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Jack Iwashyna

@iwashyna.bsky.social

I work at Johns Hopkins to help patients + their loved ones heal from critical illness. I mentor clinicians and other scholars to become exceptional scientists. Democracy is a Social Determinant of Health (#SDoH). Preserve it Also #GreenlandIsInNATO, ffs

8,212 Followers  |  1,624 Following  |  6,461 Posts  |  Joined: 05.09.2023
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Posts by Jack Iwashyna (@iwashyna.bsky.social)

There's an episode of West Wing with an entire dramatic plot about an unpaid intern getting fired because they sold a gift from a foreign government official on eBay for like $100

01.03.2026 02:40 β€” πŸ‘ 21    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

This story made me so angry and sad

01.03.2026 02:48 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0

Concierge medicine as horror show. This story is so upsetting, not least because many of the doctors mentioned are still practicing & so far have not been held accountable for their unethical & likely also criminal activities.

01.03.2026 02:41 β€” πŸ‘ 16    πŸ” 10    πŸ’¬ 2    πŸ“Œ 0

US people: we would like to do the right thing

US institutions: oh, no, we cannot permit that

28.02.2026 13:23 β€” πŸ‘ 14    πŸ” 5    πŸ’¬ 0    πŸ“Œ 0

How does that compare to Trumps?

28.02.2026 02:46 β€” πŸ‘ 4    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

this is what they said it would be like under socialism

27.02.2026 21:06 β€” πŸ‘ 18522    πŸ” 4160    πŸ’¬ 1038    πŸ“Œ 166

its fun how we elect congress to use its unique constitutional powers to appropriate money for explicit purposes and the WH just* says nah

*illegally

27.02.2026 23:31 β€” πŸ‘ 18    πŸ” 8    πŸ’¬ 0    πŸ“Œ 0

Vought/Trump to US Science AND US Health AND US Higher Ed: "Die. Starve. Die"

27.02.2026 21:25 β€” πŸ‘ 8    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Preview
White House stalls release of approved US science budgets The US Congress rejected sweeping cuts to science agencies. But the NIH, the NSF and NASA have had their spending slowed.

"The US National Institutes of Health (NIH) has so far not received approval [from OMB] to spend any of the research funding allocated in a budget bill signed into law on 3 February."

White House stalls release of approved US science budgets www.nature.com/articles/d41...

27.02.2026 21:24 β€” πŸ‘ 9    πŸ” 4    πŸ’¬ 0    πŸ“Œ 3

Were you that "rules lawyer" at your TTRPG / D&D session who wants to discuss the fine points of implementaiton of everything?

THIS IS YOUR TIME

Use that arcana / hyper-fixation for good

27.02.2026 14:58 β€” πŸ‘ 51    πŸ” 19    πŸ’¬ 2    πŸ“Œ 0

this is a great brief and it appropriately ends with a killshot: the simple observation that if trump's meaning held, the birthright clause would not have overturned dred scott, the one thing it was absolutely meant to do.

27.02.2026 13:01 β€” πŸ‘ 2513    πŸ” 585    πŸ’¬ 30    πŸ“Œ 10

Had to list a reason why one of my kiddos was late to school today and wrote β€œgeneral ennui” not realizing it would print out on his sticker pass. πŸ˜‚

27.02.2026 13:11 β€” πŸ‘ 48    πŸ” 5    πŸ’¬ 1    πŸ“Œ 2
JAMA Network Open article: 'Preferred Panethnic Terms Among Latina/o and Hispanic Sexual and Gender Minority People'. By Alexis Ceja, BA@1, Nguyen K. Tran, PhD@2,3, Juan M. PeΓ±a, PhD@4; et al. Published Feb 26, 2026.

JAMA Network Open article: 'Preferred Panethnic Terms Among Latina/o and Hispanic Sexual and Gender Minority People'. By Alexis Ceja, BA@1, Nguyen K. Tran, PhD@2,3, Juan M. PeΓ±a, PhD@4; et al. Published Feb 26, 2026.

In this cross-sectional study using survey data from sexual and gender minority participants, Latina or Latino were the most preferred panethnic terms), followed by Hispanic, Latinx, and Latine, with others less commonly selected.

ja.ma/3ZUHIVr

27.02.2026 13:30 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Preview
darth vader says " i am altering the deal pray i don t alter it any further " Alt: darth vader says " i am altering the deal pray i don t alter it any further "

Darth reminds us…

27.02.2026 13:34 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Hey Universities: @columbiauniversity.bsky.social paid the Trump administration’s β€œprotection racket” in full

Did it protect the University, the leadership, or the students? No it did not. Paying off bullies never works.

