Joanne Spetz
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joannespetz.bsky.social
Joanne Spetz
@joannespetz.bsky.social
2K followers 1.1K following 230 posts

Health economist focusing on the healthcare workforce, institute director, live music fan, mother, cat lover, knitter, hiker, skier. All opinions and snark my own.

Videos
Public Health 50%
Medicine 30%
Posts Replies Media Videos

Reposted by Michael Wagner, Joanne Spetz, Ruairidh Milne

erictopol.bsky.social
Eric Topol @erictopol.bsky.social · 10d
Bottom line of systematic assessment of studies on Covid vaccinations/boosters:
~50% reduction of hospitalization, across all adults (not just older) who are not immunocompromised
Real data on vaccine-induced myocarditis: occurred in 1-3 per 100,000 male adolescents
www.nejm.org/doi/full/10....

Reposted by Jennifer Bussell, Will Jennings, A. E. Dessler , and 8 more

johnholbein1.bsky.social
John Holbein @johnholbein1.bsky.social · 10d

Reposted by Joanne Spetz

ctcre-ucsf.bsky.social
UCSF Center for Tobacco Control Research and Education @ctcre-ucsf.bsky.social · 11d
CTCRE & @ucsfcancer.bsky.social hosted the annual Tobacco & Cancer Control Scientific Trainee Retreat in Sept! We were fortunate to be joined by Dr. Elizabeth Blackburn, 2009 Nobel Laureate in medicine, who delivered the keynote conversation and thoughtfully answered questions from our fellows.

Reposted by Scott L. Greer, Joanne Spetz, Sanford F. Schram , and 1 more

donmoyn.bsky.social
Don Moynihan @donmoyn.bsky.social · 11d
To recap: Trump is spending money Congress never appropriated to pay federal employees with guns, and cutting programs and grants even when Congress has appropriated funds.
They literally have a contingency fund for SNAP that they are refusing to use.
No Speaker has done more to weaken Congress.
In a new set of court filings, submitted late Wednesday, administration officials acknowledged that they had billions of dollars left over across multiple federal accounts. The amounts appeared to total more than would be needed to cover the full costs of the Supplemental Nutrition Assistance Program, or SNAP, for the next month.

joannespetz.bsky.social
Joanne Spetz @joannespetz.bsky.social · 14d
You can download the datafiles at awardnetwork.ucsf.edu

Reposted by Stacie B. Dusetzina

joannespetz.bsky.social
Joanne Spetz @joannespetz.bsky.social · 14d
Want to do research on home care, assisted living, and nursing home workers, but are having trouble finding info about the policies that affect them?

Look no further! The AWARD Network Data Compendium has data for you!

Learn more in our new JAMDA article.
www.sciencedirect.com/science/arti...
Enterprise Cybersecurity Solutions, Services & Training | Proofpoint US
Proofpoint helps protect people, data and brands against cyber attacks. Offering compliance and cybersecurity solutions for email, web, cloud, and more.
urldefense.com

Reposted by Anna O. Law, Joanne Spetz, Nathan P. Kalmoe

jakemgrumbach.bsky.social
Jake Grumbach @jakemgrumbach.bsky.social · 24d
The research is clear that peaceful protest movements are extremely effective. Movements that involve property damage are less effective but usually still effective in general.
a cartoon of a man saying now you know and knowing is half the battle .
Alt: a cartoon of a man saying now you know and knowing is half the battle .
media.tenor.com

Reposted by Joanne Spetz, Aaron Sojourner, Sabrina Wulff Pabilonia

ashecon.bsky.social
ASHEcon @ashecon.bsky.social · 24d
Med cannabis law adoption induces sustained reductions in pain-medication use, esp opioids, among commercially insured patients. On avg, patients prescribed opioids drop by over 100 per 10,000 enrollees qrtrly within 4 yrs after policy adoption.(1/3)

