Reposted by Sarah Karlin-SmithBayliss Wagner @baylisswagner.bsky.social · 29mBREAKING: In Nebraska rally, Trump just suggested he would be unbothered to see Iran "take out" LA or San Diego: “They could take out a city,” he said. “Let them take—Let them take out Los Angeles. Let them take out San Diego. That’s—this is a very small price to pay." 64319120
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 6hlowest starting salary here is for pediatrics ($231,000). www.beckershospitalreview.com/compensation...beckershospitalreview.comPhysicians’ starting salary reaches $419K: A breakdown of 14 specialtiesPhysicians starting salary reaches $419K in 2025-26, with detailed data on 14 specialties and signing bonuses from AMN Healthcare. 000
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 9hFederal regulations mandate that farms with 11 or more field workers provide a toilet and handwashing station for every 20 workers, within a quarter-mile walk. But when quotas are in place, advocates say, even a few minutes away from the row can cost workers pay and put their jobs at risk.northcarolinahealthnews.orgStrawberries in February: The Cyclospora outbreak and the cost of convenienceThe 2026 outbreak reveals strains on farmworkers, food inspections and disease tracking in a system where consumers demand fresh produce year-round. 010
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 9hMany unanswerable questions hung over Bel’s funeral. ...how could the president who made it happen show his face that same day, just miles down the road, not only to defend that change, but to bask in it? www.thebulwark.com/p/a-death-a-...thebulwark.comA Death. A Funeral. And the Trump Rally Down the Block.On the day Springfield held a funeral for Pierre Damas Bel, the president held a rally 25 miles away. We went to both. 011
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 10hThe insight from Hopkin's Anderson in this @bobjherman.bsky.social article that there is a growing openness to regulating hc prices like utilities is notable. 010
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 10hDrugs have been eating more of the employer’s premium for multiple years now. Rx drugs filled at a pharmacy represented 18% of a worker’s health care premium in 2021, after factoring in any rebates ...By 2026, that figure jumped to 23%, driven in large part by the surge of people getting GLP-1s.statnews.comHospital and pharmaceutical prices are smothering America’s businessesWorkers and employers are drowning in their health insurance premiums. The reason for that deluge: the health care industry’s high and inscrutable prices. 031
Reposted by Sarah Karlin-SmithMax Kennerly @maxkennerly.bsky.social · 01/10/2026If you're wondering if the US Travel Association blames Trump and Republicans, the answer is "no." As of a month ago, they were still praising him and noting they were "ready to work with the president and his administration to build on today’s momentum." Ok! www.ustravel.org/press/travel... 1221238
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 01/10/2026Tomorrow I'll be speaking on this webinar about GLP-1s and access challenges. centerforhealthjournalism.org/our-work/web...centerforhealthjournalism.orgWho Gets Access to Breakthrough Drugs? 050
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 01/10/2026Trump exempted nearly all pharma companies from one of his plans to cut drug prices in Medicare so expected savings dropped from nearly $12 billion to about $440 million. www.citizen.org/news/finaliz...citizen.orgFinalized GLOBE Part B Model Is Full of Holes - Public CitizenWASHINGTON, D.C. – The Centers for Medicare & Medicaid Services released its finalized GLOBE Medicare Part B drug price model… 041
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 30/09/2026Those losing their health benefits ... include refugees of war, asylees who fled persecution, victims of sex trafficking, and interpreters who risked their lives assisting U.S. service members in Afghanistan — all of whom are in the country with the federal government’s permission.kffhealthnews.orgUS Poised To Boot Legal Immigrants From Medicaid, Including Refugees and Sex-Trafficking Victims - KFF Health NewsThe Congressional Budget Office estimated 100,000 more immigrants will be uninsured by 2034 because of Medicaid eligibility changes under President Trump’s One Big Beautiful Bill Act that take effect ... 14726
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 30/09/2026So much for MAHA plans to tackle chronic disease eh.. "Task force members were also prevented from voting on a recommendation for preventing cardiovascular disease through healthy lifestyle interventions because of cancelled meetings, he noted." www.medpagetoday.com/washington-w...medpagetoday.comTrump Administration Suppressed USPSTF Recommendations, Past Chair SaysGroup's recommendations on cervical cancer screening, cardiovascular prevention were blocked 0115
Reposted by Sarah Karlin-SmithJess Piper @piperformissouri.bsky.social · 30/09/2026If you’re not from Missouri, you may not know that Eric Schmitt got his start in MAGA politics by suing public schools for mask mandates while their teachers died during a pandemic. The really strange thing? He never sued his own kids’ school for their mask mandate. He’s a piece of Schitt. 833113972
