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DJ Smithers

@djsmithers.bsky.social
212 followers 247 following 128 posts

Medicine resident and incoming research fellow in health policy at Harvard/Brigham & Women’s. Probably out running.

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Reposted by DJ Smithers
Democracy Now! @democracynow.org · 19/02/2025
A little announcement on the show today: It's our 29th birthday! 🎂
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Victor Ray @victorerikray.bsky.social · 19/02/2025
I recommend this podcast, which includes interviews with fired federal workers. It does a good job capturing the personal cost of handing the government over to power-hungry sociopaths who don’t believe in competent governance. podcasts.apple.com/us/podcast/t...
podcasts.apple.com
Inside the Trump Purge: Federal Workers Tell Their Stories
Podcast Episode · The Daily · 02/19/2025 · 28m
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DJ Smithers @djsmithers.bsky.social · 18/02/2025
Yeah, these takes give away just how little someone understands about healthcare. Nursing is a fundamentally human-centric role. Eg, inpatient they’re the most familiar with who patients are, what they typically look like, etc. They’re the eyes and ears for entire teams. That can’t be AI-ed.
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Rolling Stone @rollingstone.com · 18/02/2025
“There are currently four people remaining over there to do the work of 15 people. The danger to the national airspace can’t be understated." "This is a very real threat to the American flying public.” EXCLUSIVE ⤵️
rollingstone.com
FAA Employees Say Trump and Musk's Purge Is a 'Threat' to Air Safety
Donald Trump and Elon Musk fired hundreds of Federal Aviation Administration employees. The administration argues it won’t affect air safety.
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DJ Smithers @djsmithers.bsky.social · 18/02/2025
Reading @chrislhayes.bsky.social’s The Sirens’ Call and @superwuster.bsky.social’s The Attention Merchants not to help me quit social media, but instead to have a higher brow inner monologue about why I should feel bad for being perpetually online
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Emily Moin @emilymoin.com · 16/02/2025
It's a horrendous flu season. It's killing kids, it's killing adults. It's killing people who were perfectly healthy before and people who, like most Americans, have chronic illness. It costs NOTHING to keep existing resources available. Our government is spending money to make Americans sicker.
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Zaven Sargsyan @sargsyanz.bsky.social · 18/02/2025
In most people with cirrhosis, acetaminophen (up to 2g/day) is a safer analgesic than NSAIDs (kidneys, GI mucosa) or opioids (CNS function, gut motility) Spreading the word from @shreyatrivedimd.bsky.social @ebtapper.bsky.social
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Beth Popp Berman @epopppp.bsky.social · 18/02/2025
1/ I am seeing a lot of comments on the slashing of NIH support along the lines of “universities should just spend their huge endowments.” I’m the last person to cheer on the institutional stratification rising endowments have contributed to. But let me explain why this is not a solution.
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Arrianna Marie Planey, PhD MA @arrianna-planey.bsky.social · 14/02/2025
Medicaid "work requirements" do not work. They are a form of administrative burden that reduces Medicaid's effectiveness at increasing the insured rate while increasing churn, which the knock-on effects of delayed and forgone care & medical debt www.ncbi.nlm.nih.gov/pubmed/32897...
ncbi.nlm.nih.gov
Medicaid Work Requirements In Arkansas: Two-Year Impacts On Coverage, Employment, And Affordability Of Care - PubMed
In June 2018 Arkansas became the first US state to implement work requirements in Medicaid, requiring adults ages 30-49 to work twenty hours a week, participate in "community engagement" activities, o...
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Jeremy Faust, MD @jeremyfaust.bsky.social · 14/02/2025
Major news: Entire first-year class of the Epidemic Intelligence Service must be out by 5pm, sources say. Also: a major CDC contractor "just let go." Others may follow. This is an attack on our ability to detect outbreaks. More, with quotes from CDC officials: open.substack.com/pub/insideme...
open.substack.com
News: Half of CDC "disease detectives" terminated. DOGE takes aim at US disease surveillance.
Entire first-year class of the Epidemic Intelligence Service must be out by 5 p.m., sources say. Also: a major CDC contractor "just let go," and others may follow.
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Ed @notdred.bsky.social · 14/02/2025
If there’s a Disease X outbreak in the next four (or more?) years we literally will be flying blind, we just fired the people who would have tracked it
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Erin Reed @erininthemorning.com · 09/02/2025
They are going to ignore court orders. If they ignore court orders, the social contract is dead and buried, the constitution is no longer in effect. It's a rubicon that cannot be uncrossed.
