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Ryan Levi

@ryan-levi.bsky.social
993 followers 59 following 39 posts

Reporter/producer at nonprofit health policy newsroom @tradeoffs.org. tradeoffs.org Tips: rlevi@tradeoffs.org

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Ryan Levi @ryan-levi.bsky.social · 30/07/2026
Really proud of this @tradeoffs.org interview. @dgorenstein.bsky.social sat down with Nebraska's Medicaid director just days before NE will end Medicaid for the first people in the country because of new work requirements. It's informative and human and I highly rec. tradeoffs.org/2026/07/30/m...
tradeoffs.org
Meet the Man Launching Trump's Medicaid Work Requirements Months Early
Nebraska Medicaid Director Drew Gonshorowski says the state’s data capabilities put it in a strong position to quickly implement the historic changes. Advocates and researchers warn that eligible peop...
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Dan Diamond @ddiamond.bsky.social · 02/04/2026
Thrilled to join the great @tradeoffs.org podcast and talk about my recent WaPo profile of CHRIS KLOMP, the fast-rising official now running HHS operations. Thanks to @dgorenstein.bsky.social @ryan-levi.bsky.social for having me.
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Ryan Levi @ryan-levi.bsky.social · 30/10/2025
🩺 Is it safe to use #AI to help diagnose me? 🩺 @dhruvkhullar.bsky.social, a physician at @weillcornell.bsky.social and contributing writer at @newyorker.com, told @tradeoffs.org 3️⃣ key things he thinks every patient, nurse and doctor should know about AI. tradeoffs.org/2025/10/30/s...
tradeoffs.org
Should I Trust AI to Diagnose Me?
Physician and New Yorker writer Dhruv Khullar says artificial intelligence is a powerful tool to get quicker and more accurate diagnoses. But it can also be dangerous.
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Ryan Levi @ryan-levi.bsky.social · 07/10/2025
Come work with me @tradeoffs.org! We're looking for a reporter/producer who knows health policy and is passionate about audio storytelling. Applications accepted through 10/19. More details and apply here: tradeoffs.org/reporter-pro...
tradeoffs.org
Reporter/Producer
We're looking for an experienced health care journalist ready to contribute to Tradeoffs' distinct footprint at a moment of audience and impact growth for our newsroom.
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Ryan Levi @ryan-levi.bsky.social · 13/08/2025
Ran away to Alaska right after this published so didn't have a chance to share it, but I really hope people will listen to @tradeoffs.org's deeply personal and practical interview with @nabarund.bsky.social, one of the nation's leading addiction and overdose experts. tradeoffs.org/2025/07/31/s...
tradeoffs.org
One Scientist's Mission to Change How We Prevent Overdoses
A leading addiction expert explains how he’s driven by the memory of a friend who died, and why he believes giving data on the drug supply to people on the street is more important than using it to in...
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Tradeoffs @tradeoffs.org · 30/07/2025
Yesterday, NPR featured reporting from Tradeoffs' @ryan-levi.bsky.social and @dgorenstein.bsky.social. They spoke with one of the nation’s top street drug scientists, who makes the case that giving people on the street real-time drug data can save more lives than shaping national policy.
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Ryan Levi @ryan-levi.bsky.social · 17/07/2025
“I feel unsafe almost everywhere." My latest from @tradeoffs.org: a daughter and dad in AL talk about how Trump's anti-trans policies/rhetoric have affected their lives. Plus @oriion.bsky.social explains all the anti-trans health policies coming out of Washington. tradeoffs.org/2025/07/17/t...
tradeoffs.org
What It’s Like to Be Transgender in Trump’s America
How the federal government has restricted health care access for transgender Americans, and how those shifts in policy and rhetoric are changing life for one Alabama family.
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Ryan Levi @ryan-levi.bsky.social · 23/06/2025
Day 1 of #AspenIdeasHealth ends with a lookback at how the ACA was made with Speaker Nancy Pelosi and former HHS Secretaries Sylvia Burwell and Kathleen Sebelius. @aspenideas.bsky.social @tradeoffs.org
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Ryan Levi @ryan-levi.bsky.social · 23/06/2025
At #AspenIdeasHealth opening session, @agawande.bsky.social just made a pitch for community primary care as a way to improve health outcomes in the U.S. @tradeoffs.org dove deep on the research, opportunities and challenges behind this model. @aspenideas.bsky.social tradeoffs.org/2024/06/06/n...
tradeoffs.org
A New Kind of Primary Care Comes to America
A group of nurses in East Baltimore is piloting a bold plan to bring basic primary care to everybody no matter their age, income or insurance.
