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Sarah Karlin-Smith

@sarahkarlin-smith.bsky.social

Research Director at Public Citizen's Access to Medicines program. Former journalist covering intersection of pharma, health policy & politics. On Signal at SarahKarlinSmith.34 Views are mine.

7,114 Followers  |  1,949 Following  |  2,861 Posts  |  Joined: 12.07.2023
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Posts by Sarah Karlin-Smith (@sarahkarlin-smith.bsky.social)

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ICE locked up a deaf kid without his hearing aidsβ€”and wouldn't let him have them back Rep. Eric Swalwell is working to help the family seek humanitarian parole.

β€œThink about that for a moment: a six-year-old child with a disability suddenly in a different country, separated from the country he has come to know, now surrounded by silence. The horror stories from this White House continue from ICE.”

09.03.2026 22:07 β€” πŸ‘ 468    πŸ” 255    πŸ’¬ 15    πŸ“Œ 14
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Pfizer Cannot Hold Prescription Drugs Hostage from European Nations, Must Take Accountability for High Prices - Public Citizen WASHINGTON, D.C.Β β€”Β Today, Public CitizenΒ sent a letterΒ demanding Pfizer commit to making its medicines reliably accessible everywhere after its CEO,Β Albert Bourla, told…

Americans aren’t going bankrupt from their cancer treatment because Europeans are getting the same treatment for less. They are going broke so pharma CEOs can get their multi-million dollar paydays, and they are going broke so pharma can enrich shareholders w/ billions in dividends & stock buybacks.

09.03.2026 18:47 β€” πŸ‘ 34    πŸ” 14    πŸ’¬ 0    πŸ“Œ 0
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Meat and Dairy Industries Spent Big Money Lobbying Ahead of Trump Dietary Guideline Changes The new Dietary Guidelines for Americans emphasize red meat and dairy.

NEW: In January the Trump administration released new dietary guidelines that prompted the consumption of red meat and full-fat dairy products.

Federal lobbying disclosures reveal that the meat and dairy industries spent big money lobbying USDA and HHS, which were responsible for the guidelines.

09.03.2026 17:35 β€” πŸ‘ 218    πŸ” 96    πŸ’¬ 14    πŸ“Œ 20
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Pfizer Cannot Hold Prescription Drugs Hostage from European Nations, Must Take Accountability for High Prices - Public Citizen WASHINGTON, D.C.Β β€”Β Today, Public CitizenΒ sent a letterΒ demanding Pfizer commit to making its medicines reliably accessible everywhere after its CEO,Β Albert Bourla, told…

Pfizer threatened to hold Rx drugs hostage from France. Don't let pharma pit the U.S. vs. the world.

Americans pay too much for drugs. But that is not Europe's fault, or responsibility. It is PHARMAS! Pharma can afford to sell its meds to Americans for less, without harming others & innovation.

09.03.2026 16:17 β€” πŸ‘ 4    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

β€œThis is no longer just a human rights violation. It is truly anti-human behaviour.”

09.03.2026 02:33 β€” πŸ‘ 18    πŸ” 7    πŸ’¬ 0    πŸ“Œ 0
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β€˜Dark, like our future’: Iranians describe scenes of catastrophe after Tehran’s oil depots bombed Residents report terror of smoke-filled city, from potentially toxic rain, air and water to food scarcity and difficulty of escape

β€œTehran is burning. And smoke has filled the streets. It’s impossible to drive out of the city right now and even with the windows closed, heavy smoke is making its way inside."

Read every word.

08.03.2026 23:59 β€” πŸ‘ 1208    πŸ” 682    πŸ’¬ 17    πŸ“Œ 74

Changing the clocks is always a good time to remind people that the entire concept of regulating time by clocks was driven by British colonial efforts to regulate labor practices & extract wealth from the colonies using railways (which required coordination). The clock has continued to play ...

09.03.2026 00:36 β€” πŸ‘ 23    πŸ” 11    πŸ’¬ 1    πŸ“Œ 0

my in-laws got my kids bitzees and they seem like tamagotchis for the next generation. I’m a little afraid.

08.03.2026 20:36 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

thanks. sounds a bit like how my husband more unofficially navigates grocery shopping.

08.03.2026 01:06 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

what is a too good to go bag?

08.03.2026 00:55 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 2    πŸ“Œ 0

This is at least the third attack on democratic official residences by right wing actors in under a year no?

there were the murders of the minnesotta state reps
the burning of the PA governor residence
and now this?

08.03.2026 00:28 β€” πŸ‘ 680    πŸ” 230    πŸ’¬ 18    πŸ“Œ 3
a beautiful double layer cake covered in green sugar! :)

a beautiful double layer cake covered in green sugar! :)

I should not be allowed to try and make cakes with my kids but its the fun that counts right!? should certainly stick with not layering!!

07.03.2026 16:22 β€” πŸ‘ 6    πŸ” 0    πŸ’¬ 2    πŸ“Œ 0

And this is why COVID (and flu) immunization during pregnancy and starting at 6 months of age is so important πŸ‘‡πŸ‘‡

07.03.2026 03:32 β€” πŸ‘ 45    πŸ” 21    πŸ’¬ 2    πŸ“Œ 0

Imagine all the cool, fast trains we could have with the billions we spend on bombs.

07.03.2026 01:59 β€” πŸ‘ 4205    πŸ” 773    πŸ’¬ 28    πŸ“Œ 66
Graphic of busy car-filled road and text stressing that car dependency is the opposite of freedom. Mobility freedom comes from mobility choices. Graphic by the Urban Truth Collective.

