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Joshua Sharfstein

@drjoshs.bsky.social
1.5K followers 191 following 121 posts

Posting on public health topics … some interesting photos if I manage to take them … & occasionally the Baltimore Orioles.

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Reposted by Joshua Sharfstein
Azra Bihorac @azrabihorac.com · 29/09/2026
Joshua, thank you. Hands down, this is one of the best analyses of the topic; I featured it today in The Standing Order. California is writing one of your conditions of use into law this week. nonalgorithmic.com/2026/09/29/s...
nonalgorithmic.com
Who sets the rules of engagement for AI agents? California’s SB 903 and a regulator’s first principles
California’s SB 903 lets an AI score a screening questionnaire, but not decide what the score means.
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Joshua Sharfstein @drjoshs.bsky.social · 28/09/2026
How should FDA -- if at all -- consider drug pricing in its regulatory actions? Caleigh Propes and I propose a framework in the Journal of Health Politics, Policy and Law. This all started with a friendly debate in early 2025 with @scottgottliebmd.bsky.social read.dukeupress.edu/jhppl/articl...
read.dukeupress.edu
Rethinking the Firewall: Considering Drug Costs in the FDA's Regulatory Policies | Journal of Health Politics, Policy and Law | Duke University Press
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Joshua Sharfstein @drjoshs.bsky.social · 25/09/2026
This week, in @jamahealthforum.com, I tackle the question of regulating AI agents in medicine ... Spoiler alert: I am not calling for treating them like human clinicians. jamanetwork.com/journals/jam...
jamanetwork.com
Overseeing Agentic AI in Medicine From First Principles
This JAMA Forum discusses the use of artificial intelligence (AI) agents in health care, the need for regulation based on risk, and ways to share responsibility and adapt quickly.
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Joshua Sharfstein @drjoshs.bsky.social · 24/09/2026
More evidence of the (preventable) expense of measles outbreaks. www.cidrap.umn.edu/measles/meas... @cidrap.bsky.social
cidrap.umn.edu
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Public Health On Call Podcast @publichealthpod.bsky.social · 14/09/2026
In August, Meta agreed to pay up to $17.1 billion over claims that it harmed children by fostering unhealthy digital habits. @drjthrul.bsky.social and Tamar Mendelson discuss what comes next and what parents should take away from the settlement. 🎧 podcast.publichealth.jhu.edu/meta-settled...
Promo graphic for episode 1105 of Public Health On Call titled Meta Settles Case Over Social Media Addiction Claims. Additional text reads: An addiction researcher and an expert in adolescent mental health explain what comes next.
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Reposted by Joshua Sharfstein
ProPublica @propublica.org · 14/09/2026
In states with abortion bans, medical providers are hesitating or flat-out refusing to terminate ectopic pregnancies, lawsuits allege. “I genuinely thought I was going to die,” said Kyleigh Thurman, who couldn’t get care in Texas.
propublica.org
Ectopic Pregnancy Deaths Have Nearly Doubled. It’s Worse in States With Abortion Bans.
With prompt and appropriate medical care, experts say, people shouldn’t die from an ectopic pregnancy. Women in Texas and Oklahoma have sued over delays in care, which, coupled with our new analysis, ...
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ABC News Australia @news.abc.net.au · 27/08/2026
Twenty years on from Gardasil vaccine launch, Australia on track to eliminate cervical cancer
abc.net.au
Australia on track to eliminate cervical cancer 20 years on from vaccine launch
Twenty years on from the launch of the world-first vaccine against cervical cancer, Australian Immunisation Register data shows HPV vaccine coverage for girls and girls is dropping.
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Phil Lewis @phillewis.bsky.social · 25/08/2026
Two people have died in Pennsylvania from measles, the state health department said. Both were unvaccinated. These the first deaths related to measles within the state in 35 years, it reports
abcnews.com
2 people die from measles in Pennsylvania
Two people have died in Pennsylvania from measles, the state health department said Tuesday.
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Joshua Sharfstein @drjoshs.bsky.social · 23/08/2026
My brother weighs in on the housing crisis! We Know How to Solve the Housing Crisis. We Just Have to Remember. www.nytimes.com/2026/08/23/o...
nytimes.com
Opinion | How to Fix the Housing Crisis: Look to WWII
World War II proves the government can intervene directly to fix the housing crisis.
