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Matthew Cortland (they)

@matthewcort.land
34K followers 966 following 6K posts

Chronically ill public health JD writing to make sense of the policy hellscape so you don't have to do it alone. Actionable analysis & trustworthy guidance for people the system wasn't built to protect. Free & paid: ShouldntNeed.com Sr. Fellow DFP. 🏳️‍⚧️nb

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Matthew Cortland (they) @matthewcort.land · 29/09/2026
This is from a NEJM Voices piece
And think about what was being compared: two infusions, on days 1 and 8, versus weeks of conventional antibiotic therapy. No PICC line. No daily infusions. No home delivery and storage of antibiotics. No vancomycin levels. No weekly laboratory monitoring for drug toxicity.
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Matthew Cortland (they) @matthewcort.land · 29/09/2026
scams all the way down
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🗽LOLGOP🗽 @lolgop.bsky.social · 28/09/2026
One of the biggest stories of 2027 will be the savagery of the GOP's Medicaid cuts. But the most indefensible cruelty has already begun, with disabled kids being ripped from their homes and sent to asylums, @matthewcort.land told me.
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Matthew Cortland (they) @matthewcort.land · 28/09/2026
do you have a favorite squirrel house design?
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Matthew Cortland (they) @matthewcort.land · 27/09/2026
Sen Sanders has, occasionally, hired some truly terrific, dedicated, smart staffers. But whoever is responsible for this meeting has missed the mark.
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Matthew Cortland (they) @matthewcort.land · 26/09/2026
Send ManCity down all the way, they should spend the next year playing the likes of Cheadle Heath Nomads
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Matthew Cortland (they) @matthewcort.land · 26/09/2026
i am not ready for normies to be talking about gray rocking
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J. P. Gownder (கவுண்டர்) @jgownder.bsky.social · 25/09/2026
Because, if there's one thing I've learned during my Gen X lifespan as an American, it's that you cannot trust American voters. There are far too many bigoted, ignorant, brainwashed, unwise, foolish, and functionally unhinged people in this country. They are not to be trusted.
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Paul Franz @paulfranz.bsky.social · 25/09/2026
People who have not experienced it are often not aware of just how vicious hiring processes are to the disabled. "When do I tell them about my disability?" is an agonizing tactical conversation my partner and I have had too many times. Hirers will absolutely use it to disqualify people summarily.
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Matthew Cortland (they) @matthewcort.land · 25/09/2026
I mean if you've never been the person who needs a drink, you might say "who the fuck cares" — the answer is often "the people hiring who determine your ability to pay the fucking rent"
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Matthew Cortland (they) @matthewcort.land · 25/09/2026
But but but!! that's a minority of people!!! (25% of Americans have a disability) But but but!! they should just say something!!! (volunteering that you're disabled / medically complex / a cancer survivor is often an effective way to not get hired)
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Matthew Cortland (they) @matthewcort.land · 25/09/2026
Heat intolerance - due to something like MS - can require the use of a very cold beverage to lower core temperature quickly in order to avoid MS symptoms getting worse. Chronic cough, laryngopharyngeal reflux, and vocal fold disorders all can mean needing a beverage to sip on in order to talk
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Matthew Cortland (they) @matthewcort.land · 25/09/2026
People w diabetes who take insulin/sulfonylureas can have a blood sugar crash, four ounces of juice or soda or a dunkin extra extra is a standard treatment for that. People with IBD - a high-output ileostomy, short bowel syndrome etc - can dehydrate quickly & may need continuous oral hydration
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Matthew Cortland (they) @matthewcort.land · 25/09/2026
Wild how many people are willing to post their default is disability discrimination. Sjögren's disease destroys salivary glands, so too can lupus, and rheumatoid arthritis, and having had radiation for head or neck cancer. Antidepressants/-psychotics,-histamines, opioids all can cause xerostomia
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Matthew Cortland (they) @matthewcort.land · 25/09/2026
the vast majority the american electorate do not know or care about the last decade of political trends; they care that it costs $300 to fill up their pickup truck. which is a thing that's happening now
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Matthew Cortland (they) @matthewcort.land · 24/09/2026
Axel Springer SE —— the company Bari Weiss is thanking for their "values" —— owns Business Insider and Politico
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Matthew Cortland (they) @matthewcort.land · 24/09/2026
I do not know what to do.
