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Richard M. Carpiano, PhD, MPH

@rmcarpiano.medsky.social
14.2K followers 5.9K following 7.5K posts

Professor, University of California, Riverside School of Public Policy. Public health scientist & sociologist keen on population health & community issues. Sometimes in the news, often for troubling and frustrating topics. Opinions my own. 🇺🇸 🇨🇦

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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 01/10/2026
Sugar reunion show in LA!
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 30/09/2026
I saw King Crimson's 80s transformation mentioned. I think their prior shift/phase that began with Larks' Tongues in Aspic (on through Red) also deserves mention.
Larks' Tongues in Aspic album cover from Wikipedia
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 20/09/2026
Fair trade... Here's the summary and 1st paragraph...
Screenshot of article in the OP showing the story highlights and 1st paragraph... 

"-UCLA Chancellor Julio Frenk’s statement to distance the university from a law school symposium on 9/11 has promoted growing faculty backlash over academic freedom.
-Dozens of UCLA law professors say Frenk’s remarks unfairly suggest the symposium endorsed terrorism or antisemitism, urging a public retraction.
-The conflict has become a test of UCLA’s commitment to let scholars examine fraught topics or invite controversial speakers to campus without interference.

A public message from UCLA Chancellor Julio Frenk distancing the university from a law school 9/11 symposium that included a lawyer for the alleged “mastermind” of the attack has ignited an intensifying outcry among UC faculty and hundreds of academics nationwide over what they see as a high-level infringement on academic freedom."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 12/09/2026
Where are Riverside County’s ballots—and how secure are its elections? Join us for this upcoming event co-sponsored by the UCR School of Public Policy and CalMatters, featuring reporters and election experts, including Prof. @jengaudette.bsky.social mailchi.mp/spp.ucr.edu/...
Screen capture from the events page. 

CalMatters and the UCR School of Public Policy present:

Where Are Riverside County’s Ballots and How Secure Are Its Elections?

CalMatters and the UCR School of Public Policy will bring together reporters and election experts to discuss CalMatters’ investigation into the Riverside County Sheriff’s Department seizure of mail ballots and what it means for future elections. Join the conversation to learn about California’s election safeguards, proposed voting changes and the CalMatters Voter Guide.

Location:
The Cheech

3581 Mission Inn Avenue

Riverside, CA 92501

Date & Time:
September 24, 2026

5:30 PM - 7:30 PM

Appetizers and drinks will be provided

RSVP: cal.news/riverside
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 26/08/2026
SMH... Children's Health Defense--the antivax org that RFK Jr. founded. en.wikipedia.org/wiki/Childre...
Screenshot of a post on X by Children's Health Defense's account showing a photo of Dolly Parton with the text "How many people did Dolly Parton kill pushing vaccines?"
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 01/08/2026
Good month... Not sure how all The Beatles stuff got in there though. Really enjoyed Colin Hay's Going Somewhere album. Great night time and work listening.
Image of my Tidal steaming top 5 artists in July. 1-5: Colin Hay, The Beatles, Billy Joel, Oink Floyd, and Frank Zappa.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 29/07/2026
Friends don't defend friends' horribly argued Atlantic pieces. Another reason why I don't trust the "Why Should I Trust You?" podcast. 🛟😷 sociology idsky health policy
Screenshot from the Why Should I Trust You? Podcast Substack site with a new blog entry entitled "Why Dr. Craig Spencer Got It Right: His article 'Public Health Needs MAHA,' describes an opportunity. We see it too. His detractors are missing its message." The authors are Brinda Adhikari and Tom W. Johnson. Photo is shown of four unidentified women wearing white shirts and caps that have "MAHA" in black letters.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 13/07/2026
Mississippi had, for many yrs, the strictest school vax reqs in the US (long bf CA) until an antivax legal effort forced allowing religious exemptions that have been growing & thus outbreak risks as these exemptions cluster in certain counties. Good story mississippitoday.org/2026/07/02/m...
Screenshot from linked story showing bar graph of the number of medical and religious exemptions in MS annually between 2017-18 and 2025-26. Since being allowed the number of religious exemptions has grown substantially from 732 in 2023-24 to 3031 in 2025-26.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 27/06/2026
5/ As I noted above, a few points in the story regarding dating/partner preferences resemble a sort of secular-ish sexual abstinence "promise ring" or Born Again Virgin-type logic--the focus on purity in a partner as a core value. Ties to trad wife/spouse values, perhaps?
Screenshot from the story: 

Armstrong said he “wanted a partner who also had that level of resilience, who was willing to endure what it took to remain unvaccinated,” he said. “To me, that’s somebody I would want to be the mother of my kids.”
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 27/06/2026
4/ Lots throughout that point to the stigma of being an antivaxxer: including embracing the negative label that gets applied w/ associated social separation and related consequences (job loss, loss of friends)
Screenshot from the story: 

"While Armstrong, 42, doesn’t need his friends to be unvaccinated, it is a requirement for his long-term partner. “I sacrificed a lot to remain unvaccinated. It was not an easy choice. I lost a job. I lost all my friends,” he explains, referring to his decision to decline the covid-19 shot.

