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Kevin Grumbach

@kgrumbach.bsky.social
487 followers 280 following 74 posts

Family doctor, policy-engaged researcher, committed to primary care revitalization and a just health system

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Reposted by Kevin Grumbach
Nicole Votes 4 Harm Reduction @nicokow.bsky.social · 21/08/2026
Both parties are not the same. I'm going to keep repeating it. Because Democrats, at every level of government, are making lives better. Republicans, at every level of government, are making lives poorer, sicker, and more dangerous.
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Daniel Sunderland, DO @thebandageman.bsky.social · 13/08/2026
$1.04 TRILLION in savings... *per year.* A ~20% discount off of American healthcare costs per @yalesph.bsky.social estimates. What would you do if your healthcare was 20% cheaper? The American people deserve #MedicareForAll #medksy #fmsky #SinglePayer www.scientificamerican.com/article/yale...
scientificamerican.com
Scientists calculated how much money and lives ‘Medicare for All’ might save—it’s a lot
This study has been touted by Senator Bernie Sanders of Vermont as proof of the benefits of a universal, single-payer health care system, but the research hasn’t been peer-reviewed
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Kevin Grumbach @kgrumbach.bsky.social · 24/07/2026
Found this an extremely insightful policy paper on how privatization of government programs (MA, Medicare D) is not just wasteful but also entrenches political power for health industry that stymies needed structural reforms. Highly recommended reading.
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Primary Care Collaborative @thepcc.org · 12/05/2026
Dr. Wayne Altman hopes for a health care system driven both by health and equity rather than just profit. If our country makes this critical change, he argued, then many of our health care system’s ills will be remedied. Our latest primary care champion ⬇️ thepcc.pub/altmanchampion
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Primary Care Collaborative @thepcc.org · 05/03/2026
Investing in primary care is investing in the future of America’s health. @harvardmed.bsky.social’s Primary Care Investment Guide shows how advanced primary care supports whole-person care. ⬇️ thepcc.pub/investmentgu...
thepcc.pub
Primary Care Investment Guide - PCC
Want more insights about the Primary Care Investment Guide? Tune into PCC’s release webinar featuring researchers from Harvard Medical School and a reactor panel featuring leaders at the federal, stat...
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Prof Gavin Yamey MD MPH @gavinyamey.bsky.social · 23/02/2026
Every single step that the anti-science, anti-vaccine conspiracy theorist RFK Jr takes to dismantle the US medical, public health, & health research systems is incredibly painful & distressing This one would hit so hard Without the USPSTF, evidence-based screening & prevention would crumble 😢
RFK Jr. May Eliminate the USPSTF, Original Task Force Members Warn
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Kevin Grumbach @kgrumbach.bsky.social · 09/02/2026
Only in the US would an impasse over health insurance benefits drive teachers to strike. Health care is a universal public benefit in all high income nations and we are long overdue in US for Medicare for All. As a longtime San Franciscan, breaks my heart for our teachers and kids alike.
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DrH @drhaup.bsky.social · 07/02/2026
MAGA: “But I don’t understand Spanish.” China: pronounces every lyric perfectly 😭 Bad Bunny dropped an album in January2025 and now the world is learning Spanish for fun. Culture travels faster than complaints. 💃🌍 #BadBunnyBowl
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Kevin Grumbach @kgrumbach.bsky.social · 04/02/2026
Horrifying apologists
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brendanamartin.bsky.social @brendanamartin.bsky.social · 30/01/2026
“…Most white people in this country are like most people who eat meat in this country: they want to enjoy a good steak, but they don’t want to go to a slaughterhouse and put a bolt gun in a cow. White people enjoy their privilege, but they don’t exactly want to see how their privilege gets made.”
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NYU Law Democracy Project @democracyproject.bsky.social · 22/01/2026
Next up in our "100 ideas" series — New by @jakemgrumbach.bsky.social — "Extreme Wealth Inequality Destroys Constitutions" Part of @nyulaw.bsky.social Democracy Project's "100 Ideas in 100 Days" Read the full piece here: democracyproject.org/posts/extrem...
democracyproject.org
Extreme Wealth Inequality Destroys Constitutions
A broad range of views on democracy to help break the stalemate caused by partisan conflict.
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Primary Care Collaborative @thepcc.org · 22/12/2025
On December 18, the PCC and @harvardmed.bsky.social hosted a webinar for the release of their Primary Care Investment Guide. Check out a short summary of the webinar and its full recording below. ⬇️ thepcc.pub/bolsteringpr...
thepcc.pub
Strategies to Improve Health by Bolstering Primary Care - PCC
On December 18, the Primary Care Collaborative (PCC) and Harvard Medical School (HMS) hosted a webinar for the release of the Primary Care Investment Guide. The guide breaks down how advanced primary ...
