@janprobst.bsky.social
@janprobst.bsky.social
Jan Probst
~ 40 years health services research, mostly into rural issues
Guardian of Sam the rural health advoCATe.
Bibliography:
https://www.ncbi.nlm.nih.gov/myncbi/1HMPkKfOyD5kE/bibliography/public/
~ 40 years health services research, mostly into rural issues
Guardian of Sam the rural health advoCATe.
Bibliography:
https://www.ncbi.nlm.nih.gov/myncbi/1HMPkKfOyD5kE/bibliography/public/
Reposted by @janprobst.bsky.social
State Medicaid programs shared insights into the challenges they anticipate when implementing work requirements next year: https://on.kff.org/3LLhQHu
November 10, 2025 at 7:01 PM
State Medicaid programs shared insights into the challenges they anticipate when implementing work requirements next year: https://on.kff.org/3LLhQHu
The slices and dices reducing the actual $$, w/ restrictions on funding to actually pay for health care, make Sam the rural health advoCATe deeply concerned. Crumbs will not protect rural folks from Medicaid cutbacks.
#PowerOfRuralCats
#PowerOfRuralCats
Before states turned in their Rural Health Transformation apps on Wed, providers+patients shared their ideas in public meetings+online comments. Behind the scenes, large health systems+tech companies met w/ state+federal leaders
By me+ @sjtribble-reports.bsky.social
www.cbsnews.com/news/states-...
By me+ @sjtribble-reports.bsky.social
www.cbsnews.com/news/states-...
Concerns over fairness, access rise as states compete for slice of $50 billion rural health fund
Amid public forums and local cries for help, states are also talking with large health systems, technology companies, and others amid intensifying competition for shares of a $50 billion fund to impro...
www.cbsnews.com
November 10, 2025 at 7:53 PM
The slices and dices reducing the actual $$, w/ restrictions on funding to actually pay for health care, make Sam the rural health advoCATe deeply concerned. Crumbs will not protect rural folks from Medicaid cutbacks.
#PowerOfRuralCats
#PowerOfRuralCats
Reposted by @janprobst.bsky.social
🔥 Simultaneous publication in multiple @jama.com journals by Prof @cervantes-lily1.bsky.social of her RCT and the patient experience analysis
This is mic-drop science
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
This is mic-drop science
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Community Health Worker Support for Hispanic and Latino Individuals Receiving Hemodialysis
This randomized clinical trial evaluates if community health worker support reduces interdialytic weight gain among Hispanic and Latino individuals receiving hemodialysis.
jamanetwork.com
November 10, 2025 at 7:31 PM
🔥 Simultaneous publication in multiple @jama.com journals by Prof @cervantes-lily1.bsky.social of her RCT and the patient experience analysis
This is mic-drop science
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
This is mic-drop science
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Reposted by @janprobst.bsky.social
Sam the rural health advoCATe appreciates recognition that rural populations are both diverse and under-resourced.
Food insecurity is higher in rural.
Remember this on National Rural Health Day, Nov 20!
#PowerOfRuralCats
Food insecurity is higher in rural.
Remember this on National Rural Health Day, Nov 20!
#PowerOfRuralCats
November 9, 2025 at 8:35 PM
Sam the rural health advoCATe appreciates recognition that rural populations are both diverse and under-resourced.
Food insecurity is higher in rural.
Remember this on National Rural Health Day, Nov 20!
#PowerOfRuralCats
Food insecurity is higher in rural.
Remember this on National Rural Health Day, Nov 20!
#PowerOfRuralCats
Reposted by @janprobst.bsky.social
mods are out on the town: academics, don't ever send me an M D P I special issue invite or paper anything else, thank's, and students, if your advisor suggests this, run
November 8, 2025 at 3:27 AM
mods are out on the town: academics, don't ever send me an M D P I special issue invite or paper anything else, thank's, and students, if your advisor suggests this, run
Reposted by @janprobst.bsky.social
“Let us not forget that the great seal of the US says E Pluribus Unum. That means Out of many, one
Every life matters no matter where you came from, no matter how you got here, no matter how you identify. You have the right to live a life that is free”
DC Sandwich Guy Sean Dunn
Every life matters no matter where you came from, no matter how you got here, no matter how you identify. You have the right to live a life that is free”
DC Sandwich Guy Sean Dunn
November 7, 2025 at 4:41 AM
“Let us not forget that the great seal of the US says E Pluribus Unum. That means Out of many, one
Every life matters no matter where you came from, no matter how you got here, no matter how you identify. You have the right to live a life that is free”
DC Sandwich Guy Sean Dunn
Every life matters no matter where you came from, no matter how you got here, no matter how you identify. You have the right to live a life that is free”
DC Sandwich Guy Sean Dunn
Reposted by @janprobst.bsky.social
WSJ: Operation Warp Speed Aimed at Covid and Hit Cancer
Melanoma patients who got an mRNA vaccine for the virus saw median survival times double.