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Matthew Cortland (they) @matthewcort.land · 24/09/2026
Is "eligibility" a common sports word?
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Matthew Cortland (they) @matthewcort.land · 24/09/2026
the bad place - we live in the bad place and hell is other people
Per a note to Boston Globe staff today, the lesbian bar story generated 1,000 subscriptions to the paper yesterday. The Globe's managing editor said it was "by far our best performing story of the year," and appears to be
"on pace to shatter all sorts of Globe records."
# The Boston Globe & @BostonGlobe • Sep 22
A lesbian bar in Greenfield eased its stringent mask mandate, a decision that has splintered the queer community in the city and beyond. trib.al/FyZjBWs
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L7 1.8K
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Matthew Cortland (they) @matthewcort.land · 24/09/2026
Trying to convince the American electorate that ‘Medicaid work requirements’ are bad is like trying to convince a toddler that 'bedtime' is good. It's going to fail until you change the frame.
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Matthew Cortland (they) @matthewcort.land · 23/09/2026
it's fine — just keep going through groups and i'm sure that'll strengthen this incredibly niche and shrinking social media app
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Bill Childs @billchilds.bsky.social · 23/09/2026
Hi. I downloaded the 73-page (!) complaint because it's not in the Strib article. It is here: www.dropbox.com/scl/fi/qw7u6...
dropbox.com
Dropbox
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🗽LOLGOP🗽 @lolgop.bsky.social · 23/09/2026
Gavin Newsom is smart enough to know this would happen. And that's the biggest part of the problem. with him
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Matthew Cortland (they) @matthewcort.land · 22/09/2026
Meta, obviously a bad actor, is now requiring public facebook pages to pay for a monthly subscription in order to post links. This place had a real chance and absolutely fumbled it, in large part, I believe, because of the sneering condescension....
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Matthew Cortland (they) @matthewcort.land · 22/09/2026
I'm sure we immunocompromised people all care a lot about your expert opinions random dudebro
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Matthew Cortland (they) @matthewcort.land · 22/09/2026
The discourse is going to be bad I'll just say that covid is still a thing, immunocompromised people still exist despite this country's best efforts, and this is what happens when, instead of systemic clean air interventions, you do the equivalent of a boil water order for air
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Matthew Cortland (they) @matthewcort.land · 22/09/2026
Meta, obviously a bad actor, is now requiring public facebook pages to pay for a monthly subscription in order to post links. This place had a real chance and absolutely fumbled it, in large part, I believe, because of the sneering condescension....
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Matthew Cortland (they) @matthewcort.land · 22/09/2026
The AGs are cowards. All of the work this thread recapitulates, all of the legal fighting, all of it? They folded. They caved. They're supposed to be the champions of democracy and they're just fucking cowards.
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Matthew Cortland (they) @matthewcort.land · 22/09/2026
So part of the problem here is people who don't have direct experience can defend the current leadership of the House Democratic Caucus on this app, based on social media vibes or whatever. And the people with actual first hand knowledge are constrained from speaking.
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Matthew Cortland (they) @matthewcort.land · 22/09/2026
Please let all of my opponents be represented by an LLM 🤞
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Matthew Cortland (they) @matthewcort.land · 22/09/2026
s.e. is one of my favorite writers and editors
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Matthew Cortland (they) @matthewcort.land · 21/09/2026
The AGs are cowards.
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Matthew Cortland (they) @matthewcort.land · 21/09/2026
Mystic would like to know “what’s up?” She is saddened by the lack of answers
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Matthew Cortland (they) @matthewcort.land · 21/09/2026
The best defense we have against the flu is the flu vaccine. The flu kills a lot of people every year. It seriously sickens even more. Now is a great time to get the flu vax
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Matthew Cortland (they) @matthewcort.land · 21/09/2026
what's up?
mystic, a black adn white tuxie, in a box, looking directly at you
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Matthew Cortland (they) @matthewcort.land · 21/09/2026
someone else replies — but not publicly 🫠 — that they believe that account has good intentions. you'll note i didn't make a claim about intent — bad advice given with good intent is still bad advice
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Matthew Cortland (they) @matthewcort.land · 21/09/2026
I am sick in a way I've never really been before, but the fight for a public health that protects disabled people isn't slowing down. So as part of figuring out how to operate this meatsuit and get unrusty, come heckle me with your questions....