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Reposted by Kevin Grumbach
The Harvard Center for Population and Development Studies @harvardpopcenter.bsky.social · 18/12/2025
Study by faculty affiliate @ritahamad.bsky.social & colleagues finds an association between the expanded child tax credit, temporarily distributed monthly during the pandemic, and a reduction in child behavioral problems... hsph.harvard.edu/news/child-b...
hsph.harvard.edu
Child behavioral health improved with expanded Child Tax Credit | Harvard T.H. Chan School of Public Health
Pandemic-era expansions to the Child Tax Credit—one of the largest income transfer programs in the U.S.—was associated with improved child behavioral health, according to a new Harvard Chan School stu...
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Kevin Grumbach @kgrumbach.bsky.social · 10/12/2025
Terrific enlightening post for clinicians prescribing IV antibiotics. Appreciate our Pharm D colleagues.
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Primary Care Collaborative @thepcc.org · 08/12/2025
A new Larry Green Center survey is now open through end of Dec 11. Amplify your voice and help inform policy reform on AI, prevention, scope of work, and billing codes. Takes less than 5 minutes of your time, click the link below take the survey. www.surveymonkey.com/r/FlashSurvey6
surveymonkey.com
Flash Survey Series 6
Hey Primary Care Clinicians: a few minutes of your time could change policy
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UCSF Dept. of Family & Community Medicine @ucsffamilymed.bsky.social · 02/12/2025
When life imitates art. Our faculty, National Clinical Scholars Program (NCSP) fellows & colleagues presented their latest research at the NAPCRG Annual Meeting last month. Their work advances understanding of the economics of doubling PC spend & the impact of adding pharmacy techs to PC teams.
Two images side by side: a modern group gathered around a restaurant table in lively conversation, and Renoir’s painting Luncheon of the Boating Party, showing people socializing around an outdoor table
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Primary Care Collaborative @thepcc.org · 21/11/2025
Have you gotten the chance to look at the National Center for Excellence in Primary Care Research (NCEPCR)'s latest report? This research explores AHRQ’s investments in primary care and gives useful info for #PrimaryCare researchers and clinicians. ⬇️ www.ahrq.gov/ncepcr/repor...
ahrq.gov
AHRQ’s Investments in Primary Care Research for 2023 and 2024
This National Center for Excellence in Primary Care Research (NCEPCR) report (PDF, 3.9 MB) is the second comprehensive review of AHRQ’s recent investments in primary care research – covering federal f...
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American Academy of Family Physicians (AAFP) @aafp.org · 21/11/2025
Applications are now open for the AAFP's member awards! Nominate your peers or apply today for awards in these five categories: bit.ly/48tvdEf 🔹Leadership 🔹Mentorship & Teaching 🔹Service & Community Engagement 🔹Career Longevity & Special Accomplishment 🔹Innovation (coming soon!)
bit.ly
AAFP awards
Learn more about enhancing your family medicine career with AAFP award opportunities.
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Kevin Grumbach @kgrumbach.bsky.social · 25/10/2025
Dr. Lawrence was a giant in her field. If obit was for a man, would the lede have included “A stylish dresser who always took the stairs, even in heels”? You need to do better @nytimes.com
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UCSF Dept. of Family & Community Medicine @ucsffamilymed.bsky.social · 23/10/2025
We couldn't be more proud to see our Vice Chair for Research, Christine Dehlendorf, recognized for her incredible leadership in creating the first national measures to ensure that respect, trust, and choice are counted as essential parts of quality in reproductive health. #fmrevolution 🙌👏🔥
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Primary Care Collaborative @thepcc.org · 23/10/2025
Explore the latest report from the Agency for Healthcare Research and Quality on how federal investments are strengthening #PrimaryCare across the country. A must-read for policymakers, researchers and clinicians alike ⤵️ www.ahrq.gov/ncepcr/repor...
ahrq.gov
AHRQ’s Investments in Primary Care Research for 2023 and 2024
This National Center for Excellence in Primary Care Research (NCEPCR) report (PDF, 3.9 MB) is the second comprehensive review of AHRQ’s recent investments in primary care research – covering federal f...
