@janprobst.bsky.social

Picture of a tabby cat, sitting up but with one paw held over his face.

Sam the rural health advoCATe totally understands about cats ignoring complex survey design ... and adds that he is also freaked by people who can't define rural adequately.

Age-Based Screening for Lung Cancer Surveillance in the US This cohort study examines the proportion, clinical characteristics, and survival of patients with lung cancer who meet or are excluded from the current US Preventive Services Task Force criteria.

Sam the rural health advoCATe notes that expanded screening might be urgently needed in rural, where lung cancer incidence and mortality are both higher than in urban. (Source: Howlander et al 2025, 10.1002/cncr.70004). @jamanetworkopen.com

#PowerOfRuralCats

jamanetwork.com/journals/jam...

Back to regularly scheduled programming of #BigTen institutions doing stupid stuff
- Earth and atmospheric sciences - gone
- educational administration- gone
- statistics - gone
- textiles, merchandising and fashion design- gone
And all faculty who taught in these, with roots in #Nebraska, fired

Post-doc opportunity to work with Anna Haskins on the Future of Family and Child Wellbeing Study. Apply by Jan 23. apply.interfolio.com/178605

Sam the rural health advoCATe is hissed at the recommendation that home health agency fees be reduced. Rural patients are the least profitable (windshield time) and this is likely to yield a reduction in rural areas served.

#PowerOfRuralCats

www.beckershospitalreview.com/finance/http...

Approved by Sam the rural health advoCATe. Student kitties are awesome. And this is a perfect assignment.

#PowerOfRuralCats

Since this post, nearly 300 of you donated about $11k and I just wanted to thank you from the bottom of my heart. The union shared photos with me today of food being distributed. Remaining money will be evenly distributed among the 160 union members in the form of gift cards. Thank you. ❤️

The picture on the left shows a single level small store with a pickup next to it and 3-story building in the background. The picture on the right shows a very large building of approximately 10 stories, with a taller (20 story) building in the background.

Rural micropolitan counties have towns. These towns in no way match what most folks think of as "urban," while they meet certain Census definitions. The picture below contrasts screen grabs from a town in a rural county and Rockville, MD.

Hospital Mergers, Hospital Choice, and Care Quality for Pregnant Enrollees in Medicaid This study uses hospital discharge data for labor and delivery admissions across 9 states and over 14 years to describe associations between hospital mergers and access to and quality of care for Medi...

Sam the rural health advoCATe is yowling: a potentially great analyses but authors don't know rural definitions. Micropolitan is a rural county with a town of between 10K and ≤50k folks. Illustration in first comment.

@jamanetworkopen.com

#PowerOfRuralCats

jamanetwork.com/journals/jam...

Again, as a former narcotics detective, we never considered killing anyone, no matter their citizenship or drug smuggling activity. The fact this jackass couldn’t summon the morally correct answer tells you that he and his ilk must be eliminated from all public discourse. #arkansas #arpx #arnews

Timely: Did Americans vote in 2024 for major changes to vaccine policy? No.

Only 3% picked vaccines as a top 3 issue in the election.

Our just-published research letter in @jamahealthforum.com

jamanetwork.com/journals/jam...

My Brain Such as it is.

Dave Barry, as good as ever.

open.substack.com/pub/davebarr...

Timeline cleanse.
Sam the rural health advoCATe takes music practice very seriously.

The American Conscience Charles Sumner’s fight for equality.

"In the antebellum years, he fought ferociously against the evils of slavery and frequently provoked Southern scorn on the Senate floor. After the Civil War, when race ‘science’ was emerging from the embers of Reconstruction, Sumner continued his fight against prejudice and discrimination."

From Bandwidth to Bedside — Bringing AI-Enabled Care to Rural America | NEJM Artificial intelligence is increasingly being positioned as a tool for transforming rural care delivery, but it must be integrated into the social support network that sustains patients in their ho...

This cheerful view of the potential of LLMs to improve care in rural was written by urban experts looking out, sighs Sam the rural health advoCATe. However, the paper does raise good points about the need for context and more support for broadband.

#PowerOfRuralCats

www.nejm.org/doi/full/10....

Come to @wsdot.wa.gov and make social media magic with us! (I would love to see ppl applying who wanna collaborate with us on ideas involving walking/biking/rolling 👀): www.governmentjobs.com/careers/wash...

Sooo wish I had done that while teaching. 😹 After getting tenure, of course.

Sam the rural health advoCATe is purrleased to share this tribute to one of the coolest cats, a key contributor to the field of rural minority disparities research! Dr. Saundra Glover!!!!

#PowerOfRuralCats

Sam's guardian has now tried, unsuccessfully, to submit a review using "Editorial Manager" to a Springer journal. Wouldn't work on Firefox or Safari. Meow re their "you are late" notes, fix the manager. Meow.

Trump calls Rep. Ilhan Omar 'garbage' during Cabinet meeting While answering a question about Minnesota Gov. Tim Walz, President Trump sharply criticized Rep. Ilhan Omar, D-Minn., as "garbage." The president also said that Somalians in the state "contribute not...

Trump insults another woman in a racist rant, calling Rep. Ilhan Omar 'garbage' during Cabinet meeting

Why do we allow this?
www.nbcnews.com/now/video/tr...

Because we're doing this again tonight, I am going to tell you a story about identity and faces and trauma.

One side of my family were German Jews and the secular, aristocratic, international kind. They lived in Manheim and Baden-Baden and had connections across the world. They felt secular. (1/?)

Why reporters should cover this week's CDC meeting on hepatitis B vaccine and more The CDC will discuss its current policy of hepatitis B vaccination at birth and other recommendations from Dec. 4-5. Here's what to know.

Great story for health journalists!

healthjournalism.org/blog/2025/12...

Sam the rural health advoCATe notes that funds have to reflect MAHA priorities. Sadly.

He also hisses that this “transformation” funding falls far short of cuts to Medicaid.

#PowerOfRuralCats

Sam the rural health advoCATe is watching this closely. Good thread.

Current and Maximum Acceptable Travel Times to Primary Care Among US Older Adults This survey study examines thresholds of current and maximum acceptable travel times to primary care clinicians among older adults in the US.

Interesting, but: as the authors note, they studied preferences, not use. Sam the rural health advoCATe notes that an online survey panel may not include folks at greatest risk of travel barriers.

#PowerOfRuralCats

jamanetwork.com/journals/jam...

Or visit your local library. Books, CDs, DVDs….

A *huge* vaccine victory. I've been writing on this for years; Australia has seen remarkable progress in cervical cancer prevention with the HPV vaccine. I love seeing science triumph like this.

the pay is less and the NZ dollar has less purchasing power than the USD but the hours are better and you’re less likely to be shot to death with a gun

I know that feeling 😹.