👉 on.wsj.com/43W1ylj gift link
Melanoma patients who got an mRNA vaccine for the virus saw median survival times double.
👉 on.wsj.com/43W1ylj gift link
November 6, 2025 at 1:42 PM
WSJ: Operation Warp Speed Aimed at Covid and Hit Cancer
Melanoma patients who got an mRNA vaccine for the virus saw median survival times double.
👉 on.wsj.com/43W1ylj gift link
Melanoma patients who got an mRNA vaccine for the virus saw median survival times double.
👉 on.wsj.com/43W1ylj gift link
Reposted by @janprobst.bsky.social
a great point. it sometimes gets forgotten that pelosi took the keys away after J6. it was an extra-constitutional action in a time of extreme crisis, but she knew there was no choice. she led when the men could not. stay mad, douthat
And she understood exactly what Trump was trying on Jan 6. Someone else in her place that day and he might have succeeded in his coup attempt.
November 6, 2025 at 4:30 PM
a great point. it sometimes gets forgotten that pelosi took the keys away after J6. it was an extra-constitutional action in a time of extreme crisis, but she knew there was no choice. she led when the men could not. stay mad, douthat
Calling all healthcare cats who might be interested in working in rural:
A career fair with *no travel* will let you explore rural opportunities across disciplines.
#PowerOfRuralCats
www.ruralhealthinfo.org/news/37959/f...
A career fair with *no travel* will let you explore rural opportunities across disciplines.
#PowerOfRuralCats
www.ruralhealthinfo.org/news/37959/f...
3RNET Virtual Career Fair to Celebrate National Rural Health Day! - Rural Health Information Hub
3RNET Virtual Career Fair to Celebrate National Rural Health Day!, news story from 3RNET.
www.ruralhealthinfo.org
November 6, 2025 at 3:57 PM
Calling all healthcare cats who might be interested in working in rural:
A career fair with *no travel* will let you explore rural opportunities across disciplines.
#PowerOfRuralCats
www.ruralhealthinfo.org/news/37959/f...
A career fair with *no travel* will let you explore rural opportunities across disciplines.
#PowerOfRuralCats
www.ruralhealthinfo.org/news/37959/f...
Interesting essay. Sam the rural health advoCATe notes that while rural Americans may not endure subsistence farming, rural travel time burdens, e.g., getting to school and work, reduce time for health promoting activities.
#PowerOfRuralCats
www.thelancet.com/journals/lan...
#PowerOfRuralCats
www.thelancet.com/journals/lan...
Making time for brain health: recognising temporal inequity in dementia risk reduction
Time is an under-recognised social determinant of brain health, and is potentially
as important as education or income for dementia risk. Temporal inequity refers to
the unequal distribution of discre...
www.thelancet.com
November 5, 2025 at 8:02 PM
Interesting essay. Sam the rural health advoCATe notes that while rural Americans may not endure subsistence farming, rural travel time burdens, e.g., getting to school and work, reduce time for health promoting activities.
#PowerOfRuralCats
www.thelancet.com/journals/lan...
#PowerOfRuralCats
www.thelancet.com/journals/lan...
Reposted by @janprobst.bsky.social
Getting--or got--a PhD? Got boogie in your soul? Then don't be shy. Enter this year's contest--and dance, dance, dance! @science.org
Science’s ‘Dance Your Ph.D.’ contest is open again—with an all new, AI twist
For the first time, there’s a special prize for a research-themed dance generated by an artificial intelligence program
www.science.org
November 5, 2025 at 1:45 PM
Getting--or got--a PhD? Got boogie in your soul? Then don't be shy. Enter this year's contest--and dance, dance, dance! @science.org
Sam the rural health advoCATe shares more info on the workforce tracker developed by Mullan Institute for Health Workforce Equity at GW. This new tracker documents low actual access to Medicaid providers in rural counties.