He says he remained steadfast because of his concerns that some employers were mandating the vaccine, especially given what he calls its accelerated development."Screenshot from the story: Unjabbed.net hosts forums where users express frustrations with conventional dating sites, including how phrases such as “no anti-vaxxers” and “no conspiracy theorists” can be found at the bottom of profiles on those apps.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 27/06/2026
3/ Re: anti-Trump user composition: Seems like a dating app for those who fit the model of the "granola" set antivaxxers often assoc'd w/ the wellness world vs. the conservative MAHA types who arose pre-pandemic & grew once it hit--but seems the pandemic motivated many of these ppl to go this route
Screenshot from story:

"Scott Armstrong, who has handled everything from content production to customer service as operations director at Unjected, said he thinks that many anti-vaxxers are often pigeonholed for being part of the Make America Great Again movement. “Who invented the vaccine? Donald Trump,” he says. “There’s no love for Trump around here at all,” he adds, referring to the Unjected community. “Complete opposite, in fact.”

According to Unjected, the bulk of its 65,000 active users are ages 25 to 45. Many identify as politically independent, spiritual, vegetarian or vegan, according to Armstrong, who adds that its largest user bases are in cities that had some of the strictest pandemic lockdowns — Portland, Denver, Toronto and Phoenix. California has the highest concentration of users; Alabama has none."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 24/06/2026
Flu outbreak 2 mos. after Hegseth made annual flu shot optional for troops. Only ~40% of new Air Force trainees at Joint Base San Antonio had a flu shot when the outbreak began in early June. Army, Navy, & AF once again req'ing flu shots for basic trainees. 🛟🧪🧭 Policy abcnews.com/Health/milit...
Photo of a coffee mug that says "FAFO is not a good public health strategy." All in caps.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 15/06/2026
Wonderful night to honor our UCR School of Public Policy students at the Culver Center in downtown Riverside.
Photo of the stage of the event where a student is receiving an honor from the school Dean and event guests and a School Student Ambassador stands at the podium to announce students and their honors.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 12/06/2026
Ready to go!!! Nosebleed seats but that's okay!
Stage of Rush 50th anniversary show in Kia Forum with screen saying "50th".
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 01/06/2026
2/2 Sigh... Sounds kinda familiar. And we need to just stop already with these 30 under 30 and similar lists. Kids, stay in school...
Screenshot clip of text from the story: 

"When Tie was 18, she won a Thiel Fellowship – a then $100,000 grant funded by the billionaire Peter Thiel awarded to people aged 22 or younger who are willing to drop out of university to “build new things” – and left the University of Toronto. “It made so much sense to me to impact more people through the markets rather than wait another 10 years to get my PhD and postdoc,” she says. “It empowered me to pursue things way more aggressively than I would have otherwise.”

Tie moved to San Francisco and in 2015 founded the genetic testing company Ranomics. She was named as one of Forbes magazine’s 30 notable people under 30 in 2018, when she was 21. Her second company was Locke Bio, a digital health platform that allowed pharmaceutical companies to sell direct to consumers. After 10 years in California, Tie had planned to moved to Austin, Texas, and focus on the Los Angeles Project. But then she fell in love with He Jiankui."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 23/05/2026
Have you ever pondered: "If I were a box, what kind of box would I want to be?" I had not UNTIL I spotted this outside my office, prompting me to pause and reflect on that question.
Photo of a box in a trash can. The box has printing on it that says in bolded caps, "'I want to be a pizza box. (End bolding, but still all caps) Recycle Me.'"
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 16/05/2026
2 things from this article: 1. Steak 'n Shake has a "chief MAHA officer" (they've gone into MAHA big time) But did you know...? 2. He was "senior adviser to the asst sec. for health until last month." www.washingtonpost.com/health/2026/...
A clip from the linked story. Full text below...  

Roughly 4 in 10 Americans say they identify with MAHA, according to recent polling from KFF, a health policy research and news organization. The movement, which emerged from the 2024 political alliance between Kennedy and Trump, draws most of its support from the GOP and the Make America Great Again movement, according to the KFF survey.

Surveys have found that many MAHA-linked ideas, such as better regulation of artificial dyes and pesticides, are broadly popular.

But the White House has also taken note of polls indicating that vaccine skepticism, espoused by Kennedy and some MAHA supporters, is broadly opposed, including by Republicans.

“Vaccine skepticism is bad politics,” read one polling memo by conservative polling firm Fabrizio Ward that was presented to congressional leaders and shared with Trump officials in recent months.

Some MAHA advocates said change isn’t simple and they approve of the job Kennedy is doing.