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Ryan Levi @ryan-levi.bsky.social · 22/06/2025
Looking forward to talking health policy and big ideas the next few days at @aspenideas.bsky.social. If you're here too, don't be a stranger! #AspenIdeasHealth
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Ryan Levi @ryan-levi.bsky.social · 18/06/2025
"The ruling is the latest blow to transgender youth and their families, who have been fighting the Trump administration’s continuous attempts to restrict their access to care." www.statnews.com/2025/06/18/s...
statnews.com
Supreme Court ruling on gender-affirming care delivers major setback for transgender rights
Tennessee’s ban on gender-affirming care for minors can stand after the Supreme Court ruled that it does not constitute sex-based discrimination, in a 6-3 decision.
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Ryan Levi @ryan-levi.bsky.social · 18/06/2025
As expected, the Trump administration has shut down the special suicide prevention and crisis lifeline option for LGBTQ+ young people, effective July 17.
A press release from SAMHSA saying: "On July 17, the 988 Suicide & Crisis Lifeline will no longer silo LGB+ youth services, also known as the “Press 3 option,” to focus on serving all help seekers, including those previously served through the Press 3 option.

The Press 3 option was established as a pilot program in Fiscal Year 2022 under a government agreement with a third party. The Fiscal Year 2023 Omnibus included a Congressional directive for $29.7 million to fund the specialized services. Federal funding in FY24 for the Press 3 services increased to $33 million. As of June 2025, more than $33 million in funds have been spent to support the subnetworks, fully expending the monies allocated for 988 Lifeline LGB+ subnetwork services.

Everyone who contacts the 988 Lifeline will continue to receive access to skilled, caring, culturally competent crisis counselors who can help with suicidal, substance misuse, or mental health crises, or any other kind of emotional distress. Anyone who calls the Lifeline will continue to receive compassion and help."
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NLGJA DC @nlgjadc.bsky.social · 16/06/2025
It's our biggest event of the year — our annual Pride Happy Hour! 📅 Wednesday, June 18 📍 As You Are (500 8th Street SE) ⏰ 6-8 p.m. 🆓 First 15 people in the door get a free drink! RSVP today: www.eventbrite.com/e/nlgja-dc-p...
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Tradeoffs @tradeoffs.org · 02/06/2025
Two new research papers add important data to the political debate over Medicaid in Washington, D.C., offering strong evidence that Medicaid, the public insurance program that covers more than 70 million low-income and disabled Americans, is saving people’s lives. tradeoffs.org/2025/05/15/n...
tradeoffs.org
New Studies Show How Cutting Medicaid Could Be Deadly
Two new studies inject powerful evidence into the heated Medicaid debate in Washington, showing the public insurance program is saving lives.
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Ryan Levi @ryan-levi.bsky.social · 15/05/2025
“Mental illness is not a crime” has become a rallying cry for improving the treatment of people in crisis. @tradeoffs.org talked with journalist Lee Romney about why a few CA sheriffs are now refusing to respond to some mental health calls. tradeoffs.org/2025/05/15/w...
tradeoffs.org
What Happens When Cops Refuse to Respond to Mental Health Calls?
Why are a handful of sheriff’s departments in California refusing to respond to some 911 calls that involve a person with mental illness?
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Tradeoffs @tradeoffs.org · 06/05/2025
Tradeoffs has earned national accolades, earning a first-place National Headliner Award and three Awards for Excellence in Health Care Journalism. Read more: tradeoffs.org/2025/05/06/t... Check out the award-winning stories below 👇
tradeoffs.org
Tradeoffs Honored with National Headliner and AHCJ Awards
Tradeoffs earned national recognition from the National Headliner Awards and the Awards for Excellence in Health Care Journalism from the Association of Health Care Journalists (AHCJ).
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Tradeoffs @tradeoffs.org · 06/05/2025
Tradeoffs won first place from the National Headliner Awards, Digital Conversational Podcast category for “She Didn’t Want to Die. But She Didn’t Want to Suffer," by @ryan-levi.bsky.social. tradeoffs.org/2024/02/22/m...
tradeoffs.org
‘She Didn’t Want to Die. But She Didn’t Want to Suffer.’
A handful of states allow terminally ill patients to take life-ending medications. We talk with journalist Steven Petrow about his sister’s choice to use this option.