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 30/09/2026California just passed a new law to make access to Hep C treatment easier. But it's shameful that a DECADE after a cure 400,000 people in the state still haven't gotten access to treatment due to high drug costs and hurdles put in place by insurance companies due to those costs.yahoo.comThere's a cure for one of California's biggest health problems. Getting it is another matterCalifornia is eliminating a key insurance hurdle for hepatitis C treatment, part of a broader push to get a long-available cure to the hundreds of thousands of patients who need it. 020
Reposted by Sarah Karlin-SmithAnnie Waldman @anniewaldman.bsky.social · 30/09/2026NEW: As Trump’s White House and influencers keep touting the unproven benefits of raw milk, hundreds across the country are falling ill from outbreaks. Some people get severe indigestion. And some nearly die. Here's the story of one toddler who drank it. 🧵👇 www.propublica.org/article/cali...propublica.orgA Girl Nearly Died After Drinking Raw Milk. The State Did Little to Punish the Unlicensed Farmer Who Sold It.California is teeming with black-market dairies, propped up by consumer demand fueled by misinformation. With evidence against one raw goat milk farm, regulators could have sought punitive action. But... 421027496
Reposted by Sarah Karlin-SmithZach Everson @zacheverson.com · 29/09/2026Here's a $20 million order, paid for by CBP's Office of Public Affairs, awarded to LMD Agency for a national media campaign starting on Sept. 20. The first pro-Trump ad aired on Sept. 23. www.usaspending.gov/award/CONT_A... 16497214
Reposted by Sarah Karlin-SmithTina Vasquez @tinavasquez.bsky.social · 30/09/2026Florida Orange Gold is a farm labor contractor (FLC) allowed by the U.S. government to bring hundreds of migrant farmworkers to the U.S. each year to perform dangerous, seasonal agricultural work. 1124
Reposted by Sarah Karlin-SmithTina Vasquez @tinavasquez.bsky.social · 30/09/2026NEW: H-2A worker Carlos Vargas Moreno experienced a catastrophic heat stroke when his employer, Florida Orange Gold, subjected him to unsafe working conditions. The same company was cited two years prior for the heat-related death of H-2A worker Carmen Sebastian Hernandez Mosqueda.prismreports.orgDespite farmworker death and another disabled by heat stroke, employer keeps sending people to fieldsFlorida Orange Gold has exposed workers on H-2A visas to extreme heat, but continues to bring hundreds of migrants to North Carolina 4248157
Reposted by Sarah Karlin-SmithJuliette Cubanski @jcubanski.bsky.social · 29/09/2026CMS has just released information about Medicare drug plan offerings for 2027, emphasizing stability. Some quick top-level analysis about the stand-alone Part D drug plan market to follow. ⬇️ www.cms.gov/newsroom/pre...cms.govMedicare Advantage and Medicare Prescription Drug Programs Expected to Remain Stable in 2027Medicare Advantage and Medicare Prescription Drug Programs Expected to Remain Stable in 2027The Centers for Medicare & Medicaid Services (CMS) today announced significant premium savings for millions ... 263
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 28/09/2026Pharma's business model doesn't work for some of the most needed medical innovation. www.statnews.com/pharmalot/20...statnews.comMerck discontinues a crucial antibiotic despite concerns over superbug resistanceMerck discontinued Recarbio, an important antibiotic in the U.S., despite concerns over resistance to superbugs. 020
Reposted by Sarah Karlin-SmithMelody Schreiber @melodyschreiber.com · 25/09/2026This part is really difficult to understand for people who don't know the intricacies of ACA. Did you know you can be too poor for Obamacare but not poor enough for Medicaid? 35831
Reposted by Sarah Karlin-SmithSarah Tuttle @niais.cryptoanarchy.network · 25/09/2026IN MINNESOTA. 52089653
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 25/09/2026The only explanation I can think of for this, is this guy is so rich everyone does everything for him including getting him home and all his boring paperwork? 280
Reposted by Sarah Karlin-SmithChanda Prescod-Weinstein 🌌 @chanda.blacksky.app · 24/09/2026Every villain has a weakness. And occasionally their weakness is turning to the camera and explaining what their weakness is and that their weakness is making themselves stupider 645469
Reposted by Sarah Karlin-SmithAaron Rupar @atrupar.com · 24/09/2026SANDERS: Trump claims we pay lowest prices in the world for prescription drugs. Wow! Is he telling the truth? OVERTON: There has been immense progress- S: Do we pay lowest prices like POTUS said? You just told us you're gonna stand up to him O: We have seen- S: Is it true? O: *more dissembling* 1071927463
Reposted by Sarah Karlin-SmithMeredith Shiner @meredithshiner.com · 24/09/2026What is the point of any of this if those who believe so strongly in righteous issues cannot even consider recognizing those who see the political headwinds and demonstrate capacity for change? Politicians are always going to be this way. They can't always be as righteous from the outset as we want. 3222
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 24/09/2026I'm a little overwhelmed at the amount of bad public health news in KFF Health News' morning roundup this am. Most of which seems to be deliberate attempts at harm by Trump team. 271
