@gostin.bsky.social
President Trump's Mark on Global Health and Human Rights www.thinkglobalhealth.org/article/pres...
I wrote this because, even with all the cruelty & the harms to global health & human rights, I don't believe we fully appreciate how much Trump has destroyed US leadership & values since 1948
I wrote this because, even with all the cruelty & the harms to global health & human rights, I don't believe we fully appreciate how much Trump has destroyed US leadership & values since 1948
President Trump's Mark on Global Health and Human Rights | Think Global Health
A nation that gave birth to grand societal achievements has now shattered the norms and values of international policy
www.thinkglobalhealth.org
February 10, 2026 at 7:46 PM
President Trump's Mark on Global Health and Human Rights www.thinkglobalhealth.org/article/pres...
I wrote this because, even with all the cruelty & the harms to global health & human rights, I don't believe we fully appreciate how much Trump has destroyed US leadership & values since 1948
I wrote this because, even with all the cruelty & the harms to global health & human rights, I don't believe we fully appreciate how much Trump has destroyed US leadership & values since 1948
With new vaccine schedule secured, RFK Jr. allies head to statehouses www.statnews.com/2026/01/29/v... via @statnews.com
States are absolutely the next major target of MAHA
jamanetwork.com/journals/jam...
States are absolutely the next major target of MAHA
jamanetwork.com/journals/jam...
With new vaccine schedule secured, RFK Jr. allies head to statehouses
The overhaul of the federal vaccine schedule sent shockwaves through American health care. Now battles over vaccine laws are moving to statehouses across the country.
www.statnews.com
January 29, 2026 at 1:42 PM
With new vaccine schedule secured, RFK Jr. allies head to statehouses www.statnews.com/2026/01/29/v... via @statnews.com
States are absolutely the next major target of MAHA
jamanetwork.com/journals/jam...
States are absolutely the next major target of MAHA
jamanetwork.com/journals/jam...
The Supreme Court’s 2026 Term—Public Health in Jeopardy jamanetwork.com/journals/jam...
Many of the problems with our health system & democracy itself is because of SCOTUS rulings that are tone deaf to values of public health, science, & equity. I explain this in @JAMAHealthForum today
Many of the problems with our health system & democracy itself is because of SCOTUS rulings that are tone deaf to values of public health, science, & equity. I explain this in @JAMAHealthForum today
The Supreme Court’s 2026 Term—Public Health in Jeopardy
This JAMA Forum discusses upcoming Supreme Court decisions and the potential damage to public health, including decreases in vaccination rates, in firearms control, and in the rights of sexual minorit...
jamanetwork.com
January 27, 2026 at 9:17 PM
The Supreme Court’s 2026 Term—Public Health in Jeopardy jamanetwork.com/journals/jam...
Many of the problems with our health system & democracy itself is because of SCOTUS rulings that are tone deaf to values of public health, science, & equity. I explain this in @JAMAHealthForum today
Many of the problems with our health system & democracy itself is because of SCOTUS rulings that are tone deaf to values of public health, science, & equity. I explain this in @JAMAHealthForum today
What a hero Bill Foege was for the world For all the destruction of basic health functions this past year, Bill Foege's legacy, smallpox eradication, cannot be undone. I hope when the current darkness lifts, the CDC director has Bill’s vision and passion for health justice
January 26, 2026 at 4:28 AM
What a hero Bill Foege was for the world For all the destruction of basic health functions this past year, Bill Foege's legacy, smallpox eradication, cannot be undone. I hope when the current darkness lifts, the CDC director has Bill’s vision and passion for health justice
Bill Foege was a dear friend & my public health hero. He called often outraged at Trump & RFK, Jr's attacks on science- leaving WHO, decimating USAID, undermining vaccines
To Bill, it was deeply personal
He fought for health & justice even as his eyes failed him & he became frail-- until the end
To Bill, it was deeply personal
He fought for health & justice even as his eyes failed him & he became frail-- until the end
January 25, 2026 at 7:36 PM
Bill Foege was a dear friend & my public health hero. He called often outraged at Trump & RFK, Jr's attacks on science- leaving WHO, decimating USAID, undermining vaccines
To Bill, it was deeply personal
He fought for health & justice even as his eyes failed him & he became frail-- until the end
To Bill, it was deeply personal
He fought for health & justice even as his eyes failed him & he became frail-- until the end
It's painful to see the US flag removed from @WHO Geneva HQ. On June 14, 1948 Truman signed a law requiring payment of dues before exiting. Since then,
every president understood WHO's value. Until Now.