#PowerOfRuralCats
gwhatchet.com/2025/11/03/g...
#PowerOfRuralCats
gwhatchet.com/2025/11/03/g...
GW researchers launch tracker revealing lack of Medicaid access in rural areas
The tracker’s data showed rural counties had fewer Medicaid-participating primary care providers and an overreliance on nurse practitioners, which experts said could lead to increased hospitalizations...
gwhatchet.com
November 5, 2025 at 1:50 PM
Sam the rural health advoCATe shares more info on the workforce tracker developed by Mullan Institute for Health Workforce Equity at GW. This new tracker documents low actual access to Medicaid providers in rural counties.
#PowerOfRuralCats
gwhatchet.com/2025/11/03/g...
#PowerOfRuralCats
gwhatchet.com/2025/11/03/g...
Reposted by @janprobst.bsky.social
JOB: Tenure-track sociology faculty job alert!
Student-centered private liberal arts university. Strong undergrad teaching experience expected in sociology and tech/society. 4/4 load. Max class size: 35. Open to ABD.
Rochester, NY is a hidden gem. Lovely and affordable.
jobs.naz.edu/postings/4334
Student-centered private liberal arts university. Strong undergrad teaching experience expected in sociology and tech/society. 4/4 load. Max class size: 35. Open to ABD.
Rochester, NY is a hidden gem. Lovely and affordable.
jobs.naz.edu/postings/4334
Assistant Professor of Sociology
The sociology program at Nazareth University of Rochester, NY invites applications for a tenure-track position at the rank of Assistant Professor to begin fall 2026. The candidate will teach courses t...
jobs.naz.edu
November 4, 2025 at 11:42 PM
JOB: Tenure-track sociology faculty job alert!
Student-centered private liberal arts university. Strong undergrad teaching experience expected in sociology and tech/society. 4/4 load. Max class size: 35. Open to ABD.
Rochester, NY is a hidden gem. Lovely and affordable.
jobs.naz.edu/postings/4334
Student-centered private liberal arts university. Strong undergrad teaching experience expected in sociology and tech/society. 4/4 load. Max class size: 35. Open to ABD.
Rochester, NY is a hidden gem. Lovely and affordable.
jobs.naz.edu/postings/4334
Reposted by @janprobst.bsky.social
Tom Hanks explains to Stephen Colbert why he masks on the subway:
"I'm doing a play right now so I cannot get sick... I've had COVID enough in my life, I don't need to do that again. So I'm wearing this for health reasons."
Thank you Tom! Masks are still a key part of public health.
"I'm doing a play right now so I cannot get sick... I've had COVID enough in my life, I don't need to do that again. So I'm wearing this for health reasons."
Thank you Tom! Masks are still a key part of public health.
November 4, 2025 at 8:57 PM
Tom Hanks explains to Stephen Colbert why he masks on the subway:
"I'm doing a play right now so I cannot get sick... I've had COVID enough in my life, I don't need to do that again. So I'm wearing this for health reasons."
Thank you Tom! Masks are still a key part of public health.
"I'm doing a play right now so I cannot get sick... I've had COVID enough in my life, I don't need to do that again. So I'm wearing this for health reasons."
Thank you Tom! Masks are still a key part of public health.
Sam the rural health advoCATe notes that Recommendation #6 specifically addresses rural workforce. He is purrrleased by this.
#PowerOfRuralCats
nap.nationalacademies.org/catalog/29226/
#PowerOfRuralCats
nap.nationalacademies.org/catalog/29226/
Building a Workforce to Develop and Sustain Interprofessional Primary Care Teams
Read online, download a free PDF, or order a copy in print.
nap.nationalacademies.org
November 4, 2025 at 1:35 PM
Sam the rural health advoCATe notes that Recommendation #6 specifically addresses rural workforce. He is purrrleased by this.
#PowerOfRuralCats
nap.nationalacademies.org/catalog/29226/
#PowerOfRuralCats
nap.nationalacademies.org/catalog/29226/
Reposted by @janprobst.bsky.social
Important point...
Obamacare critics increasingly claim Obamacare itself has failed because premiums are rising.
BUT... the real reason premiums are rising is because of problems in the overall health care system, as this shows... Obamacare is CHEAPER than premiums for employer plans!
Obamacare critics increasingly claim Obamacare itself has failed because premiums are rising.