Reposted by Joanne Spetz

ucsf-ihps.bsky.social
ucsf-ihps.bsky.social @ucsf-ihps.bsky.social · 25d
Link: www.dovepress.com/patient-pers...
Patient Perspectives and Concerns Regarding Cataract Surgery and Catar | OPTH
Patients are open to changes in the sedation management strategy in the presence of appropriate perioperative education and communication. Read more.
www.dovepress.com

Reposted by Joanne Spetz

ucsf-ihps.bsky.social
ucsf-ihps.bsky.social @ucsf-ihps.bsky.social · 25d
New in Clinical Ophthalmology:

Patient Perspectives and Concerns Regarding Cataract Surgery and Cataract Surgery Sedation: A Qualitative Study - Molina et al.

Spotlighting IHPS Faculty: Dr. Catherine L. Chen

joannespetz.bsky.social
Joanne Spetz @joannespetz.bsky.social · Oct 10
ICYMI - San Francisco's most common job is also the lowest paid - home/personal care aides. This is true for much of the country. Policies are desperately needed to improve pay for these jobs while supporting the growing population that needs their help.
www.sfchronicle.com/bayarea/arti...
The most common job in S.F. is also the worst paid
New data shows the highest and lowest income jobs in the San Francisco metro area. The most common job is the worst paid.
www.sfchronicle.com

joannespetz.bsky.social
Joanne Spetz @joannespetz.bsky.social · Oct 10
Glad to see my alma mater issuing a clear statement about the Trump administration's attempt to control universities. (My current employer wasn't asked, but we know what they would say - a firm no!)
chanda.blacksky.app Chanda Prescod-Weinstein 🌌 @chanda.blacksky.app · Oct 10
MIT President Sally Kornbluth just issued a statement to the campus community saying NO to Trump’s authoritarian compact

“And fundamentally, the premise of the document is inconsistent with our core belief that scientific funding should be based on scientific merit alone.”
Dear Madam Secretary, I write in response to your letter of October 1, inviting MIT to review a "Compact for Academic Excellence in Higher Education." I acknowledge the vital importance of these matters. I appreciated the chance to meet with you earlier this year to discuss the priorities we share for American higher education. As we discussed, the Institute's mission of service to the nation directs us to advance knowledge, educate students and bring knowledge to bear on the world's great challenges. We do that in line with a clear set of values, with excellence above all. Some practical examples: • MIT prides itself on rewarding merit. Students, faculty and staff succeed here based on the strength of their talent, ideas and hard work. For instance, the Institute was the first to reinstate the SAT/ACT requirement after the pandemic. And MIT has never had legacy preferences in admissions. • MIT opens its doors to the most talented students regardless of their family's finances. Admissions are need-blind. Incoming undergraduates whose families earn less than $200,000 a year pay no tuition. Nearly 88% of our last graduating class left MIT with no debt for their education. We make a wealth of free courses and low-cost certificates available to any American with an internet connection. Of the undergraduate degrees we award, 94% are in STEM fields. And in service to the nation, we cap enrollment of international undergraduates at roughly 10%. • We value free expression, as clearly described in the MIT Statement on Freedom of Expression and Academic Freedom. We must hear facts and opinions we don't like - and engage respectfully with those with whom we disagree. These values and other MIT practices meet or exceed many standards outlined in the document you sent. We freely choose these values because they're right, and we live by them because they support our mission - work of immense value to the prosperity, competitiveness, health and security of the United States. And of course, MIT abides by the law. The document also includes principles with which we disagree, including those that would restrict freedom of expression and our independence as an institution. And fundamentally, the premise of the document is inconsistent with our core belief that scientific funding should be based on scientific merit alone. In our view, America's leadership in science and innovation depends on independent thinking and open competition for excellence. In that tree marketplace of ideas, the people of MIT gladly compete with the very best, without preferences. Therefore, with respect, we cannot support the proposed approach to addressing the issues facing higher education. As you know, MIT's record of service to the nation is long and enduring. Eight decades ago, MIT leaders helped invent a scientific partnership between America's research universities and the U.S. government that has delivered extraordinary benefits for the American people. We continue to believe in the power of this partnership to serve the nation. Sincerely, Sally Kornbluth CC Ms. May Mailman Mr. Vincent Haley