“It’s a complicated task that they’re taking on and with complications you have to navigate appropriately,” said Michael Boes, the chief MAHA officer for Steak ‘n Shake, who was a senior adviser to the assistant secretary for health until last month. “I consider myself a fan of the president and also a MAHA warrior, and I haven’t been disappointed.”
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 11/05/2026
Check this out... For MAHA voters' top issues, lowering health care costs, including prescription drugs, more a concern than vaccine & even food-related chemical issues & addressing corp. influence. RFK Jr.'s usual drumbeat topics aren't connecting as well. www.kff.org/from-drew-al...
Screen shot of bar chart from linked story showing that MAHA voters 

"MAHA Voters Have Many Different Priorities

Thinking about what the government could do when it comes to health and health care, which of the following is the most important priority to you?

Split bar chart showing the most important priority to registered voters who support the Make America Healthy Again movement when it comes to what the government could do in health and health care. Results reported among total MAHA voters and by party identification of MAHA voters.

-Lowering the cost of health care, including prescription drugs 42%

-Restricting the use of certain chemical additives in the food supply 21%

-Reevaluating the safety of vaccines currently approved for use in the U.S. 10%

-Limiting corporate influence on U.S. food policy 8%

-Restricting the use of pesticides in agriculture 8%"
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 07/05/2026
3/ Crude metrics here but posted just for illustrative purposes... Past 3 months, US web searches...
Screenshot of google trends searches for 3 separate things: hantavirus, COVID, and flu. The graph covers the past 3 month period and shows interest in all three to be generally low low and steady with hantavirus being the lowest but then jumping up substantially in interest in early Mary and vastly surpassing the other two in interest.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 06/05/2026
For tonight's CA gov. debate, I drafted a debate bingo card that reflects how underwhelmed I am by the candidates. My position: CA needs better. Polls' undecided % are telling. Not much here for Villaraigosa bc w/low poll #'s he's inconsequential except as a spoiler & Steyer's been a debate dud.
An image of a 5X5 grid entitled "California Gubernatorial Debate Bingo" that contains the following 25 cells in order reading from left to right, first row to last row...
A reminder that San Jose is the 3rd largest city in California	
Porter refers to her minivan	
Bianco wears non-suit shirt that has his name and/or sheriff emblem embroidered above the breast pocket	
“Steve Hilton’s Daddy”	
Monologue in response to Yes/No question
Bianco cites that he has spent more than 30 years in law enforcement	
Steyer cites how it is a good sign that the special interests are going after him	
Mahan brags how he addressed homelessness as San Jose Mayor for a question not about homelessness	
Becerra proposes policy idea that's unconstitutional/illegal
“Thank you for that response, but you didn’t answer the question: what will you do to fix it?”
Porter says something unflattering about her kids	
Villaraigosa stumbles on his words amid answering a question	
Free Space	
Bianco denies climate change	
Becerra cites his time at HHS in claiming he possesses great management skills
Mahan mentions he is the (working class) son of a mailman	
Hilton virtue signals in trying to elevate himself above everyone on the dais	
Becerra tries to walk back his “A” grade he gave to Newsom’s homelessness efforts during the 4/22 debate	
“Califor-dable”	
Bianco pulls a “chicken little” about how horrible the state is
“Wealthy EV owners” used as tool to try to stoke class divide over gas tax	
Porter and Bianco get tense with each other	
Bianco loses his cool	
Steyer makes a claim about being a change agent	
2nd reminder that San Jose is the 3rd largest city in California
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 04/05/2026
Annenberg Public Policy Center poll: 69% say they trust Vaccine Scientists a moderate amount or more to act “in the best interest of people like you” Similar to Medical Scientists (72%) and Scientists in General (70%).🛟🧪😷 health policy www.annenbergpublicpolicycenter.org/scientists-e...
Screenshot of bar chart from linked article. The chart is nicely summarized in the text of the article...

"The Annenberg survey asks respondents how much they trust a) scientists working on vaccines, b) medical scientists, and c) scientists to act “in the best interest of people like you” on a scale from (1) “not at all” to (5) “a great deal.” On average, people report having “a moderate amount” of trust (3) in all three groups of scientists. A statistical regression comparing the mean or average scores shows that the mean for vaccine scientists is 3.1, which is statistically no different than for medical scientists (3.1) or scientists in general (3.0).

    Scientists working on vaccines: Nearly 7 in 10 (69%) say they trust vaccine scientists a moderate amount or more to act in their best interest, including 38% who say they trust vaccine scientists a great deal or a lot to act in their best interest and 31% who say they trust this group of scientists a moderate amount. About 1 in 3 (31%) say they trust them a little or not at all.
    Medical scientists: 72% say they trust medical scientists a moderate amount or more to act in their best interest, including 37% who say they trust medical scientists a great deal or a lot and 35% who say they trust this group of scientists a moderate amount. Less than 1 in 3 (28%) say they trust them a little or not at all.
    Scientists in general: 70% say they trust scientists a moderate amount or more to act in their best interest, including 32% who say they trust scientists in general a great deal or a lot to act in their best interest and 38% who say they trust this group of scientists a moderate amount. About 1 in 3 (30%) say they trust them a little or not at all."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 02/05/2026
If you find that odd, check out the droprx site and the language... "thoughtfully blended" made me giggle. Who writes that and thinks, "Oh, that's great!"?

