Neel Shah, MD
@drneelshah.bsky.social
Building a world where every person can grow their family with dignity https://mavenpreprint.substack.com/
Reposted by Neel Shah, MD
“The moment we’re living in right now is best explained by a failure of governance to be responsive to people in this phase of life.”
From Ep 21: The Ob/Gyn Doctor Shortage with @drneelshah.bsky.social
Listen now on Apple Podcasts, Spotify, YouTube, and most podcast platforms. Links in bio.
From Ep 21: The Ob/Gyn Doctor Shortage with @drneelshah.bsky.social
Listen now on Apple Podcasts, Spotify, YouTube, and most podcast platforms. Links in bio.
May 12, 2025 at 11:55 AM
“The moment we’re living in right now is best explained by a failure of governance to be responsive to people in this phase of life.”
From Ep 21: The Ob/Gyn Doctor Shortage with @drneelshah.bsky.social
Listen now on Apple Podcasts, Spotify, YouTube, and most podcast platforms. Links in bio.
From Ep 21: The Ob/Gyn Doctor Shortage with @drneelshah.bsky.social
Listen now on Apple Podcasts, Spotify, YouTube, and most podcast platforms. Links in bio.
Reposted by Neel Shah, MD
Mark your calendars! 🗓️ We’ve updated our Season 2 schedule! 💖 www.thegynarchypodcast.com/post/updated...
Updated Season 2 Schedule
Season 2 is in full swing! Check out our updated schedule below.Season 2 EpisodesThursday, January 9 • Episode 13: Healthy Eating for Women with Nisha Patel, MDMonday, January 20, MLK Jr. Day • Episod...
www.thegynarchypodcast.com
May 1, 2025 at 2:03 PM
Reposted by Neel Shah, MD
Much of the U.S. is rural and many patients live more than 3 hours away from a birthing facility.
New 🎙️⚡️from Ep 21: The Ob/Gyn Doctor Shortage with @drneelshah.bsky.social
Listen now on Apple Podcasts, Spotify, YouTube, and most podcast platforms.
New 🎙️⚡️from Ep 21: The Ob/Gyn Doctor Shortage with @drneelshah.bsky.social
Listen now on Apple Podcasts, Spotify, YouTube, and most podcast platforms.
May 5, 2025 at 12:02 PM
Much of the U.S. is rural and many patients live more than 3 hours away from a birthing facility.
New 🎙️⚡️from Ep 21: The Ob/Gyn Doctor Shortage with @drneelshah.bsky.social
Listen now on Apple Podcasts, Spotify, YouTube, and most podcast platforms.
New 🎙️⚡️from Ep 21: The Ob/Gyn Doctor Shortage with @drneelshah.bsky.social
Listen now on Apple Podcasts, Spotify, YouTube, and most podcast platforms.
Reposted by Neel Shah, MD
Last spring, I wrote about a new FDA rule that would bring scrutiny to critical lab tests that reach patients without any federal agency checking to ensure they work the way their makers claim.
The rule cited two of our @propublica.org investigations ...
The rule cited two of our @propublica.org investigations ...
FDA Moves to Scrutinize Specialized Health Screenings
The agency issued a rule that brings new scrutiny to a range of critical lab-developed tests, including certain cancer and prenatal screenings. ProPublica previously reported how lab-test accuracy and...
www.propublica.org
March 31, 2025 at 10:51 PM
Last spring, I wrote about a new FDA rule that would bring scrutiny to critical lab tests that reach patients without any federal agency checking to ensure they work the way their makers claim.
The rule cited two of our @propublica.org investigations ...
The rule cited two of our @propublica.org investigations ...
Reposted by Neel Shah, MD
NEW: St. Luke’s, Idaho’s largest health system, is the one major institution standing in the way of a ban on emergency abortion care in Idaho — a move that would make the state’s policy one of the most extreme in the country.
With @statesnewsroom.com
With @statesnewsroom.com
A Health System Is Fighting Idaho’s Abortion Ban. It’s Not Its First Controversial Stance.
St. Luke’s, Idaho’s largest health system, was outspoken in defending its staff during a backlash against masks and vaccines. It also sued right-wing figure Ammon Bundy — and won. Now it’s backing…
propub.li
March 12, 2025 at 11:00 AM
NEW: St. Luke’s, Idaho’s largest health system, is the one major institution standing in the way of a ban on emergency abortion care in Idaho — a move that would make the state’s policy one of the most extreme in the country.
