iiinova — where your digital self keeps evolving

Reposted by Taylor Nichols, MD MS

Prof Gavin Yamey MD MPH @gavinyamey.bsky.social · 14h

I see some folks asking: what motivates RFK Jr to tell such horrific, dangerous, repulsive lies about the HPV vaccine? Well, he has made $856,559 from suing the HPV vaccine maker (his vaccine adviser, Dr Kulldorff, also got rich the same way) Always follow the 🤑! www.npr.org/sections/sho...

npr.org

RFK Jr. plans to keep a financial stake in lawsuits against the drugmaker Merck

RFK Jr. plans to keep collecting referral fees in lawsuits against the drug company Merck even if confirmed as HHS secretary, according to new filings with the Office of Government Ethics.

24592232

Taylor Nichols, MD MS @tnicholsmd.com · 20h

"Polluting the information environment" My colleagues and I tried to warn that COVID disinformation and testing the propaganda to policy pipeline was a warning signal at continuing this as a strategy to dismantle democracy. We were right.

041

Reposted by Taylor Nichols, MD MS

David Roberts @volts.wtf · 22h

You can't get anyone in political media to say it plainly, but GOP strategy for several decades now has been built around the fact that its core goals/policies are *wildly unpopular*. Everything depends on a) polluting the information environment, b) cementing unfair structural advantages, & c) $$$.

311193353

Reposted by Taylor Nichols, MD MS

Seth Trueger @mdaware.org · 21h

"oh well she had comorbidities" yeah we're supposed to protect vulnerable people

611022

Reposted by Taylor Nichols, MD MS

Naheed Nenshi @naheednenshi.bsky.social · 20h

We’ve always known, but now it’s confirmed, that Danielle Smith’s separatist friends, including a sitting UCP president, have been conspiring to hand over Alberta’s land, oil and water to Donald Trump. Albertans deserve better than this weak leadership that hurts us all. tgam.ca/3Txh5Gt

theglobeandmail.com

The elephant in the room

Alberta separatists have gone to D.C. offering fresh water and oil in exchange for American support – and Republican operatives have provided tactical assistance inside the province

1224089

Taylor Nichols, MD MS @tnicholsmd.com · 01/10/2026

If you're in San Diego or are going to be in San Diego on October 16th or 17th, come say hi! I'm speaking at the Cal/AAEM conference at UCSD about advocacy and improving addiction care in the emergency department. www.aaem.org/events-calen...

aaem.org

CAL/AAEM Emergency Medicine Western Region Conference

Join us for the upcoming CAL/AAEM Western Region Conference.

050

Reposted by Taylor Nichols, MD MS

WylieCat @wyliecat.bsky.social · 01/10/2026

Around 98% of immigrant detainees in Louisiana are housed in for-profit or privately managed facilities/local rural jails contracted for federal immigration detention. Texas has the highest number of ICE detention facilities and population in the United States. www.nytimes.com/2026/10/01/u...

nytimes.com

New Facility at Louisiana Airport to Hold Immigrant Children and Families (Gift Article)

The site in Alexandria, La., a major expansion of the Trump administration’s busiest deportation hub, will streamline and accelerate removals.

88775

Reposted by Taylor Nichols, MD MS

Anne Libby @annelibby.bsky.social · 01/10/2026

Patriot

051

Reposted by Taylor Nichols, MD MS

Prof Gavin Yamey MD MPH @gavinyamey.bsky.social · 01/10/2026

Measles can be eliminated. There should be zero deaths.

610439

Reposted by Taylor Nichols, MD MS

Jay Willis @jaywillis.net · 01/10/2026

The death penalty is a moral abomination. State-sanctioned barbarism pushed by incompetent morons and sanctioned by the Supreme Court. Absolute ghoul shit. www.nbcnews.com/news/us-news...

The lone woman on Tennessee's death row was still alive after she was administered two lethal injections, her lawyer said in a motion seeking to halt her execution Wednesday night, a stunning development after the Supreme Court had stepped in to allow the state to put her to death.
At 8:26 p.m. local time, witnesses said
"executioners had injected both syringes of lethal injection chemicals and Pike is still alive and snoring," her lawyers said in a federal court filing.
They said Pike "has not lost consciousness and still has a heartbeat," and that curtains to the death chamber "have gone down twice."