Screenshot from DropRx that contains the following text along with a photo of a woman's face with closed eyes looking to her left and slightly up, seemingly basking in some sunlight with a blue-green background.

To the left of the image and below the image are the following pieces of text.

“Experience the power of nature, harnessed by science.

DropRx is the gold standard in doctor-formulated herbal blends, combining medical expertise with the purest plant-based ingredients. Rooted in trust, transparency, and clinical precision, DropRx redefines natural healing.

**100%**
natural ingredients sustainably sourced with no additives

**5**
herbs thoughtfully blended to increase bioavailability

Available on Amazon

These statements have not been evaluated by the Food and Drug Administration. Our products are not intended to diagnose, treat, cure, or prevent any disease.

www.DropRx.com"
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 02/05/2026
For anyone who might be thinking Nicole Saphier is a significantly better nomination for Surgeon General than Casey Means because Saphier is at least a practicing, board certified physician, please be aware of this... 😷🛟 health policy
Screenshot from a product sold on Amazon. Promotional graphic for DropRx herbal supplements by Dr. Nicole Saphier. The layout shows 4 panels. A central panel with the DropRx logo and the tagline “Feel better naturally, drop by drop,” alongside text describing research-backed tinctures for focus, calm, and wellness. To the right, informational text explains the brand’s origins, product uniqueness, and focus on organic, non-GMO herbal blends made in the USA. A black-and-white portrait of Saphier appears on the far right. The background includes soft botanical illustrations in muted green and beige tones.

Actual text window 1 of 4:

"DropRx by Nicole Saphier

DropRx is the gold standard in doctor formulated herbal blends, combining medical expertise with the purest plant-based ingredients."

Actual text of window 2 of 4: 

"Solutions Backed by Research

DropRx was developed as a solution for clean, thoughtfully crafted tinctures that support focus, calm, balance, and overall wellness, without unnecessary fillers or hype. Each formula is inspired by both traditional herbal wisdom and modern scientific insight, and designed to fit seamlessly into real life. Our goal is to give you tools that help you feel your best, naturally, confidently, and on your own terms."

Window 3 actual text:


"How did we get our start?

Dr. Saphier's journey towards nutraceuticals began after her own diagnosis of an autoimmune disease and skin cancer. Her experience led her to explore and create ways to enhance her health by adding natural remedies to her treatment regimens.

What makes our products unique?

DropRx combines medical expertise with 100% sustainably sourced natural ingredients - it is designed for those who seek both science and nature.

What do we specialize in?

We clinically craft and create organic, non-GMO, vegan, kosher liquid herbal blends that are made in the USA."
 
Window 4 is just her image.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 02/05/2026
Board certified but hawks "neutraceuticals." This was taken from Amazon's site of all places...
Screenshot of an explanation of Dr. Nicole Saphier's "DropRx" products taken from Amazon's website selling one of her products. The series of 3 windows in the visual (accompanied by a black and white photo of her) contain statements like this:

" Solutions Backed by Research

DropRx was developed as a solution for clean, thoughtfully crafted tinctures that support focus, calm, balance, and overall wellness, without unnecessary fillers or hype. Each formula is inspired by both traditional herbal wisdom and modern scientific insight, and designed to fit seamlessly into real life. Our goal is to give you tools that help you feel your best, naturally, confidently, and on your own terms. "

AND


"How did we get our start?

Dr. Saphier's journey towards nutraceuticals began after her own diagnosis of an autoimmune disease and skin cancer. Her experience led her to explore and create ways to enhance her health by adding natural remedies to her treatment regimens.
What makes our products unique?

DropRx combines medical expertise with 100% sustainably sourced natural ingredients - it is designed for those who seek both science and nature.
What do we specialize in?

We clinically craft and create organic, non-GMO, vegan, kosher liquid herbal blends that are made in the USA."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 30/04/2026
The Trump admin. cut >100 independent advisory panels (driven by a Feb. 2025 exec. order) that agencies rely on to assess biomed. & enviro policy, provide guidance on setting research priorities & ensure transparency in how the govt makes sci-based decisions. Story: www.nature.com/articles/d41...
Bar chart from the linked story, entitled "Cancelled Committees" that offers the explanation "There was an unprecedented spike in terminations of federal advisory committees in 20225, particularly at four agencies that fund scientific research." The chart shows that the number of terminated committees (y axis) for Dept. of Health and Human Services, National Science Foundation, NASA, and Dept of Energy combined, has been approx. <10 (usually much less) for any year (x axis) between 2010 and 2024. However the combined number across these 4 agencies/departments in 2025 is just over 100, with majority (~75ish) being from Health and Human Services.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 30/04/2026
Just putting this here in case it helps others:
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 28/04/2026
This hits hard.
Cartoon of soldiers deploying from a landing craft onto D-Day beach a la the film Saving Private Ryan with the caption above the picture reading all in caps "Just try to imagine one of them placing bets on it."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 24/04/2026
(cont'd) If the goal is to convey that the person in the video doesn't match the person they worked for, some curious choices of prose by people who (should) know how to write persuasively and/or spin.
Excerpt from ex-staffers' letter linked in the article in OP:

