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@janprobst.bsky.social

@janprobst.bsky.social
2.4K followers 1.4K following 1.2K posts

Jan Probst ~ 40 years health services research, mostly into rural issues Guardian of Sam the rural health advoCATe. Bibliography: www.ncbi.nlm.nih.gov/myncbi/1HMPkKf…

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Stephen Sandelich @sandelichmd.bsky.social · 3h
Most teens who survive a fentanyl overdose didn't know they took fentanyl. They thought it was a Xanax. A perc. Something familiar. The ED is where that misunderstanding lands. What we see after the naloxone works:
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@janprobst.bsky.social @janprobst.bsky.social · 6h
Sam the rural health advoCATe notes that this happened during Hurricane Katrina, years ago. Flooding affected both nursing homes that were evacuated & those that accepted evacuated patients. See Laditka, Laditka et al, AJPH 2008. #PowerOfRuralCats
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@janprobst.bsky.social @janprobst.bsky.social · 22h
Sam the rural health advoCATe notes that transportation costs have always been higher for rural schools, reflecting the structural disadvantage of greater area to cover. Education is an important SDOH. #PowerOfRuralCats
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Kara Gavin @karagavin.bsky.social · 29/09/2026
Everyone: Please congratulate @ihpidirector.bsky.social John Ayanian on receiving the @aamc.org @rwjf.org award for #publichealth #healthpolicy work!
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@janprobst.bsky.social @janprobst.bsky.social · 28/09/2026
Sam the rural health advoCATe notes 2 explicitly rural papers in this issue, along with generally relevant theory. #PowerOfRuralCats www.ovid.com/jnls/jphmp/t...
ovid.com
November/December 2026 - Volume 32 - Issue 6S : Journal of Public Health Management and Practice
Discover the November/December 2026 issue of Journal of Public Health Management and Practice, Volume 32, featuring peer-reviewed articles, case studies, and the latest research findings.
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@janprobst.bsky.social @janprobst.bsky.social · 28/09/2026
Sadly shared by Sam the rural health advoCATe. Deaths due to care-sensitive conditions have long been more common in rural. #PowerOfRuralCats
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@janprobst.bsky.social @janprobst.bsky.social · 27/09/2026
He mentored many of us, notes Sam the rural health advoCATe. A giant. #PowerOfRuralCats
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Victor Ray @victorerikray.bsky.social · 26/09/2026
Send this to every university President in the country.
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@janprobst.bsky.social @janprobst.bsky.social · 25/09/2026
Sam the rural health advoCATe wishes the authors had included rurality in the analysis, as rural folks would seem likely to benefit. Rural needs good research. #PowerOfRuralCats Remote Services, Benefits, and Program Retention Changes Among Children in WIC jamanetwork.com/journals/jam...?
jamanetwork.com
Remote Services, Benefits, and Program Retention Changes Among Children in WIC
This cross-sectional study examines whether policies making the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) easier and more valuable were associated with increased pa...
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Sparky MD/PhD @neurospark.bsky.social · 25/09/2026
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David Shiffman, Ph.D. 🦈 @whysharksmatter.bsky.social · 24/09/2026
Have you ever tried to read a scientific journal article and been told “you don’t have access, pay to download this article?” Did you know that the author of that article gets $0 if you pay? Instead, you can email the author and ask for a free copy! I’d be delighted to help and answer questions!
Screenshot of a scientific journal paywall
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@janprobst.bsky.social @janprobst.bsky.social · 24/09/2026
Strong analysis, shared by Sam the rural health advoCATe. He notes that the authors address structural issues, such as low volume. #PowerOfRuralCats Rural Emergency Hospitals jamanetwork.com/journals/jam...?
jamanetwork.com
Rural Emergency Hospitals
This Perspective discusses the Rural Emergency Hospital designation, outlining structural flaws in its design and offering suggestions on how to address those flaws to encourage wider adoption.
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public health guy @publichealthguy1.bsky.social · 23/09/2026
that's a good skeet
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Shannon Monnat @smonnat.bsky.social · 23/09/2026
Now recruiting PhD applicants for Fall 2027 for our Policy, Place, Population Health, and Aging (P3HA) Training Program - an NIA-funded T32 program on how policies and places shape health, longevity, and wellbeing across the life course. Info: www.maxwell.syr.edu/academics/po...
maxwell.syr.edu
Policy, Place, Population Health and Aging Program
An NIH-funded T32 training program preparing Syracuse University doctoral students to research how policy and place shape health and aging outcomes.
