“The moment we’re living in right now is best explained by a failure of governance to be responsive to people in this phase of life.”
From Ep 21: The Ob/Gyn Doctor Shortage with @drneelshah.bsky.social
Listen now on Apple Podcasts, Spotify, YouTube, and most podcast platforms. Links in bio.
Posts by Neel Shah, MD
New episode out Monday! 🎙️⚡️
Ep 21: The Ob/Gyn Doctor Shortage with @drneelshah.bsky.social
Much of the U.S. is rural and many patients live more than 3 hours away from a birthing facility.
New 🎙️⚡️from Ep 21: The Ob/Gyn Doctor Shortage with @drneelshah.bsky.social
Listen now on Apple Podcasts, Spotify, YouTube, and most podcast platforms.
Last spring, I wrote about a new FDA rule that would bring scrutiny to critical lab tests that reach patients without any federal agency checking to ensure they work the way their makers claim.
The rule cited two of our @propublica.org investigations ...
NEW: St. Luke’s, Idaho’s largest health system, is the one major institution standing in the way of a ban on emergency abortion care in Idaho — a move that would make the state’s policy one of the most extreme in the country.
With @statesnewsroom.com
Columbia scientists reel as Trump administration cancels grants, hitting broad suite of research.
One researcher was enrolling a 600-person clinical trial on maternal mortality. Now, it's over.
Via @jasonmast.bsky.social @statnews.com
www.statnews.com/2025/03/11/c...
that feeling when your substack turns into a Vogue article
“There are a lot of people who need help and aren’t getting it so they’re turning to TikTok and resorting to alchemy,” says Shah.
www.vogue.com/article/muci...
Everyone can feel it—there’s been a substantial shift in energy around DEI initiatives in America.
As companies revise their commitments, many of us are watching and wondering what this means for health equity.
mavenpreprint.substack.com/p/progress-a...
If you're interested in the DNC chair race, tune in to @thedailyshow.com tonight 👀
The ACA, is complex and imperfect but bottom line, it created coverage for 45 million Americans.
Nearly 15 years later we should pivot from arguing about preserving and protecting “Obamacare” to just enhancing healthcare affordability period.
This is a major issue as folks in rural hospitals with major health issues and transportation issues generally continue to be seen in their rural settings without delivery capabilities and transferred to high risk centers in the 11th hour 🫣 #medsky
We’ve known from the work of @pamherd.bsky.social & @donmoyn.bsky.social, Ben Sommers, and others that work requirements don’t actually increase employment, but instead have the core effect of imposing significant administrative burdens on enrollees struggling to navigate the system. And by design.
It should go without saying that regardless of how you feel about health insurance companies or UHC in particular, there is no world in which a hard leadership role in the American health care system should be compounded by mortal danger
The posts on Bluesky denigrating the recently murdered CEO of UHC make me believe this platform is not so different from the other awful platform so many here people fled from.
It was a cold-blooded assassination of a human with a family and that is terrible. Full stop.
How often is value-based care mentioned in earnings calls?
It’s been mentioned more than 1,800 times since then, peaking in 2022.
www.statnews.com/2024/12/02/v...
Check out Professor @nbagley.bsky.social's Michigan Law Review article, "The Procedure Fetish" below 👇
go.bsky.app/EC8dCFW
“We show that (i) parental socioeconomic status is positively associated with later fertility norms, later fertility ideals, and later childbearing, even when controlling for respondents’ own socioeconomic status, and that (ii) national contexts partially moderate these associations”
Medicaid Facts: The public overwhelmingly opposes capping federal #Medicaid funding (as under block grants & per capita caps) per KFF polling. 71% oppose (and 86% of Medicaid enrollees oppose). 53% of Republicans/Republican-leaning independents also oppose. #healthpolicy
www.kff.org/medicaid/pol...
Humpback whale breaching, Asbury Park
Brilliant, this: "In demography, the future is already here. No policy can increase the number of babies born yesterday."
Fully agree: support people to get the number of children they want, at the time of their choosing.
A beautiful thread of gratitude for great science
"Across Texas, residency applications in ob-gyn dropped significantly. Data from the Gender Equity Policy Institute revealed a fifty-six-per-cent spike in maternal deaths in the state between 2019 and 2022."
www.newyorker.com/magazine/202...
Data on stillbirths in the US is frequently incomplete, delayed and is sometimes inaccurate, particularly when it comes to cause of death. Data on stillbirth risk factors and race also is deficient.
And it’s getting worse.
By @irenatfh.bsky.social, Sophie Chou, and @deldeib.bsky.social
"Bridging the Rural-Urban Divide in Healthcare" poole.ncsu.edu/thought-lead...
Nice summary by @andrewg-phd.bsky.social and @lucadavidopromolla.bsky.social of my presentation of "Market Size and Trade in Medical Services" at their Devils and Wolves trade seminar.
Per tradition, I put out a pre-Thanksgiving list of people who inform my optimism that healthcare remains fixable.
I've always found the best antidote to pessimism is proximity to people who are unusually good at making a difference :)
mavenpreprint.substack.com/p/six-reason...
I didn't see a starter pack for people who follow health care policy and politics, so I went ahead and made one.
(I think? Not sure I did this right...)
go.bsky.app/RmAVd6R
Marty is a thoughtful person - I wish him the best in this critical role