BUT... the real reason premiums are rising is because of problems in the overall health care system, as this shows... Obamacare is CHEAPER than premiums for employer plans!
How ACA Marketplace Costs Compare to Employer-Sponsored Health Insurance
In 2024, individual market insurance premiums averaged $540 per member per month, slightly below the average $587 per member per month premium for fully-insured employer coverage.
www.kff.org/health-costs...
In 2024, individual market insurance premiums averaged $540 per member per month, slightly below the average $587 per member per month premium for fully-insured employer coverage.
www.kff.org/health-costs...
How ACA Marketplace Costs Compare to Employer-Sponsored Health Insurance | KFF
This analysis compares ACA Marketplace costs to employer-sponsored health insurance costs and finds that individual market premiums have become more similar to employer-sponsored premiums since 2017. ...
www.kff.org
November 4, 2025 at 9:04 AM
Important point...
Obamacare critics increasingly claim Obamacare itself has failed because premiums are rising.
BUT... the real reason premiums are rising is because of problems in the overall health care system, as this shows... Obamacare is CHEAPER than premiums for employer plans!
Obamacare critics increasingly claim Obamacare itself has failed because premiums are rising.
BUT... the real reason premiums are rising is because of problems in the overall health care system, as this shows... Obamacare is CHEAPER than premiums for employer plans!
Reposted by @janprobst.bsky.social
Timely (grim) new NBER working paper: Households screened out of SNAP "suffer tangible downstream economic consequences. Specifically, we find that process-related denials increase debt and delinquencies, and decrease credit scores."
www.nber.org/papers/w34434
www.nber.org/papers/w34434
November 3, 2025 at 1:49 PM
Timely (grim) new NBER working paper: Households screened out of SNAP "suffer tangible downstream economic consequences. Specifically, we find that process-related denials increase debt and delinquencies, and decrease credit scores."
www.nber.org/papers/w34434
www.nber.org/papers/w34434
Reposted by @janprobst.bsky.social
Nature suggests you use their "Manuscript Adviser" bot to get advice before submitting
I uploaded the classic Watson & Crick paper about DNA structure, and the Adviser had this to say about one of the greatest paper endings of the century:
I uploaded the classic Watson & Crick paper about DNA structure, and the Adviser had this to say about one of the greatest paper endings of the century:
November 3, 2025 at 1:55 PM
Nature suggests you use their "Manuscript Adviser" bot to get advice before submitting
I uploaded the classic Watson & Crick paper about DNA structure, and the Adviser had this to say about one of the greatest paper endings of the century:
I uploaded the classic Watson & Crick paper about DNA structure, and the Adviser had this to say about one of the greatest paper endings of the century:
Shared by Sam the rural he’s advoCATe, who knows that rural folks generally have poorer access to oral healthcare.
#PowerOfRuralCats
edwinleap.substack.com/p/dental-car...
#PowerOfRuralCats
edwinleap.substack.com/p/dental-car...
Dental Care is Healthcare
And dental pain is miserable
edwinleap.substack.com
November 2, 2025 at 5:50 PM
Shared by Sam the rural he’s advoCATe, who knows that rural folks generally have poorer access to oral healthcare.
#PowerOfRuralCats
edwinleap.substack.com/p/dental-car...
#PowerOfRuralCats
edwinleap.substack.com/p/dental-car...
Reposted by @janprobst.bsky.social
When #mpox cases surged, California’s VRDL rapidly developed a new molecular test to detect and differentiate mpox clades — helping public health labs nationwide respond faster and stay ahead of emerging variants.
Read more in our latest issue of Lab Matters: buff.ly/pbSfxZV
Read more in our latest issue of Lab Matters: buff.ly/pbSfxZV
November 1, 2025 at 4:01 PM
When #mpox cases surged, California’s VRDL rapidly developed a new molecular test to detect and differentiate mpox clades — helping public health labs nationwide respond faster and stay ahead of emerging variants.
Read more in our latest issue of Lab Matters: buff.ly/pbSfxZV
Read more in our latest issue of Lab Matters: buff.ly/pbSfxZV
Sam the rural health advoCATe notes:
Rural areas constituted 16.6% of all tracts, but 25.0% of Q5 (highest structural racism) tracts and 25.3% of Q4 tracts.
Structural racism is not limited to urban places.
#PowerOfRuralCats
jamanetwork.com/journals/jam...?