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Protect Our Care @protectourcare.org · 23/09/2026
557 workers at Trinity Health in Livonia, MI are losing their jobs, and the hospital system named the reason: federal cuts to Medicare & Medicaid passed by Republicans in Congress. Michigan isn't alone. Hospitals across the country are cutting staff and services, and patients are paying the price.
michiganadvance.com
Trinity Health layoffs expose the danger of the One Big Beautiful Bill Act • Michigan Advance
Trinity Health layoffs expose the danger of the Republicans’ One Big Beautiful Bill Act
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Sarah McAnulty, Ph.D. @sarahmackattack.bsky.social · 22/09/2026
We have *six days* left until the Academy of Natural Sciences, North America's oldest Natural History museum, is scheduled to close it's doors. Here are *six reasons* why we cannot - and will not- let that happen.
a slide that says 6 days until the doors close -- 6 reasons we can keep them open, save-the-academy.org @savetheacademy
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@janprobst.bsky.social @janprobst.bsky.social · 21/09/2026
All critters deserve safe spaces, says Sam the rural health advoCATe. #RMNP
Picture of a bull elk at dawn, with fog and mountains in the background
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america.is.not.free @antifapatriot.bsky.social · 19/09/2026
¡ THIS ¡ is The Kennedy Center! 💥💯 ❤️‍🔥👑🥲😍🤩😘 #KennedyCenter
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@janprobst.bsky.social @janprobst.bsky.social · 19/09/2026
Meanwhile, “experts” keep pushing telehealth as the solution for rural workforce shortages. Sam the rural health advoCATe just sighs. #PowerOfRuralCats
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Timothy McBride @mcbridetd.bsky.social · 19/09/2026
A Closer Look at the $50 Billion Rural Health Transformation Program www.kff.org/medicaid/a-c...
kff.org
A Closer Look at the $50 Billion Rural Health Transformation Program | KFF
The 2025 budget reconciliation created the Rural Health Transformation Program, which will award $50 billion in state grants over a five-year period. This brief provides an overview of the program, de...
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Timothy McBride @mcbridetd.bsky.social · 19/09/2026
The Financial Impact of Pregnancy and Childbirth Among Louisiana Medicaid Beneficiaries onlinelibrary.wiley.com/doi/10.1111/...
onlinelibrary.wiley.com
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@janprobst.bsky.social @janprobst.bsky.social · 19/09/2026
Interesting analysis shared by Sam the rural health advoCATe. #PowerOfRuralCats jamanetwork.com/journals/jam...?
jamanetwork.com
Urban and Rural Hospital Closures in Georgia, 2022-2024
This cross-sectional study examines changes in discharge volume, total charges, and length of stay at hospitals near urban vs rural hospital closures in the state of Georgia.
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@janprobst.bsky.social @janprobst.bsky.social · 18/09/2026
Sam the rural health advoCATe notes that gaps in primary care are increasingly a rural problem. #PowerOfRuralCats www.milbank.org/quarterly/ar...
milbank.org
The Milbank Quarterly Archive | Milbank Quarterly
Search The Milbank Quarterly Archive. Featuring peer-reviewed original research, policy review, and analysis since 1923.
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@janprobst.bsky.social @janprobst.bsky.social · 18/09/2026
Important work broadly studying rural services, shared by Sam the rural health advoCATe. Great maps documenting multiple service gaps. "Telehealth will fix rural" has always been a scam, Sam hisses. #PowerOfRuralCats jamanetwork.com/journals/jam...?
jamanetwork.com
Access to Broadband, Ambulance Services, and Health Care and Implications for Telehealth
This cross-sectional study examines whether broadband services sufficiently support use of telehealth in rural areas lacking ambulance and health care services.
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@janprobst.bsky.social @janprobst.bsky.social · 18/09/2026
And all of these cuts will disproportionately affect rural, hisses Sam the rural health advoCATe. #PowerOfRuralCats
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Jan Vanhove @janhove.bsky.social · 18/09/2026
New blog post: "Cluster analysis: A skeptic’s guide". In which I ask a few questions that social scientists wishing to identify hidden classes in their data ought to address. janhove.github.io/posts/2026-0...
A two-dimensional scatterplot showing a three-cluster solution.

Caption: "Figure 2: A visualisation of a Latent Profile Analysis fit. Such visualisations may help readers appreciate that the clusters aren’t nicely separated and that the researchers’ notion of clusters may not correspond to their own."Table of contents:

Refresher: What is cluster analysis?
