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Matthew Cortland (they)

@matthewcort.land
34K followers 967 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 · 1h
Here's the thing: there are pretty frequent plague outbreaks. Almost all modern cases occur in Africa, We know how to stop transmission. We know how to treat individual patients (in the case of pneumonic plague you want to give IV antibiotics early. 🧵
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Matthew Cortland (they) @matthewcort.land · 2h
It does seem like available information is pointing, instead, at this potentially being a case of pneumonic plague. That's what happens when y. pestis is inhaled and gets to the lungs. Pneumonic plague can spread from person to person. 🧵
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Matthew Cortland (they) @matthewcort.land · 2h
What we commonly call 'the plague' is a disease caused by the bacteria yersinia pestis. "Bubonic plague" is what happens with y. pestis, usually transmitted by the bite of an infected flea, enters the body and causes painful swelling of lymph nodes. See, e.g., the Black Death 🧵
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Matthew Cortland (they) @matthewcort.land · 2h
I've been going through publicly available information relative to the possible Y. pestis (pneumonic plague) incident in Russia. Reports are conflicting—we do not have a clear picture of what's happening. And even under the best of circumstances the Russian government isn't exactly transparent 🧵
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Matthew Cortland (they) @matthewcort.land · 19h
i will try (she doesn't really do screens)
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Matthew Cortland (they) @matthewcort.land · 19h
perfect.
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Matthew Cortland (they) @matthewcort.land · 21h
*line=like i have regained the use of both of my hands, such as they are
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Matthew Cortland (they) @matthewcort.land · 23h
That is my hand she is using as a pillow- I have been line this for near an hour
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Matthew Cortland (they) @matthewcort.land · 03/10/2026
(yes I know I just said 'model model')
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Matthew Cortland (they) @matthewcort.land · 03/10/2026
The Vatican does have its own LLM model, trained on data from its own archives. (This is not a secret, Robert Ballecer SJ has talked about it publicly)
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Alex Wenzel @alexwenzel.bsky.social · 03/10/2026
CVS has a dominant market share here after Rite Aid failed, and my prescription is in a multi-year shortage - I do not know how someone who doesn’t have a job that lets them answer their phone at arbitrary times ever refills it. But vaccines were easy. Lots of appts online, visit took 20 min.
CVS answers the phone with an LLM now. You can't talk to a person, no matter how long you wait on your initial call. You're gonna be told you have to leave a message that gets poorly transcribed often by an LLM, and then at some random time unknown to you, in the future, a pharmacy tech will call you back.
Doesn't matter if because of a disability or chronic illness or what have you, your childcare responsibilities, elder care responsibilities. It doesn't matter if you're not available when they call back. You better be, because they're not calling back again. We're watching the healthcare pharmacy system fall apart even further around us, even though we rely on it in order to survive.
But, but, but, but, but, but CVS still carries vaccines. CVS still carries vaccines. So too does Walgreens.
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Matthew Cortland (they) @matthewcort.land · 03/10/2026
Fantastic - shingles suuucks and the shingles vax lowers the risk of dementia
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Matthew Cortland (they) @matthewcort.land · 03/10/2026
If you ever talk to press you need to be aware of this reprehensible conduct:
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Kat Tenbarge @kattenbarge.bsky.social · 03/10/2026
Nicole is a leading expert on the issue of campus sexual violence. I am floored that USA Today would do this to her. I find this kind of journalistic behavior unethical and morally reprehensible, twisting an interview with a renowned advocate for survivors into a hit piece against a survivor.
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Matthew Cortland (they) @matthewcort.land · 03/10/2026
fantastic (not the side effects, they do suck. if i may be so presumptuous - some folks find moving their arms around, lifting something of moderate weight, can help with local soreness)
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Matthew Cortland (they) @matthewcort.land · 03/10/2026
think about the singles vax too - usually recommended at 50 but we talked about why you may want to get it earlier
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Matthew Cortland (they) @matthewcort.land · 03/10/2026
Including the covid vaccine - basically everyone should get it shouldntneedtobealawyer.com/posts/vaccin...
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Matthew Cortland (they) @matthewcort.land · 02/10/2026
You should get all the vaccines. shouldntneedtobealawyer.com/posts/vaccin...
shouldntneedtobealawyer.com
Vaccine Access in 2026: What You Need To Know | Shouldn't Need to Be a Lawyer by Matthew Cortland
Originally recorded on 09/28/2026: Mystic has had her shots. I hope you have gotten your COVID shot and your flu shot for the 2026, 2027 CO
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Eric Blair @protecttruth.bsky.social · 02/10/2026
People are saying that everyone knows the Manhattan Institute is extremists— but that is not true, centrists kiss up to them all the time. Here is a major Abundance event and look at all the people pal-ing around with a Manhattan Inst director.
