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Bram Sable-Smith

@realbrambo.bsky.social
582 followers 275 following 189 posts

Writing about abortion, guns, insulin, trans health care and the Midwest for KFF Health News Signal: Brambo.11

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Bram Sable-Smith @realbrambo.bsky.social · 29/09/2026
When the neighborhood kids come over
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Bram Sable-Smith @realbrambo.bsky.social · 27/07/2026
www.stlpr.org/law-order/20...
stlpr.org
Overland couple shot dead in Guatemala after local ICE stop led to deportations
The couple’s 14-month-old daughter was found crying beside her mother’s body in a sugarcane field last week, according to Guatemalan authorities and media.
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KFF Health News @kffhealthnews.org · 16/07/2026
Sales taxes on healthcare and prescriptions could be on the table in Missouri as voters consider a ballot measure that would empower the legislature to replace state income taxes with higher sales taxes. @realbrambo.bsky.social reports ⤵️ kffhealthnews.org/health-care-...
kffhealthnews.org
A Sales Tax on Doctor Visits and Medicine? In Missouri, Some Worry - KFF Health News
A ballot measure to eliminate Missouri’s income tax would give the state legislature broad authority to levy new sales taxes to replace the lost revenue. Critics say that could mean adding a sales tax...
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Bram Sable-Smith @realbrambo.bsky.social · 14/07/2026
There are so many bigger problems in the world but google killing off its thesaurus function in favor of ai is a huge bummer
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Alex Wayne @aawayne.bsky.social · 30/06/2026
We’re gonna find more places to park Bram with a card table and a “let’s talk xxx” sign
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mary-ellen-deily.bsky.social @mary-ellen-deily.bsky.social · 30/06/2026
If a Lyme disease vaccine were approved, would you get it? @realbrambo.bsky.social asked hunters, who frequently cross paths with ticks. Watch to find out what he learned.
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KFF Health News @kffhealthnews.org · 30/06/2026
We wanted to know how hunters felt about a possible new vaccine for Lyme disease, so we headed to a shooting range outside of St. Louis. Watch @realbrambo.bsky.social ⤵️ youtu.be/YTTqXsx5D5A
youtu.be
Would Hunters Take a Lyme Disease Vaccine? We Asked
YouTube video by KFF Health News
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Bram Sable-Smith @realbrambo.bsky.social · 30/06/2026
One of my goals as a journalist this year is to do a better job showing where my stories come from and how I report them. It's the best way I can think of to build trust. So let me pull back the curtain on my latest video for @kffhealthnews.org and @npr.org...
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Bram Sable-Smith @realbrambo.bsky.social · 27/06/2026
Yep, that’s me, setting up shop outside a shooting range in Missouri to ask hunters about a potential new vaccine for Lyme disease. I actually think it’s worth explaining how I came to make this video (link to the full video is below)…
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NPR @npr.org · 27/06/2026
Drugmakers are working on a potential new shot to prevent the tick-borne illness. How might it fare in the era of vaccine skepticism? n.pr/4eyOtEn
n.pr
If a Lyme disease vaccine gets approved, how would it go over? We asked hunters
Drugmakers are working on a potential new shot to prevent the tick-borne illness. How might it fare in the era of vaccine skepticism?
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KC Current @kansascitycurrent.bsky.social · 25/06/2026
Once in a lifetime experience in KC. A sea of oranje through downtown. 🤯
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Ken Vogel @kenvogel.bsky.social · 15/06/2026
SCOOP from @by-cjewett.bsky.social & me: Markwayne Mullin urged the Department of Health and Human Service to remove warnings from the FDA website about the health risks of the gas station drug kratom. Mullin owns equity in a leading kratom company called Botanic Tonics that could have benefited.
nytimes.com
How an Addictive Gas Station Drug Found Allies in Trump’s Cabinet
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Amy Maxmen, PhD @amymaxmen.bsky.social · 09/06/2026
I went to Utah to see what life is like in America's new reality, where vaccine-preventable diseases are common again. Utah's measles outbreak has lasted 10 months. Pediatricians teared up in interviews. Mothers were stressed. 🧵My latest @wired.com @kffhealthnews.org www.wired.com/story/anguis...
wired.com
Anguished Parents, Crying Doctors: Life Amid Utah’s Measles Outbreak
The state’s outbreak means adapting to America’s new reality, in which vaccine-preventable diseases become common again.