"The traits that make Katie effective don’t always look soft around the edges. People are drawn to Katie's leadership because she is a workhorse. She asked of us what she expected of herself.

We have worked for other members of Congress, senior military leaders, executive branch officials, and in demanding private-sector roles. Without hesitation, Katie’s standards were among the highest. But that’s one reason we chose to work for her. We know that Katie got into politics and policy for many of the same reasons we did: to reform broken systems, serve people, and accomplish big things. A few video clips of our worst moments are not the full or honest measure of Katie or anyone’s career. That’s the truth."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 17/04/2026
🛟😷 health policy
Screen grab from post on Linkedin by former US Surgeon General Jerome Adams:

"When I was Surgeon General, I personally selected Dr. Erica Schwartz as my Deputy.  A battle-tested leader with decades of distinguished public service -including as a Rear Admiral in the U.S. Public Health Service and Coast Guard - she has the expertise, credibility, and integrity to lead the CDC effectively. 

If allowed to follow the science without political interference, she'll excel. 🤞🏽 

Cautiously optimistic but encouraged by this pick.
👏🏽

https://lnkd.in/eQuGEZSn "
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 16/04/2026
MAHA fight, MAHA fight...
Screen grab of Tweet on X by RFK Jr. saying the following (while also posting a screengrab of Trump announcing Erica Schwartz as CDC Director. 

"Thank you, President Trump, for nominating Dr. Erica Schwartz to serve as CDC Director. I congratulate Dr. Schwartz and the new CDC leadership team. I look forward to working together to restore trust, accountability, and scientific integrity at the @CDCgov so we can return it to its core mission and Make America Healthy Again."Screen grab of most of antivax attorney Aaron Siri's tweet on X upset that Trump picked Schwartz to head CDC... what gets cut-off in the image are some of the references Siri includes to try to substantiate his arguments...

"Trump's pick to head the CDC, Erica Schwartz, would likely be a disaster.  

Schwartz led nationwide Covid-19 vaccine deployment and her long track record of directly issuing rights-crushing civilian and military vaccine mandates, including mandating injection of smallpox, anthrax, and flu vaccines into U.S. Forces, and discipling those that refused, reflects she lacks the basic ethics and morals to lead the CDC. 

This agency does not need another cheerleader for industry; it needs a regulator over industry. 

Her prior promotion, let alone mandates, of nearly a dozen different vaccines leave little hope she will objectively oversee CDC’s vaccine program which has, between 1986 and the 2026, gone from 3 injections to 29 injections, including in utero, by an infant’s first birthday, while chronic childhood disease has gone from under 10% to over 40% of children, most related to immune system dysregulation.

SOURCES:

For examples of Schwartz mandating vaccines, see:
https://media.defense.gov/2019/Feb/25/2002092737/-1/-1/0/CI_6230_10B.PDF

https://media.defense.gov/2019/Feb/19/2002090711/-1/-1/0/CI_6230_3D.PDF

https://dcms.uscg.mil/Portals/10/CG-1/cg112/cg1121/docs/aig/2015/R%20211759Z%20JUL%2015.pdf


For increase in vaccine schedule, see:
https://cdc.gov/vaccines/schedules/images/schedule1983s.jpg(https://perma.cc/E74A-WT3U)
; https://cdc.gov/vaccines-pregnancy/hcp/vaccination-guidelines/index.html
 (https://
perma.cc/DAX5-MKSW); https:// cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html
 (https://perma.cc/TM2U-2HBQ). The 29..."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 09/04/2026
(cont'd) I like this quote from the decision (by a Reagan appointee, btw):
Screengrab from the linked article in the OP of this thread:

"The fact that the executive branch of the federal government may be evincing skepticism to vaccinations does not require the enlistment of the judicial branch in an assault upon state vaccination requirements,” Wilkinson said. “States remain free to recognize the weighty medical evidence supporting the value of vaccinations in safeguarding public health. Such determinations lie at the very heart of the states’ police power.”
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 07/04/2026
Wow, teaching example gold about the sunk cost fallacy. "Trump Merch Store Closes After Low Sales Amid Iran War" www.thedailybeast.com/trump-merch-... “I am not even making ½ of my rent...I never did this for the money but I don’t know how much longer I can last w/ paying for all the stuff.” Also👇
Screengrab from the linked article: 

But Fleischmann believes that things will turn around, confident that Trump will regain favor and sales will bounce back. She noted her store suffered a similar blow after Trump rolled out his widely unpopular “Liberation Day” tariffs last April, before he chickened out amid market turmoil.

