iiinova — where your digital self keeps evolving

Reposted by Adam Gaffney

Ed Cara @edcara.bsky.social · 19/06/2026

Wrote about the pseudoscience and conspiracy theory beliefs underlying RFK Jr.'s supposed plan to tackle Lyme disease for good. My thanks to @awgaffney.bsky.social for some of his thoughts! gizmodo.com/rfk-jr-s-new...

gizmodo.com

RFK Jr.'s New Lyme Plan Is More Conspiracy Than Science

Chronic Lyme disease is a dubious medical diagnosis, but that isn't stopping RFK Jr. from boosting it.

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Adam Gaffney @awgaffney.bsky.social · 19/05/2026

I wrote about patient autonomy and children vaccine mandates and why they have nothing to do with each other — with some insights from the ICU. www.statnews.com/2026/05/18/p...

statnews.com

‘Patient autonomy’ has nothing to do with childhood vaccine policies

Opinion: Vaccine policy it is not a matter of autonomy at all, because infants do not decline vaccination — their parents do.

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Adam Gaffney @awgaffney.bsky.social · 19/05/2026

I wrote about patient autonomy and children vaccine mandates and why they have nothing to do with each other — with some insights from the ICU. www.statnews.com/2026/05/18/p...

statnews.com

‘Patient autonomy’ has nothing to do with childhood vaccine policies

Opinion: Vaccine policy it is not a matter of autonomy at all, because infants do not decline vaccination — their parents do.

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Reposted by Adam Gaffney

MedPage Today @medpagetoday.com · 06/05/2026

Will the coming cuts to Medicaid spare the "truly needy"? History suggests that they won't, a study finds. @awgaffney.bsky.social www.medpagetoday.com/publichealth...

medpagetoday.com

Will the Coming Cuts to Medicaid Spare the 'Truly Needy'?

History suggests that they won't, a study finds

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Adam Gaffney @awgaffney.bsky.social · 05/03/2026

Our new paper was just published in @atsblueeditor.bsky.social Authored by the Lung Health Policy Tracking Group — a panel of lung specialists & public health experts — our paper explores impacts of Trump policies on Lung Health in 10 domains. Open access link to "online first" version:

academic.oup.com

Implications of Year 1 Trump Administration Policies for Americans’ Lung Health

Adam W Gaffney, MD, MPH, Steffie Woolhandler, MD MPH, David C Christiani, MD, MPH, MS, Mary B Rice, MD MPH, John Balmes, MD, C Corey Hardin, MD PhD, Cecile

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Adam Gaffney @awgaffney.bsky.social · 20/02/2026

Tearing down the Stalinist monuments to this regime will be such a satisfying, salubrious, democratizing endeavor once the time comes. People will fill the streets, I suspect, but who knows.

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Adam Gaffney @awgaffney.bsky.social · 20/02/2026

It is journalistic malpractice by CBS to use a debunked photo of an alleged UFO as a caption for this tweet without mentioning that it has been debunked. What a stupid era we are living through.

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Adam Gaffney @awgaffney.bsky.social · 20/02/2026

UFO conspiracism, ivermectin conspiracism, chemtrails conspiracism, anti-vaccine conspiracism etc. etc. are part and parcel of the same obscurantist, right-wing, anti-Enlightenment, dark ages brain fog that is settling over the US states.

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Reposted by Adam Gaffney

The New York Review of Books @nybooks.com · 19/02/2026

“Medicaid’s origins,” writes Adam Gaffney(@awgaffney.bsky.social), “lie in a state-centric welfare model ideologically predicated on the same distinction between the ‘deserving’ and the ‘undeserving’ that underpins the Trump administration’s new work requirements.”https://go.nybooks.com/46HtWJn

nybooks.com

Medicaid Undone | Adam Gaffney

One year ago President Donald Trump promised to “love and cherish” Medicaid. Alas, his affection for the public insurance program was short-lived. The

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Reposted by Adam Gaffney

The New York Review of Books @nybooks.com · 18/02/2026

“We need to restore Medicaid, and to improve it,” writes @awgaffney.bsky.social. “But the best way to advance its mission in the long term would be to replace it with something better.”

nybooks.com

Medicaid Undone | Adam Gaffney

One year ago President Donald Trump promised to “love and cherish” Medicaid. Alas, his affection for the public insurance program was short-lived. The

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Adam Gaffney @awgaffney.bsky.social · 13/02/2026