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Darius Tahir @dariustahir.bsky.social · 18/05/2026
On Jan. 6 this year, Trump's stock pickers bought some Eli Lilly. It was the beginning of a series of stock buys. All while the agencies he oversees undertook an agenda boosting GLP-1s, Lilly's flagship product. My latest for @kffhealthnews.org: kffhealthnews.org/health-indus...
kffhealthnews.org
Trump Bought Stock in Drugmaker as His Government Boosted Its Obesity Drugs - KFF Health News
New ethics disclosures show the president invested in Eli Lilly and a company that manufactures injectable devices as his health agencies implemented policies that benefited them.
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Bram Sable-Smith @realbrambo.bsky.social · 21/04/2026
To take advantage of the weather this year, I'm planning on buying the biggest grill I can find. A Max Weber, if you will.
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Bram Sable-Smith @realbrambo.bsky.social · 20/04/2026
Can't believe the World Cup is coming to my home state of Missouri this summer! I can't wait to show the world what we have to offer [ongoing highway expansion project that makes driving a nightmare]!
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Darius Tahir @dariustahir.bsky.social · 17/04/2026
Last fall, I was told about a burgeoning world of apps offering AI therapy. I took a look: all over the app store, there are products for kids as young as 4. Many seem to use your data for advertising. What's it mean to have AI therapy? For @kffhealthnews.org: kffhealthnews.org/news/article...
kffhealthnews.org
Your New Therapist: Chatty, Leaky, and Hardly Human - KFF Health News
With high demand for mental health care, a wave of artificial intelligence-powered chatbots are being marketed as therapy apps — with little evidence they work and few regulations.
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Bram Sable-Smith @realbrambo.bsky.social · 13/04/2026
When STL police shot and killed a 17-year-old in 2024, they said he was pointing a gun at them when they fired. Newly released video shows while he had a gun in his pocket, his hands were empty and he was turned away when an officer shot him in the back of the head www.stltoday.com/news/local/c...
stltoday.com
Video shows teen shot in back of head by St. Louis police
The video was released Monday to "put pressure" on authorities and demand accountability, attorney Al Watkins told the Post-Dispatch.
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Jackie Fortiér @jackie-fortier.bsky.social · 09/04/2026
A lot of people choose their health insurance the same way they shop for a flight - sort by the lowest monthly price and click “buy.” If you have a high-deductible plan, we've got tips to make it work better for you. @kffhealthnews.org @npr.org
npr.org
How to make a high-deductible health plan and HSA work for you
If you chose a cheaper health plan, you may be stuck with some hefty medical bills until you meet your deductible. Here's how to get the most out of your plan and health savings account.
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Ashley Kirzinger @ashleykirzinger.bsky.social · 02/04/2026
My @kff.org colleagues and I have been working on this for a while... the latest on the role that we think health care may be playing in voters' plans for 2026 www.kff.org/public-opini...
kff.org
A Preview of the Role Health Care May Play in the 2026 Election | KFF
Ahead of the 2026 midterm elections, this KFF issue brief examines the role health care has played in previous elections and what that may suggest about its potential role in 2026.
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KFF Health News @kffhealthnews.org · 01/04/2026
Idaho Gov. Brad Little signed a bill last week that will cut nearly $22 million to Medicaid disability services. The changes will lower reimbursement for caregivers. Families warn the cuts could be catastrophic. @realbrambo.bsky.social reports ⤵️
kffhealthnews.org
Families Defend Disability Services Amid Medicaid Cuts - KFF Health News
Idaho is positioning to slash Medicaid funding as state lawmakers grapple with the effects of the federal One Big Beautiful Bill Act, which President Donald Trump signed into law last year. On the tab...
