Sign in

Rachel Fabi Ph.D.

@fabioethics.bsky.social
1.9K followers 1K following 364 posts

associate professor of bioethics • immigration, public health ethics, crosswords • she/her • abortionpuzzles.com • views my own

PostsRepliesMedia
Reposted by Rachel Fabi Ph.D.
Lilia Cervantes @cervantes-lily1.bsky.social · 29/09/2026
Today the American Society for Clinical Investigation published an open letter to NIH leadership on proposed changes to K awards, co-signed by 30 professional societies and foundations. Thank you to the ASCI working group and every society and foundation that signed beta.the-asci.org/news/advocac...
beta.the-asci.org
Open letter to the NIH regarding proposed changes to K awards - The American Society for Clinical Investigation
Read more about Open letter to the NIH regarding proposed changes to K awards at The American Society for Clinical Investigation
1129
Rachel Fabi Ph.D. @fabioethics.bsky.social · 24/08/2026
So excited to be part of this absolutely STACKED lineup for the Boswords Fall Themeless League (with Rebecca, my Stormy Division pairs solving partner 4ever!)
090
Rachel Fabi Ph.D. @fabioethics.bsky.social · 05/08/2026
I had a great conversation with Dr. Judith Flores for the “Unsettled: Migrant Health in the U.S.” podcast about immigration and reproductive justice 💛✨ Check it out here! open.spotify.com/episode/6BDN...
open.spotify.com
Immigration and Reproductive Justice
Unsettled: Migrant Health in the U.S. · Episode
030
Reposted by Rachel Fabi Ph.D.
Dana Howard @thedanahoward.bsky.social · 11/07/2026
Finally submitted my OMB comment! You can do so here: www.regulations.gov/document/OMB... I used this comment app to help structure my comment and it was a breeze: ombcomment.netlify.app Also copy and paste the comment and send to your representatives: actionnetwork.org/letters/oppo...
actionnetwork.org
Oppose OMB Proposal to Put ALL Federal Government Funding Decisions in the Hands of Political Appointees
On May 29, 2026, the Office of Management and Budget issued a Notice of Proposed Rulemaking (NPRM), OMB-2026-0034, Regulation for Federal Financial Assistance. The scope of this proposed regulation is...
042
Reposted by Rachel Fabi Ph.D.
Elizabeth Lanphier @ethicselizabeth.bsky.social · 11/07/2026
As of almost 24 hours ago, over 98,000 public comments have been submitted in response to the OMB Proposed Rule that would upend the allocation of over a trillion dollars of annual federal funding. I just added mine. Since they are public, might as well post them here!
Dear Mr. Vought:

I am writing as a scholar working within the humanities and academic medicine, and as a concerned citizen, community member, and parent, to provide comment on Proposed Rule: Regulation for Federal Financial Assistance (OMB-2026-0034; FR Doc. 2026-10817). 

The proposed rule would usher in sweeping changes to the allocation of over a trillion dollars in federal grants. This would impact not only our academic research enterprises, but also essential shared goods that are important to the well-being of all Americans, like our public schools, public roads, and public assistance programs for basic needs like food and housing. 

I am the parent of a child in a Title I public school. I am concerned about the impact of the proposed rule changes on my child’s school, and that of many other children across the country whose families rely on schools to provide trusted education, safety, and meals to our children daily. Proposed rules in Section § 200.300 that would prohibit activities the administration deems related to “diversity, equity, inclusion, and accessibility” undermines the very idea of Title I funding. As defined by existing policy, Title I is designed specifically so that all children have an “opportunity to receive a fair, equitable, and high-quality education, and to close educational achievement gaps.” Equity is central to the role and function of Title I, as a matter of fairness and equal opportunity. If Title I funds are compromised, this would be a major loss to public schools in Ohio, where I reside, and where most children attend public school. Yet in Ohio the state budget will cover less than a third of public-school costs, already pushing a huge burden onto property owners to finance public education. Eroding Title I would only put further pressure on Ohio’s working middle-class property owners to fund public education, a public good that is owed to and expected of all children in the United States. Considerations of fairness and equality are core to my expertise and work as a philosopher working within an academic medical setting to support accessible, fair, and just healthcare delivery. I see every day the existing barriers to these goals. I am concerned that these proposed rules will deepen the gap in providing high quality healthcare to all Americans. Health and illness are non-partisan issues, experienced by all individuals, regardless of political affiliation, ideological views, or voting record. 