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Reposted by Joshua Sharfstein
Public Health On Call Podcast @publichealthpod.bsky.social · 20/08/2026
Pilots and flight attendants can be exposed to dangerous levels of cosmic radiation over their careers. A new report from the @nationalacademies.org urges action, including guidance for airline safety programs and new ways to measure hazards. 🎧 podcast.publichealth.jhu.edu/the-workplac...
Promo graphic for episode 1095 of Public Health On Call titled The Workplace Hazard of Radiation—For Flight Crews. Additional text reads: Cosmic radiation could be increasing health risks for pilots and flight attendants. A new report urges action.
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Reposted by Joshua Sharfstein
Public Health On Call Podcast @publichealthpod.bsky.social · 14/08/2026
In the latest move to alter the childhood vaccine schedule, the president has signed an executive order seeking to restructure routine immunizations. @drjoshs.bsky.social explains what's in the executive order, what it means, and what comes next. 🎧 podcast.publichealth.jhu.edu/the-executiv...
Promo graphic for episode 1092 of Public Health on Call titled The Executive Order on Childhood Vaccines. Additional text reads: Dr. Josh Sharfstein on what's in the executive order, what it means, and what comes next.
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Citizen Cohn / Jonathan Cohn @citizencohn.bsky.social · 12/08/2026
This @drjoshs.bsky.social segment on MS NOW is such a calm, smart and respectful explanation of the science and why vaccines are so important It's kind of thing you can send to friends and family with questions or doubts, as a corrective to [sigh] what they might be hearing from the White House
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Reposted by Joshua Sharfstein
Citizen Cohn / Jonathan Cohn @citizencohn.bsky.social · 12/08/2026
For more on Trump's promotion of vaccine misinformation -- including thoughts from the very same @drjoshs.bsky.social among others -- you can read my latest at @thebulwark.com www.thebulwark.com/p/vaccine-li...
thebulwark.com
Vaccine Lies, Direct from the Oval Office
“Nothing bad can happen,” Trump says—as measles levels keep rising.
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Joshua Sharfstein @drjoshs.bsky.social · 12/08/2026
Thanks to MS Now for the chance yesterday evening to talk about the recent vaccine executive order. @weeknightmsnow.bsky.social www.youtube.com/watch?si=Z2V...
youtube.com
'Pulled out of thin air': Pediatrician sounds alarm on Trump's dangerous new vaccine guidance
YouTube video by MS NOW
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Reposted by Joshua Sharfstein
Tedros Adhanom Ghebreyesus @drtedros.who.int · 12/08/2026
Every parent wants to keep their children safe, and vaccines are among the most powerful tools for doing that, making deadly diseases preventable.
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The American Academy of Pediatrics @ameracadpeds.bsky.social · 10/08/2026
A statement from AAP President Dr. Andrew Racine on today’s executive order on U.S. childhood vaccines: www.aap.org/en/news-room...
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Reposted by Joshua Sharfstein
IDSA @idsainfo.bsky.social · 11/08/2026
At a time when measles outbreaks are already threatening communities across the country, making vaccination more complicated and burdensome risks leaving more children vulnerable. Our response to the vaccine executive order: www.idsociety.org/news--public...
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Sarah Gollust @sarahgollust.bsky.social · 08/08/2026
Finally, do you also want the joy of holding a hard copy issue of @jhppl.bsky.social? Did you know you could order all six issues annually in print and online for just $66 (for students is only $39)? WHAT A BARGAIN. Subscribe here: dukeupress.edu/jhppl
dukeupress.edu
Journal of Health Politics, Policy and Law
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ProPublica @propublica.org · 06/08/2026
The rate of sepsis in Houston surged 63% after Texas banned abortion. In the Dallas-Fort Worth area, where hospital leaders empowered doctors to intervene before patients’ conditions worsened, it rose 29%. (Published May 2025)
propublica.org
Why Hospital Policies Matter in States That Ban Abortion
Our first-of-its-kind data analysis found that a seismic split emerged in how medical institutions in Texas' two largest metro areas, Houston and Dallas, treated miscarrying patients — and in their ou...
