iiinova — where your digital self keeps evolving

Sarita Warren @sarahewarren.bsky.social · 26/01/2026

calling for ICE to be “reformed” after they brutalize and murder people is the same as calling for police to be “reformed” after they brutalize and murder people. this doesn’t work in reality AND builds consent for impunity. that is how we GOT here. KEEP UP.

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Sarita Warren @sarahewarren.bsky.social · 26/01/2026

you will hear folks call for solidarity amongst nurses in response to the State murder of Alex Pretti. this is reasonable BUT in reality, there are many nurses who will find a way to justify this harm against their own colleague.

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Dr. Teresa Graziano (they/them) @teresagraziano.bsky.social · 01/04/2025

I learned about it this morning and got so pissed off I had to take several laps around the building and aggressively started a manuscript about it. Insanity yet expected. And to "protect" the AHA? As if they need it? Ahhhhhhh!!!!!!!!

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Sarita Warren @sarahewarren.bsky.social · 01/04/2025

on todays episode of complying in advance, AONL or the Association Of Nursing Leadership cancelling DEI related sessions at the behest of none other than the American Hospital Association. “to protect AONL, (the presenters? how? by silencing them?) & the orgs they represent.”

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Rae is an A.I. Killjoy @raewalker.bsky.social · 31/03/2025

In a move that surprises *NO ONE*, the American Organization for Nursing Leadership (AONL), self-styled “voice of nursing leadership”, complies in advance by bending to the unconstitutional EO barring “DEI”, by canceling (ahem, “deferring”) sessions they deem offensive to the current administration

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Sarita Warren @sarahewarren.bsky.social · 24/02/2025

brands that make millions of dollars off of commodifying and selling to the healthcare workforce need to do more than talk about supporting healthcare workers, redistribute those funds into materially supporting this workforce.

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Sarita Warren @sarahewarren.bsky.social · 02/01/2025

idk who needs to hear this but an unwritten or makeshift policy banning workers from speaking their native language in their workplace is discriminatory, racist and xenophobic “policy.”

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Sarita Warren @sarahewarren.bsky.social · 31/12/2024

i hope 2025 is the year we stop fucking around and start pushing collectively for universal healthcare and unionize the shit out of every healthcare field!!!

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Sarita Warren @sarahewarren.bsky.social · 31/12/2024

two words to describe 2024: estoy cansada

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Sarita Warren @sarahewarren.bsky.social · 18/12/2024

would anyone listen to a podcast through the lens of an interdisciplinary group of healthcare workers, unpacking the harm of the current system and our own roles in this cycle of harm? just a WTF is happening and WTF can we do about it kind of show?

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Sarita Warren @sarahewarren.bsky.social · 17/12/2024

Funding for this before a peer support line for healthcare workers impacted by the decisions of these CEOs. Nice!

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Arrianna Marie Planey, PhD MA @arrianna-planey.bsky.social · 16/12/2024

This "moral injury" parallels some of the same logic deployed in lawsuits aimed at dismantling EMTALA, & limiting reproductive care access in the ED. "Moral injury" and "duty to care" are not the same thing, because that depends on the person making the claim to the former.

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Arrianna Marie Planey, PhD MA @arrianna-planey.bsky.social · 16/12/2024

Defining the practice of medicine as "what physicians care about" seems to be another abandonment of the principle of healthcare as a right.

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Sarita Warren @sarahewarren.bsky.social · 16/12/2024

There can be no dignity in healthcare as long as healthcare workers continue to ignore our own role in the carceral state, refuse to acknowledge our capacity for harm within this system or resist the comfort of our own complicity.

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Sarita Warren @sarahewarren.bsky.social · 16/12/2024

There is no dignity in healthcare as long as people suffer and/or die waiting for treatment they need, denied by insurance companies that profit off of limiting access to care.

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Sarita Warren @sarahewarren.bsky.social · 16/12/2024

There is no dignity in healthcare as long as corporations can profit millions while patients sit in their own stool/urine for hours/days on end. As long as care is provided in hallways because there aren’t enough staffed beds. As long as people die in waiting rooms.