I am particularly concerned that provisions in Section § 200.300 and Section § 200.340 that prohibit funding “diversity, equity, inclusion, and accessibility” would disproportionately harm Americans served by rural hospitals that often treat those most excluded from healthcare access. These rural hospitals rely on federally funded programs like Medicaid that are specifically designed to address inequities in resources, including healthcare resources. Such facilities that function specifically to enhance equity, inclusion, and accessibility of healthcare would be vulnerable to the application of Section § 200.300. Under Section § 200.340, they could face discretionary termination of federal funding that keeps healthcare flowing to rural populations, effectively cutting off parts of the population from even emergency healthcare services, let alone the kinds of preventative and ongoing care necessary to keep healthcare costs low, and populations healthy. 

As a researcher and scholar, I am also concerned about Sections § 200.300 and § 200.340 as they relate to research and scholarship. The proposed revision indicates that Section § 200.300 is “intended to prevent discrimination on the basis of federally protected characteristics,” something already upheld by existing research ethics and regulations, which must adhere to anti-discrimination policies. Introducing the thinly defined concept of “Unlawful DEI” in Section § 200.300 creates unnecessary confusion about ac…I am also deeply concerned about Section § 200.205, which contradicts core principles of academic freedom by permitting political appointees, not expert peer-review, to guide funding decisions; Section § 200.218, which disallows federal funding of certain research methodologies, allowing ideology rather than expertise to inform research topics and frameworks; and Section § 200.461, which directly contradicts existing federal requirements that federally funded research be open-access by limiting the ability of federal awards to support open-access publishing fees. 

As a philosopher working within academic medicine, I work in interdisciplinary teams, collaborating on research that is not — and should not be — categorized narrowly as either basic research, applied research, or experimental development. Therefore, I am concerned that Section § 200.202(g), requiring such categorization of research awards, shows a fundamental misunderstanding of research and particularly how excellent and innovative research is produced. Mandating such misleading categorization would be a step in the wrong direction for advancing American achievement across all disciplines.  

My professional work within healthcare delivery and healthcare research affirms my belief that there could be improvements to how each of these is funded at the federal, state, and local levels. However, my experience also shows that these proposed changes would lead to certain harm, not helpful improvement. As a researcher I am concerned for the future of innovation, understanding, and intellectual and scientific progress. But as a parent, a community member, and a citizen, I am concerned for the ways in which these proposed changes will harm every aspect of our lives — from the healthcare we can receive, to the roads we drive on, to the education my own children and each of our children receive. Given these clear harms, I ask that the entire proposed rule OMB-2026-0034 be withdrawn. 

