My hero

MAHA Isn’t About Health. It’s Healthism. RFK Jr. pushes diet and exercise while millions of Americans face hunger, poverty, and worse.

The AHRQ just cancelled all of its grant mechanisms. This is the agency that funds a lot of research on healthcare quality. Congress appropriated them $200+M for this fiscal year. MAHA does NOT care about health. Only healthism. It’s Margaret Thatcher’s fever dream. open.substack.com/pub/adverser...

“.. 15 percent of individuals said they had borrowed money in the last year to pay for medical expenses, while another 11 percent said they had skipped a meal.”

@nytimes.com
www.nytimes.com/2026/03/12/h...

One of those things you learned about in medical school but didn't think you'd ever hear about again after the Step exams

MAHA Isn’t About Health. It’s Healthism. RFK Jr. pushes diet and exercise while millions of Americans face hunger, poverty, and worse.

If there’s no society, there’s no obligation to regulate pollution, guarantee food security or access to healthcare. There are only individuals tasked w/ optimizing themselves. Read why I think #MAHA isn’t about health. It’s healthism. My latest in Adverse Reaction. open.substack.com/pub/adverser...

Medicaid Coverage Restrictions and On-Label Buprenorphine Prescribing for Chronic Pain - Journal of General Internal Medicine Journal of General Internal Medicine -

Link: link.springer.com/article/10.1...

My latest in @journalgim.bsky.social: Medicaid Coverage Restrictions & On-Label Buprenorphine Rx’ing for Chronic Pain. Current restrictive policies are associated with lower historical uptake of buprenorphine products that are FDA-approved for chronic pain, a safer alternative to traditional opioids

Landing in Vegas tonight for the pregnancy meeting™️ . Pumped to see my MFM friends & mentors. #SMFM26

Do I know anyone planning a long-ish stay in Paris? Like 2 weeks or more

Can immigration law people weigh in on whether the suspension of immigration visas from poor countries/non-western|NATO countries applies to citizenship petitions for current permanent residents?

Requiring reviewers to log into some portal to review the manuscript as opposed to providing you with a direct link to the review form can legit add a week to two weeks to my review time I’m so sorry.

I understand that short form videos are what “works” in our new attention economy… how well do mid-length explanatory/criticism videos perform on youtube? I just don’t love the amount of nuance lost in 1-3 min reels/tik tok videos.

A 35 year old letter to the editor, written by a very ballsy 15 year old, about the Rodney King verdict.

Remembering today that having your heart broken is a necessary step on the path to becoming fully human. Whichever heartbreak is your first, it’s probably critical that a state break your heart so that you can develop a political imagination. If this is your first, I’m sorry and also welcome.

Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements | KFF KFF's interactive tracks key data and policies that will affect how states implement Medicaid work requirements, which are required under the 2025 budget reconciliation law starting in January 2027. T...

KFF’s Medicaid work requirements tracker compiles national and state enrollment and renewal outcomes data, related policies, implementation questions, 1115 waivers and more.

We’ll continue adding information as federal guidance and state decisions take shape: https://on.kff.org/4ozQHFm

Still not a US citizen so limited in the kids of risks I can take bc self preservation or whatever. People with kids/dependents naturally take fewer risks. Leaves us with generational wealth type young doctors who need to be doing a lot more organizing.

Honestly feeling quite a bit of distress re the undoing of public health etc being facilitated by doctors, while many of our professional societies are, it seems, just doing press releases.

Have you ever had someone you love dearly die from the very failures you spend your waking hours trying to address in our healthcare system?

Marjorie Taylor Greene might be yalls next president bruh

The Zohran press conference is your regular reminder that the entire administration folds like tissue paper at the slightest hint of confidence and conviction, and thus the fact that national democrats are playing a game of capitulation and weakness is exactly why they're all getting away with it

Zohran flip your hair again we need healthcare get him to give us healthcare.

He knew he was lying lmao when he attacks your looks you know he’s jealous! Marco Rubio was “Little Marco”

Trump is so simple. He likes Zohran because he’s good looking and charismatic. Lolol

How the FBI Became the Face of Deprofessionalization What research tells us about national security under authoritarianism

New from me:
Kash Patel is engaged in purges, removal of real accountability, and impunity for loyalists at the FBI.
Researchers told me that these are the exact patterns that create abusive national security organizations under authoritarianism. 🧵
donmoynihan.substack.com/p/how-the-fb...

And it was hours after 12 major airports banned private jets that the Democrats caved.

Finally in print - The 1st publication in the New England Journal of Medicine
describing the devastation of healthcare infrastructure & horrors in Gaza, calling on US Medicine to break silence.
And yes it’s still relevant after the ceasefire
#SilenceIsComplicity
www.nejm.org/doi/full/10....

Opinion | Trump Aid Cuts Kill More Christians Than Jihadists Do Murderous attacks on Christians and Muslims alike are a real problem in Nigeria. Cutting humanitarian assistance there is even more lethal.

In @nytopinion.nytimes.com

“If Trump cares about Christians or anyone else in Nigeria, all he needs to do is restore aid and let babies live,” our columnist Nicholas Kristof writes.

Buprenorphine is safer than most if not any opioid we prescribe but people still act like dosing it is some esoteric practice. There’s no shortage of resources we can use to figure how to dose a medication for the first time. We should use them when prescribing a new medication.

Liraglutide is much cheaper especially if generic

Prescription drug coverage options are shrinking for Medicare shoppers Fewer choices may be on the menu again as Medicare patients shop for prescription coverage this fall.

Fewer choices may be on the menu again as Medicare patients shop for prescription coverage this fall.

Van Jones Isaiah 48:22!