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Arielle Zionts @ajzionts.bsky.social · 27/03/2026
OK: Using Rural Health Transformation $ to realign services could mean “shutting down service lines." MT: Rightsizing could mean “downsizing." WY: RHTP bill says facilities getting funding must “reduce unprofitable, duplicative or nonessential service lines." kffhealthnews.org/news/article...
kffhealthnews.org
Give and Take: Federal Rural Health Funding Could Trigger Service Cuts - KFF Health News
States are rolling out plans for their share of a $50 billion fund meant to improve rural health care. In some states, the money may provoke rural hospitals to cut services.
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The Onion @theonion.com · 24/03/2026
Dad Suggests Arriving At Airport 14 Hours Early theonion.com/dad-suggests-arriving-…
Dad Suggests Arriving At Airport 14 Hours Early
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Kyle Pfannenstiel @pfannyyy.bsky.social · 24/03/2026
The Idaho Senate narrowly passed a bill that calls for nearly $22 million in budget cuts to Medicaid disability services, sending the legislation to the governor. #idleg #idpol
idahocapitalsun.com
Idaho Senate passes $22M in Medicaid disability budget cuts, sending bill to governor • Idaho Capital Sun
The bill, House Bill 863, would cut provider reimbursement rates for residential habilitation services by $21.8 million next fiscal year.
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Kyle Pfannenstiel @pfannyyy.bsky.social · 13/03/2026
Four patients have died after the Idaho — facing budget shortfall — cut a mobile treatment program for people with severe mental illness. #idleg #idpol
idahocapitalsun.com
Fourth patient dies after Idaho cut Medicaid mental health service • Idaho Capital Sun
Four patients have died after the state, facing budget shortfall, cut a mobile treatment program for people with severe mental illness.
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Arielle Zionts @ajzionts.bsky.social · 05/03/2026
Harsh words from the Colorado Hospital Association: “Not only were CO’s rural hospitals’ recommendations disregarded,” but the plan includes ideas “they actively oppose and believe will harm the communities they serve.” My latest w/ @sjtribble-reports.bsky.social:
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Kyle Pfannenstiel @pfannyyy.bsky.social · 09/03/2026
After several legislative moves to punt decisions on Medicaid cuts this year, Idaho Republican lawmakers on Monday introduced a bill to repeal Medicaid expansion. #idleg #idpol
idahocapitalsun.com
Idaho Legislature introduces Medicaid expansion repeal bill • Idaho Capital Sun
After several legislative moves to punt decisions on Medicaid budget cuts, Idaho lawmakers introduced a bill to repeal Medicaid expansion.
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Rachana Pradhan @rachanadpradhan.bsky.social · 05/03/2026
The number of people employed at the NIH is at its lowest level in at least two decades. Hear from six scientists run out by Trump and the work they left behind on cancer research, tick-borne diseases, and more. Me + @k-hought.bsky.social @kffhealthnews.org for @cnn.com www.cnn.com/2026/03/05/h...
cnn.com
Six federal scientists run out by Trump talk about the work left undone | CNN
Federal data shows the NIH lost about 4,400 people — more than 20% of its workforce. Scientists say the departures harm the U.S.’ ability to respond to disease outbreaks, develop treatments for chroni...
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Katheryn Houghton @k-hought.bsky.social · 02/03/2026
Services at risk include: 24/7 care that allows a 39-year-old with cerebral palsy to live independently; the in-home caregiving that lets a 26-year-old with brain damage stay in his family home; and private duty nursing for a 19-year-old with cerebral palsy who has qualified for hospice care.
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Bram Sable-Smith @realbrambo.bsky.social · 02/03/2026
NEW: Most of the Medicaid cuts passed by congressional Republicans last year don't take effect until after the midterms, but the Trump's signature law is already squeezing state Medicaid programs. In Idaho, one service on the possible chopping block is home care for people with disabilities.