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Reposted by Kevin Grumbach
josh farkas 💊 @pulmcrit.bsky.social · 25/09/2025
if a patient with opioid use disorder is admitted to ICU (eg for pneumonia) & they clearly tell you their dose of buprenorphine or methadone, we should just believe them and give it to them in my experience they’re always correct & delaying tx to try to verify their perscription just causes misery
media.tenor.com
a man is sitting at a table with a sign that says `` change my mind '' on it .
ALT: a man is sitting at a table with a sign that says `` change my mind '' on it .
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Kevin Grumbach @kgrumbach.bsky.social · 23/09/2025
Are you a PCP pulling your hair out trying to maneuver through maddening insurance and pharma barriers to getting your patients the medications they need? A 2 word solution: pharmacy technicians. Check out our study @annalsofem.bsky.social on the benefit of adding pharm techs to primary care teams👇
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Primary Care Collaborative @thepcc.org · 13/09/2025
Since its inception, traditional Medicare has been tied to a fee-for-service model. As we mark its 60th birthday, Congress must devote political willpower to change this outdated model and reverse the erosion of America's health. From PCC's Ann Greiner:
thepcc.pub
Why a Hybrid Payment Model Offers Hope for Primary Care as Medicare Turns 60 - PCC
Sixty years ago, we relied on typewriters, rotary phones and slide rules to get work done. As we have replaced these tools with better, more advanced technology, our work environment has changed…
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Kevin Grumbach @kgrumbach.bsky.social · 12/09/2025
Top line recs from @health.nationalacademies.org responding to 2026 CMS fee rules: -AdvPrimCareMng(APCM) services are largely preventive and should be exempt from cost-sharing -efficiency adjustments are justified for procedural and diagnostic services 1/2 www.nationalacademies.org/our-work/res...
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Gideon Lukens @gidlukens.bsky.social · 11/09/2025
Today’s ACS data show health coverage inequities increased in 2024 for Black & Latino ppl, and ppl with low and moderate incomes. These trends were likely driven by the drop in Medicaid enrollment. tinyurl.com/yttxmmp5
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Primary Care Collaborative @thepcc.org · 12/09/2025
In a comment letter to the Centers for Medicare and Medicaid Services, the Primary Care Collaborative and its Better Health — NOW campaign expressed appreciation for several MPFS modernization proposals that strengthen whole-person #PrimaryCare. thepcc.pub/2026MPFSLETT...
thepcc.pub
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Kevin Grumbach @kgrumbach.bsky.social · 05/09/2025
Bravo to the authors and journal @annfammed.bsky.social Wonderful to see the broad interest in the important findings
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George Takei @georgetakei.bsky.social · 05/09/2025
Laugh crying.
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Dennis Goris | Cartoons @dennisgoris.bsky.social · 28/08/2025
I miss the old brand #CDC
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Primary Care Collaborative @thepcc.org · 29/08/2025
According to CMS, primary care centric ACOs once again outperformed their peers participating in MSSP in 2024. It's yet another piece of evidence that when primary care leads, savings and better outcomes follow. Our statement: thepcc.org/news/stateme...
thepcc.org
Statement: Primary Care Centric ACOs Continue to Lead the Pack - PCC
Primary care led ACOs in MSSP generated nearly double the savings as compared to other ACOs and had excellent performance on quality.
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Kevin Grumbach @kgrumbach.bsky.social · 22/08/2025
Ditto
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Reposted by Kevin Grumbach
Jon Shaffer @jonshaffer.bsky.social · 13/08/2025
The Guardian is covering the rise of @defendpublichealth.bsky.social. #IHAT is evidence-based policy making and grassroots people powered movement building for justice and rights. MAHA is policy-based evidence making rooted in fascist politics and capital-serving eugenic ideas. #IHATnotMAHA
Screen shot of the article in The Guardian titled, "‘Distracting the public’: group of health professionals call for RFK Jr to be removed". 

"Ahead of the second Maha report, grassroots Defend Public Health warns that everything HHS is doing is ‘horrifying’"
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Kevin Grumbach @kgrumbach.bsky.social · 13/08/2025
Amen to that
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Kevin Grumbach @kgrumbach.bsky.social · 30/07/2025
On 60th anniversary of Medicare+Medicaid, @aijenpoo.bsky.social‬ explains double whammy of Medicaid cuts + immigration policies. Immigrants crucial to home care workforce. Loss of TPS will decimate this workforce. Ominous for elderly & people with disabilities. www.democracynow.org/2025/7/30/me...
democracynow.org
60 Years After LBJ Signed Medicaid & Medicare, GOP Cuts Threaten Lifeline for Millions
Today marks the 60th anniversary of the creation of Medicare and Medicaid — and nearly one month since President Trump’s federal budget slashed nearly $1 trillion from Medicaid to extend tax cuts for ...