I look forward to your respo…
1175
Reposted by Rachel Fabi Ph.D.
Elizabeth Lanphier @ethicselizabeth.bsky.social · 11/07/2026
Last year @fabioethics.bsky.social wrote a helpful piece on the International Journal for Feminist Approaches to Bioethics on Public Comments as advocacy that remains timely. Check it out here:
fabnet.org
Bioethics and Public Notice-and-Comment In Federal Rulemaking
<p>In this essay by Rachel Fabi, Associate Professor and Vice Chair for Education in the Center for Bioethics and Humanities at SUNY Upstate Medical University, Dr. Fabi provides a helpful explainer a...
022
Rachel Fabi Ph.D. @fabioethics.bsky.social · 01/07/2026
So long, sabbatical, it’s been grand 👋
0110
Rachel Fabi Ph.D. @fabioethics.bsky.social · 30/06/2026
5.5 - 3.5 is wayyyyy too close on what was an obvious, open-and-shut constitutional question.
ROBERTS, C. J., delivered the opinion of the Court, in which
SOTOMAYOR, KAGAN, BARRETT, and JACKSON, JJ., joined. JACKSON, J.,
filed a concurring opinion, in which SOTOMAYOR, J., joined as to the introduction and Part I. KAVANAUGH, J., filed an opinion concurring in the
judgment and dissenting in part. THOMAS, J., filed a dissenting opinion,
in which GORSUCH, J., joined. ALITO, J., and GORSUCH, J., filed dissenting
opinions.
121
Rachel Fabi Ph.D. @fabioethics.bsky.social · 25/06/2026
Remember when scotus sweeps week was fun?
010
Rachel Fabi Ph.D. @fabioethics.bsky.social · 23/06/2026
My new First Opinion piece in @statnews.com discusses the forthcoming birthright citizenship decision in Trump v. Barbara (and gives a little preview of one chapter of my still-being-written book about immigration and reproductive justice!) www.statnews.com/2026/06/23/b...
statnews.com
Ending birthright citizenship could be a public health disaster
If the Supreme Court upholds the executive order ending birthright citizenship, it could “have stark consequences at the intersection of bioethics and public health.”
020
Reposted by Rachel Fabi Ph.D.
These Puzzles Fund Abortion @tpfa.bsky.social · 01/06/2026
THAT’S A WRAP! We raised over $38K this year! Thank you to everyone for your generous contributions! 💜 This means we raised over $7.6K for each of the 5 funds we support! @iwrising.bsky.social @chiabortionfund.bsky.social @abortionfundmd.bsky.social Tampa Bay Abortion Fund OurJustice 💜
0125
Rachel Fabi Ph.D. @fabioethics.bsky.social · 30/05/2026
I'm so proud of our These Puzzles Fund Abortion team and the puzzles we put out and the community that rallies around the abortion funds we support! Please consider donating to support this important cause — the fundraiser ends on Sunday! fund.nnaf.org/tpfa6
0144
Reposted by Rachel Fabi Ph.D.
These Puzzles Fund Abortion @tpfa.bsky.social · 16/05/2026
✨Editor Spotlight✨ @burrata.bsky.social (he/him) is an editor of @avcx.bsky.social. He is based in Queens, NY, and is honored to be part of TPFA once again. Ben edited “Round These Parts” (grid shown here) by @fabioethics.bsky.social and @rebecculous.bsky.social! fund.nnaf.org/tpfa6
A 15x15 crossword grid with rotational symmetry. Several squares have circles in them.
1122
Rachel Fabi Ph.D. @fabioethics.bsky.social · 11/05/2026
I also wrote today's @theatlantic.com crossword! www.theatlantic.com/games/daily-...
theatlantic.com
Crossword - The Atlantic
This mini puzzle gets a little more challenging every day: Mondays are the easiest, with the biggest, most difficult puzzle on Sunday.
090
Rachel Fabi Ph.D. @fabioethics.bsky.social · 09/05/2026
Sunday Sunday Sunday!!!! With the brilliant @adamwagner.bsky.social
The Crossword
"Come Full Circle"
Fill the grid with answers.
Ready?
Play
May 10, 2026
By Rachel Fabi and Adam Wagner
Edited by Will Shortz
7261
Reposted by Rachel Fabi Ph.D.
Midis for Minnesota @midisforminnesota.bsky.social · 01/05/2026
If you haven't yet gotten access to Midis for Minnesota, now is a great time to do so! Now through Sunday, donations will be matched AND in addition to the digital files, you also have the option of being mailed a limited-edition booklet! For more info, visit our website: www.midisforminnesota.com
Graphic with this text:

THIS WEEKEND ONLY:
DOUBLE YOUR IMPACT
(and get a limited edition booklet!)

Rent is due, and many families need immediate financial support to stay in their homes. 

Now through Sunday (5/3), donations made to get access to Midis for Minnesota will be matched by a generous donor (up to $1000 total).

In addition to their donation being matched, donors will also have the option to be mailed a Midis for Minnesota booklet! (While supplies last)

To donate or to get more details, visit our website: midisforminnesota.com
188
Reposted by Rachel Fabi Ph.D.
🐈Rex Parker🐈‍⬛ ✏️ 🧐 @rexparker.bsky.social · 17/04/2026
Had the thrilling experience of solving Friday’s puzzle on my phone in my hotel room (not the thrilling part) and not knowing who the constructor was and halfway through thinking “damn this is good, who made this?” and then afterwards finding out it was my ❤️friend❤️ @fabioethics.bsky.social !!!
2201
Rachel Fabi Ph.D. @fabioethics.bsky.social · 17/04/2026
Back in the #nytxw with a Friday puzzle that is very ~online~
The Crossword, Friday, April 17, 2026
by Rachel Fabi, edited by Will Shortz

