Joseph Ross
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jsross119.bsky.social
Joseph Ross
@jsross119.bsky.social

Primary care physician/health policy research @yaleschoolofmed.bsky.social; @ncspyale.bsky.social; healthy skeptic; @jama.com deputy editor; open science: YODAProject @yalecrrit.bsky.social @medrxivpreprint.bsky.social

Economics 46%
Medicine 16%

Most early attention on the H-1B EO imposing a $100k fee is focused on the tech industry (i.e., good story by @joshwingrovebbg.bsky.social and Spencer Soper) www.bloomberg.com/news/article.... However, this policy will have a huge impact on healthcare delivery systems and research enterprise (1/2)
Trump Shapes Gilded Age of US Immigration With $100,000 H-1B Fee
President Donald Trump took his most extensive step yet toward overhauling the US legal migration system, with a pair of proclamations that explicitly favor the wealthiest of the world’s prospective e...
www.bloomberg.com
Here's our new article reporting findings from stakeholder interviews in which we hoped to learn what it takes to successfully complete rigorous confirmatory studies after accelerated approval. Instead, we mostly heard willingness to trade rigor for feasibility. 1/
academic.oup.com/healthaffair...
Flexibility Over Rigor: Stakeholder Acceptance of the Limitations of Confirmatory Studies Following Accelerated Approval
Despite the importance of postmarketing requirements (PMRs) following accelerated approval and well-recognized shortcomings in their rigor and timeliness,
academic.oup.com

"Climate change is no longer a problem for our grandchildren but is inflicting profound economic and health damage right now.” @markgongloff.bsky.social
Climate change is an economic emergency, part 1000:

More than $1 trillion in US wages has been lost to wildfire smoke alone in the past 5 years. Gift link to my column for @opinion.bloomberg.com

www.bloomberg.com/opinion/arti...
$1 Trillion in American Wages Has Gone Up in Wildfire Smoke
The toxic haze is a nightmare for health and productivity.
www.bloomberg.com

Reposted by Joseph S. Ross

Climate change is an economic emergency, part 1000:

More than $1 trillion in US wages has been lost to wildfire smoke alone in the past 5 years. Gift link to my column for @opinion.bloomberg.com

www.bloomberg.com/opinion/arti...
$1 Trillion in American Wages Has Gone Up in Wildfire Smoke
The toxic haze is a nightmare for health and productivity.
www.bloomberg.com

Kudos to @fda.gov leadership for following through on their efforts to promote transparency by posting CRLs for 2024 pending or withdrawn product applications. There is a lot that scientists, industry and clinicians can learn when FDA does not approve a product www.fiercebiotech.com/biotech/fda-...
FDA moves to publish drug rejection letters in real time, releases new batch including Replimune's high-profile snub
The FDA today announced a plan to p | The Food and Drug Administration today announced a plan to publicly release complete response letters at the same time they are issued to sponsoring companies, pa...
www.fiercebiotech.com

Great reporting on RFK "going wild" by sabotaging the @altcdc.altgov.info @dhruvkhullar.bsky.social www.newyorker.com/magazine/202...
Florida Decided There Were Too Many Children
Florida Decided There Were Too Many Children
The state’s elimination of vaccine mandates is a courageous first step toward decluttering itself of any excess kids.
www.theatlantic.com

Great story by @annaedney.bsky.social ... reminds me of what happened with Essure, as patients complaints went unheeded for years
In my @bloomberg.com Big Take out today I explored how Hologic pushed a medical device on breast cancer patients despite hundreds of complaints, most of which stayed buried until now

Reposted by Joseph S. Ross

Florida Made a Vaccine Mistake. Now, It’s Everyone’s Problem.