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Hypervisible @hypervisible.blacksky.app · 07/12/2024

“Engineers who designed virtual nurses or AI therapists often told me their technology was ‘better than nothing,’ particularly useful for low-income people who can’t catch the attention of busy nurses in community clinics, for example, or who can’t afford therapy.”

wired.com

The Rich Can Afford Personal Care. The Rest Will Have to Make Do With AI

From personal trainers to in-person therapy, only the wealthy have access to human connection. What are the options for the less advantaged?

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Rae is an A.I. Killjoy @raewalker.bsky.social · 07/12/2024

This future is not inevitable. It will be (& *is* being) constructed. This is just one of many narratives being spun to manufacture that consent There are other choices for more verdant, just futures we can build. We must build. We will build. Say it with me fellow HCWs: We WILL build new futures

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Sarita Warren @sarahewarren.bsky.social · 07/12/2024

It’s strange to see a call around a “lack of humanity,” from healthcare professionals who don’t find ongoing genocide in Palestine, police violence, corporate greed creating cycles of mass death or the violence of medical racism abhorrent enough to move in any direction beyond comfort and silence.

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Sarita Warren @sarahewarren.bsky.social · 05/12/2024

yeah let’s get going on nursing reimbursement so they can deny coverage for the length of time we do our head to toe assessments.

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Justin Fontenot, PhD, RN @nursejustinrn.bsky.social · 05/12/2024

These for-profit companies who exist to “delay, deny, defend” and make investors even richer off the backs of sick Americans are responsible for innumerable deaths. This is, of course, legal and normalized by capitalism. I think Americans are getting tired of this. Thoughts?

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Emma May, DNP, RN (she/her) @emmacrockerdnp.bsky.social · 05/12/2024

I think anyone judging people who are celebrating right now are showing their privilege. I have had to tell patients who are dying, grieving family members, & countless others that their life saving pathway just isn’t an affordable option. My soul will never be the same. Don’t you dare judge that.

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Justin Fontenot, PhD, RN @nursejustinrn.bsky.social · 05/12/2024

I agree. I think this signifies a shift in blame to inaccessible healthcare created through for-profit monopolies. People are getting tired. Nothing good comes from this. Thank you for your valuable insights and perspectives!

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Sarita Warren @sarahewarren.bsky.social · 05/12/2024

Publicly offering condolences to a corporate mass murderer while remaining silent about multiple ongoing genocides is peak professional boot licking behavior from the medical community.

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Sarita Warren @sarahewarren.bsky.social · 05/12/2024

I think when it comes to the Blue Cross Blue Shield and Anthem decisions, it all comes down to capitalism being insatiable. There are no limits to the ways corporations can harm people for profit.

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Sarita Warren @sarahewarren.bsky.social · 05/12/2024

wild how none of this would have happened if insurance companies did not exist!!

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Sarita Warren @sarahewarren.bsky.social · 05/12/2024

I think the blame is with United Healthcare. They have created the conditions for mass harm for our patients. This harm has now reverberated in the most extreme way against the leaders and symbols of the institutions who make the decisions that harm all of us.

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Sarita Warren @sarahewarren.bsky.social · 01/12/2024

Let’s get to the bottom of who has been gutting Medicare and Medicaid services in the state of Texas!

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Ahhhhh @nerdjpg.com · 29/11/2024

the people who hate follow me to argue are the happiest and most intelligent people on earth

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Sarita Warren @sarahewarren.bsky.social · 27/11/2024

I have to constantly remind myself that I am 27 years old & very few people my age have done the things I have somehow done in my career without the resources or backing of generational wealth 🤣

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Sarita Warren @sarahewarren.bsky.social · 25/11/2024

Okay when did HCA expand to the UK lol

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Sarita Warren @sarahewarren.bsky.social · 25/11/2024

I am tired of clocking in & creating content for TikTok/Meta, I think it’s time for me to stop creating content full time (mainly for free). I will be here sometimes but mainly writing on substack & periodically uploading long form podcast style videos there.