She told the Tribune she believes the Trump administration “wants everybody to celebrate the 250th anniversary of America in style.”

“They don’t want people in a hurting economy,” she said of the administration. “They want everyone to celebrate that we’re America and we’ve had 250 years of freedom. So it’s going to start getting better.”
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 21/03/2026
So which CA gubernatorial candidates will be first to cut a deal with their party and start dropping out? Despite ads for weeks, Mahan is clearly not exciting ppl. Poll was bf his Daily Show appearance this week but hard to believe that will double his #'s. www.latimes.com/california/s...
Graph from the story showing each candidate's current popularity and how it has trended over time. Most are relatively flat or declined (e.g., Porter). Steyer has increased. Hilton, Bianco at 17-16% respectively, Porter and Swalwell circa 13% each. Steyer is at 10% and everyone else at 5 or less. Others/Undecided is at 16% and this number has been declining.Graph from story showing significant % of likely voters have no opinions of the candidates. Villaraigosa, Becerra around 45%, Thurmond, Mahan, and Yee over 60%. Even Swalwell, Steyer, and porter near 30-35% and Bianco and Hilton just under 40%. All have higher unfavorable percentages than favorable ones.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 09/03/2026
Pew Poll: US only place surveyed "...where more adults (ages 18 & older) describe the morality & ethics of others living in the country as bad (53%) than as good (47%)." Not asked bf, thus unclear whether this pattern previously existed or is new. sociology polisky
Screen shot of bar graph in the report showing countries on the y axis ranked lowest to highest (respectively top to bottom) in terms of "Total good" percent those surveyed in that country reported, labeled as "% who rate the morality and ethics of people in their country as...". The bar graphic for each country shows the distribution of the responses in terms of percentage who reported "very good," "somewhat good," "somewhat bad," and "very bad." Then "Total bad" is shown for each country.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 27/02/2026
Does anyone know a hack to deal with this issue below where you try to post a weblink and you get this type of card containing only the url instead of the preview image of the article/page you are linking to? I seem to run into this for various sites (e.g., The Hill). Is it site-specific?
Screengrab of a prior skeet by the poster @RMCarpiano.medsky.social showing how the embedded link in the skeet does not show a preview of the link/page from the weblink but just a card that contains the url of the link.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 23/02/2026
This succinctly nails it as to why Ralph Abraham leaving CDC is good news. But of course the possibility of someone as bad/even worse being named as a replacement is high... 🛟health policy medsky sociology polisky 😷 www.nbcnews.com/health/healt...
Screengrab of article in the link (final paragraphs): 

"Prior to his CDC appointment, Abraham served as Louisiana’s surgeon general. While he was in that role, the state’s health department waited several months to formally alert the public about a rise in whooping cough cases. By that time, two babies had died of the illness.

Abraham’s also long been critical of Covid vaccines, suggesting without providing evidence that the shots are harmful.

While he was with the CDC, Abraham appeared to brush off the threat that the U.S. could lose its measles elimination status because of ongoing outbreaks. During a media briefing in January, he referred to the possibility as “the cost of doing business, with our borders being somewhat porous [and] global and international travel.”

It was the only time Abraham addressed national media."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 22/02/2026
2 peas in a pod...
Andrew Wakefield and RFK Jr. posing together in a photograph.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 21/02/2026
Great UCR School of Public Policy Anniversary event tonight 2/20/26: "What It Takes to Progress: Abundance in Practice" with Sara Mogulescu (The Volcker Alliance), Liza Reed (Niskanen Center), and Alec Stapp (Institute for Progress). Terrific turnout and even Chancellor Hu!
Photo of event stage with School Dean Mark Long and Mogulescu, Reed, and Stapp
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 04/02/2026
(cont') Funny side note: my search for that clip produced this pre-video ad for these pants "for men over 50." Seeing this run felt like some stranger was trying to start a fight with me while I was just minding my own business.
YT ad that preceded the video above (image/screenshot is of the bottom half of a man wearing white synthetic material suit-style slacks with a crease down the middle of the leg and they look unstylish and ugly. To the left of the image is language "The comfiest everyday pants. For men over 50."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 23/01/2026
(cont'd) To imagine that any clinician (a pediatrician no less) and person in his position of power/responsibility would believe such things AND have this background... imahealth.org/experts/kirk...
From link in post: "In 2001, Dr. Milhoan and his wife, Dr. Kim Milhoan, founded For Hearts and Souls, a Christian medical missions organization focused on providing life-saving pediatric cardiac care to children worldwide who lack access to adequate medical services. Beyond his medical contributions, Dr. Milhoan has been actively involved in leading home groups and Bible studies for over 20 years, emphasizing his commitment to faith and community service."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 06/12/2025
We knew we'd see stuff like this when RFK Jr. got appointed, but seeing it unfold IRL is still something... 🛟😷 Brandolini's law example: "72 jabs" claim is old antivax BS--counts combined vaccines (like MMR) as if 1 shot for each. Ironically, HHS called for MMR into M, M, & R, thus 2 shots-->6.
Tweet from President Trump: 