With @statesnewsroom.com
With @statesnewsroom.com
Reposted by Neel Shah, MD
Columbia scientists reel as Trump administration cancels grants, hitting broad suite of research.
One researcher was enrolling a 600-person clinical trial on maternal mortality. Now, it's over.
Via @jasonmast.bsky.social @statnews.com
www.statnews.com/2025/03/11/c...
One researcher was enrolling a 600-person clinical trial on maternal mortality. Now, it's over.
Via @jasonmast.bsky.social @statnews.com
www.statnews.com/2025/03/11/c...
March 12, 2025 at 11:08 AM
Columbia scientists reel as Trump administration cancels grants, hitting broad suite of research.
One researcher was enrolling a 600-person clinical trial on maternal mortality. Now, it's over.
Via @jasonmast.bsky.social @statnews.com
www.statnews.com/2025/03/11/c...
One researcher was enrolling a 600-person clinical trial on maternal mortality. Now, it's over.
Via @jasonmast.bsky.social @statnews.com
www.statnews.com/2025/03/11/c...
that feeling when your substack turns into a Vogue article
“There are a lot of people who need help and aren’t getting it so they’re turning to TikTok and resorting to alchemy,” says Shah.
www.vogue.com/article/muci...
“There are a lot of people who need help and aren’t getting it so they’re turning to TikTok and resorting to alchemy,” says Shah.
www.vogue.com/article/muci...
Can Mucinex Really Increase Fertility? Doctors Weigh In
On TikTok, mothers are claiming that Mucinex is the secret to getting pregnant.
www.vogue.com
December 20, 2024 at 4:30 PM
that feeling when your substack turns into a Vogue article
“There are a lot of people who need help and aren’t getting it so they’re turning to TikTok and resorting to alchemy,” says Shah.
www.vogue.com/article/muci...
“There are a lot of people who need help and aren’t getting it so they’re turning to TikTok and resorting to alchemy,” says Shah.
www.vogue.com/article/muci...
Everyone can feel it—there’s been a substantial shift in energy around DEI initiatives in America.
As companies revise their commitments, many of us are watching and wondering what this means for health equity.
mavenpreprint.substack.com/p/progress-a...
As companies revise their commitments, many of us are watching and wondering what this means for health equity.
mavenpreprint.substack.com/p/progress-a...
Progress at a crossroads
Although support for DEI wanes thin, demand for health equity still waxes large
mavenpreprint.substack.com
December 15, 2024 at 3:21 PM
Everyone can feel it—there’s been a substantial shift in energy around DEI initiatives in America.
As companies revise their commitments, many of us are watching and wondering what this means for health equity.
mavenpreprint.substack.com/p/progress-a...
As companies revise their commitments, many of us are watching and wondering what this means for health equity.
mavenpreprint.substack.com/p/progress-a...
Reposted by Neel Shah, MD
If you're interested in the DNC chair race, tune in to @thedailyshow.com tonight 👀
December 10, 2024 at 2:53 AM
If you're interested in the DNC chair race, tune in to @thedailyshow.com tonight 👀
The ACA, is complex and imperfect but bottom line, it created coverage for 45 million Americans.
Nearly 15 years later we should pivot from arguing about preserving and protecting “Obamacare” to just enhancing healthcare affordability period.
Nearly 15 years later we should pivot from arguing about preserving and protecting “Obamacare” to just enhancing healthcare affordability period.
… The exchange on health care is amazing - he claims to have a plan, explains why he doesn’t have a plan, brags of saving Obamacare “physically” while conceding he tried to destroy it “judicially,” and never once indicates any understanding or interest in how any of it works.
December 8, 2024 at 3:31 PM
The ACA, is complex and imperfect but bottom line, it created coverage for 45 million Americans.
Nearly 15 years later we should pivot from arguing about preserving and protecting “Obamacare” to just enhancing healthcare affordability period.
Nearly 15 years later we should pivot from arguing about preserving and protecting “Obamacare” to just enhancing healthcare affordability period.