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Sarita Warren @sarahewarren.bsky.social · 20/11/2024

Doctor Oz nominated to head CMS aka the center for Medicare and Medicaid Services is a conversation on professional accountability. What are we doing here? Who holds us accountable? What harm are we capable of in this space?

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Sarita Warren @sarahewarren.bsky.social · 17/11/2024

Yeah I don't want to hear famous docs that minimize Covid + are genocide deniers/supporters dramatically denounce RFK as this threat to healthcare as if their own beliefs aren't just as dangerous + helped create the container for this kind of dehumanizing rhetoric.

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Justin Fontenot, PhD, RN @nursejustinrn.bsky.social · 16/11/2024

It's like saying Nursing isn't political. If it weren't, why do we study the effects of public policy on health and practice? #NurseSky

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Sarita Warren @sarahewarren.bsky.social · 17/11/2024

the wellness robot that gives healthcare workers treats getting funding before the peer support program i built i might have to become the joker.

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Sarita Warren @sarahewarren.bsky.social · 16/11/2024

doing an HICPAC deep dive and looking at the vacancies in Ex-Officio Membership is distressing. why aren’t these organizations and associations offering input into Infection Prevention decisions? this is a huge gap in needed expertise on healthcare infection control.

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Patrick McMurray @nursepatmacrn.bsky.social · 15/11/2024

Who is going to teach the current 4-5 million licensed nurses with transitioning to this? Who is going to help with implementing this into nursing education programs? Will it be added to NCLEX? Should it be? How will this impact charting time and work life balance? No answers.

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Dr. Anna Maria Valdez ( RN) 🩺 @drannamvaldez.bsky.social · 15/11/2024

How will this billing process fit into the current reimbursement landscape? Will Medicare and private insurance pay these additional costs for our care? How will that impact reimbursement? For example, will we bill separately like surgeons or anesthesiologists?

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Dr. Anna Maria Valdez ( RN) 🩺 @drannamvaldez.bsky.social · 15/11/2024

Yes, and if nurses move to billing for their services, how many nurses will decide to work in a hospital? If I can bill privately, you will never see me in a hospital. What about health insurance? Is the hospital going to bill on our behalf? If so, how will that impact hourly pay?

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carewerk @carewerk.bsky.social · 16/11/2024

This is merely only a recodification of the idea of “STEM” which is foremost a sociolegal category about funding. If basic biology research is no longer in the interest of the state (it isn’t for Trump/RFK), biology will be excluded from “STEM”

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Sarita Warren @sarahewarren.bsky.social · 16/11/2024

not a wellness robot getting funding before the peer support community org I’ve spent 3 years & my savings on lmaoooo

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carewerk @carewerk.bsky.social · 16/11/2024

had the joy of floating to cardiovascular recovery today, explaining this new bot and our training module on it, then having everyone in the bay shit-talk if for several minutes

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carewerk @carewerk.bsky.social · 15/11/2024

hospital got full funding for the stupid “wellness” robot where you rate your mood and then it gives you a treat even though in the pilot project I said I felt 😩 because of unsafe staffing then still 😩 after the treat

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carewerk @carewerk.bsky.social · 16/11/2024

nursing is the formalization of technologies of care, and it is not in the interests of capital to care—to discard, often—to extract value from the human body as raw material—sometimes to rehabilitate—but never to care

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Rae is an A.I. Killjoy @raewalker.bsky.social · 15/11/2024

You make an excellent point. Nursing is, among many things, a technology, and technology should be used in ways that are consentful (freely given, reversible, informed, enthusiastic, specific). We preach this in our ethics, but our pedagogy & leadership practices rarely rise to this standard.

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Justin Fontenot, PhD, RN @nursejustinrn.bsky.social · 15/11/2024

To be honest, I get all of your points. My issue is the group pushing it. I don't think they have the right intentions, and that never works well for us in the long run.

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Rae is an A.I. Killjoy @raewalker.bsky.social · 15/11/2024

That being said, do I think nursing is de facto “STEM” or only STEM or that forever chasing the STEM bandwagon is the right tactic in a world where humanities & healing arts continue to be decimated yet necessary as ever? No. Let’s stay clear on our goals (co-liberation) & adapt our strategy to fit.

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