Agree with @lisamjarvis.bsky.social, viruses don’t give a damn for state lines

www.bloomberg.com/opinion/arti...
Florida Made a Vaccine Mistake. Now, It’s Everyone’s Problem.
State efforts to protect access to shots are welcome, but they can’t compensate for others’ anti-science policies and a dysfunctional CDC.
www.bloomberg.com
In my @bloomberg.com Big Take out today I explored how Hologic pushed a medical device on breast cancer patients despite hundreds of complaints, most of which stayed buried until now

"The American scientific enterprise is being unravelled before our eyes—research grants are being cut off, satellites disconnected, reports cooked up [by] particular industries and ideologies ... but in the end, the truth will [win] out." @billmckibben.bsky.social www.newyorker.com/news/the-led...
Trump’s Department of Energy Gets Scienced
International climate experts have extensively debunked the D.O.E.’s recent report, but will science win out?
www.newyorker.com

Reposted by Joseph S. Ross

"In a world accustomed to receiving real-time information, the process of publishing medical research remains trapped in a system designed for a slower era,” per @jsross119.bsky.social & colleagues from @utoronto.ca Med in @annalsofim.bsky.social
www.acpjournals.org/doi/10.7326/...
#peerreview
On a Slow Boat to Publication: Rethinking How We Disseminate Medical Research | Annals of Internal Medicine
www.acpjournals.org

Reposted by Joseph S. Ross

“Physicians receiving payments were more likely to prescribe the company's drugs, with a stronger association for payments that were larger, sustained and recent.”

New work on bribes to Rx multiple sclerosis drugs by Sayed, @reshmagar.bsky.social @jsross119.bsky.social
Industry payments to US neurologists related to multiple sclerosis drugs and prescribing (2015-2019): a retrospective cohort study - PubMed
Nearly 80% of neurologists prescribing MS drugs received at least one industry payment, with higher volume prescribers being more likely to receive payments. Physicians receiving payments were more li...
pubmed.ncbi.nlm.nih.gov

Amazing data visualization illustrating how Grier family manipulated science to ‘prove’ vaccines cause autism. Key take-home: "those who claim to champion people with autism are denying them real research while undermining one of public health’s greatest achievements" www.nytimes.com/interactive/...
Opinion | The Playbook Used to ‘Prove’ Vaccines Cause Autism
Data can easily be manipulated to show a causation that doesn’t exist.
www.nytimes.com

Reposted by Joseph S. Ross

The EPA's disastrous plan to end the regulation of greenhouse gases & just let climate change run rampant. www.newyorker.com/news/the-led... via @elizkolbert.bsky.social
The E.P.A.’s Disastrous Plan to End the Regulation of Greenhouse Gases
With a new proposal, the Trump Administration, which has already laid waste to dozens of programs aimed at limiting climate change, has managed to outdo itself.
www.newyorker.com

Reposted by Joseph S. Ross

1. On February 24, Extremity Care LLC, a company that sells very expensive bandages made from placentas, donated $5 MILLION TO TRUMP'S SUPER PAC

Days later, Trump froze a pending rule that would BAR MEDICARE FROM COVERING EXTREMITY CARE'S PRODUCTS, which are overpriced & not backed by science.
Days after $5 million donation to MAGA Inc., Trump freezes Medicare waste crackdown
Trump pledged to root out "waste, fraud and abuse." Then a big contribution to his Super PAC came in.
popular.info

"The esteemed climate scientist Michael Mann said the report was akin to the result he would expect “if you took a chatbot and you trained it on the top 10 fossil fuel industry-funded climate denier websites”."
www.theguardian.com/us-news/2025...
Scientists slam Trump administration climate report as a ‘farce’ full of misinformation
Experts say the report being used to justify the mass rollback of climate regulations has many claims based on long-debunked research
www.theguardian.com
I have a new post over at The Climate Brink on how the recent DOE report on climate science and the EPA's proposed overturning of the endangerment finding used and misused my research: www.theclimatebrink....
How the DOE and EPA used and misused my research
Elevating contrarian views while burying the actual science
www.theclimatebrink.com