I have an essay in the New York Review of Books about the Trump Administration’s cuts to Medicaid, and more broadly about the program’s origins, strengths, & flaws — and why the best way to advance its mission might be to replace it with something better. www.nybooks.com/online/2026/...

nybooks.com

Medicaid Undone | Adam Gaffney

One year ago President Donald Trump promised to “love and cherish” Medicaid. Alas, his affection for the public insurance program was short-lived. The

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Reposted by Adam Gaffney

MedPage Today @medpagetoday.com · 22/12/2025

Among participants in a survey on healthcare expenses, 17.4% and 9.9% said they experienced cost burdens or catastrophic cost burdens at least once over 4 years. @awgaffney.bsky.social www.medpagetoday.com/publichealth...

medpagetoday.com

More Americans Experience Troublesome Healthcare Costs Than Previously Thought

Findings of nationally representative survey suggest need for 'abolishing price tags'

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Adam Gaffney @awgaffney.bsky.social · 22/12/2025

Our new study just up in JAMA IM: we track Americans' out-of-pocket health spending longitudinally over a four-year period, showing that risks mount year after year. Whereas 11.8% of adults experience healthcare financial strain after 1 year, risk rises to 26.7% over four years

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Adam Gaffney @awgaffney.bsky.social · 07/11/2025

Our article in Health Affairs Forefront on the “real waste, fraud, and abuse” in healthcare — Medicare and Medicaid privatization — is now up. MA Overpayments & excess Medicaid managed care overhead could cost as much as $1.9 trillion in coming decade. www.healthaffairs.org/do/10.1377/f...

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Adam Gaffney @awgaffney.bsky.social · 06/11/2025

I feel like this fake big animal sightings are too common!

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Reposted by Adam Gaffney

Amin @aminad.bsky.social · 01/11/2025

🗞️Hot off the press in @atsblueeditor.bsky.social! Our analysis shows that unfavourable social and environmental exposures explain a much larger share of racial disparities in lung function than previously thought. Details: doi.org/10.1164/rccm... @msafavi.bsky.social @awgaffney.bsky.social

doi.org

Social Determinants of Health and Racial Disparities in Lung Function: Findings from the National Health and Nutrition Examination Survey, 2007–2012 | American Journal of Respiratory and Critical Care...

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Adam Gaffney @awgaffney.bsky.social · 04/11/2025

Another great PNHP annual national conference !

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Adam Gaffney @awgaffney.bsky.social · 30/10/2025

It's not clear to me how to respond to this endless stream of unrepentant, shameless lying from unrepentant, shameless liars like this. To be clear: I believe in taking care of everyone no matter where they're from, so I'm not so interested in these distinctions. But for those...

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Adam Gaffney @awgaffney.bsky.social · 30/10/2025

Easy to feel despondent now, but it’s important to remember that there is a real possibility that the Trumpian political project crashes & burns, anyone remotely associated with it is permanently discredited politically & morally, & a window opens for substantive positive change.

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Adam Gaffney @awgaffney.bsky.social · 28/10/2025

"Unless you are extraordinarily rich, it is effectively not possible to save enough money to cover the costs of a serious illness or major trauma,” Gaffney said. “For the uninsured, medical debt and bankruptcy is just one major illness or injury away.” www.nbcnews.com/health/healt...

nbcnews.com

‘It’s only gotten worse’: As ACA premiums are set to climb, some Americans opt to go uninsured

Enhanced subsidies for Obamacare have kept premiums affordable. Absent action from Congress, they will expire at the end of the year.

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Adam Gaffney @awgaffney.bsky.social · 25/10/2025

So an anonymous billionaire Trump ally is dispersing $130 million in personal cash to US troops. Truly crossing new rubicons weekly www.nytimes.com/live/2025/10...

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Reposted by Adam Gaffney

FND Portal @fndportal.bsky.social · 15/08/2025

Excellent thread

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Reposted by Adam Gaffney

Adam Gaffney @awgaffney.bsky.social · 15/08/2025

In wake of the CDC shooting, so-called "post-vaccination syndrome" has come back into discussion, as this report from @nbcnews.com describes. The assailant attributed health issues including depression to COVID-19 vaccines. I'm quoted, & wrote about the... www.nbcnews.com/tech/interne...

nbcnews.com

Anti-vaccine myths surged on social media ahead of the CDC shooting

Before the shooting, social media companies relaxed their protocols around misinformation.