"Today, the CDC Vaccine Committee made a very good decision to END their Hepatitis B Vaccine Recommendation for babies, the vast majority of whom are at NO RISK of Hepatitis B, a disease that is mostly transmitted sexually, or through dirty needles. The American Childhood Vaccine Schedule long required 72 “jabs,” for perfectly healthy babies, far more than any other Country in the World, and far more than is necessary. In fact, it is ridiculous! Many parents and scientists have been questioning the efficacy of this “schedule,” as have I! That is why I have just signed a Presidential Memorandum directing the Department of Health and Human Services to “FAST TRACK” a comprehensive evaluation of Vaccine Schedules from other Countries around the World, and better align the U.S. Vaccine Schedule, so it is finally rooted in the Gold Standard of Science and COMMON SENSE! I am fully confident Secretary Robert F. Kennedy, Jr., and the CDC, will get this done, quickly and correctly, for our Nation’s Children. Thank you for your attention to this important matter. MAHA!"
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 06/12/2025
Great turnout for UCR School of Public Policy Dean's Anniversary Event: Creating a Thriving, Prosperous, and Abundant World: What Does That Mean and How Do We Achieve It? Panelists Christopher Elmendorf, Virginia Postrel, and Steven Teles with SPP Dean Mark Long as moderator.
Photo of stage with left to right, UCR SPP Dean Mark Long and speaker panelists Christopher Elmendorf, Virginia Postrel, and Steven Teles from audience.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 04/12/2025
Hmmm... 🛟😷 health policy medsky polisky sociology
Screenshot of post on X from the account of Senator Bill Cassidy, M.D., of Louisiana on Dec. 3, 2025

"I agree with President Trump that we need radical transparency in our public health system. FDA has not published any data around the alleged deaths or explained the process they took to verify it. I’ve asked FDA for a full briefing on this.

The American people deserve clarity. Withholding this critical information is not radical transparency and will worsen confusion and fear among patients and parents. We should not move forward on vaccine policy changes without further information. Protecting children’s health has to be the top priority."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 29/11/2025
These COVID vax death claims & policy by Vinay Prasad are unsurprising given his long problematic contrarian crusade. If only his BS cld've waited until after the holiday. If past VAERS data claims are indicators, there will be much to scrutinize abt this--& now he's making policy off it. 🛟 😷 medsky
2 screenshots of X tweet thread by journalist Ali Rogin on Nov. 25, 2025. Text below is copy and paste verbatim from her 4 tweets...

Tweet 1: NEW: In an email sent to staff this afternoon, CBER chief Vinay Prasad says the @US_FDA for the first time "will acknowledge that COVID-19 vaccines have killed American children," which he calls a "profound revelation."

Tweet 2: He says that assessment is based on a "detailed analysis of deaths voluntarily reported to the VAERS system," and that following an initial analysis of 96 deaths between '21 and '24, they've identified "no fewer than 10" that are related to the shot

Tweet 3: He says that based on this analysis, "we will take swift action regarding this new safety concern" and "will demand pre-market randomized trials assessing clinical endpoints for most new products."

Tweet 4: Prasad also says the FDA will "revise the annual flu vaccine framework" which he calls "an evidence-based catastrophe," and he invites people who disagree with this new direction to resign. "For those who choose to remain... I look forward to working with you," he concludes.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 19/11/2025
Anyone know about LSU's Pennington Biomedical Research Center & why they'd be keen to appoint Malone? Hard to believe he didn't have insiders advocating for him. Status they afforded him aside, Malone now has a formal institution to apply for research grants/contracts through. 🛟🧪
Screenshot on X from Robert W Malone's account (@RWMaloneMD) on 11/18/25 saying:

Very grateful to be able to announce that I just accepted an appointment as Professor, Pennington Biomedical Research Center, Louisiana State University. Many thanks to all that made this possible. 

Gradually, gradually recovering from five years of being defamed, gaslit and blacklisted for speaking truth to power. Still perm banned from linked in though.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 24/10/2025
(cont'd)
 Screenshot of a section of the linked article in the OP. 

"Reaction to the Strategy

Despite the secretary’s frequent criticisms of corporate influence over food and drug policy, the strategy is not likely to trouble corporate America. In fact, the White House encouraged the secretary to meet with industry representatives before the assessment was released, with additional meetings following its release. These closed-door meetings with industry appear to have had an impact. Specific references to seed oils and the pesticide glyphosate appeared in the assessment but not in the strategy. Similarly, ultraprocessed foods, one of the 4 principal drivers of the pediatric chronic disease epidemic according to the assessment, garnered only a single mention in the strategy, simply urging the government to better define the term. After all the emphasis on the harmful effects of ultraprocessed foods, there was no action to address them.