Trump has unilaterally violated US & int'l law.
healthpolicy-watch.news/stars-and-st...
every president understood WHO's value. Until Now.
Trump has unilaterally violated US & int'l law.
healthpolicy-watch.news/stars-and-st...
January 24, 2026 at 7:50 PM
It's painful to see the US flag removed from @WHO Geneva HQ. On June 14, 1948 Truman signed a law requiring payment of dues before exiting. Since then,
every president understood WHO's value. Until Now.
Trump has unilaterally violated US & int'l law.
healthpolicy-watch.news/stars-and-st...
every president understood WHO's value. Until Now.
Trump has unilaterally violated US & int'l law.
healthpolicy-watch.news/stars-and-st...
SCOTUS & Culture Wars
We know exactly how Justices will rule
It isn't based on law, justice, or the Constitution
☑️ Can't Ban Conversion Therapy
☑️ Can Ban Gender Affirming Care
☑️ Can Ban Trans Athletes
No legal consistency
Only consistency is SCOTUS joining Culture Wars
We know exactly how Justices will rule
It isn't based on law, justice, or the Constitution
☑️ Can't Ban Conversion Therapy
☑️ Can Ban Gender Affirming Care
☑️ Can Ban Trans Athletes
No legal consistency
Only consistency is SCOTUS joining Culture Wars
January 14, 2026 at 12:00 AM
SCOTUS & Culture Wars
We know exactly how Justices will rule
It isn't based on law, justice, or the Constitution
☑️ Can't Ban Conversion Therapy
☑️ Can Ban Gender Affirming Care
☑️ Can Ban Trans Athletes
No legal consistency
Only consistency is SCOTUS joining Culture Wars
We know exactly how Justices will rule
It isn't based on law, justice, or the Constitution
☑️ Can't Ban Conversion Therapy
☑️ Can Ban Gender Affirming Care
☑️ Can Ban Trans Athletes
No legal consistency
Only consistency is SCOTUS joining Culture Wars
Today in @statnews.com, Richard Hughes & I discuss RFK's destructive vaccine policies. There's a cavernous divide between pro- & anti-vaccine states
Vaccine federalism means children’s health depends on geography. No one is safe as herd immunity wanes
Red states are most at risk
shorturl.at/8OI3x
Vaccine federalism means children’s health depends on geography. No one is safe as herd immunity wanes
Red states are most at risk
shorturl.at/8OI3x
The divide between pro- and anti-vaccine states is widening
“Vaccine policy now tracks political identity more closely than epidemiology,” write Richard Hughes IV and Lawrence O. Gostin.
shorturl.at
January 12, 2026 at 11:00 PM
Today in @statnews.com, Richard Hughes & I discuss RFK's destructive vaccine policies. There's a cavernous divide between pro- & anti-vaccine states
Vaccine federalism means children’s health depends on geography. No one is safe as herd immunity wanes
Red states are most at risk
shorturl.at/8OI3x
Vaccine federalism means children’s health depends on geography. No one is safe as herd immunity wanes
Red states are most at risk
shorturl.at/8OI3x
Kudos to the House for passing a clean extension of ACA subsidies. If the Senate follows, it will dramatically lower insurance premiums & prevent 4 million Americans from losing health coverage.
It will save lives, keep families from financial ruin, and keep rural hospitals open.
It will save lives, keep families from financial ruin, and keep rural hospitals open.