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Adam Gaffney @awgaffney.bsky.social · 15/08/2025

nbcnews.com

Anti-vaccine myths surged on social media ahead of the CDC shooting

Before the shooting, social media companies relaxed their protocols around misinformation.

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Adam Gaffney @awgaffney.bsky.social · 01/08/2025

The AP has a story on the impact of Medicaid cuts for patients and our study quantifying those effects nationally — the accompanying video is powerful as it presents the story of a patient with cancer worried about falling between the cracks. apnews.com/article/medi...

apnews.com

Debt and delayed care forecast for some who lose insurance under tax and spending law

Delayed treatments, canceled doctor visits and skipped prescriptions: Researchers say all will increase because of the tax and spending bill signed into law by President Donald Trump earlier this…

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Adam Gaffney @awgaffney.bsky.social · 01/08/2025

I testified today for the Senate HELP Committee on issue of healthcare affordability. The “Big Beautiful Bill” will worsen the crisis of healthcare affordability — and cause thousands of deaths. Medicare-for-All will deliver full coverage for everyone, at an affordable price for the nation. Link:

senate.gov

ISVP

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Adam Gaffney @awgaffney.bsky.social · 01/08/2025

Let’s not move on from the “Big Beautiful Bill” so quickly? The law will shred the US healthcare safety net. The deaths it causes may seem invisible — medical neglect causes heart attacks, kidney failure, strokes — that will register as “natural,” but will be something more.

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Reposted by Adam Gaffney

Doug Henwood @doughenwood.bsky.social · 17/07/2025

fresh audio product: • Adam Gaffney @awgaffney.bsky.social on Trump & Co.’s cuts to health care and research • Alan Beattie @alanbeattie.bsky.social tries to make sense of Trump’s nonsensical trade policy www.leftbusinessobserver.com/Radio.html#S...

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Reposted by Adam Gaffney

Julia Raifman, ScD @juliaraifman.bsky.social · 05/07/2025

May this heartbreaking moment prompt us to come together around a vision of a health care system better for patients, providers, & public health Single payer is more effective, equitable, & efficient Thanks @abdulelsayed.bsky.social @awgaffney.bsky.social @nationalnurses.bsky.social & more for ⬇️

budget.senate.gov

Medicare for All: Protecting Health, Saving Lives, Saving Money | U.S. Senate Committee On The Budget

The Official U.S. Senate Committee On The Budget

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Adam Gaffney @awgaffney.bsky.social · 29/06/2025

The reconciliation bill barreling forward in Congress towards Trump’s desk will inflict thousands of medically-preventable deaths annually to pay for tax cuts for the wealthy. This is a horrifying assault on the health, medical care, and lives of our lower-income patients.

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Reposted by Adam Gaffney

MedPage Today @medpagetoday.com · 23/06/2025

"Consider the mortality impacts of this legislation, which would save money mostly for the purpose of tax cuts for the wealthy." -- @awgaffney.bsky.social, of Cambridge Health Alliance, on estimated preventable deaths from #Medicaid cuts. www.medpagetoday.com/publichealth...

medpagetoday.com

Proposed Medicaid Cuts Would Result in Thousands of Preventable Deaths, Study Finds

Study also shows 1.3 million would forego their medications after losing coverage

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Reposted by Adam Gaffney

Adam Gaffney @awgaffney.bsky.social · 16/06/2025

Our study examining health impacts — including deaths — from Medicaid cuts was just published in the Annals of Internal Medicine Overall, the Big, Beautiful Bill Act could lead to more than 16,500 medically-preventable deaths due to these cuts 🧵 www.acpjournals.org/doi/10.7326/...

acpjournals.org

Projected Effects of Proposed Cuts in Federal Medicaid Expenditures on Medicaid Enrollment, Uninsurance, Health Care, and Health | Annals of Internal Medicine

In January 2025, the Republican majority in the House of Representatives’ Budget Committee offered a list of possible spending reductions to offset revenue losses from proposed tax cuts. In May, the C...

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Reposted by Adam Gaffney

Public Citizen @publiccitizen.bsky.social · 17/06/2025

The Medicaid cuts in Trump's budget bill are projected to cause more than 16,500 premature deaths ANNUALLY. Over 1.9 MILLION people could lose access to a physician. Over 1.3 MILLION people could go without needed medications. Americans will die for billionaires to thrive.