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 24/09/2026KFF coming in strong with useful data this week: For five of the 32 drugs, the TrumpRx drug price is the lowest compared to all other comparable countries where the drug is available, while for 13 of the 32 drugs, the TrumpRx drug price is the highest compared to all other countries.healthsystemtracker.orgHow TrumpRx brand-name drug prices compare to other countries - Peterson-KFF Health System TrackerThe analysis focuses on the 39 brand-name drugs listed on the TrumpRx site that do not have generics or biosimilars available in the U.S., of which 32 had publicly available prices in one or more of t... 0184
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 24/09/2026This morning I realized we had put over 4,000 miles on our current ebike in less than a year and a half. While accidentially trying to reset mileage count we use to track miles since last battery charge.. Now do I know how to get screen back to the other mileage ...no 010
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 24/09/2026"The pricing details that states would get through GENEROUS, if they do participate, are not publicly available. States had to sign “non-binding participation agreements” in order to get the pricing information, according to officials from California." via @danielpayne.bsky.socialstatnews.comTrump boast on drug pricing policy overstated state-level interest in federal programPresident Trump and his aides boasted that every U.S. state wanted to participate in a drug pricing initiative through Medicaid. Several states said they weren't sure yet. 052
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 23/09/202627% of women 18-64 report they didn’t fill a prescription in the last year because of cost and almost a fifth report they cut pills in half or skipped doses of medicine because of cost. 4/10 women in fair or poor health didn’t fill prescriptions and 1/4 cut pills or skipped doses because of costs.kff.orgWomen's Health Care Affordability Challenges | KFFAs health care costs dominate the national political conversation, our 2026 KFF Women’s Health Survey shows the toll those costs are taking on women. Our new nationally representative survey of women ... 053
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 23/09/2026"Companies have every incentive to cherry-pick [for this program] the products for which they already give Medicaid the best discounts and for which the international price may not be that much lower. So there would be an incentive for companies to try to limit their liability ..."npr.orgA year ago, President Trump pledged to lower Medicaid drug prices. Has that happened?The Trump administration's efforts to lower drug prices included promised changes to Medicaid. But it's still unclear which drugs will be affected. And each state has to opt in. 022
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 23/09/2026Vertex's CF drug looks like it may help babies w/ CF if taken in utero. The company charges $27k a month for the drug and it doesn't want to study this indication or provide free drug to others who want to run trials. (cost of drug is also a huge barrier for approved populations)endpoints.newsIn a changed world for cystic fibrosis, a family's fight reveals a new gap in careDrugs like Trikafta, first approved in 2019, have changed cystic fibrosis from a death sentence to a manageable chronic condition for the vast majority of patients. But the drug is only approved for c... 100
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 23/09/2026Interesting new polling from KFF here that suggests majority of rural voters recognize Trump's drug pricing policies are a failure. www.kff.org/public-opini...kff.orgKFF/AP Rural Voters Survey | KFFThe KFF/AP Rural Voters Survey examines the views and political priorities of voters living in rural areas across the United States ahead of the 2026 midterm elections. The survey gauges rural voters'... 0187
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 23/09/2026One of the highlights of parenthood was during potty training when my children would applaud me for going to the bathroom. 1173
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 23/09/2026400k/year is the thanks taxpayers get from industry... "Jobs notes that the recently approved pancreatic cancer drug daraxonrasib from Revolution Medicines — of which Yosemite is an investor — is an example of a discovery that would have been difficult to achieve without publicly funded research."statnews.comThe NIH budget should be $100 billion per year“We should be strengthening our investment in the NIH, not dismantling it,” writes Reed Jobs. 141
Reposted by Sarah Karlin-SmithLiz Essley Whyte @lizessleywhyte.bsky.social · 23/09/2026NEW exclusive from me: Health officials moved money out of the Office of Minority Health to help pay for the ballooning costs of RFK Jr.'s security gift link www.wsj.com/politics/pol...wsj.comExclusive | RFK Jr.’s Enhanced Security Was Funded With Money From Minority Health OfficeThe cost of the health secretary’s security grew from roughly $10 million in fiscal year 2025 to $17 million in fiscal year 2026. 1012971
