Daniel Shalev, MD

I am grieving the barbarism that is going to unfurl from all this. People are going to die. Livelihoods gone. All to feed a corrupt kleptocracy.

I see every day up close how different it is from the first time around. There are no guardrails. A disaster. I’m sorry we have to live through this.

This #NIH Notice that came out yesterday virtually makes every major university INELIGBIBLE for NIH funding (recipients can't operate any program that promote diversity, equity, and inclusion). This is asinine, but why haven't I heard academic fighting back? #medsky grants.nih.gov/grants/guide...

Portraits: A 10-year-old, a house painter and a mom who are running out of HIV pills HIV medications were supposed to be exempt from U.S. aid cuts. In Zambia, for example, those on the ground say otherwise.

I think most people have a hard time believing that the USAID/PEPFAR cuts are as bad as they are bc it's impossible to stomach that policymakers would knowingly kill millions. But this is what is happening.

PEPFAR supported antiretroviral therapy for 20.6 million people.
www.npr.org/sections/goa...

Angel of the Lord: He is not here, He is risen, just as He said.
Come and see the place where He lay. And go quickly, and tell his disciples that he is risen from the dead.

Alito: Okay, first of all, this violates ALL sorts of rules

Thomas: This was a LAWFUL execution, who is God to interfere

Proposed NIH budget cut threatens ‘massive destruction of American science’ A leaked draft of a Trump administration proposal includes an approximately 40 percent cut to the National Institutes of Health’s budget and a major reorganization of its 27 institutes and centers.

This damage will be irreparable. www.thetransmitter.org/funding/prop...

Waiting to wake up from this surreal nightmare 😩

These weekly emails about #NIH funding opportunities are now downright depressing.

Medical Journals Get Letters From DOJ At least three journals received letters from a U.S. Attorney asking about 'competing viewpoints'

"When a US Attorney wields the power of his office to target medical journals bc of their content & editorial processes, he isn't doing his job. He's abusing his authority to try to chill protected speech." #saveourscience This is such bullshit.

The CFPB Has Been Gutted The Consumer Financial Protection Bureau terminated the positions of 1,406 employees at the congressionally-mandated agency.

NEW: The CFPB has been gutted. More than 1,400 workers received RIF notices this afternoon, agency sources tell me. Around 200 employees are left. www.wired.com/story/cfpb-h...

An image with a prescription pill bottle. Text on the image reads: 99% of all new medications resulted from federally-funded university research through NIH

Did you know? 99% of all new medications resulted from federally-funded university research through #NIH

Learn more about #ResearchSavesLives: hub.jhu.edu/research-sav....

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"Pausing" scientific research is like "pausing" a car in the middle of the highway—it's liable to have catastrophic, long-term effects that restarting it won't fix.

It is *so* hard to get NIH funding.

I can’t imagine how awful it must feel to have finally gotten the grant that lets you do the meaningful research you want to do and then have it ripped away.

Me: ooof this task I need to do is difficult. Let me check out what’s happening in the world.

…opens social media app. Reads 2-3 posts…

Me: everything is awful, I am so angry and upset.

…closes social media app…

Me: ooof this task I need to do is terrible. Let me…

Ad infinitum 🫠

Men holding “Government funded biomedical research saved my child’s life” sign

Tshirt with “<1% us budget, >50% world’s medicines” on it

Sign: Fund science, not billionaires

Feeling my hope meter slightly refilled by #standupforscience NYC.

Stand up for science flyer, happening on March 7th in DC & nationwide with more information at www.standupforscience2025.org

WHERE WILL YOU BE TOMORROW?

So - I've actually led Ebola outbreak response at USAID.

This is bunk from Elon. They have laid off most of the experts, they're bankrupting most of the partner orgs, have withdrawn from WHO, and muzzled CDC.

What's left is a fig-leaf effort to cover their asses politically.

Make a huge mistake. Then make a false claim about how you fixed it.

They did it for PEPFAR.

Now Ebola.

I follow this particular topic VERY closely, so here's what really happened and why this isn't true AT ALL...🧵

NIH is again throttling research funding in defiance of a federal court order A freeze on "new and continuation awards" will "remain in place" pending DEI review, states a new internal memo.

#America rushing to see how we can go from the smartest to the dumbest the fastest.

What is the point of court orders if these agencies can just defy them?

Trump's segregationist agenda is a reaction to Obama And we need to talk about it.

The Trump regime's segregationist agenda is clear.

I argue that having a Black man as president of white America enraged a portion of this country so much, that they decided to destroy any pipeline to Black advancement in academia, government, & workplaces.

karenattiah.substack.com/p/trumps-seg...

Ugh yes. I really believe in the work, but it feels hard to push on stuff like finishing papers or other academic tasks when everything is falling apart and society is devaluing this work so much. The connection between the grind of it and the potential for having an impact feels broken.

Trump Tracker: Firings, lawsuits, and U.S. science in chaos Follow President Donald Trump’s impact on U.S. research and science globally

This morning, the National Science Foundation fired 168 probationary employees, effective immediately. The number represents roughly 10% of its workforce.

Follow Science’s coverage of President Donald Trump’s impact on U.S. research and science globally. ⬇️ scim.ag/40XtSSi

Records show how DOGE planned Trump’s DEI purge — and who gets fired next A DOGE team plans to fire federal workers who are not in DEI roles and employees in offices that protect equal rights, internal documents show.

Musk and his network of neo-fascists are highly organized and pose a real, not theoretical, existential threat to democracy, civil rights, and the rule of law. This isn’t just an attack on DEI; it’s the calculated dismantling of protections that stand in the way of authoritarian control.

This…should not be high on the agenda of investigating life expectancy declines in the U.S.

What about declining childhood vaccination…that must be in here somewhere, right?

Thanks for sharing! Hope we get more comfortable tackling this in #hapc and #pallonc since so many of our patients can’t get specialty behavioral health services!

Thank you, Simone, for pointing out that our academic institutions should support, provide, and encourage Advance Practice Providers (APP) opportunities for scholarship. Many hands not only make like work but better work #hapc25

Hello #hapc25 👋

If you are new to Bluesky, I made a tip sheet to get familiar with this new platform.

There is actually a growing #hospice and #PalliativeCare group of people here.

Senator Bill Cassidy is a physician w/ an active license in Louisiana. In 30 yrs in public hospitals, he says his greatest accomplishment was a program to provide no -cost HepB vaccines to kids after he saw the harm of vaccine-preventable disease (liver failure)

He voted to advance RFK’s nomination

Okay but Lucky Starzzz clearly should have stayed, right?? #rpdr sad times

Children receive so many more vaccines these days. Is this ok?

Short answer: This is ok. Today’s vaccines target more diseases and do so more efficiently than older vaccines.

Longer answer: ⬇️
1/7 @kkjetelina.bsky.social @meganranney.bsky.social @jasonlschwartz.bsky.social @enirenberg.bsky.social