iiinova — where your digital self keeps evolving

Travis Joesph @travisjoseph.com · 11/06/2025

Trump deploying the National Guard in LA—something we haven’t seen since Selma. But in ‘65, troops protected civil rights marchers. History doesn’t repeat, it mutates. If you're still calling this “law and order,” you’ve missed the part where the Constitution was lit on fire. #Resist

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Travis Joesph @travisjoseph.com · 05/06/2025

My dad passed Tuesday. He was loud, loyal, flawed, and full of life. A provider. A hell of a dancer. He loved his family, the Saints, and the water. We’re asking folks to donate to One Way Love in his honor: The Ernest Manint Memorial Fund. 🖤 tjoe.co/4y5ci9

tjoe.co

Ernest Manint Memorial Fund | Supporting At-Risk Youth Through One Way Love

Honor the memory of Ernest Manint, beloved husband, father, and New Orleans native, through the Ernest Manint Memorial Fund. Supporting One Way Love's mission to help at-risk youth in St. Tammany Pari...

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Travis Joesph @travisjoseph.com · 05/06/2025

Spoke on PhRMA’s 2025 PRIDE panel with Evan Low & Tekla Taylor—grateful for the convo and the community. I said: Policy is the tool. Advocacy is the pressure. Allyship is the commitment. It’s not enough to care quietly—we have to show up, speak up, and push back. #QueerVoices #LGBTQHealth

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Travis Joesph @travisjoseph.com · 04/06/2025

My latest analysis for CANN

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Travis Joesph @travisjoseph.com · 24/05/2025

This isn’t policy theory—it’s personal. I work with teens who are hungry, unhoused, and uninsured. These cuts will hurt them on purpose. If you claim to follow Jesus, maybe ask why your politics betray the people He told us to protect. tjoe.co/o6wqa2

tjoe.co

The Largest Upward Transfer of Wealth in American History

House Republicans voted to advance a bill that would offer lavish tax cuts for the rich while slashing benefits for the poor.

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Travis Joesph @travisjoseph.com · 19/05/2025

New antibiotics for STIs are here—but so is the chaos. Public health labs are closing, resistance is rising, and vulnerable communities are on the frontlines. We’re sabotaging our own fight. Read my latest analysis: tjoe.co/gihjsg #PublicHealth #STIsky #HealthPolicy #AntibioticResistance

tjoe.co

Antibiotic Crisis: Hope Amid Institutional Decline

Antibiotic-resistant STIs are outpacing new treatments. But even our best breakthroughs can’t outrun political sabotage.

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Travis Joesph @travisjoseph.com · 14/05/2025

As a former brand marketer, all I can say is the leadership at WarnerMedia are idiots. But glad they realized that their most valuable brand asset really was their most valuable brand asset. Nice to see you again, Home Box Office.

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Travis Joesph @travisjoseph.com · 12/05/2025

Patients are paying more for life-saving meds, but manufacturers aren’t getting richer—middlemen are. My latest article breaks down how PBMs and hospital systems pocket the difference while patients suffer. #healthpolicy #pharmsky #medsky tjoe.co/wv2j1f

tjoe.co

The High Cost of Middlemen Medicine

Why patients pay more while hospital systems and middlemen cash in on America’s broken drug market.

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Travis Joesph @travisjoseph.com · 05/05/2025

New Tulane study shows PLWH in redlined areas face 15% longer delays in care—193 days vs. 164. The past is still prescribing outcomes. The map may have changed, but the realities haven’t. Read more: tjoe.co/ohot90 #HIVsky #PublicHealth #EpiSky #HealthPolicy

tjoe.co

Mapping Injustice: Redlining's Legacy in HIV Treatment Delays

As political attacks target health equity research, new evidence shows discrimination from the past continues to shape treatment outcomes today

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Travis Joesph @travisjoseph.com · 02/05/2025

It’s time to clean house. If you’re over 65, it’s time to retire from congress. If you’re too scared to lead in this moment, then sit the fuck down. Chuck, go write your books and get out of congress, you’re done. Bernie, go rally troops and retire, you’re useless in the senate.

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Travis Joesph @travisjoseph.com · 02/05/2025

Can confirm. 😭 #ADHD Also, fuck you #RFKJr (for good measure)

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Travis Joesph @travisjoseph.com · 29/04/2025

Today is National Fentanyl Awareness Day. Naloxone is available over the counter and can reverse a fentanyl overdose. Learn where to get it and how to use it at fentanylawarenessday.org. #NFAD2025

fentanylawarenessday.org

National Fentanyl Awareness Day

A day of action to raise public awareness about an urgent problem: illegally made fentanyl. Join our effort.