Reposted by Joanne Spetz, Erol Akçay, Manisha Sinha

chanda.blacksky.app
Chanda Prescod-Weinstein 🌌 @chanda.blacksky.app · Oct 10
MIT President Sally Kornbluth just issued a statement to the campus community saying NO to Trump’s authoritarian compact

“And fundamentally, the premise of the document is inconsistent with our core belief that scientific funding should be based on scientific merit alone.”
Dear Madam Secretary, I write in response to your letter of October 1, inviting MIT to review a "Compact for Academic Excellence in Higher Education." I acknowledge the vital importance of these matters. I appreciated the chance to meet with you earlier this year to discuss the priorities we share for American higher education. As we discussed, the Institute's mission of service to the nation directs us to advance knowledge, educate students and bring knowledge to bear on the world's great challenges. We do that in line with a clear set of values, with excellence above all. Some practical examples: • MIT prides itself on rewarding merit. Students, faculty and staff succeed here based on the strength of their talent, ideas and hard work. For instance, the Institute was the first to reinstate the SAT/ACT requirement after the pandemic. And MIT has never had legacy preferences in admissions. • MIT opens its doors to the most talented students regardless of their family's finances. Admissions are need-blind. Incoming undergraduates whose families earn less than $200,000 a year pay no tuition. Nearly 88% of our last graduating class left MIT with no debt for their education. We make a wealth of free courses and low-cost certificates available to any American with an internet connection. Of the undergraduate degrees we award, 94% are in STEM fields. And in service to the nation, we cap enrollment of international undergraduates at roughly 10%. • We value free expression, as clearly described in the MIT Statement on Freedom of Expression and Academic Freedom. We must hear facts and opinions we don't like - and engage respectfully with those with whom we disagree. These values and other MIT practices meet or exceed many standards outlined in the document you sent. We freely choose these values because they're right, and we live by them because they support our mission - work of immense value to the prosperity, competitiveness, health and security of the United States. And of course, MIT abides by the law. The document also includes principles with which we disagree, including those that would restrict freedom of expression and our independence as an institution. And fundamentally, the premise of the document is inconsistent with our core belief that scientific funding should be based on scientific merit alone. In our view, America's leadership in science and innovation depends on independent thinking and open competition for excellence. In that tree marketplace of ideas, the people of MIT gladly compete with the very best, without preferences. Therefore, with respect, we cannot support the proposed approach to addressing the issues facing higher education. As you know, MIT's record of service to the nation is long and enduring. Eight decades ago, MIT leaders helped invent a scientific partnership between America's research universities and the U.S. government that has delivered extraordinary benefits for the American people. We continue to believe in the power of this partnership to serve the nation. Sincerely, Sally Kornbluth CC Ms. May Mailman Mr. Vincent Haley

Reposted by Aaron Sojourner

joannespetz.bsky.social
Joanne Spetz @joannespetz.bsky.social · Oct 7
Are you an alum from one of the 9 schools the federal government just attacked? Sign this alumni petition now to support your school, defend democracy, and build a grassroots movement for campus freedom across America. alumni.standforcampusfreedom.org/petitions/tr...
STAND WITH YOUR SCHOOL: Trump attacks 9 universities. Sign the alumni petition now.
Are you an alum from one of the 9 schools the federal government just attacked? Sign this alumni petition now to support your school, defend democracy, and build a grassroots movement for campus freed...
alumni.standforcampusfreedom.org