A portion of a blank crossword grid with the central entry highlighted and the clue 36A. Worst of all imaginable chronologies
7200
Rachel Fabi Ph.D. @fabioethics.bsky.social · 15/04/2026
Medical schools must continue to teach students about structural barriers to care www.statnews.com/2026/04/15/l... via @statnews.com
statnews.com
Medical schools must continue to teach students about structural barriers to care
“Patients don’t experience illness in a vacuum,” writes Uché Blackstock.
120
Rachel Fabi Ph.D. @fabioethics.bsky.social · 12/04/2026
If you're at the American Crossword Puzzle Tournament this weekend and you're craving more crosswords, consider checking out These Puzzles Fund Abortion after the finals! #acpt fund.nnaf.org/tpfa6
fund.nnaf.org
These Puzzles Fund Abortion 2026
{{MetaTags.description}}
1163
Reposted by Rachel Fabi Ph.D.
Midis for Minnesota @midisforminnesota.bsky.social · 04/04/2026
We are excited to announce Midis for Minnesota, an upcoming crossword pack by Minnesota constructors. Proceeds will support immigrant families in Minnesota who have been impacted by ICE activity. Pack will be released in late April. A preview puzzle by Zhouqin Burnikel is available now.
midisforminnesota.com
13325
Rachel Fabi Ph.D. @fabioethics.bsky.social · 02/04/2026
I've had the privilege of working alongside Seçil for the past month at the Brocher Foundation in Switzerland as she's been putting the finishing touches on this book. I have learned so much from her about syphilis in the Ottoman Empire, and the history of Ottoman medicine in general!
230
Rachel Fabi Ph.D. @fabioethics.bsky.social · 01/04/2026
Really grateful for the experts over at @scotusblog.com and their community of commenters — at least we don't have to go through today's oral arguments alone <3 www.scotusblog.com/2026/03/oral...
scotusblog.com
Oral argument live blog for Wednesday, April 1
On Wednesday, April 1, we will be live blogging as the court hears argument in Trump v. Barbara, on the constitutionality of President Donald Trump’s executive order on birthright citizenship. […]
110
Rachel Fabi Ph.D. @fabioethics.bsky.social · 01/04/2026
If you need a distraction this morning, consider solving today's STAT mini crossword! 😇 www.statnews.com/stat-mini-cr... @statnews.com
statnews.com
STAT Mini Crossword
STAT MINI Test your knowledge every weekday with our crossword. Listen: Hear from the voices shaping biotech and the life sciences with STAT podcasts Sign
030
Reposted by Rachel Fabi Ph.D.
Sean Marotta @smmarotta.bsky.social · 01/04/2026
April Fools' pranks are getting and less and less believable. Like I'm seeing websites claiming that the government of the United States is going to argue in court today that the Fourteenth Amendment denies birthright citizenship to kids born here just because their parents didn't enter lawfully.
29012
Rachel Fabi Ph.D. @fabioethics.bsky.social · 27/03/2026
cool cool cool www.statnews.com/2026/03/27/m...
statnews.com
As political pressure mounts, medical school accreditor drops requirement to teach about health equity
The leading medical school accreditation body in the U.S. has removed language from its standards requiring schools to teach about health inequities
001
Rachel Fabi Ph.D. @fabioethics.bsky.social · 23/03/2026
For those who have asked, I'm spending my sabbatical working on a book project on reproductive justice, immigration, and bioethics in the U.S. My book explores (among other things) advocacy against this long-standing and intentional pattern of inhumane treatment, abuse, and neglect. 1/5
263
Reposted by Rachel Fabi Ph.D.
These Puzzles Fund Abortion @tpfa.bsky.social · 20/03/2026
✨Fund Spotlight✨ @iwrising.bsky.social is one of the five wonderful organizations we are fundraising for this year. Fund.nnaf.org/tpfa6 ⬅️ donate here to awesome people doing awesome work (and you get fun crosswords as a bonus!)