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Reposted by Adam Gaffney

STAT @statnews.com · 16/06/2025

Medicaid cuts could result in more than 16,000 preventable deaths annually The cuts would also result in 7.6 million people losing coverage www.statnews.com/2025/06/16/m...

statnews.com

Medicaid cuts could result in more than 16,000 preventable deaths annually

Health care proposals in the One Big Beautiful Bill Act could lead to more than 16,000 preventable deaths, a new analysis finds.

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Adam Gaffney @awgaffney.bsky.social · 20/06/2025

.@bostonreview.bsky.social has a forum asking "How Did We Fare on COVID-19", centered on Macedo & Lee's critique of our pandemic response — with responses from @cailinmeister.bsky.social & James Owen, @adamjkucharski.bsky.social, @jonathanpjwhite.bsky.social, and myself. Interesting discussion...

bostonreview.net

How Did We Fare on COVID-19? - Boston Review

To restore public trust and prepare for the next pandemic, we need a reckoning with the U.S. experience—what worked, and what didn’t.

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Reposted by Adam Gaffney

Sarah Gollust @sarahgollust.bsky.social · 18/06/2025

Using original survey data from April, @povertyscholar.bsky.social and I demonstrate three key themes about public opinion about Medicaid: 1) people support the program -- including across red (74%) and blue (78% states) {thread}

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Adam Gaffney @awgaffney.bsky.social · 16/06/2025

acpjournals.org

Projected Effects of Proposed Cuts in Federal Medicaid Expenditures on Medicaid Enrollment, Uninsurance, Health Care, and Health | Annals of Internal Medicine

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Reposted by Adam Gaffney

Ed Cara @edcara.bsky.social · 16/06/2025

“If Congress passes this law, it is saying quite clearly that the health and the lives of the poor matter less than the bank balances of the wealthy.” @awgaffney.bsky.social on his new study showing the health impacts that will come from Trump's "big beautiful bill." gizmodo.com/trumps-big-b...

gizmodo.com

Trump's 'Big Beautiful Bill' Will Literally Kill, Study Warns

Millions of Americans are expected to lose their Medicaid coverage under the current version of the bill, and many will suffer or die as a result, a new analysis shows.

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Adam Gaffney @awgaffney.bsky.social · 20/04/2025

🚨3 medical journals have received letters from federal prosecutors questioning their editorial processes.🚨 Medscape first covered this — my response below — now in multiple publications. www.medpagetoday.com/special-repo...

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Adam Gaffney @awgaffney.bsky.social · 20/04/2025

A new study confirms that Medicaid work requirement take away people's healthcare with zero effect on employment. This confirms earlier studies of Sommers et al. with a much larger survey (ACS). I put key results for Arkansas in figure below; the DiD results are consistent. 1/X

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Reposted by Adam Gaffney

MedPage Today @medpagetoday.com · 18/04/2025

A federal prosecutor sent a letter to the @accpchest.bsky.social editor-in-chief, probing whether the publication is "partisan" when it comes to "various scientific debates." @awgaffney.bsky.social www.medpagetoday.com/special-repo...

medpagetoday.com

Medical Journals Get Letters From DOJ

At least three journals received letters from a U.S. Attorney asking about 'competing viewpoints'

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Adam Gaffney @awgaffney.bsky.social · 02/04/2025

From reporting I’ve seen, at least 3 essential federal health surveys are at risk of being destroyed by cuts: (1) Medical Expenditure Panel Survey (MEPS) (2) Pregnancy Risk Assessment Monitoring System (PRAMS) (3) National Survey of Drug Use and Health (NSDUH) Are there others?

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Reposted by Adam Gaffney

Adam Gaffney @awgaffney.bsky.social · 01/04/2025

Members of the Harvard faculty, we must not mince our words. This is an authoritarian, McCarthyite assault on academic freedom. This is repression & this is blackmail by a thuggish, corrupt, & law-breaking regime. Craven capitulation will only invite more repression. Fight back.

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Adam Gaffney @awgaffney.bsky.social · 01/04/2025

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Adam Gaffney @awgaffney.bsky.social · 30/03/2025

I do not feel that it is hysterical overreach to label this form of virulent, unhinged xenophobic rhetoric & policy — coming from the very top of the US government — a species of fascism.

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Adam Gaffney @awgaffney.bsky.social · 20/03/2025

Have not read "Abundance" yet, but the essay I wrote for Phenomenal World last year critiqued a supply-side "abundance"-oriented vision for healthcare. Central to argument is that for services whose basic value rests fundamentally on time spent delivering them —e.g. healthcare

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