11946861165

Taylor Nichols, MD MS @tnicholsmd.com · 01/10/2026

“Now if I keep this oath and break it not, may I enjoy honour, in my life and art, among all men for all time; but if I transgress and forswear myself, may the opposite befall me.” pmc.ncbi.nlm.nih.gov/articles/PMC...

pmc.ncbi.nlm.nih.gov

The hippocratic oath

0121

Taylor Nichols, MD MS @tnicholsmd.com · 01/10/2026

Health professionals are not law enforcement, and are instead bound by an oath not just to beneficence - acting in the patient's best interests - but also non-maleficence - avoiding harm and injustice. This is an upholding of an oath. Heroic work, I commend her.

1343

Taylor Nichols, MD MS @tnicholsmd.com · 01/10/2026

This is absolutely horrific. This should weigh heavily on Justice Roberts, along with the countless other decisions that will have his name go down in history as an abysmal failure of a Chief Justice. At one point I believed he cared deeply about his legacy. He's entirely torched that now.

070

Reposted by Taylor Nichols, MD MS

Bill Grueskin @bgrueskin.bsky.social · 01/10/2026

Nashville Banner reporter Steven Hale, describing how prison officials kept drawing the curtain to hide how badly they were botching this: “A lot of this execution — or attempted execution, whatever it was — happened when we could not see what was going on.”

691714607

Taylor Nichols, MD MS @tnicholsmd.com · 01/10/2026

Probably my favorite exercise these days - great for power and drive with running, turns out.

010

Taylor Nichols, MD MS @tnicholsmd.com · 01/10/2026

Abolish the death penalty. Across the country. Forever.

0193

Taylor Nichols, MD MS @tnicholsmd.com · 01/10/2026

So uh...how much can you hip thrust with that thing?

120

Reposted by Taylor Nichols, MD MS

Chris Geidner @chrisgeidner.bsky.social · 01/10/2026

I've been covering the death penalty in depth for a dozen years now, and few nights have been as disturbing and dispiriting as tonight. This was a moral, ethical, and legal failure on several different fronts from many different actors. It wasn't *just* SCOTUS, though they sure were a key part.

lawdork.com

After SCOTUS allowed Tennessee execution to go ahead, Tennessee botched the execution

SCOTUS, over the liberals’ dissent, cleared the way for Tennessee to kill Christa Pike. The alarming order from DC was followed by even more disturbing developments in Tennessee.

71054267

Reposted by Taylor Nichols, MD MS

Robert Reich @rbreich.bsky.social · 30/09/2026

In 1988, California banned public financing of elections — one of the best methods to counter the power of Big Money. Voters can restore it this November by voting YES on Prop 4. Watch.

251280478

Taylor Nichols, MD MS @tnicholsmd.com · 30/09/2026

The number of recovery resources that only serve to perpetuate stigma and self-shaming is infuriating. We have to change the culture around addiction and recovery.

091

Reposted by Taylor Nichols, MD MS

Amy Littlefield @amylittlefield.bsky.social · 30/09/2026

Today is the 50th anniversary of the Hyde Amendment, the deadly ban on federal funding of abortion that has shaped the lives of over a million low-income women. For @motherjones.com, this excerpt of my book explains why the death of Roe started w/ Hyde: www.motherjones.com/politics/202...

motherjones.com

The infuriating history of the law that doomed abortion rights

The men behind the Hyde Amendment saw it as their ticket to paradise.

29154

Taylor Nichols, MD MS @tnicholsmd.com · 29/09/2026

“You lazy California hippies, don’t even respond to work emails in the morning.” Bro it‘s 7am here shut up I haven’t even had my coffee yet.