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UCSF CODEX @ucsfcodex.bsky.social · 01/05/2025
Miss the conversation on bias in healthcare AI? 🎥 Catch Paige Nong, @ajh.bsky.social, and @ryan-levi.bsky.social as they unpack real-world risks—and what it takes to evaluate AI tools responsibly. See how the experts broke it down: codex.ucsf.edu/events/codex... @tradeoffs.org
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Ryan Levi @ryan-levi.bsky.social · 24/04/2025
Work requirements are the one #Medicaid policy change most Republicans seem to agree on. But they do not have a great track record. State leaders say they've learned lessons, but critics worry millions of eligible people could lose coverage.
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Ryan Levi @ryan-levi.bsky.social · 17/04/2025
ICYMI: The ACA is going back to the Supreme Court. The case involves a provision that requires insurers to cover certain preventive care for conditions like cancer and HIV for free. @nbagley.bsky.social breaks down the case and the implications on @tradeoffs.org ⬇️ tradeoffs.org/2025/04/17/o...
tradeoffs.org
Obamacare Heads to the Supreme Court ... Again
The latest threat to the Affordable Care Act could strike down a popular provision that gives 180 million Americans access to free preventive care for conditions including HIV and cancer.
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UCSF CODEX @ucsfcodex.bsky.social · 17/04/2025
🌟Register for CODEX's April webinar! What happens when AI tools in hospitals carry bias? And how can we prevent it? Join top researchers to talk about bias in health AI: what it looks like, who's testing for it, and what hospitals can do. 🗓️ April 30 | 9-10 a.m. PT 🔗 codex.ucsf.edu/events/codex...
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Shefali Luthra @shefali.bsky.social · 09/04/2025
News: Diana Greene Foster, the MacArthur-winning author of the Turnaway Study, learned her NIH grant — funding a multi-year study on Dobbs' impact — has been pulled. She was told its bc the govt won't study "gender identity." Her work has shaped our understanding of abortion bans' consequences.
19thnews.org
She was tracking post-Roe abortions. The government just pulled her funding.
Diana Greene Foster, who was behind the landmark Turnaway Study, wanted to study the health and economic impacts of the loss of abortion access.
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Ryan Levi @ryan-levi.bsky.social · 03/04/2025
Trying to make sense of the massive cuts at HSS? @tradeoffs.org talked with the dean of DC health care reporters @julierovner.bsky.social to help put this moment in context and answer listener questions on how this could impact hospitals, states, research and more. tradeoffs.org/2025/04/03/m...
tradeoffs.org
Making Sense of Sweeping Cuts at HHS
Veteran health care reporter Julie Rovner breaks down the massive cuts and reorganization at HHS and answers listeners’ questions about what to expect next.
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Ryan Levi @ryan-levi.bsky.social · 27/03/2025
Hope to see folks tonight at @nlgjadc.bsky.social's Spring Happy Hour! RSVP: www.eventbrite.com/e/nlgja-dc-s...
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Ryan Levi @ryan-levi.bsky.social · 27/03/2025
Great reporting and analysis from @melanie-evans.bsky.social on today's @tradeoffs.org!
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Tara Bannow @tarabannow.bsky.social · 20/03/2025
I talked w/@tradeoffs.org about Dr. Oz, the surgeon-turned-TV star who's poised to lead CMS: what I learned reporting on him and what we can glean from his Senate hearing. Come for the policy, stay to hear me laugh while trying to sound professional. tradeoffs.org/2025/03/20/m...
tradeoffs.org
Medicare and Medicaid Under Dr. Oz: What to Expect
A closer look at the surgeon-turned-TV-star President Trump wants in charge of Medicare, Medicaid and Obamacare.
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Ryan Levi @ryan-levi.bsky.social · 20/03/2025
Trump has picked Dr. Oz to lead CMS, which covers 160M people who get their health care from Medicare, Medicaid and Obamacare. @tradeoffs.org took a closer look at who Oz is and what he could do with the help of @tarabannow.bsky.social and former CMS chief Tom Scully. tradeoffs.org/2025/03/20/m...
tradeoffs.org
Medicare and Medicaid Under Dr. Oz: What to Expect
A closer look at the surgeon-turned-TV-star President Trump wants in charge of Medicare, Medicaid and Obamacare.