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Larry Levitt @larrylevitt.bsky.social · 20/02/2026
I’m always for more data. But, be careful using the new Medicaid spending data released by the Trump administration. It’s missing a lot of important details and context. www.kff.org/medicaid/wha...
kff.org
What Newly Released Medicaid Data Do and Don’t Tell Us | KFF
On February 14, 2026, CMS released a dataset with provider-level spending data that the agency suggests could be used to identify unusual billing patterns for specific services, states, or providers. ...
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Darius Tahir @dariustahir.bsky.social · 18/02/2026
Trump wants to deregulate AI, especially in healthcare. Red states and blue states alike, want to curb AI in health insurance. Here's a new battlefield: www.usatoday.com/story/tech/2... My latest, with Lauren Sausser, for @usatoday.com/@kffhealthnews.org
usatoday.com
Trump and states in a tug of war over insurance and AI
Both red and blue states are fighting against the use of artificial intelligence in health insurance determinations — but Trump disagrees.
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Bram Sable-Smith @realbrambo.bsky.social · 10/02/2026
Republicans are hitching themselves to MAHA, hoping it will give an electoral bounce in the midterms. youtu.be/Vy_5EAqdbHs
youtu.be
Is MAHA the New MAGA?
YouTube video by KFF Health News
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KFF Health News @kffhealthnews.org · 09/02/2026
Uniformed health workers have been deployed to President Donald Trump’s secretive immigration operation at Guantánamo Bay. They describe a dark prison and limits on medical care. @amymaxmen.bsky.social investigates ⤵️
kffhealthnews.org
Public Health Workers Are Quitting Over Assignments to Guantánamo - KFF Health News
U.S. Public Health Service doctors and nurses are being deployed to Guantánamo and other detention centers as President Donald Trump escalates mass arrests in his campaign to curb immigration. Some ha...
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Larry Levitt @larrylevitt.bsky.social · 15/01/2026
President Trump is suggesting here that people could use government subsidies to buy insurance that doesn’t comply with ACA rules, including coverage of pre-existing conditions. That could lower costs for healthy people, but send the ACA marketplace into a death spiral.
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Bram Sable-Smith @realbrambo.bsky.social · 13/01/2026
If I'm reading Missouri Gov's budget correctly, complying with the One Big Beautiful Bill will cost almost $295 million
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Bram Sable-Smith @realbrambo.bsky.social · 09/01/2026
Roses are Red, Violets are clueless, 4 monkeys are on the loose in north St. Louis
stltoday.com
4 monkeys are on the loose in north St. Louis. Animal control is on the hunt.
The animals were seen by residents Thursday afternoon on Red Bud Avenue in the O'Fallon neighborhood.
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Bram Sable-Smith @realbrambo.bsky.social · 23/12/2025
NEW: While so much attention is being paid to possible *causes* of autism, states are starting to cut funding on *treatment* for kids who already have it. I wanted to know why. Read my latest with @arjonesreports.bsky.social www.npr.org/sections/sho...
npr.org
It's the 'gold standard' in autism care. Why are states reining it in?
Budget shortfalls and nearly $1 trillion in looming federal Medicaid cuts have prompted states to rein in spending on a widely embraced autism therapy, pinching families who depend on the services.
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Bram Sable-Smith @realbrambo.bsky.social · 11/12/2025
www.columbiamissourian.com/news/local/l...
columbiamissourian.com
Longtime Columbia resident to be deported after sudden court transfer
Owen Ramsingh will be sent to the Netherlands after monthslong stays in detention facilities with unfit conditions.
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Bram Sable-Smith @realbrambo.bsky.social · 30/10/2025
My latest for NPR. Send us your health care headaches and we'll send our sleuths out to puzzle through it so you don't have to: www.npr.org/2025/08/21/g...
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Bram Sable-Smith @realbrambo.bsky.social · 30/10/2025
Ready for Halloween!
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Larry Levitt @larrylevitt.bsky.social · 29/10/2025
There are two different KFF numbers about the ACA out there. Both are accurate, but mean different things. 114%: The average increase in out-of-pocket premiums if enhanced tax credits expire. 26%: The average increase in what insurers are charging for benchmark ACA plans.