Rural areas constituted 16.6% of all tracts, but 25.0% of Q5 (highest structural racism) tracts and 25.3% of Q4 tracts.
Structural racism is not limited to urban places.
#PowerOfRuralCats
jamanetwork.com/journals/jam...?
Structural Racism and Inequities in Cardiovascular Health
This cross-sectional study examines the association of neighborhood-level structural racism with the prevalence of cardiovascular clinical and behavioral risk factors and cardiovascular diseases in th...
jamanetwork.com
November 1, 2025 at 1:24 PM
Sam the rural health advoCATe notes:
Rural areas constituted 16.6% of all tracts, but 25.0% of Q5 (highest structural racism) tracts and 25.3% of Q4 tracts.
Structural racism is not limited to urban places.
#PowerOfRuralCats
jamanetwork.com/journals/jam...?
Rural areas constituted 16.6% of all tracts, but 25.0% of Q5 (highest structural racism) tracts and 25.3% of Q4 tracts.
Structural racism is not limited to urban places.
#PowerOfRuralCats
jamanetwork.com/journals/jam...?
Enthusiastically shared by Sam the rural health advoCATe: the growth of residency training in Critical Access Hospitals (CAHs). To practice in rural, doc's (and others) need to train in rural.
#PowerOfRuralCats
jamanetwork.com/journals/jam...
#PowerOfRuralCats
jamanetwork.com/journals/jam...
Critical Access Hospitals and Rural Physician Training
This cross-sectional study examines the prevalence of critical access hospital–based training and compares these sites with other rural teaching hospitals to understand potential for expansion.
jamanetwork.com
October 31, 2025 at 6:45 PM
Enthusiastically shared by Sam the rural health advoCATe: the growth of residency training in Critical Access Hospitals (CAHs). To practice in rural, doc's (and others) need to train in rural.
#PowerOfRuralCats
jamanetwork.com/journals/jam...
#PowerOfRuralCats
jamanetwork.com/journals/jam...
Reposted by @janprobst.bsky.social
I am recruiting a postdoc for a new NIMH-funded R01 using neural and behavioral models to understand anxious avoidance. Please share with anyone who may be interested!
Link: faculty-emory.icims.com/jobs/155929/...
Link: faculty-emory.icims.com/jobs/155929/...
October 30, 2025 at 2:12 PM
I am recruiting a postdoc for a new NIMH-funded R01 using neural and behavioral models to understand anxious avoidance. Please share with anyone who may be interested!
Link: faculty-emory.icims.com/jobs/155929/...
Link: faculty-emory.icims.com/jobs/155929/...
Reposted by @janprobst.bsky.social
I love kids. I have two of them. They’re amazing. However, kids are the absolute least self aware, clumsiest little puffins on the planet.
Please don’t drive tonight unless you have to, and if you do drive, drive super slow and pay 100% attention at all times.
Happy Halloween! 🎃 👻 💀
#PublicHealth
Please don’t drive tonight unless you have to, and if you do drive, drive super slow and pay 100% attention at all times.
Happy Halloween! 🎃 👻 💀
#PublicHealth
October 31, 2025 at 11:35 AM
I love kids. I have two of them. They’re amazing. However, kids are the absolute least self aware, clumsiest little puffins on the planet.
Please don’t drive tonight unless you have to, and if you do drive, drive super slow and pay 100% attention at all times.
Happy Halloween! 🎃 👻 💀
#PublicHealth
Please don’t drive tonight unless you have to, and if you do drive, drive super slow and pay 100% attention at all times.
Happy Halloween! 🎃 👻 💀
#PublicHealth
Sam the rural health advoCATe notes that threats to rural healthcare, and thus to the health of rural cats, are visible from across the pond.
#PowerOfRuralCats
www.thelancet.com/journals/lan...?
#PowerOfRuralCats
www.thelancet.com/journals/lan...?
Health in the US Government shutdown
The US Federal Government is gridlocked. When the 2025 fiscal year ended, the Senate
and House of Representatives had not passed a budget for 2026, and so federal agencies
are required to pause all no...
www.thelancet.com
October 31, 2025 at 12:51 PM
Sam the rural health advoCATe notes that threats to rural healthcare, and thus to the health of rural cats, are visible from across the pond.
#PowerOfRuralCats
www.thelancet.com/journals/lan...?
#PowerOfRuralCats
www.thelancet.com/journals/lan...?