130

Reposted by Taylor Nichols, MD MS

Doug McVay @dougmcvay.bsky.social · 29/09/2026

Three deaths, three states, 24 hours: one day in ICE’s quiet but ‘gruesome’ surge These men in Maine, Georgia and Florida shared no ties – until they became casualties in the latest phase of Trump’s anti-immigration campaign www.theguardian.com/us-news/2026...

theguardian.com

Three deaths, three states, 24 hours: one day in ICE’s quiet but ‘gruesome’ surge

These men in Maine, Georgia and Florida shared no ties – until they became casualties in Trump’s anti-immigration campaign

041

Reposted by Taylor Nichols, MD MS

Miranda Yaver @mirandayaver.bsky.social · 29/09/2026

Today in Administrative Burden and Inequality in U.S. Health Care, I'm teaching on the Medicaid provisions of HR1, the not-so-beautiful bill. It's going to be hard to cram so much awful into 75 minutes, but in their next assignment, they'll be tracing sources of burden borne by a Medicaid enrollee.

static.klipy.com

Inside Out Anger Character Screaming

ALT: Inside Out Anger Character Screaming

3222

Reposted by Taylor Nichols, MD MS

Kevin M. Kruse @kevinmkruse.bsky.social · 29/09/2026

"Fuck that." "I'm Sherrod Brown and I approve of this message."

13449101043

Reposted by Taylor Nichols, MD MS

Lorenzo Salgado, jr. @oznezol.bsky.social · 29/09/2026

One step closer to justice for my dad, Lorenzo Salgado Araujo.

333387815

Taylor Nichols, MD MS @tnicholsmd.com · 29/09/2026

This is the same problem with all the credentialed contrarians who are useful idiots for the propaganda to policy pipeline of the right wing dark money political ecosystem. The same playbook for so many other things, including COVID.

010

Taylor Nichols, MD MS @tnicholsmd.com · 29/09/2026

This is part of what makes Conor, in a way, worse than Rufo. Rufo is an absolutely abominable human. He is very clear about that. He tells everyone outright, and honestly. Conor is dumb and by attempting at relevance by playing both sides actually launders the propaganda for Rufo.

110

Reposted by Taylor Nichols, MD MS

The Atlantic @theatlantic.com · 28/09/2026

Donald Trump’s rush to deport as many immigrants as possible is creating a new family-separation crisis, @caitlindickerson.bsky.social writes. She reports on the babies left behind in America:

bit.ly

The Babies Left Behind in America

The United States is deporting parents without their children, creating a whole new family-separation crisis.

914873

Taylor Nichols, MD MS @tnicholsmd.com · 28/09/2026

In that case, I have bad news...

110

Taylor Nichols, MD MS @tnicholsmd.com · 28/09/2026

I believe the "do not see" on some level. But some very much do see, and actively support all of the fascism or feel that this isn't fascist enough. Those who "quickly dismiss" the bad things all too often still end up voting for those bad things. So...how do you reconcile that?

100

Taylor Nichols, MD MS @tnicholsmd.com · 28/09/2026

I don't entirely believe this though. I don't believe the "they didn't know they were fascists." They didn't suddenly become this way, this is what they always were - and the GOPs slide into fascism gave them the permission structure. Republicans did this over decades.

100

Taylor Nichols, MD MS @tnicholsmd.com · 28/09/2026

Reiterating, once again, that this built in religious abuse of children is the reason that the US continues to refuse to ratify the UN Convention on the Rights of the Child (UNCRC). Also, @swordsjew.bsky.social wrote an exceptional book on this called Wild Faith> www.goodreads.com/en/book/show...

goodreads.com

Wild Faith: How the Christian Right Is Taking Over Amer…

An investigation into the rise of the Christian right o…

06219

Reposted by Taylor Nichols, MD MS

Alejandra Caraballo @esqueer.net · 28/09/2026

This is a formal request to SCOTUS to forcefully detransition dozens of incarcerated trans people and to subject them to medical experimentation. That's what this is.

7432172

Reposted by Taylor Nichols, MD MS

De Facto Journalism Co-op @defactomedia.ca · 28/09/2026

A Vancouver cop told DULF’s founders he would personally advocate for them. 2 years later, he approved the investigation that led to raids on their homes. www.defactomedia.ca/how-vancouve...

defactomedia.ca

How Vancouver police turned against DULF

Court records show the same inspector who encouraged the compassion club’s founders also approved the investigation that led to raids on their homes

16434

Taylor Nichols, MD MS @tnicholsmd.com · 28/09/2026

This is excellent, though would be better on any not Substack platform

110

Reposted by Taylor Nichols, MD MS

Guardian US @us.theguardian.com · 28/09/2026

ICE is now lying in wait outside convenience stores, or at busy intersections. Agents are arresting people at international airports. Local police and sheriffs, deputized by the federal government, are detaining immigrants during traffic stops. ICE is now detaining more immigrants than ever before.

