James C. Fletcher, MD
@jfletchermd.medsky.social
Academic EM/IM Doc & APD. Husband. GirlDad x2. Indiana University & Medical College of Georgia alum. Outdoorsman. Bad golfer. Ranting about music, books, sports, BBQ, politics, whisk(e)y…and occasionally medicine. #MedSky
Reposted by James C. Fletcher, MD
1). The US is in the middle of the worst flu season in a decade.
2). Pertussis cases are the highest they have been in 20 years.
3). Measles has rebounded and elimination status has been lost.
RFK.Jr. has not recommended vaccination, instead he is aggressively rolling back vaccine policy.
2). Pertussis cases are the highest they have been in 20 years.
3). Measles has rebounded and elimination status has been lost.
RFK.Jr. has not recommended vaccination, instead he is aggressively rolling back vaccine policy.
January 5, 2026 at 8:42 PM
1). The US is in the middle of the worst flu season in a decade.
2). Pertussis cases are the highest they have been in 20 years.
3). Measles has rebounded and elimination status has been lost.
RFK.Jr. has not recommended vaccination, instead he is aggressively rolling back vaccine policy.
2). Pertussis cases are the highest they have been in 20 years.
3). Measles has rebounded and elimination status has been lost.
RFK.Jr. has not recommended vaccination, instead he is aggressively rolling back vaccine policy.
Reposted by James C. Fletcher, MD
Here are three more factual statements:
1. 25,000 of Mike Johnson's constituents are about to lose health care
2. 27,000 more are about to have their premiums skyrocket.
3. A 60 year old couple in his district would pay $19,000 more a year.
1. 25,000 of Mike Johnson's constituents are about to lose health care
2. 27,000 more are about to have their premiums skyrocket.
3. A 60 year old couple in his district would pay $19,000 more a year.
STEPHANOPOULOS: The Democratic proposal is designed to prevent millions of Americans from losing their health insurance, losing Medicaid coverage, or paying higher healthcare premiums. Why are you against that?
MIKE JOHNSON: That's an absurd statement
STEPHANOPOULOS: It's a factual statement
MIKE JOHNSON: That's an absurd statement
STEPHANOPOULOS: It's a factual statement
October 1, 2025 at 2:21 PM
Here are three more factual statements:
1. 25,000 of Mike Johnson's constituents are about to lose health care
2. 27,000 more are about to have their premiums skyrocket.
3. A 60 year old couple in his district would pay $19,000 more a year.
1. 25,000 of Mike Johnson's constituents are about to lose health care
2. 27,000 more are about to have their premiums skyrocket.
3. A 60 year old couple in his district would pay $19,000 more a year.
Reposted by James C. Fletcher, MD
Journalists should be asking questions like "if ACA subsidies go to undocumented immigrants, how much money went out the door for that during your time as OMB director? Why didn't you put an end to it?"
I asked Trump's former OMB director Mick Mulvaney to acknowledge it's a lie that undocumented immigrants get ACA subsidies (they don't), and he ended the interview.
"Would you agree that not a single dime of ACA subsidies goes toward undocumented immigrants?"
"I'm not gonna do this anymore."
"Would you agree that not a single dime of ACA subsidies goes toward undocumented immigrants?"
"I'm not gonna do this anymore."
October 1, 2025 at 2:23 AM
Journalists should be asking questions like "if ACA subsidies go to undocumented immigrants, how much money went out the door for that during your time as OMB director? Why didn't you put an end to it?"
Reposted by James C. Fletcher, MD
It’s hard to know where to begin with this from ACIP member Retsef Levi.
Let’s start with the fact he has no real world responsibility for treating sick kids.
He’s a spectator.
And he’s dunking on the doctors who will be there if your child gets sick. 🧵
Let’s start with the fact he has no real world responsibility for treating sick kids.
He’s a spectator.
And he’s dunking on the doctors who will be there if your child gets sick. 🧵
August 20, 2025 at 2:01 AM
It’s hard to know where to begin with this from ACIP member Retsef Levi.
Let’s start with the fact he has no real world responsibility for treating sick kids.
He’s a spectator.