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Travis Joesph @travisjoseph.com · 28/04/2025

Also what’s the makeup budget in this administration? He’s painting his face like Trump.

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Travis Joesph @travisjoseph.com · 28/04/2025

Leaked HHS budget proposes gutting HIV prevention, mental health care, and public health infrastructure. A 33% slash that puts lives—and decades of progress—at risk. Full breakdown: tjoe.co/ri2vcv #HIVsky #PublicHealth #HealthPolicy #PoliSky

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Travis Joesph @travisjoseph.com · 26/04/2025

The Pitt is seriously the most intense tv show I’ve ever seen. Jesus. Really fantastic writing and acting. But damn.

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Travis Joesph @travisjoseph.com · 25/04/2025

Measles—the disease we fought so hard to eliminate—is making a comeback in the U.S. thanks to falling vaccination rates. We’re nearing the tipping point for endemic measles again. This didn’t have to happen. #PublicHealth #VaccinesWork #IDSky #MedSky www.reuters.com/business/hea...

reuters.com

US at tipping point for return of endemic measles

At current U.S. childhood vaccination rates, measles could return to spreading regularly at high levels, with an estimated 851,300 cases over the next 25 years, computer models used by the researchers suggest.

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Travis Joesph @travisjoseph.com · 23/04/2025

Y’all need to stop 😭💀

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Travis Joesph @travisjoseph.com · 21/04/2025

Trump - Penn Vance - Yale Cruz - Harvard Hegseth - Harvard RFK Jr - Harvard Dr Oz - Harvard Ratcliffe - Notre Dame Stefanik - Harvard We clearly need to re-evaluate the value and product of “elite” higher education institutions in this country.

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Travis Joesph @travisjoseph.com · 19/04/2025

1/7 Follow-up to last night’s thread on the @wsj.com op-ed: It wasn’t just an isolated rant. It was the prelude. Tonight, @nytimes.com reports the Trump admin nuked Covid.gov and replaced it with a full-blown propaganda site declaring “lab leak” the true origin of Covid. #IDSky #PoliSky

nytimes.com

Trump Declares Lab Leak as ‘True Origins’ of Covid on New Website

Government websites that once provided basic information about the virus now redirect to a page citing a number of misleading or heavily contested claims.

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Travis Joesph @travisjoseph.com · 17/04/2025

1/8 The @wsj.com just published a full-blown fascist fanfic. A lab-leak conspiracy rant that calls Fauci a criminal, praises Trump as savior, and suggests an international tribunal led by Pam Bondi. Yes, really. #PoliSky #PublicHealth #MediaAccountability #ScienceNotStunts

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Travis Joesph @travisjoseph.com · 14/04/2025

Trump’s drug policy is a contradiction wrapped in carceral cosplay. Harsh penalties. Fake wellness farms. Slashed data teams. And somehow…test strips? I break it down here: tjoe.co/7y4odn #DrugPolicy #PublicHealth #HarmReduction #Medicaid #SubstanceUse #SUD #Recovery

tjoe.co

Mixed Signals: Trump's Drug Policy Undermines Its Own Goals

What do you get when you combine performative punishment, gutted health agencies, and a wellness farm fantasy?

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Travis Joesph @travisjoseph.com · 07/04/2025

This is what happens when you replace evidence with ideology in public health: People die. Predictably. And this is just the beginning. $11.4B clawed back. 20,000 laid off. Vaccine outreach halted. Read my full analysis: tjoe.co/eymkkp #PublicHealth #IDSky #HIVsky #RFKJr #HHS #CDC

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Travis Joesph @travisjoseph.com · 07/04/2025

I’ll just post this real time convo between me and my aunt as my commentary on #whitelotus

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Travis Joesph @travisjoseph.com · 03/04/2025

Quick strategy note for Dems: Elon is a problem. But Trump is THE problem. Stop letting the Musk distraction run cover. This is Trump’s mess—own the messaging. Every corrupt, fascist move, every erosion of rights? That’s his legacy. Don’t let people forget it.

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Travis Joesph @travisjoseph.com · 02/04/2025

PDABs weren’t built to protect patients—they were built to look like reform. Now their sham processes mirror RFK Jr.'s gutting of public input at HHS. Different timelines, same result: patients excluded. tjoe.co/ls1fq8 #PDAB #HealthPolicy #HealthJustice #HIVsky

tjoe.co

PDAB Chicanery: How Drug Affordability Boards Are Undermining Public Engagement

PDABs say they’re helping patients. In reality, they’re muzzling public input and playing politics with life-saving medications.

