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In the past 48 hours, HHS canceled 62 contract worth $182 million. These contracts were entirely for administrative expenses – none touched any healthcare programs. This included terminating a $168,000 contract for an Anthony Fauci exhibit at the NIH Museum.

Lesser known fact worthy of further scrutiny is: plenty of local provider practices advertised during SB LIX. Is this where taxpayer $$$ are best invested - creating moral hazard, pushing up prices

Gender medicine/surgery is an area where angels fear to tread. When NIH gets down to studying it in blinded, randomized fashion, it is possible gender tx will look like frontal lobotomies of the 1940s - widely used at the time, Nobel prize awarded, later abandoned)

Peer review is slow, weak, and politicized - 19th century remedy for a 21st century world. How about preprints? Or having unbiased, independent voices; not mouthpieces and debate muzzlers. Time to pass the torch, Ashish K. Jha, MD, MPH

Futile to expect universities to take the lead in reforming a status quo they benefit handsomely from

I remember an inspiring lecture that Dr. Collins gave shortly after he discovered the CFTR gene in 1989. He should have stuck to molecular genetics and avoided opining in epidemiology, public policy, foreign relations, and pandemic management. Weighed against his great

Vinay Prasad MD MPH Francis Collins should be judged by how many RTCs the NIH was able to run on the biggest health crisis of our lifetimes, the COVID pandemic. By that measure, the NIH was a sclerotic and expensive behemoth that did not adapt to the modern era.

👇Critical point from Vinay Prasad MD MPH. We should test the effects of medications for the way they're actually used, not approve based on very short trials only.

These panelists are all working with Pharma (often with grant support) to bring vaccines to market. They are incentivized to lower the bar at ACIP, which is what they have done. It's not hard to find methods experts who haven't taken any money from pharma; Conflicted people

I'm teaching databases this semester at Berkeley. My students all seem unusually brilliant. Not many go to office hours, and not too many folks post on the course forum asking project questions. Weirdly, the exam had the lowest recorded average in my 10 semesters teaching it.

"Academics have tried to silence debate on legitimate questions, including about Covid lockdowns, gender transition treatments and diversity, equity and inclusion".2/

The idea that physician judgment is beyond question is absurd. Doctors are human, prone to biases, overtesting, and defensive medicine. Peer review exists precisely because doctors routinely identify errors in their colleagues’ decisions. We all see it every day. Hang out

We’ll said. Also, a good discharge plan doesn’t end upon discharge. It connects patient to outpatient appointments, behavioral health and substance use resources in timely fashion, closes SDOH gaps, enrolls patient in complex case management when appropriate

How about an unqualified apology from the (erstwhile) establishment, of which you were a part Rep. Jake Auchincloss 🟧 ? Media? Teacher unions?

The misinformation crisis isn’t about truth, it’s about trust Without free speech, academic freedom, and confidence in our experts and institutions, no amount of fact-checking will help. By me and ⁦Angel Eduardo⁩ eternallyradicalidea.com/publish/post/1…

After years of being an ideologue when it served him, Ashish K. Jha, MD, MPH has finally become apolitical

Shingles vax does prevent shingles. Prob is when we draw causal inferences like 👇 from databank-based, non-randomized, non-blinded observational studies. Damages the vaccine cause. Post-COVID, people do know how to appraise literature

Perhaps we can work toward that goal using or generating actual scientific evidence. There is no evidence to suggest CCTA every few years will eliminate heart disease

Cervical cancer is being defeated thanks to two things: Pap smears and the Gardasil vaccine. HPV vaccination is so effective that many countries will have practically eliminated cervical cancer in the next two decades. Here's why🧵