"If the US is no longer the world’s technoscientific superpower, it will almost certainly suffer for the change. America’s technology sector might lose its creativity. But science itself, in the global sense, will be fine. The deep human curiosities that drive it do not belong to any nation-state."
The rapid decline of American science has few precedents in history, argues @rossandersen.bsky.social. We are witnessing an unparalleled act of self-sabotage:
How Scientific Empires End
And what it means for America
bit.ly

Reposted by Joseph S. Ross

The rapid decline of American science has few precedents in history, argues @rossandersen.bsky.social. We are witnessing an unparalleled act of self-sabotage:
How Scientific Empires End
And what it means for America
bit.ly
“ICE gets a bigger budget than the Marine Corps” is a simple fact that should be communicated very widely because it clearly expresses how crazy and radical this is
With this budget, ICE alone would have nearly as large a detention operation as all 50 states' prison systems combined. Bigger budget than the Marine Corps. Police-state levels of spending
If the GOP reconciliation bill passes, ICE gets through FY2029:

- $45 billion for detention, on top of the current annual budget of $3.4 billion
- $14.4 billion for transportation and removal, on top of the current annual budget of $750 million
- $8 billion for hiring/retention
- Billions more.

Reposted by Joseph S. Ross

Reposted by Joseph S. Ross

JAMA @jama.com · Apr 3
Deportations and immigration restrictions could impact the US health care system by removing skilled noncitizen workers, leading to staff shortages and compromised patient care. https://ja.ma/4ci0NpS
Deporting Immigrants May Further Shrink the Health Care Workforce
This study explores the potential for health care staffing shortages in the US by estimating the number of immigrants employed in health care who could be affected by deportation or immigration restrictions.
ja.ma

Reposted by Joseph S. Ross

Anyone know what this part of the "most-favored nation" drug pricing EO means for @fda.gov given the language "maybe be unsafe, ineffective, or improperly marketed"? At worst, FDA could withdraw drugs that are thought to be, but not necessarily proven to be ineffective or unsafe? #MedSky #EpiSky

Reposted by Joseph S. Ross

“The Trump administration has launched a comprehensive attack on knowledge itself, a war against culture, history, and science,” @adamserwer.bsky.social writes. “If this assault is successful, it will undermine Americans’ ability to comprehend the world around us."
The Attack on Knowledge
America could soon find itself in a new Dark Age.
bit.ly

Reposted by Joseph S. Ross

Amy Larocca’s “How to Be Well” documents the ever-expanding, MAHA-adjacent wellness industry. It also reveals how health-care inequality fueled the spread of conspiracy theories, writes Sheila McClear:
How Health Became a Luxury Commodity
A new book about American wellness reveals how health-care inequality fueled the spread of anti-science conspiracy theories.
bit.ly

Reposted by Joseph S. Ross

A singular achievement in reporting and storytelling: The Men Trump Deported to a Salvadoran Prison, by @propublica.org and partners.
The Men Trump Deported to a Salvadoran Prison
On March 15, President Donald Trump’s administration sent more than 230 Venezuelan immigrants to a maximum-security prison in El Salvador. Last week, the men were released as suddenly as they’d been t...
projects.propublica.org
High brand-name drug prices fall once a generic enters the market. In a new @journalgim.bsky.social article, Ravi Gupta, CRRIT Co-Director @jsross119.bsky.social, and colleagues from @portalresearch.org assess associations between patents, revenue, and generic competition.

You cannot make this stuff up! @muskwatch.bsky.social reports that Musk's $9b neurotechnology company self-certified as a "small disadvantaged business", despite his >$400b net worth, and federal regs precluding designation to individuals with a net worth >$850k www.muskwatch.com/p/musks-neur...
Musk’s Neuralink falsified federal forms, claims to qualify for racial diversity program
The company, owned by the world's wealthiest man, says it is a "small disadvantaged business"
www.muskwatch.com