It’s been awful. I’m so tired

At the national family med conference last week I got to chatting with physician recruiters from Ontario. They said usually they just talk to Canadians at the conference, sometimes who are in the US looking to move back. But this year…lots of Americans

My spouse will appear to brace herself against the dashboard as though expecting a sudden crash when she spies a red light a block away.

a little girl is looking out of a window and waving her hand Alt: a little girl is looking out of a window and banging her hands on it

americans watching as the rest of the world uses our fascist as a lesson to vote out their fascists

we survived janice raymond and that was before we had reams of evidence backing the necessity of gender-affirming care.

we will survive this ridiculous news cycle, too. don’t lose your head over it.

Robert F. Kennedy Jr will require all new vaccines to undergo placebo testing, WaPo reports U.S. Health and Human Services Secretary Robert F. Kennedy Jr intends to shift the way vaccines are tested, The Washington Post reported on Wednesday, citing a spokesperson from the HHS.

Just to be clear, this is a violation of the fundamental ethical principle in clinical trial design called "equipoise."

Equipoise means that no-one is exposed to excess risk just to test the therapy. That's specifically *why* vaccine trials don't use placebo arms.

Ethical violation as POLICY.

The program currently receives over two thousand calls per day

President Trump and his administration are coming after Minnesota, threatening to cut off our federal funding unless we turn our backs on trans kids. This is bullying, plain and simple.

And today, April 22, I filed a lawsuit to stop them.

Learn more: bit.ly/mn-v-trump-lawsuit

I just feel like this is not nearly bad enough to reflect reality

Tonight is the 250th anniversary of Paul Revere’s midnight ride. May his memory remind us all to resist the tyranny forming in our government.

Amazing and I’m just so impressed that you have managed to not I’ve your kid this much sugar at once before

Poisoning Pigeons in the Park (Stereo Mix) Tom Lehrer · The Conducted Tom Lehrer · Song · 2023

Happy spring?

5 Escapist Books to Help You Ignore the Fact That the Country's On Fire The administration is fundamentally changing the shape of our democracy — but to get away, you can crack open a book (for now)!

Why doom scroll when you can escape read?

5 Books to Help You Ignore the Fact That the Country’s On Fire ⬇️

Doctors warn of ‘terrifying’ consequences as Trump HHS creates snitch line to report people who get gender-affirming care Under the administration’s latest guidance, reporting a trans patient’s care may no longer violate HIPAA — and that’s exactly the problem, providers say.

Sure would be terrible to flood this portal with bogus reports

As someone who experienced threats and harassment from armed extremists for over a decade, I have empathy for anyone who feels afraid of retaliation for free speech. But at the end of the day, we all must make a choice: back down or double down.

The entire CDC lead program has been eliminated.

Lead exposure can lead to many issues including anemia & irreversible brain damage in young children.

It was <10 years ago we learned that 99,000 people in Flint Michigan had been exposed.

If only eliminating programs eliminated the risk.

I wonder if economists feel like we did during the pandemic…or actually still do?

#medsky
#publichealth
#econsky

You probably saw pictures (or live) of the huge numbers of protestors across the country yesterday. Over a million!

Which coincidentally is about the annual death toll from tuberculosis, a curable bacterial infection.

Seems like a much bigger deal when you can visualize the impact like that.

If you need a reminder of why the tariffs are a public health issue as well:

▶️About *80%* of our active pharmaceutical ingredients are produced abroad.
▶️About *50%* of our generic drugs are manufactured overseas

This means increased costs in an inevitably strained generic drug supply. Not good

That’s our guy!

As former center director at AHRQ, it is devastating to watch it be dismantled. With amazing staff, AHRQ catalyzed improvement in safety, quality, equity, etc. The US Preventive Services Task Force must be preserved.

Thanks to @kffhealthnews.org for this excellent write-up.

#StandwithAHRQ

The American Academy of Pediatrics (AAP - the legit one) has started a web page to fact check some claims relevant to pediatric health, meant for pediatricians, parents and media seeking the best information.

#PedSky #PedsID

www.aap.org/en/news-room...

Et voilà: our NEH grant with Harriet Murav for “In the Shadow of the Holocaust: Short Fiction by Jewish Writers from the Soviet Union” has been terminated. This project does not, the letter notes, support “the furtherance of the President’s agenda.” I guess work on Jews surviving genocide is out of step with the agenda of this presidential administration whose only use for Jews is the weaponization of Jewish safety to destroy higher education.

My @nehgov.bsky.social grant “In the Shadow of the Holocaust: Short Fiction by Jewish Writers from the Soviet Union” was canceled by “DOGE.” The project doesn’t support "the furtherance of the President's agenda.” Jews surviving genocide: out of step w/ the agenda of using Jews to destroy higher ed.

👇👇👇(& find a march near you THIS weekend: www.fiftyfifty.one)

definitely not the ideal time for this approach

The problem is: they've mistaken correlation for causation. They think their parents and grandparents had a good life *because* of manufacturing jobs. When, in reality, their parents and grandparents had a good life *despite* manufacturing jobs, because of unions, high taxes, and social policies.

You know what's cool about all of this is climate change. We're still cooking the planet but giving it zero attention

Climate crisis on track to destroy capitalism, warns top insurer Action urgently needed to save the conditions under which markets – and civilisation itself – can operate, says senior Allianz figure

Said it before, gonna keep saying it: the atmosphere doesn’t give a fuck about politics www.theguardian.com/environment/...