And he’s dunking on the doctors who will be there if your child gets sick. 🧵
Let’s start with the fact he has no real world responsibility for treating sick kids.
He’s a spectator.
And he’s dunking on the doctors who will be there if your child gets sick. 🧵
Reposted by James C. Fletcher, MD
The fact that we regularly float six or seven miles above the Earth is worth our fascination and attention, Jeff Wise argues. These six books explore the technological feats of modern air travel.
Six Books That Explain How Flying Really Works
The fact that we regularly float six or seven miles above the Earth is worth our fascination and attention.
bit.ly
August 16, 2025 at 9:15 AM
The fact that we regularly float six or seven miles above the Earth is worth our fascination and attention, Jeff Wise argues. These six books explore the technological feats of modern air travel.
Reposted by James C. Fletcher, MD
How it started:
"I could end the war in Ukraine in 24 hours." Trump, March 2023.
How it's going:
No ceasefire, no deal. What summit means for Trump, Putin and Ukraine
www.bbc.com/news/article...
"I could end the war in Ukraine in 24 hours." Trump, March 2023.
How it's going:
No ceasefire, no deal. What summit means for Trump, Putin and Ukraine
www.bbc.com/news/article...
No ceasefire, no deal: What summit means for Trump, Putin and Ukraine
Three BBC correspondents at the meeting in Alaska assess what we learned about the two leaders and what's next for the war.
www.bbc.com
August 16, 2025 at 9:27 AM
How it started:
"I could end the war in Ukraine in 24 hours." Trump, March 2023.
How it's going:
No ceasefire, no deal. What summit means for Trump, Putin and Ukraine
www.bbc.com/news/article...
"I could end the war in Ukraine in 24 hours." Trump, March 2023.
How it's going:
No ceasefire, no deal. What summit means for Trump, Putin and Ukraine
www.bbc.com/news/article...
Reposted by James C. Fletcher, MD
Scientists’ role in defending democracy | Science www.science.org/doi/10.1126/...
Scientists’ role in defending democracy
The United States’ democratic leadership, commitment to freedom of expression, and investment in the pursuit of knowledge have long enabled its preeminence in science and technology. Yet today we are ...
www.science.org
August 16, 2025 at 9:45 AM
Scientists’ role in defending democracy | Science www.science.org/doi/10.1126/...
“Alexa, play ‘Sunrise, Sunset…’”
August 13, 2025 at 5:11 PM
“Alexa, play ‘Sunrise, Sunset…’”
Reposted by James C. Fletcher, MD
When do they just cut straight to Arbeit Macht Frei?
Brooke Rollins: "The bottom line is this: bringing back to America the dignity of work, the righteousness of work. We have plenty of Americans who are looking for jobs. We need to make sure we are matching that up. The Big Beautiful Bill had a lot of work requirements in it."
August 7, 2025 at 6:11 PM
When do they just cut straight to Arbeit Macht Frei?
Reposted by James C. Fletcher, MD
One of the most dangerous myths in American politics today is that authoritarianism is something that happens “over there.”
It doesn’t.
Not anymore.
Not in 2025.
Because the fight for democracy — and against it — is now global.
open.substack.com/pub/trygveol...
It doesn’t.
Not anymore.
Not in 2025.
Because the fight for democracy — and against it — is now global.
open.substack.com/pub/trygveol...
The Anti-Democracy Alliance: What We’re Actually Up Against
What if the fight we’re in isn’t just domestic? What if the other side is already coordinating?
open.substack.com
August 7, 2025 at 6:27 PM
One of the most dangerous myths in American politics today is that authoritarianism is something that happens “over there.”
It doesn’t.
Not anymore.
Not in 2025.
Because the fight for democracy — and against it — is now global.
open.substack.com/pub/trygveol...
It doesn’t.
Not anymore.
Not in 2025.
Because the fight for democracy — and against it — is now global.
open.substack.com/pub/trygveol...
Reposted by James C. Fletcher, MD
To be clear, this now a massive cover up involving the President, the Attorney General, the FBI Director, and the GOP Congress.
July 23, 2025 at 8:36 PM
To be clear, this now a massive cover up involving the President, the Attorney General, the FBI Director, and the GOP Congress.