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Travis Joesph @travisjoseph.com · 01/04/2025

Cory Booker has been filibustering for over 21 hours while our public health infrastructure is gutted in real time. Say what you want, but he's using the only tool he has—and it's more than most have done. Today, the CDC was hollowed out. Someone needed to stand the hell up. He did.

apnews.com

Cory Booker tops 21 hours in a Senate speech. Will it rally the resistance to Trump?

New Jersey Democratic Sen. Cory Booker has pressed his marathon speech against President Donald Trump’s agenda for more than 21 hours and counting.

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Travis Joesph @travisjoseph.com · 01/04/2025

So the question today is: how hard is America's Penis™ going to fuck us this time? Of course I'm talking about the Florida special election. Cheeseville, too. MAKE GOOD CHOICES.

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Reposted by Travis Joesph

Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 31/03/2025

Started/Going. Two infants died of pertussis in Louisiana, where last month the state’s surgeon general banned health department staff from encouraging vaccination.

Screenshot of the headline of an article from WWNO Public radio on Feb 14, 2025. It says Louisiana Department of Health officially ends all vaccine promotion, events
WWNO - New Orleans Public
Radio | By Rosemary
Westwood
f
in
Published February 14, 2025 at 12:18
PM CST

Screenshot of the headline of an article from WWNO Public radio on March 28, 2025. It says Louisiana Surgeon
General shares vaccine info after 2 babies die from whooping cough
WWNO - New Orleans Public
Radio | By Rosemary
Westwood
in
Published March 28, 2025 at 4:31 PM

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Travis Joesph @travisjoseph.com · 01/04/2025

Finally coming up for air after producing a whole-ass gala. While I was buried in logistics, this dropped: tjoe.co/b67quz Copay accumulator policies are still screwing patients in 2025. Here’s what’s broken—and how we fix it #Healthcare #Policy #DrugPricing #PublicHealth #Copays #HealthInsurance

tjoe.co

Patients Still at Risk: The State of Copay Accumulator Adjustment Policies in 2025

Copay accumulator policies make patients pay twice. It's 2025, and insurers are still profiting while patients go broke.

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Travis Joesph @travisjoseph.com · 30/03/2025

These days, I seem to constantly vacillate between Everclear’s “Santa Monica” and Rage’s “Take The Power Back.”

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Travis Joesph @travisjoseph.com · 30/03/2025

“Louisiana residents overwhelmingly rejected all four amendments on the ballot” is the best news I’ve heard today and Landry can suck it.

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Travis Joesph @travisjoseph.com · 29/03/2025

Made the mistake of watching Schumer on Colbert hawking his book while our democracy bleeds out. Dems need a purge. Bernie and AOC are rallying in arenas. Chuck’s doing press junkets. If this is party leadership, we’re not losing—we’re forfeiting. Fuck that feckless fuck.

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Reposted by Travis Joesph

Jane Voter @janevoter2018.bsky.social · 29/03/2025

Louisiana voters, vote NO on Amendments 1, 2, 3, and 4. This is SO important, even if it is raining get out and vote NO!

Text reads: No! To them ALL. BATON ROUGE INSIDERS ASSUMED YOU WOULDN’T DO YOUR RESEARCH OR EVEN SHOW UP. They thought they could like, mislead and sugarcoat their way to an easy win for themselves and their friends. But all it takes to keep our schools funded, our courts fair, and our kids safe is to vote NO to them ALL, y’all!

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Travis Joesph @travisjoseph.com · 28/03/2025

Trump’s admin just fired the entire HIV policy team at HHS—including the folks behind his own EHE program. This isn’t about reform. It’s about power. It’s “fuck the poor, fuck the sick, fuck anyone who’s not a rich white Christian.” Cruelty is the point. tjoe.co/gu115a #HIVsky #PublicHealth

tjoe.co

Statement on elimination of HHS Office of Infectious Diseases & HIV Policy & Other HHS staff cuts | HIV+Hepatitis Policy Institute

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Travis Joesph @travisjoseph.com · 27/03/2025

RFK Jr.’s HHS just axed 10,000 jobs and gutted key divisions. If you’re one of the folks caught in this slow-moving trainwreck, STAT wants to hear from you. Tell your story. Let the world know what “restructuring” really means. 🔗 www.statnews.com/2025/03/27/h... #PublicHealth #HHS #HealthJustice

statnews.com

Are you affected by the HHS cuts and restructuring?

HHS is set to cut 10,000 jobs and consolidate divisions — have you been affected? @statnews would like to hear from you.

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Reposted by Travis Joesph

Community Access National Network (CANN) @handle.invalid · 24/03/2025

"Nothing about us, without us." CANN's Jen Laws calls for 340B program reform in Colorado, highlighting how the program meant to help people living with HIV now primarily benefits hospitals, not patients. Colorado can do better. coloradosun.com/2025/03/21/o... #HIV #340B #PublicHealth

coloradosun.com

Opinion: With smart reforms, Colorado can redirect the 340B drug discount program back to patients

Colorado has a history of standing up for vulnerable communities, but a lack of transparency in the massive drug program threatens that commitment.

