Kirk Fetters, MD

Evaluating the impact of two decades of USAID interventions and projecting the effects of defunding on mortality up to 2030: a retrospective impact evaluation and forecasting analysis USAID funding has significantly contributed to the reduction in adult and child mortality across low-income and middle-income countries over the past two decades. Our estimates show that, unless the a...

USAID has had a remarkable positive impact on poverty and disease worldwide and its destruction is causing widespread PREVENTABLE suffering, thanks to the president and his evil goons. www.thelancet.com/journals/lan...

08.11.2025 19:37 — 👍 0    🔁 0    💬 0    📌 0

This Administration is callous and cruel to its own citizens and to many more around the world. From dismantling food, housing, and medical aid globally to fighting courts to avoid being forced to deliver food aid within the country, they are showing a clear disdain for people living in poverty.

08.11.2025 19:33 — 👍 1    🔁 0    💬 1    📌 0

“Undermining harm reduction and cutting related programs isn’t merely a funding decision; it is an assault on an approach to health care that prioritizes evidence, compassion, and dignity — values that are central to the medical profession.”

Great piece @jabarocas.bsky.social

08.11.2025 19:29 — 👍 6    🔁 2    💬 1    📌 0

Medicaid And Methadone For Opioid Use Disorder: Expanded Coverage Increased Distribution In 10 States, 2019–24 | Health Affairs Journal Methadone is a vital medication for opioid use disorder, yet it remains underused because of restrictive federal and state regulations. Before 2018, not all state Medicaid programs covered methadone t...

Methadone access is essential for many people with opioid use disorder to reduce overdose, the impacts of injection use, and the chaos many experience with addiction—and no surprise Medicaid helps increase access! Great use of national data
www.healthaffairs.org/doi/10.1377/...

20.08.2025 21:43 — 👍 2    🔁 0    💬 0    📌 0

ICE Took Half Their Work Force. What Do They Do Now?

Beyond the horrendous human suffering due to these ICE actions, it makes me think of a story from Heather McGhee’s The Sum of Us—draining neighborhood pools rather than desegregating. We favor shooting ourselves in the foot rather than making things better for all. bit.ly/4l1NMna

28.07.2025 23:00 — 👍 2    🔁 1    💬 0    📌 0

Advocating for Maintaining Housing First Policies This Viewpoint discusses advocating for maintaining Housing First policies.

Trump signed an EO calling for an end to Housing First policies and harm reduction, as well as criminalization of homelessness and mental health. This is a terrible idea. Read here for more: bit.ly/417vr0E

25.07.2025 19:41 — 👍 2    🔁 0    💬 0    📌 0

Advocating for Maintaining Housing First Policies This Viewpoint discusses advocating for maintaining Housing First policies.

“Of the interventions that have been tested & implemented, helping people into stable housing without precondition of sobriety, otherwise known as the Housing First model, is a compassionate way to decrease homelessness, reduce health care use, & possibly improve health outcomes.“

04.07.2025 17:57 — 👍 6    🔁 2    💬 1    📌 0

Distribution of cases of blastomycosis in A) Marketscan data, B) Medicare data, and C) historical maps

Distribution of cases of hisoplasmosis in A) Marketscan data, B) Medicare data, and C) historical maps

Distribution of cases of coccidioidomycosis in A) Marketscan data, B) Medicare data, and C) historical maps

Mapping the Geographic Distribution of Dimorphic Mycoses Using a US Commercial Insurance Database

@julioczuniga1.bsky.social @fungaldoc.bsky.social

academic.oup.com/ofid/advance...

More data to show that the geographic range of dimorphic fungal infections is much wider than taught in med school

28.12.2024 21:03 — 👍 106    🔁 36    💬 6    📌 3

The actual synthesis between the GOP’s pro business commitments and RFK’s various crunchy instincts isn’t food system reform, it’s going easier on scammy supplements.

09.12.2024 13:24 — 👍 306    🔁 31    💬 9    📌 4

Who's Going to Get Lenacapavir for HIV Prevention? At the International AIDS Conference this past summer, Dr. Linda-Gail Bekker brought down the house presenting the results of the PURPOSE 1 trial of twice-yearly injectable lenacapavir for prevention ...

With the publication of PURPOSE 2 for PrEP in @nejm.org, and the stellar results, I wonder what’s going to happen once it gets approved for this indication. Should be interesting, to say the least! blogs.jwatch.org/hiv-id-obser...

09.12.2024 09:26 — 👍 79    🔁 19    💬 3    📌 2