Reposted by James C. Fletcher, MD
If by “torn cornea” you mean “the hypocritical optics of teaming up with convicted sex trafficker Gislaine Maxwell to alleviate the Epstein files saga”, then sure.
July 23, 2025 at 10:40 PM
If by “torn cornea” you mean “the hypocritical optics of teaming up with convicted sex trafficker Gislaine Maxwell to alleviate the Epstein files saga”, then sure.
Reposted by James C. Fletcher, MD
Reposted by James C. Fletcher, MD
Meth use is a daunting health problem - with huge societal costs - and this a fascinating, out-of-the-typical-box way to reduce its use.
www.nytimes.com/2025/07/16/h...
www.nytimes.com/2025/07/16/h...
Upended by Meth, Some Communities Are Paying Users to Quit
www.nytimes.com
July 18, 2025 at 12:21 AM
Meth use is a daunting health problem - with huge societal costs - and this a fascinating, out-of-the-typical-box way to reduce its use.
www.nytimes.com/2025/07/16/h...
www.nytimes.com/2025/07/16/h...
Reposted by James C. Fletcher, MD
Today, and every day, we recognize and honor the life's work of Congressman John Lewis — his pursuit of justice and equality through peaceful actions, and his fight for voting rights and civil liberties.
July 17, 2025 at 11:11 PM
Today, and every day, we recognize and honor the life's work of Congressman John Lewis — his pursuit of justice and equality through peaceful actions, and his fight for voting rights and civil liberties.
Reposted by James C. Fletcher, MD
Annnnddddd
❌Thousands of Louisianans will lose healthcare.
❌33 LA hospitals are at risk of closing
❌Thousands of children won’t get food
Seems like a real winner.
❌Thousands of Louisianans will lose healthcare.
❌33 LA hospitals are at risk of closing
❌Thousands of children won’t get food
Seems like a real winner.
July 9, 2025 at 3:34 PM
Annnnddddd
❌Thousands of Louisianans will lose healthcare.
❌33 LA hospitals are at risk of closing
❌Thousands of children won’t get food
Seems like a real winner.
❌Thousands of Louisianans will lose healthcare.
❌33 LA hospitals are at risk of closing
❌Thousands of children won’t get food
Seems like a real winner.
Connections
Puzzle #760
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Puzzle #760
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July 10, 2025 at 2:07 PM
Connections
Puzzle #760
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Puzzle #760
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Reposted by James C. Fletcher, MD
Reposted by James C. Fletcher, MD
The diocese is the first in the U.S. to issue a special dispensation because of fears over immigration detentions.
Diocese of San Bernardino issues dispensation saying Catholics who fear ICE don't have to attend Mass
The diocese is the first in the U.S. to issue a special dispensation because of fears over immigration detentions.
n.pr
July 9, 2025 at 9:02 PM
The diocese is the first in the U.S. to issue a special dispensation because of fears over immigration detentions.
Reposted by James C. Fletcher, MD
Trump and members of his administration tout the positive economic reports as signs that tariffs are working. However, the chorus of concern is growing: Prices are moving higher, and economists say this is just the beginning. cnn.it/44GflfG
July 10, 2025 at 10:02 AM
Trump and members of his administration tout the positive economic reports as signs that tariffs are working. However, the chorus of concern is growing: Prices are moving higher, and economists say this is just the beginning. cnn.it/44GflfG
Wordle 1,482 5/6
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July 10, 2025 at 10:17 AM
Wordle 1,482 5/6
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Reposted by James C. Fletcher, MD
Breaking: per FEMA sources Kristi Noem was responsible for THREE DAY DELAY in deploying search-and-rescue in Texas
Fire her. Blood on her hands.
Fire her. Blood on her hands.
July 10, 2025 at 12:19 AM
Breaking: per FEMA sources Kristi Noem was responsible for THREE DAY DELAY in deploying search-and-rescue in Texas
Fire her. Blood on her hands.
Fire her. Blood on her hands.
I solved the Wednesday 7/09/2025 New York Times Daily Crossword in 19:41!
July 9, 2025 at 10:25 PM
I solved the Wednesday 7/09/2025 New York Times Daily Crossword in 19:41!