January 8, 2026 at 10:43 PM
Kudos to the House for passing a clean extension of ACA subsidies. If the Senate follows, it will dramatically lower insurance premiums & prevent 4 million Americans from losing health coverage.
It will save lives, keep families from financial ruin, and keep rural hospitals open.
It will save lives, keep families from financial ruin, and keep rural hospitals open.
Bowing to the alcohol beverage industry, RFK, Jr weakens the message on the harms of drinking. The new food pyramid removes advice on safer limits on alcohol. Even the current guidelines (2 units daily for men & 1 for women) is inadequate. There is no safe limit on alcohol consumption.
January 7, 2026 at 5:44 PM
Bowing to the alcohol beverage industry, RFK, Jr weakens the message on the harms of drinking. The new food pyramid removes advice on safer limits on alcohol. Even the current guidelines (2 units daily for men & 1 for women) is inadequate. There is no safe limit on alcohol consumption.
RFK Jr releases a new food pyramid putting red meat, beef tallow, & full-fat dairy at the top. His handpicked "experts" worked in secret
As with vaccines, Kennedy sets policy without transparency, science, and evidence
We can expect more heart disease, diabetes, & cancer
As with vaccines, Kennedy sets policy without transparency, science, and evidence
We can expect more heart disease, diabetes, & cancer
January 7, 2026 at 5:37 PM
RFK Jr releases a new food pyramid putting red meat, beef tallow, & full-fat dairy at the top. His handpicked "experts" worked in secret
As with vaccines, Kennedy sets policy without transparency, science, and evidence
We can expect more heart disease, diabetes, & cancer
As with vaccines, Kennedy sets policy without transparency, science, and evidence
We can expect more heart disease, diabetes, & cancer
Reposted
In Georgetown Journal of International Affairs, Sam Halabi and @gostin.bsky.social write on one of the unresolved core aspects of the WHO #PandemicAgreement: the Pathogen Access and Benefit-Sharing (PABS) System.
Read the article: https://ow.ly/AT6v50XMvWM
Read the article: https://ow.ly/AT6v50XMvWM
The New WHO Pandemic Treaty and Global Health Governance: Incorporating Common but Differentiated Responsibilities into PABS - Georgetown Journal of International Affairs
ow.ly
January 5, 2026 at 6:00 PM
In Georgetown Journal of International Affairs, Sam Halabi and @gostin.bsky.social write on one of the unresolved core aspects of the WHO #PandemicAgreement: the Pathogen Access and Benefit-Sharing (PABS) System.
Read the article: https://ow.ly/AT6v50XMvWM
Read the article: https://ow.ly/AT6v50XMvWM
Amid the turmoil of anti-vax policy from RFK Jr some sanity prevails. The 2nd Circuit today upheld a ban on cuts to NIH research funding, ruling that unilaterally slashing NIH research overheads was unlawful. NIH funding saves lives & is the engine of our economy
January 6, 2026 at 1:29 AM
Amid the turmoil of anti-vax policy from RFK Jr some sanity prevails. The 2nd Circuit today upheld a ban on cuts to NIH research funding, ruling that unilaterally slashing NIH research overheads was unlawful. NIH funding saves lives & is the engine of our economy
As 2025 draws to an end, let's reflect back on a year global health was decimated, from the US withdrawal from @who.int & defunding of GAVI, to the elimination of USAID.
PLoS Global Public Health
"The Trump presidency: Cascading global shocks on global health"
journals.plos.org/globalpublic...
PLoS Global Public Health
"The Trump presidency: Cascading global shocks on global health"
journals.plos.org/globalpublic...
The Trump presidency: Cascading global shocks on global health
journals.plos.org
December 30, 2025 at 6:21 PM
As 2025 draws to an end, let's reflect back on a year global health was decimated, from the US withdrawal from @who.int & defunding of GAVI, to the elimination of USAID.
PLoS Global Public Health
"The Trump presidency: Cascading global shocks on global health"
journals.plos.org/globalpublic...