The strategy seems to have laid bare a rift among MAHA supporters, with several decrying what they saw as on undue focus on vaccination at the expense of measures to address food additives and pesticides."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 20/10/2025
(cont'd) So the name/face of the Brownstone Institute who RFK Jr. and Bhattacharya hang with isn't just a prolific writer of anarcho-capitalist ideas, but has faced multiple accusations of inappropriate statements and behavior towards women co-workers (corroborated by others)...
Screenshot from the linked story (1 of 2): 

Seven months after publishing the declaration, after Ann Grochmal, a colleague at AIER accused him of sexual harassment, Tucker quit and founded Brownstone. AIER settled a lawsuit with Grochmal earlier this year, according to Massachusetts court records. AIER also settled an earlier sexual harassment suit involving Tucker, according to a deposition of Tucker in the Grochmal suit. The earlier case involved a woman named Alexandra Hudson.

Tucker’s motion to dismiss Grochmal’s suit was denied. In his court filing in response to the complaint, Tucker denied the allegations.

In her lawsuit, Grochmal alleged Tucker pressured female colleagues to drink and model fur coats, inappropriately touched female employees, including pulling an intern into his bedroom while wearing only boxers, and publicly discussed the many women he was involved with at work and the prior sexual harassment settlement.

Three people who did work for AIER at the time told POLITICO they’d experienced or witnessed similar behavior from Tucker. Two former colleagues including a senior leader at Tucker’s prior employer, the Foundation for Economic Education, another libertarian think tank, told POLITICO that Tucker was fired following sexual harassment allegations. These individuals were granted anonymity because they feared professional retaliation or to disclose confidential workplace information.Screenshot from the linked article (2 of 2): 

“He would serve copious amounts of very strong alcohol and make comments about sex acts, women’s bodies,” said Tricia Beck-Peter, who worked with Tucker at FEE and AIER and was told to wear furs at the Great Barrington campus.

The lawsuit and settlements involving Tucker have not been previously reported. In her complaint, Grochmal alleged that Tucker would tell AIER employees about previous sexual harassment allegations, calling the women who had accused him “tramps” who wanted money. Grochmal also alleged that Tucker pressured her and other women to wear furs, with Tucker telling Grochmal in February 2021, “Wear this fur, you’ll be beautiful.”

In his motion to dismiss Grochmal’s case, Tucker said his behavior did not constitute sexual harassment. “The isolated remarks are just that, innocuous isolated remarks that occurred over a one-year period, and which would not offend the reasonable person,” his attorney, Andrew Schneiderman, wrote in April 2023 on Tucker’s behalf.

Tucker did not respond to requests for comment about the sexual harassment allegations."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 12/10/2025
Today's lesson in logic fallacies via Moms for Liberty: ambiguity fallacy in defining book bans vis-a-vis what they as an org strive to do--using a double meaning or imprecise/ambiguous language to mislead in making a claim... (Also perhaps "special pleading/moving the goalposts" fallacies too)...
From article linked in post "Moms For Liberty: A banned book means the government has restricted or forbidden the book to be published or sold. Cultivating a public school library with age-appropriate, high-quality books that support learning and development is what responsible adults do for children."
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 11/10/2025
WaPo-KFF Poll July 18-Aug. 4, 2025 shows heartening & disturbing results: Q: In general, how much do you trust each of the following to provide reliable info. abt vaccines? Child's pediatrician highly trusted across groups BUT 54% of Republicans trust RFK Jr. “a great deal”/“a fair amount.”
Screenshot of graph in weblink provided in the post showing responses to that q by all parents, democrat parents, republican parents, and independent/other parents with regard to "your child's pediatrician" (overwhelmingly the most endorsed across those categories from 82% for Independents/other to 85% for Republicans to 93% for Dems) and other sources of information including "your local public health dept.," The CDC, friends and family, the FDA, Pharmaceutical companies, and Robert F. Kennedy Jr.
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Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 10/10/2025
RFK Jr.'s confirmation bias strikes again... FYI: US circumcision rates declining for decades (1 example here) while autism prevalence has increased (likely bc of diagnostic changes & ⬆️ surveillance). Plus, prior circum-autism findings highly problematic... 1/
Graph showing rates of circumcision performed on male newborn infants discharged from short-stay hospitals in the US 1979-2010. The line trends  downward (and at points flat) from ~65% in 1979 to ~60% in 2010 and the trend since 2000 has gone from ~63% to ~60%.Graph showing rise in autism prevalence per 1000 children in US among boys and girls from 2002 to 2022. Trend for boys is higher at 2002 and shows stronger increase over entire period (from ~11% to ~50%) than does the trend for girls (<5% to just under 15%).
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