Text reads these puzzles fund abortion fund Spotlight RAIN FUND The Rain Fund is a mutual aid resource for native people who are seeking funding & reproductive care by safeguarding identity and streamlining accessibility to reliable culturally competent healthcare providers. Our fund is rooted in cultural values, and the extension of solidarity to all people of color facing systemic injustices. We encourage all our partners and supporters to join us in uplifting and amplifying Indigenous stewardship of bodies and lands.
062
Reposted by Rachel Fabi Ph.D.
Margaret R. Eby @margaretrutheby.bsky.social · 19/03/2026
absolutely terrifying but not unexpected given the recent DHS proposed rule to expand collection and storage of biometric data.
111
Rachel Fabi Ph.D. @fabioethics.bsky.social · 12/03/2026
We put the final touches on this year's These Puzzles Fund Abortion puzzle pack this morning, and I have to say — it's really good, friends. ✨ Donate before March 15 to support five abortion funds, and you'll be one of the first to receive the pack! fund.nnaf.org/tpfa6 @tpfa.bsky.social
these puzzles fund abortion logo, which includes a 6 made out of purple squares set in an 7x7 crossword grid, in front of a purple crossword puzzle pattern in the background
1103
Reposted by Rachel Fabi Ph.D.
These Puzzles Fund Abortion @tpfa.bsky.social · 07/03/2026
Show off your love of crosswords AND your love of abortion access! We have tees, tanks, and sweatshirts in our Bonfire store! www.bonfire.com/store/these-... A portion of the proceeds from each sale will go towards our fundraising. #tpfa6 #ootd #styleinspo
These puzzles fund abortion logo, with images of clothing featuring said logo, and the words “MERCH” and “link in post”
063
Reposted by Rachel Fabi Ph.D.
Benjamin Tausig @burrata.bsky.social · 01/03/2026
The new These Puzzles Fund Abortion puzzle pack is on pre-sale now. I edited a lovely puzzle for it, and the constructor lineup is stellar as always. Solve some top-tier crosswords and help super reproductive rights won’t ya fund.nnaf.org/campaign/the...
fund.nnaf.org
These Puzzles Fund Abortion 2026
{{MetaTags.description}}
11816
Reposted by Rachel Fabi Ph.D.
These Puzzles Fund Abortion @tpfa.bsky.social · 01/03/2026
We are happy to announce that our fundraising page is live! When you make a donation during our presale period, you will be among the first to receive TPFA6 when it is released on March 15th. fund.nnaf.org/tpfa6 #tpfa6
these puzzles fund abortion 6 logo with a purple crossword background
01619
Rachel Fabi Ph.D. @fabioethics.bsky.social · 23/02/2026
sabbatical is going pretty well imo (don’t worry I am also sometimes writing)
A hand holds a pink aperol spritz in the foreground in front of legs crossed under a grey blanket resting on a wooden railing, with the Italian alps in the background A hand holds a glass cup of espresso in the foreground in front of a wooden railing, with the Italian alps in the background
080
Rachel Fabi Ph.D. @fabioethics.bsky.social · 22/02/2026
LFGGGGG
070
Reposted by Rachel Fabi Ph.D.
Steve Mossberg @mossdef.bsky.social · 14/02/2026
100 is a lot of puzzles, David. 🐙
Snippet of a variety cryptic crossword puzzle. I've made 100 of them now, which is a lot of puzzles.
1192
Reposted by Rachel Fabi Ph.D.
Olúfẹ́mi O. Táíwò @olufemiotaiwo.bsky.social · 08/02/2026
ethics professor here, can confirm
254015698
Reposted by Rachel Fabi Ph.D.
STAT @statnews.com · 03/02/2026
Doctors nationally are describing harrowing consequences for patients who put off medical care because of fears of ICE. www.statnews.com/2026/02/03/i...
statnews.com
Fearing ICE crackdown, immigrants nationally are avoiding treatment, sometimes with dire consequences
Doctors nationally are describing harrowing consequences for patients who put off medical care because of fears of ICE.
02818
Reposted by Rachel Fabi Ph.D.
STAT @statnews.com · 02/02/2026
Have you done today's #STATMini yet? Tell us how quickly you completed it! www.statnews.com/stat-mini-cr...
statnews.com
STAT Mini Crossword
STAT MINI Test your knowledge every weekday with our crossword. Listen: Hear from the voices shaping biotech and the life sciences with STAT podcasts Sign
031
Rachel Fabi Ph.D. @fabioethics.bsky.social · 18/01/2026
I went for a plunge in the Atlantic in 33 degree weather and then went clamming for 90 minutes and then made clam chowder — my sabbatical transition to winter cape codder is complete ❄️
