iiinova — where your digital self keeps evolving

Reposted by Kirk Fetters, MD

Josh Barocas, MD ⭕️ @jabarocas.bsky.social · 18/06/2026

Published today in @jama.com Network Open and led by @kirkfetters.bsky.social & Pranav Padmanabhan the in Colorado Poverty & Health Initiative @cuanschutz.bsky.social, we estimated that funding cuts to SSPs could lead to more than 15600 additional #overdose deaths among PWID over the 5 years.

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Reposted by Kirk Fetters, MD

Josh Barocas, MD ⭕️ @jabarocas.bsky.social · 18/06/2026

The government is restricting funds for #harmreduction. This makes it difficult and/or impossible for organizations to do the work of keeping people alive, including syringe service programs. Strapped for funding, restricting and/or cutting more funding will make things worse. How do we know?

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Kirk Fetters, MD @kirkfetters.bsky.social · 10/06/2026

An excellent substack piece about the most consequential rule limiting American science to date. Please submit a comment to the Federal Register! open.substack.com/pub/yourloca...

open.substack.com

New OMB rule could break science in the United States

What a new proposed rule from OMB could mean, and how you can help

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Kirk Fetters, MD @kirkfetters.bsky.social · 19/12/2025

New article alert! Our team estimated the number of people who may become newly homeless if the President's housing policies are realized. Over 44,000 additional people may become homeless if the federal government stops funding for Housing First programs! jamanetwork.com/journals/jam...

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Kirk Fetters, MD @kirkfetters.bsky.social · 08/11/2025

This Administration is callous and cruel to its own citizens and to many more around the world. From dismantling food, housing, and medical aid globally to fighting courts to avoid being forced to deliver food aid within the country, they are showing a clear disdain for people living in poverty.

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Kirk Fetters, MD @kirkfetters.bsky.social · 08/11/2025

“Undermining harm reduction and cutting related programs isn’t merely a funding decision; it is an assault on an approach to health care that prioritizes evidence, compassion, and dignity — values that are central to the medical profession.” Great piece @jabarocas.bsky.social

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Kirk Fetters, MD @kirkfetters.bsky.social · 20/08/2025

Methadone access is essential for many people with opioid use disorder to reduce overdose, the impacts of injection use, and the chaos many experience with addiction—and no surprise Medicaid helps increase access! Great use of national data www.healthaffairs.org/doi/10.1377/...

healthaffairs.org

Medicaid And Methadone For Opioid Use Disorder: Expanded Coverage Increased Distribution In 10 States, 2019–24 | Health Affairs Journal

Methadone is a vital medication for opioid use disorder, yet it remains underused because of restrictive federal and state regulations. Before 2018, not all state Medicaid programs covered methadone t...

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Kirk Fetters, MD @kirkfetters.bsky.social · 29/07/2025

Beyond the horrendous human suffering due to these ICE actions, it makes me think of a story from Heather McGhee’s The Sum of Us—draining neighborhood pools rather than desegregating. We favor shooting ourselves in the foot rather than making things better for all. bit.ly/4l1NMna

nytimes.com

ICE Took Half Their Work Force. What Do They Do Now?

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Kirk Fetters, MD @kirkfetters.bsky.social · 25/07/2025

Trump signed an EO calling for an end to Housing First policies and harm reduction, as well as criminalization of homelessness and mental health. This is a terrible idea. Read here for more: bit.ly/417vr0E

bit.ly

Advocating for Maintaining Housing First Policies

This Viewpoint discusses advocating for maintaining Housing First policies.

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Reposted by Kirk Fetters, MD

Beth S Linas, PhD, MHS @bethlinas.bsky.social · 04/07/2025

“Of the interventions that have been tested & implemented, helping people into stable housing without precondition of sobriety, otherwise known as the Housing First model, is a compassionate way to decrease homelessness, reduce health care use, & possibly improve health outcomes.“

jamanetwork.com

Advocating for Maintaining Housing First Policies

This Viewpoint discusses advocating for maintaining Housing First policies.

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Reposted by Kirk Fetters, MD

Ilan Schwartz @germhuntermd.bsky.social · 28/12/2024

Mapping the Geographic Distribution of Dimorphic Mycoses Using a US Commercial Insurance Database @julioczuniga1.bsky.social @fungaldoc.bsky.social academic.oup.com/ofid/advance... More data to show that the geographic range of dimorphic fungal infections is much wider than taught in med school

Distribution of cases of blastomycosis in A) Marketscan data, B) Medicare data, and C) historical maps

Distribution of cases of hisoplasmosis in A) Marketscan data, B) Medicare data, and C) historical maps

Distribution of cases of coccidioidomycosis in A) Marketscan data, B) Medicare data, and C) historical maps

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Reposted by Kirk Fetters, MD

Matthew Yglesias @mattyglesias.bsky.social · 09/12/2024

The actual synthesis between the GOP’s pro business commitments and RFK’s various crunchy instincts isn’t food system reform, it’s going easier on scammy supplements.

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Reposted by Kirk Fetters, MD

Paul Sax @paulsaxmd.bsky.social · 09/12/2024

With the publication of PURPOSE 2 for PrEP in @nejm.org, and the stellar results, I wonder what’s going to happen once it gets approved for this indication. Should be interesting, to say the least! blogs.jwatch.org/hiv-id-obser...

blogs.jwatch.org

Who's Going to Get Lenacapavir for HIV Prevention?

At the International AIDS Conference this past summer, Dr. Linda-Gail Bekker brought down the house presenting the results of the PURPOSE 1 trial of twice-yearly injectable lenacapavir for prevention ...

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