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Ryan Levi @ryan-levi.bsky.social · 13/03/2025
"There’s so much that we lose when we disinvest in people who are making a meaningful contribution." This week @tradeoffs.org turns the mic over to two researchers for a candid Storycorps-style conversation about fear, uncertainty and hope in the face of NIH cuts. tradeoffs.org/2025/03/13/c...
tradeoffs.org
The Cost of Cutting NIH Research: Voices from the Frontlines
A candid conversation between a professor and a Ph.D. candidate about potential NIH funding cuts and their impact on the future of medical research.
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Ryan Levi @ryan-levi.bsky.social · 27/02/2025
Good news: We finally have data on how many hospitals use AI. Bad news: Most are not testing their AI tools for bias. @paigenong.bsky.social digs into the data with @tradeoffs.org on how hospitals are using AI and how biased AI could harm us in surprising ways. tradeoffs.org/2025/02/27/l...
tradeoffs.org
Lots of Hospitals Are Using AI. Few Are Testing For Bias
New research sheds light on how many hospitals are using artificial intelligence, what they’re using AI for, and what it means for patients and policymakers.
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Ryan Levi @ryan-levi.bsky.social · 20/02/2025
Please listen to this week's @tradeoffs.org. You'll hear how fear of deportation makes people sick + how clinics are trying to keep people from skipping visits. And you'll hear from a mom of 4 terrified for herself + her kids, but committed to protecting their health. tradeoffs.org/2025/02/20/g...
tradeoffs.org
Getting Health Care to Undocumented Immigrants in Trump's America
Health care providers are scrambling to cut through their undocumented patients’ panic about President Trump’s new immigration policies.
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Ryan Levi @ryan-levi.bsky.social · 18/02/2025
I'm working on a @tradeoffs.org story about impacts of potential NIH cuts on clinical trials. Looking to talk to folks who: - have run NIH-funded trials - are helping universities scenario plan for possible cuts If that's you or someone you know, I'm at rlevi-at-tradeoffs.org and Signal below.
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Ryan Levi @ryan-levi.bsky.social · 12/02/2025
"The reconciliation instructions ... call on the House Energy and Commerce Committee to cut at least $880B in spending, meaning lawmakers would likely need to enact deep cuts into Medicaid — going beyond the work requirements that most Republicans support." www.politico.com/live-updates...
politico.com
House budget draft unveiled ahead of Thursday markup
The blueprint allows for at least $4.5 trillion in tax cuts while slashing spending by at least $1.5 trillion over 10 years.
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Ryan Levi @ryan-levi.bsky.social · 28/01/2025
Obviously a lot going on today, but don't forget RFK Jr. confirmation hearings start tomorrow. @melanie-evans.bsky.social has a great @tradeoffs.org story today about how Kennedy, if confirmed, would control a little known but incredibly influential vax committee. tradeoffs.org/2025/01/28/a...
tradeoffs.org
The Powerful Vaccine Committee RFK Jr. Could Soon Control
If the Senate confirms Robert F. Kennedy Jr. to lead the Department of Health and Human Services, he would control a powerful group of federal vaccine advisors.
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Ryan Levi @ryan-levi.bsky.social · 24/01/2025
Medicaid is line for big cuts as the GOP tries to cut federal $$$ to pay for tax cuts and other policies. I talked with 13 conservative and libertarian Medicaid experts for @tradeoffs.org to learn why many on the right think shrinking Medicaid will make it better. tradeoffs.org/2025/01/23/g...
tradeoffs.org
Why Many Republicans Think Shrinking Medicaid Will Make it Better
Republicans have singled out Medicaid for possible cuts under the new administration and Congress. We explore why many conservatives think less Medicaid will mean better Medicaid.
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Ryan Levi @ryan-levi.bsky.social · 16/01/2025
I do a lot of #Medicaid reporting for @tradeoffs.org, so it was cool to produce this exit interview with Dan Tsai, Biden's Medicaid director. He talked w/ @dgorenstein.bsky.social about what he's learned over the last three years and what he thinks will happen next. tradeoffs.org/2025/01/16/d...
tradeoffs.org
Biden’s Medicaid Director Reflects on Lessons Learned and Worries for the Future
Dan Tsai reflects on three years running Medicaid for the Biden administration — and his hopes and concerns for the program's future.
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Matthew Rae @mattrae.bsky.social · 12/12/2024
There is very little support for weakening Medicaid (12%) www.ipsos.com/sites/defaul...