PLoS Global Public Health
"The Trump presidency: Cascading global shocks on global health"
journals.plos.org/globalpublic...
As wonderful as PubMed is, it needs competition. Now it is getting it from Germany
That’s a very good thing
The whole world can’t lean on one country’s scientific library
Science is a global enterprise
See @statnews.com
www.statnews.com/2025/12/26/p...
That’s a very good thing
The whole world can’t lean on one country’s scientific library
Science is a global enterprise
See @statnews.com
www.statnews.com/2025/12/26/p...
PubMed has competition from Germany. That’s a very good thing
Germany’s new ZB MED is “about ensuring that a single fragile pipeline doesn’t bottleneck good science,” experts write.
www.statnews.com
December 26, 2025 at 8:30 PM
As wonderful as PubMed is, it needs competition. Now it is getting it from Germany
That’s a very good thing
The whole world can’t lean on one country’s scientific library
Science is a global enterprise
See @statnews.com
www.statnews.com/2025/12/26/p...
That’s a very good thing
The whole world can’t lean on one country’s scientific library
Science is a global enterprise
See @statnews.com
www.statnews.com/2025/12/26/p...
RFK, Jr's war on vaccines is spilling over to states
States have legal power to set vaccine schedules
Sates are ending school vaccine mandates & requiring broad religious exemptions
SCOTUS is abetting this move
In JAMA
State Vaccine Law and Policy—A New Threat to Public Health
shorturl.at/mUbZR
States have legal power to set vaccine schedules
Sates are ending school vaccine mandates & requiring broad religious exemptions
SCOTUS is abetting this move
In JAMA
State Vaccine Law and Policy—A New Threat to Public Health
shorturl.at/mUbZR
State Vaccine Law and Policy—A New Threat to Public Health
This Viewpoint discusses the importance of understanding the evolution and current trajectory of state-level vaccine requirements for assessing the stability of the nation’s immunization infrastructur...
shorturl.at
December 22, 2025 at 8:45 PM
RFK, Jr's war on vaccines is spilling over to states
States have legal power to set vaccine schedules
Sates are ending school vaccine mandates & requiring broad religious exemptions
SCOTUS is abetting this move
In JAMA
State Vaccine Law and Policy—A New Threat to Public Health
shorturl.at/mUbZR
States have legal power to set vaccine schedules
Sates are ending school vaccine mandates & requiring broad religious exemptions
SCOTUS is abetting this move
In JAMA
State Vaccine Law and Policy—A New Threat to Public Health
shorturl.at/mUbZR
RFK's decision to cut funding for the Am Acad of Pediatrics is short sighted and harmful. It's pure vindictiveness for the principled stand of AAP on vaccines. Grants to AAP support studies on infant deaths, and childhood diseases like autism. This vindictive action is unconscionable.
December 17, 2025 at 10:50 PM
RFK's decision to cut funding for the Am Acad of Pediatrics is short sighted and harmful. It's pure vindictiveness for the principled stand of AAP on vaccines. Grants to AAP support studies on infant deaths, and childhood diseases like autism. This vindictive action is unconscionable.
Today in the Georgetown J. of Int'l Affairs, Sam Halabi @oneillinstitute & I explain the importance of CDR in the @WHO Pandemic Agreement PABS Annex
The New WHO Pandemic Treaty and Global Health Governance: Common but Differentiated Responsibilities into PABS
gjia.georgetown.edu/2025/12/11/t...
The New WHO Pandemic Treaty and Global Health Governance: Common but Differentiated Responsibilities into PABS
gjia.georgetown.edu/2025/12/11/t...
The New WHO Pandemic Treaty and Global Health Governance: Incorporating Common but Differentiated Responsibilities into PABS - Georgetown Journal of International Affairs
gjia.georgetown.edu
December 12, 2025 at 5:43 PM
Today in the Georgetown J. of Int'l Affairs, Sam Halabi @oneillinstitute & I explain the importance of CDR in the @WHO Pandemic Agreement PABS Annex
The New WHO Pandemic Treaty and Global Health Governance: Common but Differentiated Responsibilities into PABS
gjia.georgetown.edu/2025/12/11/t...