What are the clusters for?
What clusters, exactly?
Does the pipeline work?
What does the solution look like?
When running follow-up analyses, how is the uncertainty in the cluster assignments taken into account?
Was it worth it?
Conclusion
References
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@janprobst.bsky.social @janprobst.bsky.social · 18/09/2026
Rural research summary, shared by Sam the rural health advoCATe. #PowerOfRuralCats www.ruralhealthresearch.org/alerts/736?
ruralhealthresearch.org
New Articles Published on Medicare, Neonatal Care, Rural Emergency Hospitals, and more
Research Alert from the Rural Health Research Gateway for: New Articles Published on Medicare, Neonatal Care, Rural Emergency Hospitals, and more
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Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 08/09/2026
“If you just need a few stitches, an extra half-hour drive is a nuisance. If you are dealing with a stroke or heart attack, that is precious time”. The incredible @mirandayaver.bsky.social has a new piece out on the current and future impacts of looming Medicaid cuts, including hospital closures.
ms.now
Opinion | The bill for Trump’s Medicaid cuts is coming due — for everyone
Though much attention has centered on the closure of rural hospitals, quieter transformations could reshape healthcare for publicly and privately insured patients alike.
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Vaughn Cooper @vscooper.micropopbio.org · 16/09/2026
Authors!🚨 While you scramble for scarce $ 🤔 “Springer Nature reports revenue growth of 6.2%..and adjusted operating profit growth of 7.7%. They reported even more stunning submission growth of 30% and published article growth of 13%.” Publishing in society journals helps YOU not them👇🏻. Pass it on.
static.klipy.com
Man Lying on a Pile of Money
ALT: Man Lying on a Pile of Money
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Melissa Gentry @melissadgentry.bsky.social · 16/09/2026
Are you a disability researcher working in the FSRDC wondering where the 1980s disability variable in the CPS went? I've written a CES Technical Note describing my process of bringing in those missing data! ideas.repec.org/p/cen/tnotes...
ideas.repec.org
Recovering Work-Limiting Disability Variables in the 1980s C
Disability status has been elicited systematically in United States surveys as far back as the 1970s and was included in the March Supplement of the Current Population Survey starting in 1981. Unfortu
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U.S. Consumer Product Safety Commission @cpsc.gov · 16/09/2026
Happy Baby Safety Month.
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Jacquelyn Gill @jacquelyngill.bsky.social · 15/09/2026
UMaine is hiring a director of our new PFAS lab: fa-ewca-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/Candid... If you've got a PhD in analytical or environmental chemistry and 5+ years of PFAS research experience, check it out!
fa-ewca-saasfaprod1.fa.ocs.oraclecloud.com
Assistant or Associate Extension Professor, PFAS and Environmental Contaminants Analytical Specialist, and PFAS Lab Director
The University of Maine Cooperative Extension is seeking an accomplished scientist and collaborative leader to establish and grow the University's PFAS analytical and Extension program. This is a uniq...
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Michael O. Johnston @professorjohnst.bsky.social · 14/09/2026
Call for Chapter Proposals! @sssp1org.bsky.social’s Agenda for Social Justice: Solutions for 2028 seeks accessible scholarship addressing pressing U.S. social problems and practicable solutions. 📝 1–2 page proposals 📅 Due Oct. 30, 2026 Submit here: docs.google.com/forms/d/e/1F...
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@janprobst.bsky.social @janprobst.bsky.social · 14/09/2026
Because we need this: pic of Sam the rural health advoCATe scanning the news.
Picture of a grey tabby cat earnestly peering at a standing iPad screen, with his paws on the attached keyboard.
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Sarah Patterson @spattersearch.bsky.social · 14/09/2026
We are seeking a full-time Communications Specialist who will support the @nhats-nsoc.bsky.social & @micda-umisr.bsky.social project teams by planning, crafting & coordinating outreach communications, event planning & coordination, & educational communications. careers.umich.edu/job_detail/2...
careers.umich.edu
Communications Specialist | U-M Careers
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@janprobst.bsky.social @janprobst.bsky.social · 14/09/2026
Grimly shared by Sam the rural health advoCATe, who hates the degree to which policy systematically disadvantages rural folks. #PowerOfRuralCats
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KFF @kff.org · 14/09/2026
If the first obligation of any health system is to take care of people who are sick, KFF’s @drewaltman.bsky.social explains that the problems facing those who are chronically ill and uninsured are a “leading indicator of a health system that isn’t working as it should.”
on.kff.org
The Group that Struggles the Most in American Health Care
In a new column, Dr. Drew Altman, KFF's Founding President and CEO, previews findings about the chronically ill uninsured from a large KFF survey of 25,000 Americans focusing on the cost and access ch...