A chart that shows a timeline of ICE immigration enforcement against different significant events (Los Angeles raids, Minneapolis and Chicago raids), with a line in late March 2026 that says "New enforcement strategy begins" before a peak of over 1,500 daily arrests in July 2026.

22687454

Reposted by Taylor Nichols, MD MS

Ned Resnikoff @resnikoff.bsky.social · 28/09/2026

The entire state government of California is a parable about how giving people more opportunities to vote on something is not, in fact, the same thing as making your political system more democratic.

719234

Reposted by Taylor Nichols, MD MS

Joseph Cox @josephcox.bsky.social · 28/09/2026

New from 404 Media: when you upload images to Copilot, they're not private. Human contractors are reviewing Copilot users' prompts/images, according to internal docs we got And they're horrified at what they're seeing. Bombarded with requests to make sexual AI images www.404media.co/humans-readi...

404media.co

Humans Are Reading Copilot Prompts — And They're Horrified

Human contractors are reviewing Copilot users’ prompts and uploaded images, according to internal documents obtained by 404 Media. The contractors are also bombarded with users’ requests for sexual AI...

14667345

Reposted by Taylor Nichols, MD MS

Claire Zagorski, PhD, MSc, EMT-P @clairezagorski.bsky.social · 28/09/2026

“The government isn’t racist you’re being hysterical” I give you: Chinese dragon holding opium poppies DEA swag patches paid for with tax money

A circular patch for the DEA reading “heroin intelligence unit”. The image depicts a traditional Chinese dragon emerging from a body of water, clutching a few heroin poppies.

510526

Reposted by Taylor Nichols, MD MS

Bruno Dias @brunodias.dev · 28/09/2026

What is happening is not that AI-generated cultural goods are replacing human-made cultural goods; what is happening is that capital is flowing out of the production of cultural goods *entirely,* making us all poorer for it.

2788249

Reposted by Taylor Nichols, MD MS

Bruno Dias @brunodias.dev · 28/09/2026

It really doesn't make sense to attribute those job losses to AI-the-technology, because if that were the case we'd be observing AI outputs displacing conventional entertainment products, and they're clearly not. Rather, the impact of AI is that AI-the-business is crowding out other investment.

171472490

Reposted by Taylor Nichols, MD MS

Stephen Sandelich @sandelichmd.bsky.social · 28/09/2026

Black and low-income adolescents with OUD are significantly less likely to leave the ED with a buprenorphine prescription, per health equity research on adolescent SUD care. Same presentation. Different outcome. Poverty doesn't just raise risk. It narrows the off-ramp.

032

Reposted by Taylor Nichols, MD MS

amanda moore 🐢 @noturtlesoup17.bsky.social · 28/09/2026

If you have experience FOIAing cities for airport cameras, I need help please.

417886

Reposted by Taylor Nichols, MD MS

Eric Deggans @edeggans.bsky.social · 27/09/2026

The Hollywood reporter, owned by Penske Media, broke the story. Several other outlets, including The Daily Beast and The Wrap, have followed up: www.thewrap.com/creative-con...

thewrap.com

YouTube, Meta Restore Ads for 'Musk' Documentary: 'This Was an Error'

Advertisements for Alex Gibney's Elon Musk documentary will come to YouTube and Meta after all. The platforms had previously rejected them.

28552263

Reposted by Taylor Nichols, MD MS

Gravel Influencer @gravelinfluencer.bsky.social · 28/09/2026

People love threatening to murder people for legally riding bikes. Of course drivers regularly hit cyclists riding in painted bike lanes or shoulders. It's almost like motorists don't need any excuse to inflict violence upon bicyclists.

A Facebook comment that includes a comic of a car mowing down a group of cyclist with the text, "Cyclists! Move over and it won't happen!"

384885