ABUNDANCE26
December 10 & 11
Washington, DC
Nicholas Bagley
Professor, University of Michigan
Law School
Matt Clancy
Program Director, Coefficient
Giving
Colani Nottoni
Judge Glock Director of Research, Manhattan
Institute
Derek Kaufman
Founder & CEO, Inclusive
Abundance
Jennifer Pahlka
Author, Recoding America
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Robert Reich @rbreich.bsky.social · 29/09/2026
I know Rahm Emanuel. I worked with him for years in the Clinton administration, and then when he was Obama’s chief of staff. Rahm Emanuel represents everything that’s been wrong about the Democratic Party for the last 30+ years. Be warned. robertreich.substack.com/p/the-rahm…
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Collective for Racial and Disability Justice @crdjustice.bsky.social · 02/10/2026
Federal agencies have spent years addressing gaps in data about people with intellectual & developmental disabilities (I/DD). Now, the proposed 2028 NHIS redesign could remove measures developed to help close those gaps. #DisabilityData #NHIS
CRDJ Public Comment Letter graphic over a blue-toned image of a person viewed from behind against an abstract data-like background. Due October 19, 2026. Title: “RE: NHIS Proposed 2028 Redesign.” Text explains that the proposed National Health Interview Survey redesign could undo progress in identifying people with intellectual and developmental disabilities, weakening federal evidence used to document disparities, evaluate policy, and hold systems accountable.Black-and-white CRDJ recommendations graphic for the NHIS Proposed 2028 Redesign, due October 19, 2026. Four concerns are listed: reverses recent I/DD data progress; weakens disability evidence infrastructure; compounds inequities in who gets counted; and moves forward without enough testing or transparency. An envelope icon accompanies a call to submit a public comment.
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Matthew Cortland (they) @matthewcort.land · 02/10/2026
"Medicaid work requirements" are above water with the American electorate (net +18). Calling the same policy "Medicaid eligibility cuts" meaningfully decreases support (net -11). I do not understand the insistence on adopting the framing of those trying to destroy Medicaid
Bar chart of polling data from Data For Progress.
Title: Voters Support the Same Medicaid Rules When Called "Work Requirements" and Oppose Them When Called "Eligibility Cuts".
Description: Under new rules, some adults can get or keep Medicaid only if the state confirms that they meet work, school, or volunteer rules. [Split A n=613] Do you support or oppose these Medicaid work requirements? [Split B n=598] Do you support or oppose these Medicaid eligibility cuts?
[Split A] Medicaid work requirements — Support: 57%, Oppose: 39%
[Split B] Medicaid eligibility cuts — Support: 42%, Oppose: 55%

September 25–28, 2026 survey of 1,211 U.S. likely voters.
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Matthew Cortland (they) @matthewcort.land · 02/10/2026
Medicaid pays for a bunch of "community integration" stuff
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Matthew Cortland (they) @matthewcort.land · 02/10/2026
States do not have the money to backfill Medicaid.
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Matthew Cortland (they) @matthewcort.land · 02/10/2026
One of the best public servants in the Biden Admin - Dr Nelson actually cared about using science to protect people from COVID, she is a great pick for the fellowship
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Laura Norton-Cruz, LMSW, CLC @lauritadianita.bsky.social · 29/09/2026
My daughter is finally old enough for the adult COVID vax, so she & I are getting flu & COVID 💉 at Costco Rx tomorrow. Son got his flu shot last week. I’d been waiting for kids COVID 💉 to come in but our state still doesn’t have it. So I scheduled what I could for now & 🤞 Feds/state get it out.
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Emmeline Rabelais @emrabelais.com · 01/10/2026
this is the event of the year and I hope that it is remembered as such
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Matthew Cortland (they) @matthewcort.land · 01/10/2026
it is unknown at this time if mystic will be making an appearance
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Matthew Cortland (they) @matthewcort.land · 01/10/2026
AI is already being used to deny disabled people medically necessary care, and anywhere it costs money to include us is likely next. I've spent most of 2026 on public opinion research with TechTonic Justice about how to fight back, and we're unveiling it tomorrow, Friday, at 1PM ET
shouldntneedtobealawyer.com
Webinar Invite: Winning Against AI & Economic Injustice | Shouldn't Need to Be a Lawyer by Matthew Cortland
For almost all of 2026 I have been facing a medical crisis. As many of you know all too well, attempting to navigate the American health car
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Matthew Cortland (they) @matthewcort.land · 29/09/2026
thinking .... bigger 🏎️
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Matthew Cortland (they) @matthewcort.land · 29/09/2026
my love
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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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Matthew Cortland (they) @matthewcort.land · 29/09/2026
tim i'm laughing so hard right now
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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
to get a damn good look at my pen
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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
This isn't a site where staffers hang out, but on the off chance you know who is motivating this, can I DM you with a guess and see if I'm right?
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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
some rando replies 'we're gatekeepin boundaries??" tell me you have no idea what rbn is without telling me you have.... etc etc
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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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Matthew Cortland (they) @matthewcort.land · 26/09/2026
right? like, just follow whatever protocols/rules the lab has for beverages when you're in lab and we're good....
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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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Matthew Cortland (they) @matthewcort.land · 25/09/2026
it's really weird!
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Matthew Cortland (they) @matthewcort.land · 25/09/2026
blacksky.community/profile/did:...
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Matthew Cortland (they) @matthewcort.land · 25/09/2026
💯
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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
(If you don't know, @kairyssdal.bsky.social flew planes off of a carrier for the U.S. Navy, (landed back on that carrier too). I would've thought a more considerate approach to disability - given the prevalence of disabled vets - woulda been a thing he did)
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