@janprobst.bsky.social

It’s bad enough predatory grifters are allowed to promote dangerous science denial and scams using professional credentials. If Epstein accomplices are allowed to continue without consequence after enabling the most notorious child sex trafficker of all time then there is no reason for them to exist

pretty much covers it.

Great idea. Your presentation needs to be widely shared.

Excellent thread.

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They are consistently so bad at governing that their only solutions to reducing health care costs are things that we already do (telehealth), things that we already tried and failed spectacularly (free market insurance models), or things that will barely make a dent (OTC Zofran/TrumpRx).

@mrbimpact.bsky.social talks repercussions of H.R.1, $1 trillion in Medicaid cuts, work reporting requirements and big policy shifts with @joanalker1.bsky.social, @georgetownccf.bsky.social Dr. Shannon Dowler, @aafp.org @amorganrural.bsky.social @ruralhealth.bsky.social 🎧 🔗 tinyurl.com/y49jpts5

This recent RCT of an "AI stethoscope" claims the technology "shows promise" for diagnosing cardiovascular conditions.

It does not.

It is a textbook example of the risks of conducting unprincipled 'per protocol analyses'. Once again, peer review at a major medical journal has failed.

🧵 1/

More Residency Slots Needed in Rural Areas, Lawmakers and Health Experts Say 'Residency training shapes where physicians ultimately practice,' said rural health system CEO

This cannot be stated enough, says Sam the rural health advoCATe. Now let's *do* something about graduate med ed in rural.

#PowerOfRuralCats

www.medpagetoday.com/publichealth...

Trump Regime Continues Assault on Medicaid & Medicare, Eugenics | Shouldn't Need to Be a Lawyer by Matthew Cortland Get more from Shouldn't Need to Be a Lawyer by Matthew Cortland on Patreon

The regime's goal is to kill disabled people.

We cost too much to keep alive.

Do not surrender in advance.

Make them kill you.

www.patreon.com/posts/151678...

Firearm Mortality and Equitable Access to Trauma Care This cohort study evaluates the association of opening a level 1 trauma center in 2018 in a Chicago urban trauma desert with mortality from firearm injuries.

Not a rural study but with important implications for rural, muses Sam the rural health advoCATe. If mortality is reduced 3.9% when a trauma 1 center opens in a "desert" space... what is the inverse in rural America when hospitals/services close?

#PowerOfRuralCats

jamanetwork.com/journals/jam...

New York University, and OHSU).131 Six months before the end of the five-year program, she dropped out of her surgical residency, due to.

Casey Means left residency 4.5/5 years of the way through

🚩 🚩 🚩 🚩 🚩

Spent 9 years as med school faculty, followed by years on med school & residency committees, which, like the Mafia, never let you go.
So yeah, 🚩🚩🚩🚩🚩🚩🚩

It's not even the end of February
#Maternity/ #obstetrics closed - 17
#Childrens #inpatient units closed - 3
#ICUs closed - 3
#Psychiatric units closed - 3
#ED s closed - 3
#Adult #inpatient units closed - 2
#Homehealth/ #hospice closed - 2
#Oncology units closed - 1
#Rehab centers closed - 1

Looking for rheumatology clinicians to complete this survey on lifestyle medicine

We would love more responses 👇🏻

Hospitals Fighting Measles Confront a Challenge: Few Doctors Have Seen It Before - KFF Health News As the number of cases grows to about 1,000 in the Carolinas, health care workers who’ve never seen the vaccine-preventable disease can get caught by surprise.

Measles was supposed to be history in the U.S., but it’s spreading among unvaccinated children in South and, now, North Carolina. Health experts warn it’s hard to tell it apart from other sicknesses. kffhealthnews.org/news/article...

Usual Source of Care for Rural Medicare Fee-for-Service Beneficiaries in 2021 Research Alert from the Rural Health Research Gateway for: Usual Source of Care for Rural Medicare Fee-for-Service Beneficiaries in 2021

New research shared by Sam the rural health advoCATe. Of note, use of a rural health clinic (RHC is a CMS payment designation; a private provider w/ a doc and at least half a midlevel) increases as rurality increases.

#PowerOfRuralCats

www.ruralhealthresearch.org/alerts/697

3 big questions surrounding the Rural Health Transformation Program Explore the big questions surrounding rural health transformation program funding and its impact on stabilizing rural hospitals amid Medicaid cuts.

Sam the rural health advoCATe can do math: $50B is less than the $137B Medicaid cuts to rural. And states can choose to send money to consultants and large urban systems... Sam continues to have grim thoughts.

#PowerOfRuralCats

www.beckershospitalreview.com/finance/3-bi...

Sigh, Sam the rural health advoCATe has to share more projections of how funding filtered through structural urbanism will disproportionately affect rural places.

#PowerOfRuralCats

read.dukeupress.edu/jhppl/articl...

Shared by Sam the rural health advoCATe, who encourages rural applicants.

#PowerOfRuralCats

grpfellowships.smapply.io?utm_campaign...

Get a cat. Cats love to sit in warm laundry and everyone knows you can’t disturb the cat.

I am never going to get over the fact thar so many Americans died that corpses stacked up in nursing homes and hospital morgues, that refrigerator trucks had to be brought in for the overflow, and that the big takeaway from Important Pundits is there should have been *less* mitigation.

Rural Decline Isn’t a Given. Redesigned Policies Can Help. Temporary pandemic-era changes helped a lot. Continuing revival requires systems calibrated to rural scale rather than to urban norms.

Perspective endorsed by Sam the rural health advoCATe. Rural thrives when not forced to conform to urban norms.

#PowerOfRuralCats
Be
www.governing.com/policy/rural...

Sam the rural health advoCATe endorses this discussion. He has already seen inaccurate gotcha stuff ginned from this information.

#PowerOfRuralCats

TRB Webinar: Improving Mobility in Rural and Tribal Communities Travel needs and the potential to provide effective public transit differ significantly in rural and tribal communities compared to more densely populated urban areas. In addition, rural and tribal co...

A learning opportunity shared by Sam the rural health advoCATe.

TRB Webinar: Improving Mobility in Rural and Tribal Communities

February 25, 2026

11:00 AM - 12:00 PM (EST)

#PowerOfRuralCats

www.nationalacademies.org/projects/TRB...

I spent an hour and twenty minutes on the phone today trying to convince BlueCross to cover a CTA so a patient I suspected to have a pulmonary embolism might avoid a costly ED cost. They wouldn’t cover it because in my rural community, a d-dimer is a send out test.

A Comparison of Independent and System-Affiliated Rural Hospitals Research Alert from the Rural Health Research Gateway for: A Comparison of Independent and System-Affiliated Rural Hospitals

The independent hospitals are smaller, less profitable -- predictable, as large systems gobble up the "best" facilities and community need is nowhere in the equation.

#PowerOfRuralCats

www.ruralhealthresearch.org/alerts/695

Shared by Sam the rural health advoCATe, who adds a second note: we do far too little to *prevent* end stage renal disease, the trigger for (profitable) dialysis.

#PowerOfRuralCats

www.cdc.gov/pcd/issues/2...