Rachel Fabi in overall waders holding a clamming rake, thigh-deep in an estuary in the snow Rachel Fabi in a red knit cap and overall waders, holding a clamming rake and tossing a clam toward the camera while knee deep in water A wire bucket full of beige and black clams, viewed from above
070
Rachel Fabi Ph.D. @fabioethics.bsky.social · 14/01/2026
Sharing Medicaid data with ICE for immigration enforcement is a moral and public health nightmare. The chilling effect will have public health ramifications for years to come. We wrote about this for @jama.com: jamanetwork.com/journals/jam...
jamanetwork.com
The Moral Calamity of Using Medicaid Data for Immigration Enforcement
This Viewpoint lays out the consequences of the proposed agreement to share Medicaid patient data with the Department of Homeland Security and offers advice to clinicians and health care administrator...
084
Rachel Fabi Ph.D. @fabioethics.bsky.social · 14/01/2026
I just finished Blue Prince (insofar as you can "finish" Blue Prince) and I think I need to go lie down 🌀
0140
Reposted by Rachel Fabi Ph.D.
Rebecca Goldstein @rebecculous.bsky.social · 09/01/2026
Where to start with this one... @fabioethics.bsky.social www.latimes.com/games/daily-...
051
Rachel Fabi Ph.D. @fabioethics.bsky.social · 08/01/2026
New publication in the Journal of General Internal Medicine on the maternal/child health implications of the attempt to reinterpret the constitution to eliminate birthright citizenship: link.springer.com/epdf/10.1007... @journalgim.bsky.social @cervantes-lily1.bsky.social @trishasantos.bsky.social
Stateless at Birth — Birthright Citizenship and the Safeguarding of Immigrant Maternal and Child Health 
Rachel E. Fabi, PhD 
Patricia Mae G. Santos, MD, MS
Benjamin D. Sommers, MD, PhD
ABSTRACT This perspective discusses the public health implications of the recent executive order (EO), and subsequent court challenges, regarding the termination of birthright citizenship under the 14th Amendment to the US Constitution. The EO threatens to undermine the justification that undergirds many state and federal policies regarding access to maternal healthcare for immigrants: the expectation that babies born in the USA will become US citizens. In so doing, the EO creates conditions under which many children born in the USA may be rendered stateless and thus ineligible for public benefits.
0116
Rachel Fabi Ph.D. @fabioethics.bsky.social · 06/01/2026
Excited to be writing these new mini puzzles for @statnews.com (my favorite site for health and science policy news!)
272
Rachel Fabi Ph.D. @fabioethics.bsky.social · 05/01/2026
Starting today, I'll be writing a daily mini crossword puzzle for @statnews.com! You can check them out here: www.statnews.com/stat-mini-cr...
statnews.com
STAT Mini Crossword
STAT MINI Test your knowledge every weekday with our crossword. Listen: Hear from the voices shaping biotech and the life sciences with STAT podcasts Sign
060
Rachel Fabi Ph.D. @fabioethics.bsky.social · 05/01/2026
what a wild football game!!! 🖤💛
010
Rachel Fabi Ph.D. @fabioethics.bsky.social · 22/12/2025
@rebecculous.bsky.social and I wrote today’s @defector.com crossword! It’s seasonally appropriate 🎄✨
071
Rachel Fabi Ph.D. @fabioethics.bsky.social · 20/12/2025
Thank you for your message. I am currently on sabbatical (December 20, 2025 - June 30, 2026), and I will not be regularly checking my email during this time. Please enjoy this special sabbatical edition of my out of office crossword puzzle. See you in July! justgridding.blogspot.com/2025/12/sabb...
justgridding.blogspot.com
Out of Office: Sabbatical 2026
Hello! Thank you for your message. I am currently on sabbatical (December 20, 2025 - June 30, 2026), and I will not be regularly checking my...
1110
Rachel Fabi Ph.D. @fabioethics.bsky.social · 26/11/2025
HHS is asserting, without opportunity for public comment, that it will be sharing CMS data with DHS for immigration enforcement, despite years of promises not to do that. public-inspection.federalregister.gov/2025-20911.pdf
public-inspection.federalregister.gov
120