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Reposted by Travis Joesph

TAG - Treatment Action Group @treatmentactiongroup.org · 18/03/2025

This year’s Pipeline Report on Tuberculosis Vaccines gives an overview of major developments in TB vaccines research under the theme “Vibe Shifts, Seismic Upsets.” The pipeline has 17 candidates, all shown in this Figure 1 graphic. www.treatmentactiongroup.org/resources/pi...

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Reposted by Travis Joesph

Community Access National Network (CANN) @handle.invalid · 19/03/2025

Our joint statement with @adapadvocacy.bsky.social on @wsj.com reported funding cuts to #HIV Prevention programs...

JOINT STATEMENT
On Reported HIV Prevention Funding Cuts
March 19, 2025
Critical HIV Prevention Programs Facing Potential Elimination

WASHINGTON, DC (March 19, 2025) - The ADAP Advocacy Association and the Community Access National Network (CANN) express deep concern regarding a recent Wall Street Journal report that the U.S. Department of Health and Human Services is considering significant cuts to domestic HIV prevention funding. According to the report, programs potentially facing reduction or elimination include the Centers for Disease Control and Prevention (CDC)'s PrEP initiative and other prevention efforts, potentially impacting the entire $1.3 billion CDC HIV Prevention Program.
These reported considerations come at a critical time when prevention programs remain essential to our national HIV response. CDC data shows that while PrEP coverage has increased to approximately 36% of people who could benefit, significant racial and geographic disparities persist. The Southern region is disproportionately impacted by HIV, with states like Louisiana having the 6th highest rate of HIV diagnoses nationwide. If implemented, these cuts would directly contradict the goals established in President Trump's Ending the HIV Epidemic initiative, which aims to reduce new HIV infections by 90% by 2030. Prevention tools like PrEP, which can reduce HIV acquisition risk through sexual contact by approximately 99% when taken as prescribed, are essential components of this effort. These programs are critical to the nation's public health infrastructure and represent one of the most cost-effective investments in disease prevention, especially for Black and Hispanic populations who face systemic barriers to healthcare access.

Jen Laws, CANN President & CEO, argued: "Prevention programs further support treatment programs with testing, screening activities, and linkage to care upon reactive tests. The economic impact of these programs can be measured in more jobs, more clinics, healthier families, and more productive employees. Conversely, cutting these programs and their associated funding will be measured in terms beyond economic loss. It would be measured in the human toll, the harm to our communities, untreated illness, late diagnoses, families torn apart, and lives lost."

HIV prevention programs support activities across other programs meant to monitor, control, and prevent STI transmission, tuberculosis, and viral hepatitis, as well as aiding community responses to the opioid epidemic. In addition to the negative public health considerations of the proposed changes, states would also experience economic harm via job loss and potential clinic operations disruptions. The impact reaches beyond the CDC's line item of $1.3 billion, reducing drug rebates for these critical programs and supporting even more employment opportunities than might be imagined.

Brandon M. Macsata, ADAP Advocacy Association CEO, added: "During his first term, President Trump was applauded for his Ending the HIV Epidemic initiative, announced in 2019 during a State of the Union address to Congress. The news that potential funding cuts to HIV prevention programs not only would undercut the EHE efforts but would also put thousands of people needlessly at risk for acquiring HIV. A preventable increase in new HIV infections would strain already stretched federal resources dedicated to providing medical care and treatment to the 1.1 million people in the United States already living with HIV."

Both ADAP Advocacy and CANN advocate for continued and expanded funding for comprehensive HIV prevention services, which should remain a bipartisan public health priority. President Trump's own Ending the HIV Epidemic initiativ…

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Travis Joesph @travisjoseph.com · 18/03/2025

Prevention saves money. Treatment saves lives. Cutting CDC’s HIV programs would lead to new HIV cases, shorter lives, and billions in avoidable costs. This isn’t fiscal responsibility—it’s a crisis. Speak up! #HIVPreventionSaveLives #SaveHIVFunding #NoCutsToHIVCare

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Reposted by Travis Joesph

Katie Drummond @katie-drummond.bsky.social · 18/03/2025

In partnership with @freedom.press, WIRED will make all of its FOIA-based reporting free to access for anyone. Public records should be public, and I hope to see more outlets follow suit: freedom.press/issues/wired...

freedom.press

Wired is dropping paywalls for FOIA-based reporting. Others should follow

As the administration does its best to hide public records from the public, Wired magazine is stepping up to help stem the secrecy

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