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 23/09/2026My preker who goes to a public, minority majority public school was just eating a mango. She told me it was a cognate, defined it and then told me how to say cognate in Spanish. I know there is lots on inequality out there but there are pathways to something better. 040
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 22/09/2026Richard Evans of SSR Health (a former drug exec) expects more co-formulation collaborations between manufacturers whose active drugs used in combo w/ each other to try and avoid Medicare negotiations. 020
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 22/09/2026Why are list prices dropping? Medicaid AMP cap but also risk of Medicare drug price negotiations, Richard Evans says on Health Affairs webinar. 020
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 22/09/2026Lilly pledged to make insulin available at $25/vial for uninsured but it introduced restrictions based on geography and needs, and insulins that are subject to these voluntary price caps are often out of stock at the pharmacy when people go to fill a prescription. via @dylanlscott.bsky.socialvox.comA shocking number of Americans are still rationing insulinInsulin still doesn’t cost $35. Here’s what it will take to make it truly affordable. 63029
Reposted by Sarah Karlin-SmithPoPville @popville.bsky.social · 22/09/2026Another Poorly Parked Car Causes Bus Mayhem in Mount Pleasant - Maddening: www.popville.com/2026/09/anot...popville.comAnother Poorly Parked Car Causes Bus Mayhem in Mount Pleasant - PoPvilleThanks to Terry for sending: "Car in no parking anytime space at Lamont Park. Sign posted no parking g there for a reason. Geesh." Ed. Note: This was a big problem last winter when Meanwhile in Mount ... 182
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 22/09/2026new details on Trump's pharma tariffs in federal register late yesterday: public-inspection.federalregister.gov/2026-19498.p...public-inspection.federalregister.gov 000
Reposted by Sarah Karlin-SmithDimitri Drekonja, MD, MS @dimitridrekonja.bsky.social · 22/09/2026They are years late, but this is a good thing and I am glad they found their spines 👍🏻👍🏻💪🏼💪🏼 1204
Reposted by Sarah Karlin-SmithProf Gavin Yamey MD MPH @gavinyamey.bsky.social · 19/09/2026When healthy young men take testosterone, they risk infertility, erectile dysfunction, severe acne, hair loss, and polycythemia Polycythemia can cause a range of health problems, including heart attacks, clots, and strokes Hegseth’s damaging mandate is terrible science & terrible public health 2295
Reposted by Sarah Karlin-SmithPeter Maybarduk @maybarduk.bsky.social · 19/09/2026We are fighting the redactions in court and still pushing for more documents and disclosures. These FOIA'd documents at least show us the structure of the agreements, in significant part. Read the texts for yourself here: www.citizen.org/article/foia... Thanks @sarahkarlin-smith.bsky.socialcitizen.orgFOIA Documents: Trump-Pharma MFN Drug Pricing Deals - Public CitizenThe Trump administration has signed dozens of “most favored nation” (MFN) agreements with pharmaceutical companies, claiming to provide Americans with… 1205
Reposted by Sarah Karlin-SmithPeter Maybarduk @maybarduk.bsky.social · 19/09/2026For some sections of the MFN deals, even the headers are redacted. Trump's HHS won't even tell the American people what it's not telling them. Rules affecting meds access typically are made in public, through legislation or process with public comment. Not Trump's deals. What's being traded here? 12411
Reposted by Sarah Karlin-SmithPeter Maybarduk @maybarduk.bsky.social · 19/09/2026Some drugmakers say they will stop selling new drugs to key countries, in order to keep the most-favored nation price high in the United States. That could mean patients with no route to access. Here, HHS appears to bless that deadly practice: 2216
Reposted by Sarah Karlin-SmithPeter Maybarduk @maybarduk.bsky.social · 19/09/2026Trump claims lower GLP-1 prices from his deals. But Lilly’s deal contains a loophole that insulates it from providing a true MFN price point for its GLP-1 drugs. If the loophole is applied to all GLP-1 drugs, it could cost Medicaid $1.7 billion in savings. Analysis: www.citizen.org/article/publ...citizen.orgPublic Citizen FOIA Reveals That Pharma, Not Patients Are Favored In Trump’s Drug Pricing Deals - Public CitizenKey Takeaways Copies of Pfizer and Eli Lilly’s “most-favored nation” (MFN) agreements obtained by Public Citizen through the Freedom of… 13412
Reposted by Sarah Karlin-SmithPeter Maybarduk @maybarduk.bsky.social · 19/09/2026We obtained Trump’s confidential drug pricing deals with Pfizer & Lilly via FOIA litigation. The texts are heavily redacted, making it impossible to verify some of Trump's claims. But unredacted text shows Trump exaggerated his drug pricing achievements, which expire anyway at the end of his term. 112863
Reposted by Sarah Karlin-SmithDan Diamond @ddiamond.bsky.social · 19/09/2026For months, Trump has touted his drug-price deals — saying his work should be enough for the GOP to win the midterms. But Trump and his deputies have declined to release the deals' actual text. @publiccitizen.bsky.social sued to get two deals thru FOIA and shared them with The Post.washingtonpost.comSecret contracts reveal undisclosed terms in Trump’s drug-pricing dealsAgreements with Pfizer and Eli Lilly include tariff protections, overseas pricing inducements and broad confidentiality clauses. 412959