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Matthew Cortland (they) @matthewcort.land · 20/09/2026
We're in an unprecedented public health emergency that's disproportionately harming disabled people. What can we learn from public opinion data about how to advocate for a public health that protects everyone, prioritizes those at greatest risk, and respects our rights? Join me 9/21 @ 07:30 PM ET ⤵️
us05web.zoom.us
Welcome! You are invited to join a webinar: The Public Health Emergency. After registering, you will receive a confirmation email about joining the webinar.
We're living through an unprecedented public health emergency that is disproportionately harming disabled Americans. What can we learn from public opinion data about how to advocate for a public healt...
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Matthew Cortland (they) @matthewcort.land · 19/09/2026
because i've been asked - please don't take public health advice from the account that goes by 'biff' on x dot com it takes a pretty significant amount of expertise to distinguish between what that account is saying that's reasonable and what's absolute horseshit
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Matthew Cortland (they) @matthewcort.land · 19/09/2026
Tell me you don't understand public opinion and average voters in the United States (or that you're a fascist)...
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Matthew Cortland (they) @matthewcort.land · 19/09/2026
So aside from everything else, the use of "Democrat" (instead of "Democratic") in this way is a tell. For the last 40 years, GOP operatives have made a concerted effort to use "democrat" as an epithet — this is someone who is drinking the GOP kool-aid
Top Pop @authorjosephduncan.bsky.social • 1d
Sometimes you have to choose the lesser of two evils. Actually, I wouldn't even call it evil. Talarico backpedaling a bit is just him trying to snatch a few more conservative voters from his opponent. These ridiculous Democrat purity tests is what got us here. I suspect agent provocateurs.
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Matthew Cortland (they) @matthewcort.land · 19/09/2026
What a fucking deranged thing to write @healthbeat.org / @chalkbeat.org. Students with disabilities struggle to access the legally mandated ACESSILE EDUCATION they are entitled to under federal disability civil rights law but that NYC fucking refuses to provide.
Chronic absenteeism skyrocketed to 40%, the highest level in decades, during the COVID pandemic when students returned full-time to their classrooms during the 2021-22 school year. And though the rates have decreased since then, the latest figure — 33.5% — released Thursday in the Mayor’s Management Report (a compendium of performance data from city agencies), reveals how challenging it is for schools to move the needle. The hurdles are highest for the neediest students, particularly those who are homeless. Students with disabilities also struggle with attendance, often exacerbated by busing-related issues.
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Matthew Cortland (they) @matthewcort.land · 18/09/2026
I'm genuinely a public health expert and what Trump is saying is nonsensical gibberish
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Matthew Cortland (they) @matthewcort.land · 18/09/2026
by the time a place like a snf realizes a person would benefit from hospice care... they often wait too long to start hospice, so the patient doesn't spend very long on the service at all this is me procrastinating because i'm convinced when i go to sleep i'm going get woken by the 'she's gone' ☎️
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Matthew Cortland (they) @matthewcort.land · 18/09/2026
would you be interested in a webinar on effective messaging against AI?
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Matthew Cortland (they) @matthewcort.land · 18/09/2026
Members of the United States House of Representatives and Senate do not get free health care for life from the gov While a sitting member, their office is treated as a small business and they purchase an ACA small biz plan through DC Health Link, with a subsidy from the treasury 🧵
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Matthew Cortland (they) @matthewcort.land · 18/09/2026
oh to be a kitten asleep on fresh laundry
mystic, a tuxie cat, asleep on a pile of laundry in a laundry basked
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Matthew Cortland (they) @matthewcort.land · 18/09/2026
I continue my policy of blocking non-experts who answer questions posed to me in my replies.
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Bunnicula'd berries @frozen-cranberry.bsky.social · 18/09/2026
I lost my grandmother and an aunt to dementia - it is a horrible disease, and it hurts so much to watch them go. This is a way of offering an ease in the going, even if we cannot take away the hellish disease itself. I hope more people will realize what a boon hospice can be.
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