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Larry Levitt @larrylevitt.bsky.social · 29/10/2025
We estimate the average ACA enrollee will see their out-of-pocket premium increase by 114%. But, it will vary a lot based on age, income, family size, and zip code. I'd be interested in what you're seeing if you're an ACA enrollee and log on to the marketplace. Please reply here.
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Larry Levitt @larrylevitt.bsky.social · 20/10/2025
When is the point of no return for extending ACA tax credits? They expire 12/31, so that’s a drop dead date. Open enrollment starts November 1. If they’re not extended by then, enrollees may start dropping out. Even if open enrollment is extended, people could be hard to reach.
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Drew Altman @drewaltman.bsky.social · 15/10/2025
Who are MAHA parents? The breakdown from our poll with the @washingtonpost.com: on.kff.org/477Oo5L
KFF bar chart graphic titled "About 4 in 10 Parents Support the MAHA Movement, Including 8 in 10 MAGA Republican Parents." Data shows varying levels of support across different demographics including party ID, race/ethnicity, education, age, and gender. Key insights include higher support among Republicans and lower support among Democrats and Independents. Presented by KFF/The Washington Post, dated July 18-August 4, 2025.
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KFF @kff.org · 07/10/2025
KFF analysis finds 27% of farmers, ranchers, and agricultural managers got health insurance through the individual market in 2023, which is mostly (over 90%) made up of the ACA Marketplaces. 🔗: on.kff.org/46A1Crt
KFF graphic showing about a quarter (27%) of farmers, ranchers, and agricultural managers got health insurance through the individual market in 2023.
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Sarah Jane Tribble @sjtribble-reports.bsky.social · 22/09/2025
"We are hurting ourselves in North Carolina way ahead of the game, way before we need to do this," NC's former Chief Medical Officer told me. Reporting w/ @realbrambo.bsky.social for @kffhealthnews.org kffhealthnews.org/news/article...
kffhealthnews.org
States Are Cutting Medicaid Provider Payments Long Before Trump Cuts Hit - KFF Health News
North Carolina and Idaho are cutting their Medicaid programs to bridge budget gaps, raising fears that providers will stop taking patients and that hospitals will close even before the brunt of a new ...
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Amy Maxmen, PhD @amymaxmen.bsky.social · 23/09/2025
🚨 "Sick to my stomach." That's how the researcher who found a link between Tylenol and autism felt when she realized MAHA would link her analysis to vaccines. My latest exclusive @kffhealthnews.org kffhealthnews.org/news/article...
kffhealthnews.org
‘Sick to My Stomach’: Trump Distorts Facts on Autism, Tylenol, and Vaccines, Scientists Say - KFF Health News
The White House’s autism announcement exaggerates links to Tylenol, misleads on vaccines, and sets back the field by ignoring decades of research, scientists say.
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Bram Sable-Smith @realbrambo.bsky.social · 22/09/2025
NEW: Trump's signature legislation is cutting $1 trillion from Medicaid. But even before those cuts hits, states are slashing their programs. It's already making it harder for one North Carolina mom to find care for her disabled son w/ @sjtribble-reports.bsky.social
kffhealthnews.org
States Are Cutting Medicaid Provider Payments Long Before Trump Cuts Hit - KFF Health News
North Carolina and Idaho are cutting their Medicaid programs to bridge budget gaps, raising fears that providers will stop taking patients and that hospitals will close even before the brunt of a new ...
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Rachana Pradhan @rachanadpradhan.bsky.social · 05/09/2025
We previously reported that the number of people receiving treatment at the National Institutes of Health Clinical Center - known as America's research hospital - declined from February-April. Since then, I obtained newer data through mid-August. And it's gotten worse. youtube.com/shorts/yT5Vc...
youtube.com
Patient Numbers at NIH Hospital Continue To Decline Under Second Trump Administration
YouTube video by KFF Health News
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