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Reposted by Joshua Sharfstein
Joan Alker @joanalker1.bsky.social · 06/08/2026
We’ve update our Medicaid enrollment tracker and the news for children isn’t good. Since January 2025 there has been a shocking drop of 2.3 million kids enrolled in Medicaid/CHIP. This means the child uninsured rate is likely going up.
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Jean Marbella @jeanmarbella.bsky.social · 05/08/2026
I feel sick
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Deb Houry @drdebhoury.bsky.social · 05/08/2026
We spend more on health care than any other country yet still reward treatment more than prevention and keeping people healthy. This new @nam.edu report identifies 12 levers to better align financing with prevention, outcomes, and population health. doi.org/10.31478/202...
doi.org
Anchoring Health Financing on Better Outcomes: System Drivers and Opportunities for Reform
The National Academy of Medicine convened an expert working group to review the landscape of health system financial incentives, identify key drivers of misalignment, and take stock of policy and prog...
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Reposted by Joshua Sharfstein
Public Health On Call Podcast @publichealthpod.bsky.social · 03/08/2026
In June, the FDA convened an advisory committee to discuss whether seven selected peptides should be permitted for legal sale. @drjoshs.bsky.social explains what's happening and what it may mean for consumers and patients. 🎧 podcast.publichealth.jhu.edu/the-peptide-...
Promo graphic for episode 1086 of Public Health On Call titled The Peptide Episode. Additional text reads: An FDA advisory committee has recommend loosening restrictions on six peptides. Dr. Josh Sharfstein explains what this may mean for consumers and patients.
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Reposted by Joshua Sharfstein
The New York Times @nytimes.com · 03/08/2026
To help prevent heat-related deaths, the French government has asked postal workers to check in on older people.
nyti.ms
As France’s Elders Swelter in the Heat, Postal Workers Come to the Rescue
To help prevent heat-related deaths, the French government has asked postal workers to check in on older people.
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Joshua Sharfstein @drjoshs.bsky.social · 29/07/2026
It is appalling that the State of Tennessee is poised to pull hundreds of children off of ventilators, stop their chemotherapy, etc. as a result of an apparently unintended consequence of state immigration law. Learn what's happening in this podcast @ameracadpeds.bsky.social
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Joshua Sharfstein @drjoshs.bsky.social · 15/07/2026
New: Bipartisan hepatitis C legislation introduced in the House by Reps. Miller-Meeks, DeGette, Johnson, and Bacon. Senate version led by Sen. Cassidy and Sen. Van Hollen. The bill would cure >1 million Americans of a lethal infection and save taxpayers $$$. millermeeks.house.gov/sites/evo-su...
millermeeks.house.gov
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Reposted by Joshua Sharfstein
The American Academy of Pediatrics @ameracadpeds.bsky.social · 14/07/2026
The vitamin K shot provides reliable, long-lasting protection with a single dose. One shot at birth offers the best protection during a baby's most vulnerable first months of life. Learn more about the importance of vitamin K at birth: www.aap.org/en/news-room...
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Reposted by Joshua Sharfstein
ProPublica @propublica.org · 12/07/2026
Washington law requires the state medical board to notify the media when an investigation into a doctor leads to formal charges. A review by @kuow.org and ProPublica found the board often waits to do so for months while the doctor continues to practice.
propublica.org
Washington Law Says to Alert the Public When Doctors Are Accused of Misconduct. It Can Take Months.
In the case of Mark Mulholland, who was repeatedly accused of sexual misconduct, the board waited six weeks to announce that it had filed charges. He was allowed to keep seeing patients during that ti...
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Joshua Sharfstein @drjoshs.bsky.social · 11/07/2026
Reading about the incredible career and tragic early death of Dr. Maura Gillison, l remembered she was the senior resident on my first rotation of medical school. She knew everything, cared deeply for our patients, and taught us with kindness. cancerletter.com/obituary/202...
cancerletter.com
Maura Gillison, who identified the role of HPV in head and neck cancer, changing the standard of care, dies at 61 - The Cancer Letter
Maura L. Gillison, MD, PhD, a medical oncologist and molecular epidemiologist whose work changed the standard of care for head and neck cancer by distinguishing human papillomavirus-positive from HPV-...
