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Aaron Mitchell

@thewonkologist.bsky.social

Medical oncologist and health services researcher. Focusing on health care costs, physician-industry COI, and oncology reimbursement reform. Opinions mine.

1,086 Followers  |  316 Following  |  193 Posts  |  Joined: 21.09.2023  |  2.0871

Latest posts by thewonkologist.bsky.social on Bluesky

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Congress is listening. From fighting to save the U.S. Preventive Services Task Force to restoring access to vital public health data, @academyhealth.bsky.social is helping lead the way. Read more to stay informed and get involved: academyhealth.org/blog/2025-08...

05.08.2025 00:03 β€” πŸ‘ 4    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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***SIGH***

01.08.2025 19:05 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 1

Vinay was never qualified for these posts and never should have been appointed.

30.07.2025 09:47 β€” πŸ‘ 96    πŸ” 13    πŸ’¬ 2    πŸ“Œ 2
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Odds of winning NIH grants plummet as new funding policy and spending delays bite Funding multiyear grants up front will sharply cut number of investigators receiving awards

Even with flat funding for the NIH, under the current FY26 plan, there will be 60% less cancer research and much less research funded overall. We need to make sure Congress understands these tricks and protects against them in their budget plan.

29.07.2025 11:30 β€” πŸ‘ 58    πŸ” 35    πŸ’¬ 0    πŸ“Œ 2
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Relationship Between Industry Payments to Physicians and Prescription Patterns for PCSK9is, ARNis and DOACs: A Report from the NCDR PINNACLE Registry - PubMed Patients with ASCVD or HFrEF whose physicians received industry payments were more likely to be prescribed PCSK9 inhibitors or ARNi, regardless of the payment amount. For DOACs, an association with pr...

Payments from pharmaceutical companies increases physicians’ prescribing of cardiac meds and anticoagulants. Add this new study to the list! This is a very consistent finding across numerous studies:

pubmed.ncbi.nlm.nih.gov/40714034/

29.07.2025 12:16 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Pseudoscience and COVID-19 β€” we’ve had enough already The scientific community must take up cudgels in the battle against bunk.

I wrote this piece πŸ‘‡ in 2020. Even MORE relevant now.

For far too long we normalized – or laughed off ("haha, jade vagina eggs!?") – health bunk.

This helped to facilitate the descending Dark Age 2.0.

Speak up! πŸ’ͺ

Pseudoscience – enough already www.nature.com/articles/d41...

27.07.2025 19:38 β€” πŸ‘ 181    πŸ” 68    πŸ’¬ 2    πŸ“Œ 3
22.07.2025 04:09 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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The HHS account under RFK Jr hasn't made a single post about the measles shot but did find time to promote ice cream consumption.

20.07.2025 22:08 β€” πŸ‘ 49    πŸ” 10    πŸ’¬ 2    πŸ“Œ 1

The head of the FDA. We are being buried under a steaming mound of stupidity.

15.07.2025 00:45 β€” πŸ‘ 154    πŸ” 35    πŸ’¬ 13    πŸ“Œ 4
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HHS backtracks on pledge to disclose new vaccine advisers’ conflicts of interest RFK Jr. has pledged radical transparency, but his vaccine advisers' financial disclosures aren't public.

Actions mean more than words.

And the fact that the new COI rules are not being applied to the new hand-picked Advisory Council on Immunization Practices, speaks volumes.

www.statnews.com/2025/07/09/k...

10.07.2025 19:22 β€” πŸ‘ 145    πŸ” 54    πŸ’¬ 9    πŸ“Œ 6

I sometimes struggle to identify what my biggest issue is with NIH Director Bhattacharya: his lying, lack of qualification, corruption, sycophancy, or extremism. But this is a big one:

He’s so ignorant about how NIH works that it’s completely and totally embarrassing.