Reposted by Neel Shah, MD
This is a major issue as folks in rural hospitals with major health issues and transportation issues generally continue to be seen in their rural settings without delivery capabilities and transferred to high risk centers in the 11th hour 🫣 #medsky
December 5, 2024 at 2:15 PM
This is a major issue as folks in rural hospitals with major health issues and transportation issues generally continue to be seen in their rural settings without delivery capabilities and transferred to high risk centers in the 11th hour 🫣 #medsky
Reposted by Neel Shah, MD
We’ve known from the work of @pamherd.bsky.social & @donmoyn.bsky.social, Ben Sommers, and others that work requirements don’t actually increase employment, but instead have the core effect of imposing significant administrative burdens on enrollees struggling to navigate the system. And by design.
Children/seniors facing delays in access to care and potentially large medical bills because Georgia's Pathways program has snarled the system in more red tape
A reminder that Pathways is Gov Kemp's alternative to ACA Medicaid expansion; its only covering c 5k people
abcnews.go.com/Health/georg...
A reminder that Pathways is Gov Kemp's alternative to ACA Medicaid expansion; its only covering c 5k people
abcnews.go.com/Health/georg...
December 5, 2024 at 2:13 AM
We’ve known from the work of @pamherd.bsky.social & @donmoyn.bsky.social, Ben Sommers, and others that work requirements don’t actually increase employment, but instead have the core effect of imposing significant administrative burdens on enrollees struggling to navigate the system. And by design.
The posts on Bluesky denigrating the recently murdered CEO of UHC make me believe this platform is not so different from the other awful platform so many here people fled from.
It was a cold-blooded assassination of a human with a family and that is terrible. Full stop.
It was a cold-blooded assassination of a human with a family and that is terrible. Full stop.
December 4, 2024 at 9:26 PM
The posts on Bluesky denigrating the recently murdered CEO of UHC make me believe this platform is not so different from the other awful platform so many here people fled from.
It was a cold-blooded assassination of a human with a family and that is terrible. Full stop.
It was a cold-blooded assassination of a human with a family and that is terrible. Full stop.
Reposted by Neel Shah, MD
How often is value-based care mentioned in earnings calls?
It’s been mentioned more than 1,800 times since then, peaking in 2022.
www.statnews.com/2024/12/02/v...
It’s been mentioned more than 1,800 times since then, peaking in 2022.
www.statnews.com/2024/12/02/v...
How often ‘value-based care’ is uttered on Wall Street
This week in health care news: Insurers tout value based care, we round up hospital finances, and regulators have an eye on vertical integration.
www.statnews.com
December 2, 2024 at 6:48 PM
How often is value-based care mentioned in earnings calls?
It’s been mentioned more than 1,800 times since then, peaking in 2022.
www.statnews.com/2024/12/02/v...
It’s been mentioned more than 1,800 times since then, peaking in 2022.
www.statnews.com/2024/12/02/v...
Reposted by Neel Shah, MD
Check out Professor @nbagley.bsky.social's Michigan Law Review article, "The Procedure Fetish" below 👇
Today's Ezra Kline Show nytimes.com
"In This House, We’re Angry When Government Fails"
www.nytimes.com/2024/11/22/o...
pointed me back to @umichlaw.bsky.social Nick Bagley's The Procedure Fetish repository.law.umich.edu/mlr/vol118/i...
Just having a little #adminlaw love/hate nerd out moment
"In This House, We’re Angry When Government Fails"
www.nytimes.com/2024/11/22/o...
pointed me back to @umichlaw.bsky.social Nick Bagley's The Procedure Fetish repository.law.umich.edu/mlr/vol118/i...
Just having a little #adminlaw love/hate nerd out moment
"The Procedure Fetish" by Nicholas Bagley
The strict procedural rules that characterize modern administrative law are said to be necessary to sustain the fragile legitimacy of a powerful and constitutionally suspect administrative state. We a...
repository.law.umich.edu
November 22, 2024 at 6:33 PM
Check out Professor @nbagley.bsky.social's Michigan Law Review article, "The Procedure Fetish" below 👇
Reposted by Neel Shah, MD
November 30, 2024 at 5:13 PM
Reposted by Neel Shah, MD
“We show that (i) parental socioeconomic status is positively associated with later fertility norms, later fertility ideals, and later childbearing, even when controlling for respondents’ own socioeconomic status, and that (ii) national contexts partially moderate these associations”
Stratified Fertility: Age Norms, Ideals, Behaviors, and the Role of National Contexts - European Journal of Population
A growing body of research shows that demographic attitudes and behaviors across the life course are socially stratified. Building on this and focusing on the transition to parenthood, we hypothesize ...