joannespetz.bsky.social
Joanne Spetz @joannespetz.bsky.social · Oct 6
One of my kids is quite fearful for the big insurance premium increase they'll have to absorb - they work for a small nonprofit and health insurance costs have been a killer as it is.
kff.org KFF @kff.org · Oct 6
⚡ A new analysis by KFF’s Jared Ortaliza finds that more than half of ACA Marketplace enrollees live in Republican congressional districts, concentrated in the South. #QuickTake https://on.kff.org/48bH774
KFF map titled “At Least 10% of the Population in All Congressional Districts in Florida, Georgia, Mississippi, and South Carolina Are Enrolled in the ACA Marketplaces.” The map shows the share of population that is enrolled in the Affordable Care Act Marketplaces in 2025 by congressional district, 119th Congress.

Reposted by Daniel W. Drezner

joannespetz.bsky.social
Joanne Spetz @joannespetz.bsky.social · Oct 6
This reads exactly as my grad school study-buddy @dandrezner.bsky.social always spoke! Thanks for calling it like your well-informed self sees it.

Reposted by Joanne Spetz

gregggonsalves.bsky.social
Gregg Gonsalves @gregggonsalves.bsky.social · Oct 6
Another week, the GOP's shutdown continues. No surrender. Stand firm on protecting public health, healthcare and research. Write to your Senators now. actionnetwork.org/letters/tell...
Tell Democrats to Stand Up for Public Health in the Budget
With negotiations on a short-term continuing resolution (CR) to keep the government open past September 30th at a standstill, Defend Public Health believes that House and Senate Democrats MUST play ha...
actionnetwork.org

Reposted by Joanne Spetz, Daniel W. Drezner

fletcherschool.bsky.social
The Fletcher School @fletcherschool.bsky.social · Oct 6
Academic Dean @dandrezner.bsky.social quoted in a piece on how Marco Rubio went from Trump's opponent to a trusted advisor. @miamiherald.com

www.miamiherald.com/news/politic...
How Rubio went from Trump’s political opponent to the White House inner circle
A Tufts University political science professor who has studied Rubio’s career describes the secretary as “ideologically flexible.”
www.miamiherald.com

Reposted by Joanne Spetz

kff.org
KFF @kff.org · Oct 6
⚡ A new analysis by KFF’s Jared Ortaliza finds that more than half of ACA Marketplace enrollees live in Republican congressional districts, concentrated in the South. #QuickTake https://on.kff.org/48bH774
KFF map titled “At Least 10% of the Population in All Congressional Districts in Florida, Georgia, Mississippi, and South Carolina Are Enrolled in the ACA Marketplaces.” The map shows the share of population that is enrolled in the Affordable Care Act Marketplaces in 2025 by congressional district, 119th Congress.

joannespetz.bsky.social
Joanne Spetz @joannespetz.bsky.social · Oct 4
Caturday hanging out while I bake.

Reposted by Joanne Spetz, David L. Anderson

alison-galbraith.bsky.social
Alison Galbraith, MD, MPH @alison-galbraith.bsky.social · Oct 4
We studied Marketplace enrollees before the enhanced tax credits were in place and around a third a people with incomes >400%FPL had financial burden and forgone care and more than 10% spent more than 20% of income on OOP cost and premiums

jamanetwork.com/journals/jam...
Affordability and Access Challenges Among US Subscribers to Nongroup Insurance Plans
This cohort study assesses cost-related experiences in non-group plans purchased on or off Marketplace and variation by Marketplace enrollment, decision support use, and other characteristics.
jamanetwork.com

joannespetz.bsky.social
Joanne Spetz @joannespetz.bsky.social · Sep 28
Finalizing my materials for my first lecture of the fall quarter - Snoop Dogg's advice is in the powerpoint!
www.youtube.com/watch?v=aOIv...
Snoop Dogg says read the syllabus!
YouTube video by kansaspolitics
www.youtube.com

Reposted by Joanne Spetz

uclawsf.bsky.social
UC Law San Francisco @uclawsf.bsky.social · Sep 28
The quality of the faculty has long been a distinction for UC Law San Francisco. Thanks to the excellence of current faculty, the College is able to offer courses and experiences in emerging areas of law, while continuing to be the No. 1 school for producing lawyers admitted to the California bar.

joannespetz.bsky.social
Joanne Spetz @joannespetz.bsky.social · Sep 26
Got my COVID-19 booster at 4pm yesterday.