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Joshua Sharfstein @drjoshs.bsky.social · 05/07/2026
Both Justice Roberts and Justice Jackson cited Professor Martha Jones’ fantastic book, Birthright Citizens. Re-upping our podcast with her from last year @publichealthpod.bsky.social podcast.publichealth.jhu.edu/850-the-hist...
podcast.publichealth.jhu.edu
Public Health On Call: 850 - The History of Birthright Citizenship in the U.S.
About this episode: In 1868, the 14th Amendment established birthright citizenship in the United States. In this episode: a look at the court cases, historical events, and people that shaped one of th...
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Reposted by Joshua Sharfstein
Johns Hopkins Bloomberg School of Public Health @johnshopkinssph.bsky.social · 02/07/2026
Waving our public health flags (please don't try this at home)
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Mel Brooks @officialmelbrooks.bsky.social · 01/07/2026
Thank you so much for all of your happy birthday wishes. Honestly, I don’t really feel 100. I feel pretty good. I feel like I’m only 98!
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Atheendar Venkataramani @atheendar.bsky.social · 26/06/2026
This is perhaps the most impressive #medical study I have seen in years: www.nature.com/articles/s41... It will save a lot of lives.
nature.com
An ECG biomarker for sudden cardiac death discovered with deep learning - Nature
A deep-learning model trained on electrocardiogram (ECG) waveforms identifies an easily visible biomarker that predicts sudden cardiac death more accurately than the current clinical state of the art.
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Citizen Cohn / Jonathan Cohn @citizencohn.bsky.social · 21/06/2026
NEW at @thebulwark.com Ron DeSantis wanted to erase Pride symbols all across Florida Miami Beach said no f***ing way www.thebulwark.com/p/how-a-flor...
thebulwark.com
How a Florida City Saved Its Pride Symbol from MAGA Erasure
Ron DeSantis met his match in a coalition of LGBTQ activists and straight city commissioners who refused to be bullied.
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Joshua Sharfstein @drjoshs.bsky.social · 19/06/2026
I agree with @scottgottliebmd.bsky.social here on the path to fixing FDA. It starts with recognizing how FDA really works. jamanetwork.com/journals/jam...
jamanetwork.com
Making the FDA Great Again
This JAMA Forum discusses staffing and policy changes at the US Food and Drug Administration (FDA) over the past year.
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Reposted by Joshua Sharfstein
Nicole Santa Cruz @nicolesantacruz.bsky.social · 17/06/2026
The number of children receiving SNAP has dropped by more than 776,000 after Trump changes to the program: www.propublica.org/article/snap...
propublica.org
More Than 770,000 Children Are No Longer Receiving SNAP Benefits After Trump Changes Federal Food Program
Republican backers of Trump’s signature domestic policy bill repeatedly claimed that revisions to the food benefits program wouldn’t affect the most vulnerable. But reports from a dozen states show ch...
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Joshua Sharfstein @drjoshs.bsky.social · 17/06/2026
I am so sad to read about the passing of Joni Holifield. She gave so many young people in Baltimore a reason to believe. Her memory should inspire us all. app.thebaltimorebanner.com/PV7SAX32FJDI...
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Gregg Gonsalves @gregggonsalves.bsky.social · 15/06/2026
The @nejm.org comes out swinging against OMB's new proposed rule putting all federal grant making including science under political control. www.nejm.org/doi/full/10....
nejm.org
The OMB and the Politicization of Science | NEJM
The Editors highlight three aspects of OMB’s recently proposed rule changes as particularly striking: that decisions on research funding would be made by political appointees, that funding could be...
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Joshua Sharfstein @drjoshs.bsky.social · 15/06/2026
What would it take for the HHS both to have a strong and ambitious leader *and* to operate effectively? My thoughts in @jamahealthforum.com -- jamanetwork.com/journals/jam...
jamanetwork.com
Making HHS Great to Advance Health in the US
This JAMA Forum discusses spending, recent cuts to funding and programs, and sweeping goals of the US Department of Health and Human Services (HHS) and the subagencies it oversees.
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Joshua Sharfstein @drjoshs.bsky.social · 10/06/2026
If Michael Cannon and Liz Fowler agree on something in health policy … it’s worth a listen. Check out their conversation on the @publichealthpod.bsky.social podcast.publichealth.jhu.edu/an-unlikely-...