The New WHO Pandemic Treaty and Global Health Governance: Common but Differentiated Responsibilities into PABS
gjia.georgetown.edu/2025/12/11/t...
254 measles cases in SC are in quarantine, 16 of whom are in isolation. That's the impact of RFK, Jr.'s attack on vaccines, and it will only get worse. Most people in confinement were unvaccinated. It's an entirely preventable health crisis. Measles vaccines are 97% effective
December 11, 2025 at 8:11 PM
254 measles cases in SC are in quarantine, 16 of whom are in isolation. That's the impact of RFK, Jr.'s attack on vaccines, and it will only get worse. Most people in confinement were unvaccinated. It's an entirely preventable health crisis. Measles vaccines are 97% effective
Failure to pass ACA premium subsidies will unravel the insurance market. As premiums dramatically rise, the sickest will have little choice but to remain insured, while younger healthier people will opt out. Insurance will be still more unaffordable. The market is unsustainable
December 11, 2025 at 7:57 PM
Failure to pass ACA premium subsidies will unravel the insurance market. As premiums dramatically rise, the sickest will have little choice but to remain insured, while younger healthier people will opt out. Insurance will be still more unaffordable. The market is unsustainable
Prasad says FDA will state that "COVID-19 vaccines have killed American children," which he calls a "profound revelation." He directs FDA staff who disagree to resign. He offers no research data & doesn't submit it to peer review. Science is transparent, it is testable.
This is not science
This is not science
November 29, 2025 at 2:44 PM
Prasad says FDA will state that "COVID-19 vaccines have killed American children," which he calls a "profound revelation." He directs FDA staff who disagree to resign. He offers no research data & doesn't submit it to peer review. Science is transparent, it is testable.
This is not science
This is not science
Ralph Abraham is an irresponsible pick as Deputy Director of CDC. As Louisiana Surgeon General, he cancelled vaccine campaigns. He's a major prescriber of ivermectin for COVID-19. Dr. Abraham is likely to further erode the credibility of the CDC. He's a loyalist, not a scientist
November 25, 2025 at 5:20 PM
Ralph Abraham is an irresponsible pick as Deputy Director of CDC. As Louisiana Surgeon General, he cancelled vaccine campaigns. He's a major prescriber of ivermectin for COVID-19. Dr. Abraham is likely to further erode the credibility of the CDC. He's a loyalist, not a scientist
RFK Jr forces CDC to say “studies have not ruled out the possibility that infant vaccines cause autism”. It’s a fundamental misunderstanding of science. Science can not rule out infinite remote possibilities. But science has conclusively shown no link between vaccines and autism
November 20, 2025 at 3:58 PM
RFK Jr forces CDC to say “studies have not ruled out the possibility that infant vaccines cause autism”. It’s a fundamental misunderstanding of science. Science can not rule out infinite remote possibilities. But science has conclusively shown no link between vaccines and autism
In London for @FT @TheLancet Scientific Integrity Strategies. AI fueled misleading health information is a defining issue of our time. Strategies include health literacy & communication. Quality Health Information for All is worth fighting for.
November 17, 2025 at 3:51 PM
In London for @FT @TheLancet Scientific Integrity Strategies. AI fueled misleading health information is a defining issue of our time. Strategies include health literacy & communication. Quality Health Information for All is worth fighting for.
America First bilateral global health pacts linking aid to pathogen sharing is feckless. Instead of a multilateral @WHO PABS annex we do deals with a few select countries. What makes Trump think the next pandemic will start in those countries? The US is safer inside WHO & PABS
November 7, 2025 at 1:25 PM
America First bilateral global health pacts linking aid to pathogen sharing is feckless. Instead of a multilateral @WHO PABS annex we do deals with a few select countries. What makes Trump think the next pandemic will start in those countries? The US is safer inside WHO & PABS