link.springer.com
November 30, 2024 at 11:03 AM
“We show that (i) parental socioeconomic status is positively associated with later fertility norms, later fertility ideals, and later childbearing, even when controlling for respondents’ own socioeconomic status, and that (ii) national contexts partially moderate these associations”
Reposted by Neel Shah, MD
Medicaid Facts: The public overwhelmingly opposes capping federal #Medicaid funding (as under block grants & per capita caps) per KFF polling. 71% oppose (and 86% of Medicaid enrollees oppose). 53% of Republicans/Republican-leaning independents also oppose. #healthpolicy
www.kff.org/medicaid/pol...
www.kff.org/medicaid/pol...
November 29, 2024 at 6:51 PM
Medicaid Facts: The public overwhelmingly opposes capping federal #Medicaid funding (as under block grants & per capita caps) per KFF polling. 71% oppose (and 86% of Medicaid enrollees oppose). 53% of Republicans/Republican-leaning independents also oppose. #healthpolicy
www.kff.org/medicaid/pol...
www.kff.org/medicaid/pol...
Reposted by Neel Shah, MD
Humpback whale breaching, Asbury Park
November 29, 2024 at 6:09 PM
Humpback whale breaching, Asbury Park
Reposted by Neel Shah, MD
Brilliant, this: "In demography, the future is already here. No policy can increase the number of babies born yesterday."
Fully agree: support people to get the number of children they want, at the time of their choosing.
Fully agree: support people to get the number of children they want, at the time of their choosing.
November 27, 2024 at 7:46 PM
Brilliant, this: "In demography, the future is already here. No policy can increase the number of babies born yesterday."
Fully agree: support people to get the number of children they want, at the time of their choosing.
Fully agree: support people to get the number of children they want, at the time of their choosing.
Reposted by Neel Shah, MD
A beautiful thread of gratitude for great science
THREAD: Research we should be thankful for.
The chances that we and everyone we know and love would be here today, alive, healthy and thriving without the advances of science and technology are basically zero.
Today we look through the research and scientists to whom we owe everything.
1/19
The chances that we and everyone we know and love would be here today, alive, healthy and thriving without the advances of science and technology are basically zero.
Today we look through the research and scientists to whom we owe everything.
1/19
November 29, 2024 at 2:38 PM
A beautiful thread of gratitude for great science
Reposted by Neel Shah, MD
"Across Texas, residency applications in ob-gyn dropped significantly. Data from the Gender Equity Policy Institute revealed a fifty-six-per-cent spike in maternal deaths in the state between 2019 and 2022."
www.newyorker.com/magazine/202...
www.newyorker.com/magazine/202...
The Texas Ob-Gyn Exodus
Amid increasingly stringent abortion laws, doctors who provide maternal care have been fleeing the state.
www.newyorker.com
November 27, 2024 at 2:47 AM
"Across Texas, residency applications in ob-gyn dropped significantly. Data from the Gender Equity Policy Institute revealed a fifty-six-per-cent spike in maternal deaths in the state between 2019 and 2022."
www.newyorker.com/magazine/202...
www.newyorker.com/magazine/202...
Reposted by Neel Shah, MD
Data on stillbirths in the US is frequently incomplete, delayed and is sometimes inaccurate, particularly when it comes to cause of death. Data on stillbirth risk factors and race also is deficient.
And it’s getting worse.
By @irenatfh.bsky.social, Sophie Chou, and @deldeib.bsky.social
And it’s getting worse.
By @irenatfh.bsky.social, Sophie Chou, and @deldeib.bsky.social
The Failure to Track Data on Stillbirths Undermines Efforts to Prevent Them
Fetal death records are often missing cause of death, race and other crucial information. ProPublica found that the problem is only getting worse.
propub.li
November 29, 2024 at 3:00 PM
Data on stillbirths in the US is frequently incomplete, delayed and is sometimes inaccurate, particularly when it comes to cause of death. Data on stillbirth risk factors and race also is deficient.
And it’s getting worse.
By @irenatfh.bsky.social, Sophie Chou, and @deldeib.bsky.social
And it’s getting worse.
By @irenatfh.bsky.social, Sophie Chou, and @deldeib.bsky.social