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Public Health On Call Podcast @publichealthpod.bsky.social · 03/06/2026
An annual report from the Safeguarding Health in Conflict Coalition assesses attacks on healthcare facilities and workers. As drone warfare surges and state forces increasingly perpetrate attacks, what are the implications for humanitarian law? 🎧 podcast.publichealth.jhu.edu/violence-aga...
Promo graphic for episode 1059 of Public Health On Call titled Violence Against Healthcare in Conflict: 2025 Report. Additional text reads: An annual report from the Safeguarding Health in Conflict Coalition assesses attacks on healthcare facilities and workers in conflict.
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Alec MacGillis @alecmac.bsky.social · 01/06/2026
One factor in the recent homicide decline was the Biden admin's clampdown on gun trafficking. Now, the Trump admin is pulling back on several fronts, raising odds that the flow of illegal guns will rise, with ill effects down the line. My latest @propublica.org: www.propublica.org/article/how-...
propublica.org
“No One Is Watching”: How Trump Reversed Biden’s Crackdown on Gun Trafficking
After Biden clamped down on the flow of illegal guns, Trump has referred fewer ATF trafficking charges for prosecution, eased up on irresponsible gun shops and shifted hundreds of ATF agents to immigr...
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Citizen Cohn / Jonathan Cohn @citizencohn.bsky.social · 30/05/2026
"This is the epicenter of the Ebola outbreak in the Democratic Republic of Congo, and the front line is completely overwhelmed." A devastating portrait -- and urgent call for help -- from @declanwalsh.bsky.social and Arlette Bashizi www.nytimes.com/2026/05/30/w...
nytimes.com
Inside the Ebola Epicenter, the Virus Rages With Little to Stop It
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Joshua Sharfstein @drjoshs.bsky.social · 29/05/2026
"Essential reading for anyone committed to healing in the digital age" Thanks to Dr. Dava Wilson for her review of our book Information Sick! Read the review: www.socialworker.com/feature-arti... Get the book: www.press.jhu.edu/books/title/...
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Joshua Sharfstein @drjoshs.bsky.social · 29/05/2026
Five Baltimore City Health Commissioners walk into an auditorium to swap stories about the past and present of advancing health in Charm City ... and beyond. From @publichealthpod.bsky.social johnshopkinssph.libsyn.com/1057-five-ba...
johnshopkinssph.libsyn.com
Public Health On Call: 1057 - Five Baltimore Health Commissioners Walk into an Auditorium
About this episode: In the city of Baltimore, the health department works to prevent overdose, reduce violence, provide vaccinations, inspect restaurants, and so much more. In this episode: ...
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Johns Hopkins University @jhu.edu · 26/05/2026
NIH has allocated just 33% of its normal budget this year, putting critical medical breakthroughs at risk. Johns Hopkins President Ron Daniels and University of Kansas Chancellor Dr. Douglas Girod are calling on the government to release it before the damage becomes permanent. bit.ly/4f3GuzR
hub.jhu.edu
President Daniels in WSJ op-ed: Get the federal science money flowing
JHU president, University of Kansas chancellor urge federal agencies to release congressionally appropriated funds to fuel America's research engine
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Joshua Sharfstein @drjoshs.bsky.social · 22/05/2026
A new home for the @cspinet.org database of vaccine-related actions in the Trump Administration... thestraightshotdatabase.org Search by agency, type of action, and headline.
thestraightshotdatabase.org
The Straight Shot Database
The Straight Shot Database
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Public Health On Call Podcast @publichealthpod.bsky.social · 21/05/2026
A combination of a rare virus strain and existing conflicts in the Democratic Republic of the Congo are making this Ebola outbreak difficult to contain. Infectious disease epidemiologist Emily Gurley describes the situation on Public Health On Call 🔗 podcast.publichealth.jhu.edu/1056-an-ebol...
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Joshua Sharfstein @drjoshs.bsky.social · 20/05/2026
It’s the little things that make a graduation hum.
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Joshua Sharfstein @drjoshs.bsky.social · 20/05/2026
“The words we use to describe data should not be the words we use to define people.” — Dr. Michelle Taylor, convocation speaker @johnshopkinssph.bsky.social
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