Graphic of busy car-filled road and text stressing that car dependency is the opposite of freedom. Mobility freedom comes from mobility choices. Graphic by the Urban Truth Collective.

Gas price hikes & shortages β€œfuel” controversy, especially when they’re β€œdriven” by an illegal war. But let’s not forget one of the most important discussions that should flow from such hikes β€” how they spotlight the difference between places with mobility choices, and places that are car-dependent.

07.03.2026 01:52 β€” πŸ‘ 160    πŸ” 43    πŸ’¬ 1    πŸ“Œ 1

If we survive this, I really hope parents take a long look at how they are teaching empathy to their children. It's so obvious that that is the missing ingredient in huge chunks of the population, amplified by social media algorithms and cultural rewards for reactions rather than thoughtfulness.

07.03.2026 02:37 β€” πŸ‘ 2919    πŸ” 669    πŸ’¬ 129    πŸ“Œ 25

I’m skeptical this is true because my memory is he wasn’t at ucsf for awhile before coming to fda. he also had let his boards expire.

07.03.2026 02:39 β€” πŸ‘ 6    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

elevators!

07.03.2026 01:55 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

hard working kitty over there!

07.03.2026 01:16 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Police body cam footage shows DOGE knew Institute of Peace was private property during raid Footage obtained by The Handbasket’s lawsuit shows a hostile takeover on March 17, 2025.

SCOOP β€” Body camera footage obtained as a result of my lawsuit against the DC Metropolitan PD confirms DOGE and the Trump administration openly admitted they were entering private property when they raided the building on March 17, 2025. That didn't stop MPD from breaking down the doors.

My report:

06.03.2026 22:04 β€” πŸ‘ 8940    πŸ” 3333    πŸ’¬ 106    πŸ“Œ 125
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How a DHS shooting of a third U.S. citizen went unnoticed for months No state or federal agency disclosed that a Homeland Security Investigations agent had killed Ruben Ray Martinez until it was revealed in a public records request.

Wtf. That’s a kid.

www.washingtonpost.com/immigration/...

06.03.2026 03:09 β€” πŸ‘ 58    πŸ” 19    πŸ’¬ 2    πŸ“Œ 0
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Changes in paracetamol and leucovorin use after a White House briefing Changes in federal prescribing recommendations follow deliberate and transparent processes involving US Food and Drug Administration (FDA) scientists, which normally include input from stakeholders an...

What happened after the weird Sept 2025 White House press conference on autism?

πŸ“‰ Tylenol use in the ED dropped >10% among pregnant patients
πŸ“ˆ leucovorin rx jumped 93% among kids 5-17 immediately afterwards

new @thelancet.com today with @jeremyfaust.bsky.social

www.thelancet.com/journals/lan...

06.03.2026 00:29 β€” πŸ‘ 53    πŸ” 29    πŸ’¬ 4    πŸ“Œ 6
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ICE detains reporter Estefany RodrΓ­guez in Nashville - Nashville Banner Reporter Estefany RodrΓ­guez, detained by ICE with no arrest warrant, may face deportation. Her attorneys seek immediate review of the legality of her case.

ICE has arrested and detained a Nashville journalist who reported stories critical of ICE. She’s married to a U.S. citizen and has been seeking asylum here after fleeing death threats in Colombia because of her journalism there.

They’ve already sent her to Louisiana.

05.03.2026 23:41 β€” πŸ‘ 12282    πŸ” 7423    πŸ’¬ 293    πŸ“Œ 337

I continue to be gobsmacked at 1) how common this formulation is 2) how antisemitic and generally bigoted it is 3) and how for all the talk of anti-semitism this is never cited as an example even though it’s quite literally the original incarnation.

05.03.2026 23:26 β€” πŸ‘ 9049    πŸ” 2187    πŸ’¬ 365    πŸ“Œ 62

1. It is not *necessarily* unethical to run a sham surgery trial for a serious disease. It depends on whether it's necessary to answer the relevant scientific questions and if risks can be minimized enough for the benefits of answering those questions to outweigh them.

05.03.2026 23:20 β€” πŸ‘ 10    πŸ” 5    πŸ’¬ 1    πŸ“Œ 0
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FDA official calls UniQure's gene therapy a 'failed' treatment for Huntington's disease UniQure needs to run another trial to prove its gene therapy "actually helps people with Huntington's disease," said a senior FDA official.

"UniQure has said it wouldn’t be feasible to run a true randomized, double-blind placebo-controlled study, considered the gold standard, because it wouldn’t be ethical to make people undergo a sham hours-long brain surgery." www.cnbc.com/2026/03/05/f...

05.03.2026 22:52 β€” πŸ‘ 22    πŸ” 12    πŸ’¬ 3    πŸ“Œ 4

Once again we have a senior FDA official refusing to speak on the record in a *press conference.* Why? What's the danger to putting their name on it?

05.03.2026 22:53 β€” πŸ‘ 27    πŸ” 7    πŸ’¬ 1    πŸ“Œ 1

This is amazing!

05.03.2026 20:21 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

reupping as it seems they did aim to exclude products for infants and children from this....

05.03.2026 18:54 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

the reality is families struggling to care for children and make enough to survive are probably less likely to be able to have time to deal with the extra labor or reusables. DC has a huge diaper bank. schools give out diapers and even wipes. its already a struggle.

05.03.2026 14:36 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0