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Larry Levitt @larrylevitt.bsky.social · 11/12/2024
Last year Drew Altman and I wrote about how the complexity of our health care and insurance system is the enemy of access and affordability. It all seems newly relevant today. jamanetwork.com/journals/jam...
jamanetwork.com
Complexity in the US Health Care System Is the Enemy of Access and Affordability
This JAMA Forum discusses the complexity of the US health care system, including the types of coverage and many plans offered, denial or other problems accessing coverage, and confusion regarding expl...
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Ryan Levi @ryan-levi.bsky.social · 12/12/2024
"All the blame gets directed towards the insurance company when there’s plenty of blame to go around. All of this costs too much." Really appreciate @aaronecarroll.bsky.social on @tradeoffs.bsky.social today helping us take a step back from all anger going around. tradeoffs.org/2024/12/12/h...
tradeoffs.org
Everyone's Mad at Health Insurers, But 'There’s Plenty of Blame to Go Around'
The murder of UnitedHealthcare's CEO has put health insurance companies in the spotlight. But insurers are just one piece of America’s broken and expensive health care system.
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Mark Cuban @mcuban.bsky.social · 12/12/2024
Started looking at legislation that @warren.senate.gov and @joshhawley.bsky.social offered to reform PBMs. Definitely resolves some important points. But I it ignores just how smart the big PBMs are. It also ignores that there are 25 plus Pass Through PBMs that do the right thing for sponsors
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Tradeoffs @tradeoffs.org · 12/12/2024
The murder of UnitedHealthcare's CEO put a violent point on the frustration some feel toward health insurance companies. With anger at the U.S. health system at a fever pitch, @dgorenstein.bsky.social & @aaronecarroll.bsky.social try to untangle why our healthcare system is so expensive and broken.
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Katie Eyer @katieeyer.bsky.social · 04/12/2024
1/X As promised, here is a thread with my impressions from the oral argument in US v. Skrmetti this morning (this is the case challenging TN's ban on gender affirming for transgender minors). In addition, if anyone wants more background, my pre-oral-argument explainer on the case is linked here.
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Ryan Levi @ryan-levi.bsky.social · 04/12/2024
The Supreme Court will hear arguments this morning over Tennessee's ban on gender-affirming care for transgender youth. @tradeoffs.bsky.social has a useful primer on the basics of gender-affirming care and each side's arguments. tradeoffs.org/2024/11/14/t...
tradeoffs.org
Health Care for Transgender Youth Goes to the Supreme Court
We take a closer look at gender-affirming care and the legal arguments that will influence how accessible that care will be.
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Ryan Levi @ryan-levi.bsky.social · 03/12/2024
Making complex health care issues like Medicaid, AI and addiction easy to understand ... is not easy. It takes time and money. I hope you'll support @tradeoffs.bsky.social on #GivingTuesday. Plus, if we get 100 new donors, we get access to a special match! tradeoffs.org/donate/
tradeoffs.org
Donate to Tradeoffs
When you donate to Tradeoffs, you do more than just support rigorous independent journalism. You also help us raise the level of health care debate, pushing us toward a smarter, more evidence-based he...
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Citizen Cohn / Jonathan Cohn @citizencohn.bsky.social · 20/11/2024
Not really a question of whether Trump and Republicans will go after Medicaid and the ACA It’s a question of how aggressively — and what kind of political opposition might stop them www.huffpost.com/entry/health...
huffpost.com
Health Insurance For Millions Is Now Officially At Stake Over Trump's 'Concepts Of A Plan'
But whether Republicans can get these kinds of cuts through Congress is complicated.
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Ryan Levi @ryan-levi.bsky.social · 21/11/2024
Really appreciate Harvard Public Health taking an interest in @tradeoffs.bsky.social reporting on alternative crisis response. harvardpublichealth.org/mental-healt...
harvardpublichealth.org
Cities hope adding mental health workers to emergency response will reduce violence
911 response may cut excessive force in North Carolina by adding mental health clinicians to 911 response teams, Tradeoffs reporter says.
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Dan Gorenstein @dgorenstein.bsky.social · 21/11/2024
The first question I got after RFK Jr.’s nomination: how much power would he have? So @ryan-levi.bsky.social and I dialed up former Obama HHS Sec. Sebelius for her take. tradeoffs.org/2024/11/21/r...
tradeoffs.org
What Could RFK Jr. Do As Head of HHS? We Asked Someone Who’s Done the Job
Former HHS Secretary Kathleen Sebelius shares what the country’s top health official can and can't do, and what she wants senators to know ahead of RFK’s confirmation hearings.
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