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Elizabeth Wrigley-Field @wrigleyfield.bsky.social · 09/02/2025
Here are some facts about "facilities and administrative" (F&A) costs, what we in the business call "indirects" and what Musk is calling "overhead" as he tries to convince Americans with being ok with cutting billions on dollars from medical and public health research at universities & hospitals 1/
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Carl T. Bergstrom @carlbergstrom.com · 08/02/2025
1. Today the NIH director issued a new directive slashing overhead rates to 15%. I want to provide some context on what that means and why it matters. grants.nih.gov/grants/guide...
grants.nih.gov
NOT-OD-25-068: Supplemental Guidance to the 2024 NIH Grants Policy Statement: Indirect Cost Rates
NIH Funding Opportunities and Notices in the NIH Guide for Grants and Contracts: Supplemental Guidance to the 2024 NIH Grants Policy Statement: Indirect Cost Rates NOT-OD-25-068. OD
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Pam Herd @pamherd.bsky.social · 07/02/2025
I'm not sure how to explain how financially devastating this will be for universities. This is, literally, catastrophic for universities and for science in the United States.
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Miranda Yaver @mirandayaver.bsky.social · 05/02/2025
It's hard to keep track of all the awfulness, but Idaho has introduced a massive attack on Medicaid, proposing the elimination of Medicaid expansion if they don't impose a work requirement, cap enrollment to 50k, and restrict benefits to being for only up to 3 years open.substack.com/pub/miranday...
open.substack.com
Draconian Medicaid Cuts Proposed in Idaho
In one of many recent attacks on health care access, in Idaho’s House Bill 138, Rep.
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Pam Herd @pamherd.bsky.social · 05/02/2025
And let's be clear that Medicare 'fraud' is largely done by health insurance companies (e.g. Medicare Advantage plans) and health care executives (e.g. Rick Scott). www.nytimes.com/2022/10/08/u...
nytimes.com
‘The Cash Monster Was Insatiable’: How Insurers Exploited Medicare for Billions (Published 2022)
By next year, half of Medicare beneficiaries will have a private Medicare Advantage plan. Most large insurers in the program have been accused in court of fraud.
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Cynthia Cox @cynthiaccox.bsky.social · 31/01/2025
CDC's Youth Risk Behavior Survey (YRBS) -- which, since 1990, has tracked high school students' behaviors that can influence health and social outcomes (like smoking, drug use, and dietary habits) -- is now offline
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Charles Ornstein @charlesornstein.bsky.social · 31/01/2025
This is a big deal, y'all. Federal health websites are being stripped of content or removed in their entirety. Stick with this thread for a look at what's disappeared so far! 1/x
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Adam Gaffney @awgaffney.bsky.social · 13/01/2025
It’s true that there are health policy tradeoffs in many arenas. But one thing that is not a tradeoff is our decision, in the US, to punish the sick: Deductibles, copays, coinsurance, “medical debt”, medical bankruptcy are socially useless, socially harmful, policy decisions.
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DJ Smithers @djsmithers.bsky.social · 13/01/2025
"commissioners in climate disaster–prone states...have favored overly lenient regulation of insurers in terms of the adequacy of their loss reserves, in order to encourage them to keep providing insurance at all" prospect.org/blogs-and-ne...
prospect.org
The Next Financial Crisis: Insurance
Today on TAP: Increasing damage from fires, hurricanes, and floods will destabilize a lightly regulated industry—and spill over into broader financial markets.
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Larry Levitt @larrylevitt.bsky.social · 13/01/2025
$2.3 trillion in Medicaid spending cuts reportedly being considered by Republicans represents 31% of projected federal Medicaid spending over the next decade. @robinr.bsky.social www.kff.org/quick-take/h...
kff.org
House GOP Eyeing Cuts of Nearly One-Third in Projected Medicaid Spending
House Republicans are considering deficit reductions of $5.5 trillion, which includes $2.3 trillion cuts in Medicaid… Cuts of this magnitude would put states at financial risk, forcing them to raise n...
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Defend Public Health @defendpublichealth.bsky.social · 11/01/2025
There are and will be many public health issues to defend in the coming years. We can all have an impact individually, and we can have a greater impact working together.
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Defend Public Health @defendpublichealth.bsky.social · 10/01/2025
Hello BlueSky! We are a grassroots organization of thousands of public health professionals who are dedicated to sharing evidence-based public health science. We will post about our actions here and let you know how you can get involved. We look forward to interacting with you! Stay tuned.
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Adrianna McIntyre @adrianna.bsky.social · 10/01/2025
The GOP's "menu" of reconciliation pay-fors (via Politico) makes it clear that cost-savings aren't possible without deep cuts to Medicaid — these big-ticket proposals will both hurt beneficiaries *and* piss off governors. www.politico.com/f/?id=000001...
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DJ Smithers @djsmithers.bsky.social · 30/12/2024
Related to this post: we should really start emphasizing that dc summaries are not just useful for continuity of care post-discharge, but also help learners refine their management reasoning. Writing a good dc summary helps the writer refresh what did and didn’t go well during the hospitalization.
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lastpositivist.bsky.social @lastpositivist.bsky.social · 30/12/2024
I once naively thought that since child mortality was so much higher back in the day people would be inured to it. But reading the Stoic philosophers (Epictetus and Marcus Aurelius in particular) made it apparent: no, it was experienced as fully devastating, it took immense fortitude just to go on.
Grief fills the room up of my absent child,
Lies in his bed, walks up and down with me,
Puts on his pretty looks, repeats his words, 
Remembers me of all his gracious parts,
Stuffs out his vacant garments with his form;
Then, have I reason to be fond of grief?