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@janprobst.bsky.social @janprobst.bsky.social · 14/09/2026
Sam's guardian saw a post, now lost in the flow, saying folks wishing to influence policy should post on LinkedIn > Bluesky, as the latter has such small market penetration. Yeah but: LinkedIn is boring & people try to sell me stuff. No thanks. Keeping Sam's comments where things are fun. 🐈‍⬛
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Alexandre Klein @alexandreklein.bsky.social · 14/09/2026
(Call for applications) Postdoctoral Researcher position at @mcgill.ca Social Studies of Medicine Department histoiresante.blogspot.com/2026/09/post... #histmed
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@janprobst.bsky.social @janprobst.bsky.social · 13/09/2026
Sam the rural heath advoCATe points out that rural is and always has been racially and ethnically diverse. He continues to be hissed at city folk who pontificate from zero knowledge. It leads to bad health policy as well as bad takes. #PowerOfRuralCats
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Michael Clemens @mclem.org · 12/09/2026
The US President's new proposal to tax international students has been approved by the White House for release this week. It's an unprecedented $100,000 tax on int'l grads who stay to work after graduation on Optional Practical Training (most grads do), a crucial bridge to remaining by any channel.
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Troy Tassier @troytassier.bsky.social · 12/09/2026
Thinking that we need more of: “In medicine, poverty is often screened for, documented & then ignored as a “social” issue outside the scope of medicine. It becomes a side note in a medical chart. We do not treat it or prevent it w/ the same urgency as we treat infections, diabetes or hypertension.”
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Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 12/09/2026
“What we have been seeing, that got amplified even more with these measles cases, is a breakdown in the coordination and trust between states and the federal government”. -Dr. Anne Zink, highlighting one of the many problems when the Federal government decides public health is the enemy.
npr.org
As diseases loom, CDC's response to measles deaths stirs fears about agency's reliability
The worst U.S. measles outbreak in decades is growing and flu season is imminent. Experts are fretting about federal health data reliability after the CDC questioned two Pennsylvania measles deaths.
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@janprobst.bsky.social @janprobst.bsky.social · 11/09/2026
Important analysis, shared by Sam the rural health advoCATe. Sam would really like to see rural health included in national planning priorities. @mcbridetd.bsky.social #PowerOfRuralCats jamanetwork.com/journals/jam...
jamanetwork.com
Health Policy Research Priorities Toward Improved Rural Population Health
As the world—and the US—urbanizes, there has been an appropriate increase in science and scholarship about the role that urban environments play in shaping health.1 However, accompanying the growth in...
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@janprobst.bsky.social @janprobst.bsky.social · 11/09/2026
For-profit hospitals are particularly likely to drop services for moms and kittens, notes Sam the rural health advoCATe. #PowerOfRuralCats jamanetwork.com/journals/jam...
jamanetwork.com
Risk Factors for Loss of Hospital-Based Obstetric Care in Rural and Urban Hospitals
This cohort study assesses risk factors for obstetric unit closure and closure of entire hospitals providing obstetric services.
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Soumya Rangarajan, MD, MPP @soumya-goblue.bsky.social · 10/09/2026
From a grad school classmate and #OBGYN I have a great amount of respect for: All of this.
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@janprobst.bsky.social @janprobst.bsky.social · 10/09/2026
@publichealthguy1.bsky.social Found the ritual invocation of AI already! You are prescient.
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@janprobst.bsky.social @janprobst.bsky.social · 10/09/2026
Sam the rural health advoCATe is pleased to see folks thinking about rural oral health; he approves of most of this article. But the ritual invocation of telehealth as a rural solution in the Discussion? For Dentistry? No. #PowerOfRuralCats jamanetwork.com/journals/jam...
jamanetwork.com
Dental Care as a Test Case for Rural Health Reform
This Viewpoint uses dental care as a test case for whether rural health care reform translates into more reliable access.
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@janprobst.bsky.social @janprobst.bsky.social · 10/09/2026
Sam the rural health advoCATe is always purrleased when services are increased for rural folks. #PowerOfRuralCats
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