27.02.2026 01:34 β€” πŸ‘ 30    πŸ” 14    πŸ’¬ 1    πŸ“Œ 1

Do. Not. Obey. In. Advance.

27.02.2026 11:34 β€” πŸ‘ 33    πŸ” 7    πŸ’¬ 1    πŸ“Œ 0

Hey Universities: @columbiauniversity.bsky.social paid the Trump administration’s β€œprotection racket” in full

Did it protect the University, the leadership, or the students? No it did not. Paying off bullies never works.

27.02.2026 01:34 β€” πŸ‘ 30    πŸ” 14    πŸ’¬ 1    πŸ“Œ 1
(between images of a map showing the nearly 2,000 No Kings Day events planned for March 28) NO THRONES. NO CROWNS.

(between images of a map showing the nearly 2,000 No Kings Day events planned for March 28) NO THRONES. NO CROWNS.

There are nearly 2,000 events on the No Kings Day map in all 50 states (and 10 countries). March 28 will be the largest protest in American history. Find your local event or plan a protest in your area: www.nokings.org?SQF_SOURCE=i...

27.02.2026 01:07 β€” πŸ‘ 1753    πŸ” 856    πŸ’¬ 39    πŸ“Œ 53
Brown Doodle wearing a β€œProtect Trans Kids” shirt next to an fluffy black doodle

Brown Doodle wearing a β€œProtect Trans Kids” shirt next to an fluffy black doodle

Willow agrees and Juniper is in solidarity

27.02.2026 00:02 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
A sullen black and tan terrier wears a gray shirt emblazoned with "Protect Trans Kids," with a dagger and a rose between the words.

A sullen black and tan terrier wears a gray shirt emblazoned with "Protect Trans Kids," with a dagger and a rose between the words.

Can we remind folks that there are just fucktons of adorables who love and support trans people?

(That Exley tolerated this photo shoot is a testament to his devotion to the cause.)

26.02.2026 17:18 β€” πŸ‘ 104    πŸ” 15    πŸ’¬ 14    πŸ“Œ 3

OMG, @ajadmon.bsky.social @lizstuart.bsky.social

26.02.2026 19:48 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Post image

I know, reich?

25.02.2026 14:53 β€” πŸ‘ 4905    πŸ” 826    πŸ’¬ 315    πŸ“Œ 122

And turning "fraud" into a political cudgel in the way that this administration seems determined to do is going to make it harder to make real progress on real fraud in the future

26.02.2026 03:07 β€” πŸ‘ 11    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Trans folk are people who deserve to be able to live their lives

26.02.2026 02:31 β€” πŸ‘ 19    πŸ” 4    πŸ’¬ 1    πŸ“Œ 0
screengrab of 1970 Ann Arbor news article, text: "...the rejection of the annexations but he notes he not agree with the position of some persons who voted "no"on the questions. As an example, he said a certain element cast the "no" vote because they desired large one-acre lots which would be too expensive for Negroes to purchase. "

screengrab of 1970 Ann Arbor news article, text: "...the rejection of the annexations but he notes he not agree with the position of some persons who voted "no"on the questions. As an example, he said a certain element cast the "no" vote because they desired large one-acre lots which would be too expensive for Negroes to purchase. "

... because they wanted to maintain large lot zoning ordinances designed to exclude poor & black people, often with help from no-growth leftists in places like Ann Arbor aadl.org/node/71925

25.02.2026 20:09 β€” πŸ‘ 28    πŸ” 5    πŸ’¬ 1    πŸ“Œ 0

Because white suburbanites didn't want to pay property taxes to sustain services that black people might benefit from. Black communities were largely segregated into urban cores, so annexation meant sharing resources with core city residents. And...

25.02.2026 20:09 β€” πŸ‘ 32    πŸ” 5    πŸ’¬ 1    πŸ“Œ 0

Because we ended the practice of urban growth by annexation and instead began creating new municipalities, mostly with townships, as urban growth sprawled. Why did we do this?

25.02.2026 20:09 β€” πŸ‘ 27    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

One reason statewide zoning reform is hard is that small municipalities struggle to run planning departments capable of implementing changes. We have almost 1,800 municipal governments in the state, many of them very small. Why?

25.02.2026 20:09 β€” πŸ‘ 25    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

Thread.

26.02.2026 00:42 β€” πŸ‘ 23    πŸ” 5    πŸ’¬ 0    πŸ“Œ 0

Yeah so this is why the whole β€œkeeping your head down and doing your work is resistance” is a lie*.

*if you are explicitly being targeted by this administration, this does not apply to you.

25.02.2026 12:44 β€” πŸ‘ 58    πŸ” 10    πŸ’¬ 1    πŸ“Œ 0