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Daniel S. Goldberg @profgoldberg.bsky.social · 28/12/2024
It never ceases to amaze my colleagues from elsewhere around the world when they understand there is NO, repeat, NO federal funding mechanism for humanities research. None. My colleagues on health sciences campuses also don’t really understand this, IME. H/t @djvanness.bsky.social
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Laine Nooney @ 🔥🗑️🔥 @lainenooney.bsky.social · 30/12/2024
omg a student somehow accidentally wrote an email addressed to a faculty-wide NYU listserv and my inbox is now a master class on who understands the difference between a listserv and an email chain
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Gregg Gonsalves @gregggonsalves.bsky.social · 30/12/2024
"In the first half of the 19th century, between 40% and 50% of children in the U.S. didn’t live past the age of 5." @aktange.bsky.social theconversation.com/infectious-d...
theconversation.com
Infectious diseases killed Victorian children at alarming rates — their novels highlight the fragility of public health today
Between 40% and 50% of children didn’t live past 5 in the US during the 19th century. Popular authors like Charles Dickens documented the common but no less gutting grief of losing a child.
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Noelle Sullivan Ph.D @noellesullivan.bsky.social · 24/12/2024
So many problems with this story. Health insurers denying care for profit. GoFundMe using people's strife as a profit-making machine. All while we tolerate utterly inadequate social safety nets. As @kenworthy.bsky.social's latest book reminds us, there are costs. mitpress.mit.edu/978026254803...
mitpress.mit.edu
Crowded Out
An eye-opening investigation into charitable crowdfunding for healthcare in the United States—and the consequences of allowing healthcare access to be deci...
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DJ Smithers @djsmithers.bsky.social · 26/12/2024
May everyone’s coffee be strong, fireplaces warm, conversation inviting, and reading engaging. Happy holidays!
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Olúfẹ́mi O. Táíwò @olufemiotaiwo.bsky.social · 24/12/2024
US: what stage of imperial decline u at? France: I dunno lol maybe 3rd or 4th, you? US: you are like a little baby. Watch this
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Arrianna Marie Planey, PhD MA @arrianna-planey.bsky.social · 24/12/2024
“Race is not a biological category that naturally produces health disparities because of genetic differences. Race is a political category that has staggering biological consequences because of the impact of social inequality on people’s health.” — Dorothy E. Roberts, Fatal Intervention (pp 11)
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DJ Smithers @djsmithers.bsky.social · 22/12/2024
Class conflict acceleration via bourgeois fashion faux pas
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Stefan Marciniak @profmarciniak.bsky.social · 22/12/2024
Saw lots of respiratory patients this weekend, none of whom will have to pay a penny directly 🇬🇧❤️ “Illness is neither an indulgence for which people have to pay, nor an offence for which they should be penalised, but a misfortune, the cost of which should be shared by the community” Nye Bevan
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DJ Smithers @djsmithers.bsky.social · 22/12/2024
Last day of five 65+ hour weeks on the liver transplant team. Utterly exhausted.
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Jess Calarco @jessicacalarco.com · 20/12/2024
We tend to think of anti-vaxxers as affluent, White, crunchy granola-type moms. But that stereotype ignores how precarity creates vulnerability to anti-vaxx messaging. Take Tara, whose daughter had a sudden shift in temperament not long after a routine vaccine. 🧵1/ open.substack.com/pub/jesscala...
open.substack.com
The Lie That Won't Die
Why We're Still Talking About Autism and Vaccines
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Seth Trueger @mdaware.org · 20/12/2024
"work requirements" are a bullshit way to add administrative barriers so it's too hard for people who should get benefits to get them
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Miranda Yaver @mirandayaver.bsky.social · 20/12/2024
I just submitted a comment on this awful proposal to impose Medicaid work requirements in Ohio. These requirements do not increase employment, but result in enrollment reductions due to the administrative burdens of demonstrating compliance. Bad policy! dam.assets.ohio.gov/image/upload...
dam.assets.ohio.gov
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DJ Smithers @djsmithers.bsky.social · 20/12/2024
Reviewer #2 A reviewer in a high-profile submission faces a serious moral dilemma…one that could sway the journal to reject or accept the paper with minor revisions
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David Brady @davebrady72.bsky.social · 20/12/2024
Work requirement for Medicaid in GA results in $ going to admin and not actual benefits. Policymaking by other means… www.nytimes.com/2024/12/18/u...
nytimes.com
Senators Call for Inquiry Into Georgia’s Medicaid Work Requirement Program
A group of Democratic lawmakers accused Georgia Pathways to Coverage, the only Medicaid work requirement program in the country, of spending little of its funding on health benefits.
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Will Ford @willford.bsky.social · 18/12/2024
More than anything in my life, becoming a doctor has convinced me that there are limits to the amounts of wealth any individual should have, and it is just immoral to have more than that.
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Joshua J. Friedman @joshuajfriedman.com · 19/12/2024
(tearfully salutes)
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