and the occasional rant—because #palliative rounds aren’t enough. Subscribe here: rounds-and-rants.ghost.io

“Since 1998, independent researchers have conducted more than 40 high-quality studies involving over 5.6 million people. The conclusion is clear and unambiguous: There’s no link between vaccines and autism." -Dr. Susan Kressly, AAP President on recent changes to the CDC's website

Our @ameracadpeds.bsky.social and @ama-assn.org will always be on the side of their patients and will never welcome politicians in the exam room. Thank you to Dr. David Aizuss and Dr. John Whyte for their leadership in this critical moment. www.aap.org/en/news-room...

Join me @oath-vote.bsky.social and give your money intelligently: app.oath.vote?ref=MBCYAXFH Adding it to my anti-anxiety regimen today.

how did i go so long not knowing we were literally teaching people to read wrong. i knew something wasn't right but jesus christ www.apmreports.org/episode/2019...

A Sharon Begley byline, almost 5 years after her death. Upon hearing the news James Watson had died, a STAT reporter said in our Slack, "I wish I could read what Sharon would have written." Incredible news: Sharon in fact did pre-write a Watson obit. And it is masterful and excoriating. 🧪🧬🧫