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Scott Fabricant MD PhD @safabric.bsky.social · 27/07/2025
I hate that anti-abortionists have stolen the term "pro-life". Screw that, I'M pro-life! I'm pro affordable healthcare, medical research and vaccines. I'm pro food stamps, school lunches, and child tax credits. I'm pro foreign aid so millions of children don't die of malaria and TB. That's pro-life!
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Leora Horwitz @leorahorwitzmd.bsky.social · 23/07/2025
Heard from #AHRQ that the entire grants staff has been let go! They are unable to issue funds for grants already funded, let alone fund new grants. This is outrageous and will make Americans poorer and sicker. Why? A brief thread about just some recent AHRQ-funded research: #MedSky #HealthPolicy
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UCSF Dept. of Family & Community Medicine @ucsffamilymed.bsky.social · 21/07/2025
📢 UCSF Family & Community Medicine is hiring an Administrative Director! Lead a nationally recognized team advancing health equity, research, and clinical excellence at Zuckerberg SF General @zsfgcare.bsky.social. 💼 $143K–$215K | Full-time | Flex schedule 📍 San Francisco 🔗 Apply: bit.ly/46Vh1V8
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Kevin Grumbach @kgrumbach.bsky.social · 21/07/2025
CBOs proved themselves to be essential for the COVID pandemic response. They are threatened with big loss of funding just when we need them as critical partners to respond to the intensifying pandemic of social and health injustice. Highly recommend this upcoming webinar. shorturl.at/QKiR0
poster of webinar announcement
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Primary Care Collaborative @thepcc.org · 19/07/2025
Utah is facing a primary care shortage. "The state is 49th in the U.S. in primary care doctors per capita, only 96 per every 100,000 people." This is causing problems for patients in the Beehive State. Read more from @getgephardt.bsky.social‬ in‪ @ksl.com‬:
ksltv.com
Utah needs primary care doctors. Can the Utah doctor shortage be fixed?
If you've waited weeks even months to see a doctor, you're not alone. Experts warn of a 'critical' shortage of primary care doctors in Utah.
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Kevin Grumbach @kgrumbach.bsky.social · 18/07/2025
Applaud this effort by these organizations. @aafp.org where are you?
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Ariana Thompson-Lastad @ariana-tl.bsky.social · 17/07/2025
CA leaders stand up for immigrant communities in many ways, but are also scheduled to Medi-Cal services for immigrants starting in January. This will have big negative effects on community health.
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Miranda Yaver @mirandayaver.bsky.social · 14/07/2025
New Yorker cartoons don’t miss.
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Congresswoman Pramila Jayapal @jayapal.house.gov · 09/07/2025
NEW: Americans want Medicare for All. The people know that our health care system is broken and that we need universal health care. Let’s get it done.
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Miranda Yaver @mirandayaver.bsky.social · 04/07/2025
This is sick on multiple levels.
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Kevin Grumbach @kgrumbach.bsky.social · 03/07/2025
Seems to me @richardferro.xyz that family physicians should all be stepping up para la luche and taking #fmrevolution to heart. Anything less is complicity with this obscene soulless attack on the health and well-being of the patients and communities we care for.
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Timothy Caulfield @caulfieldtim.bsky.social · 01/07/2025
How to Wreck the Nation’s Health, by the Numbers www.nytimes.com/interactive/... by @shwoolf.bsky.social "...the administration is kneecapping the very infrastructure that would make that feasible and is instead enacting policies that will compromise health."
nytimes.com
Opinion | How to Wreck the Nation’s Health, by the Numbers
The administration's cuts to the Department of Health and Human Services are going to do irreparable harm to the nation’s health.
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Primary Care Collaborative @thepcc.org · 02/07/2025
“Millions would lose access to preventive care and effective care management, and more Americans could be forced to rely on already overburdened emergency departments for routine care.” - Ann Greiner, PCC President and CEO. More in Healthcare Innovation ⬇️ www.hcinnovationgroup.com/population-h...
hcinnovationgroup.com
Survey: Many Primary Care Practices Feel Endangered by Medicaid Cuts
In May survey, 34.7% of respondents believe their “practice would lose its financial viability” if there were a reduction in Medicaid funding
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toddidier.bsky.social @toddidier.bsky.social · 26/06/2025
Rather than passing counterproductive and harmful legislation that would undermine efforts to combat chronic illness, @thepcc.org urge lawmakers in both houses to turn instead to a bipartisan approach capable of advancing pragmatic, evidence-based solutions that strengthen Americans’ health.
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