Me at 6am: Wow, I don't feel too badly after this booster. Yay!

Me at 12pm: Can I cancel all my meetings for the rest of the day? I have all-over body aches.

Also me: This is way better than my last case of COVID and way way better than the shingles shot!

Reposted by Joanne Spetz

caltrain.com
Caltrain @caltrain.com · Sep 26
"This is a great milestone for a green future."

Thank you Supervisor Engardio (@joelengardio.bsky.social) for your support and celebrating one year of electric Caltrain!

Reposted by Joanne Spetz

lynnemargalit.bsky.social
Lynne Cotter @lynnemargalit.bsky.social · Sep 26
Wondering what the ACA expiring premium tax credits mean for household budgets? Drew lays it out: www.kff.org/from-drew-al...

Reposted by Joanne Spetz

bensilverstein.bsky.social
Ben Silverstein ❌👑 @bensilverstein.bsky.social · Sep 26
┏┓
┃┃╱╲ in
┃╱╱╲╲ this
╱╱╭╮╲╲house
▔▏┗┛▕▔ we
╱▔▔▔▔▔▔▔▔▔▔╲
call fascists fascist even
(especially) when they
threaten to behave
fascistically against people who
call them fascists.
╱╱┏┳┓╭╮┏┳┓ ╲╲
▔▏┗┻┛┃┃┗┻┛▕▔

Reposted by Joanne Spetz

ucsf-ihps.bsky.social
ucsf-ihps.bsky.social @ucsf-ihps.bsky.social · Sep 24
UCSF IHPS Director @joannespetz.bsky.social speaks to @newsweek.com about rising financial pressure on health care employers.

America’s Health Care Time Bomb

www.newsweek.com/america-heal...
America's health care time bomb
Staffing shortages in the health care sector are increasing in the U.S., and experts have warned of the impact this will have on patients.
www.newsweek.com

joannespetz.bsky.social
Joanne Spetz @joannespetz.bsky.social · Sep 22
I adore Caltrain. It makes commuting into SF so much easier!! Thank you @caltrain.com !!
caltrain.com Caltrain @caltrain.com · Sep 22
Caltrain is celebrating the first anniversary of its fully electrified service! This past year has brought record ridership, cleaner air for our communities, and faster, more frequent service for riders throughout the Peninsula. ✨🚆

Read more about the year: www.caltrain.com/news/caltrai...
Caltrain Celebrates First Anniversary of Electrified Service with Record Ridership, Cleaner Air and Faster Trains | Caltrain
Caltrain marked the first anniversary of its fully electrified service today, celebrating a transformative year that has delivered record ridership growth, cleaner air for communities, and faster, mor...
www.caltrain.com

Reposted by Joanne Spetz

doritreiss.bsky.social
Dorit Reiss @doritreiss.bsky.social · Sep 22
Reminder: personally attacking a journalist for criticizing the government is not normal agency conduct.

It's a pretty clear attempt to intimidate the journalist, and from those that complained about government censorship, like
Secretary Kennedy did, the hypocrisy is jarring.
HOW TO PEDDLE DISINFORMATION 1. Start with ad hominem attacks on the CDC committee working to restore public trust in vaccines. 2. Ignore the 14 hours of public deliberation where members explained their reasoning and scientific justification. 3. Then stack the deck—quote more than 20 professional critics and just four of the 12 committee members, as if balance and accuracy don’t matter. That’s not reporting. That’s disinformation. Not the first time either.