05.07.2025 11:15 β€” πŸ‘ 249    πŸ” 70    πŸ’¬ 6    πŸ“Œ 3

😒

04.07.2025 19:11 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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The Grand Opening of an American Concentration Camp The Republicans are proudly calling it β€œAlligator Alcatraz.” Let’s call it what it is.

I wrote about the day the president attended the opening of an American concentration camp:

02.07.2025 11:11 β€” πŸ‘ 2584    πŸ” 1022    πŸ’¬ 58    πŸ“Œ 73

Side note, you’re a pretty terrible oncologist if the best you can do is terrify a cancer cell

02.07.2025 00:59 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

MS Teams must have run some update, so I'm once again consulting online forums for the answer to my favorite IT question

29.06.2025 17:26 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 3    πŸ“Œ 0

Wow. This whole piece about Natalie Phelps, from CBS and Ted Koppel.

Trump, Russell Vought and Musk attacked NIHβ€”to privatize US science and harm universities.

And patients like Natalie have been harmed. She’s now waiting for her potentially life-saving treatment at #NIH. πŸ§ͺ

29.06.2025 14:20 β€” πŸ‘ 105    πŸ” 51    πŸ’¬ 5    πŸ“Œ 5
CMS Launches New Model to Target Wasteful, Inappropriate Services in Original Medicare | CMS Model will leverage enhanced technologies to protect Medicare beneficiaries, federal taxpayers from unnecessary services, fraud, waste, and abuse

CMS just announced a model to introduce prior authorization for certain services in Traditional Medicare πŸ‘€

www.cms.gov/newsroom/pre...

27.06.2025 20:28 β€” πŸ‘ 10    πŸ” 7    πŸ’¬ 4    πŸ“Œ 0
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Credit where it’s due, Lander was the only competent bagel-orderer of the bunch

25.06.2025 03:30 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Between the β€œbureaucrat becomes podcaster”s and the β€œpodcaster becomes bureaucrat”s this is quite the Public Health Service we have going

24.06.2025 19:35 β€” πŸ‘ 4    πŸ” 0    πŸ’¬ 2    πŸ“Œ 0

This headline explains a lot

24.06.2025 14:29 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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I’m not endorsing Brad Lander, but the difference in bagel ordering competence is striking

21.06.2025 17:07 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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This bagel order alone should be enough to disqualify any candidate for mayor of NYC

#dontrankcuomo

21.06.2025 17:03 β€” πŸ‘ 4    πŸ” 0    πŸ’¬ 2    πŸ“Œ 0

That P100 kept my home COVID-free until we were all old enough to be vaccinated. Well worth it!

I haven’t touched it well over 3 years at this point…VP on the other hand is still an idiot

21.06.2025 01:03 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

they’re coming for childhood vaccines

18.06.2025 16:34 β€” πŸ‘ 170    πŸ” 68    πŸ’¬ 5    πŸ“Œ 2

I do not like it, Sam-Alt-Man!

17.06.2025 22:38 β€” πŸ‘ 13    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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The NYTimes should really consider upgrading their search function technology to 1998 AltaVista

14.06.2025 23:24 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

β€œWho does have the money and is willing to spend it? Drug companies. Don’t be surprised if Kennedy’s NIH cuts lead to an epic shift of medical research toward Big Pharma funding”

THIS

This is exactly the strategy academic medicine is already discussing.

14.06.2025 13:53 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
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You have to add up all the red bars and stack them on top of each other to pay for the green bar.

13.06.2025 12:22 β€” πŸ‘ 1463    πŸ” 681    πŸ’¬ 51    πŸ“Œ 46

That mouse is so, so human

14.06.2025 13:39 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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❌ "Only Covid vaccine had placebo-controlled trials"
βœ… Patently false
Our dataset: 274 controlled vaccine trials, >3 million participants, 164 placebo-controlled trials

Let’s go through each of the CDC scheduled routine vaccines: TL;DR – ALL of them have been placebo-controlled.

13.06.2025 05:26 β€” πŸ‘ 240    πŸ” 71    πŸ’¬ 4    πŸ“Œ 3

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