Kyle Edmonds, MD
@kpedmonds.com
Partner to @LaseAjayi.com, dad
Academic Palliative MD
San Diegan
Follow me at https://rounds-and-rants.ghost.io/
Academic Palliative MD
San Diegan
Follow me at https://rounds-and-rants.ghost.io/
Reposted by Kyle Edmonds, MD
Thank you for this thoughtful discussion! I have worked with physicians who had a "savior complex." They were the only ones who knew how to care for the patient. Unsolicited recs that help patient care were often viewed as an annoyance or an affront to their skill.
February 11, 2026 at 2:19 PM
Thank you for this thoughtful discussion! I have worked with physicians who had a "savior complex." They were the only ones who knew how to care for the patient. Unsolicited recs that help patient care were often viewed as an annoyance or an affront to their skill.
@thehill.com reports, “Warren, Hawley introducing legislation to break up ‘Big Medicine.’”
Something all of the US can get behind: dismantling PBMs.
Something all of the US can get behind: dismantling PBMs.
thehill.com
February 11, 2026 at 3:18 AM
@thehill.com reports, “Warren, Hawley introducing legislation to break up ‘Big Medicine.’”
Something all of the US can get behind: dismantling PBMs.
Something all of the US can get behind: dismantling PBMs.
If you think the physician on a Palliative Care team is the boss, you’re missing the story.
The real work happens when physicians stop performing heroics and start making space.
Teams—not saviors—change how patients and families experience our work. (1/3)
The real work happens when physicians stop performing heroics and start making space.
Teams—not saviors—change how patients and families experience our work. (1/3)
February 10, 2026 at 8:24 PM
If you think the physician on a Palliative Care team is the boss, you’re missing the story.
The real work happens when physicians stop performing heroics and start making space.
Teams—not saviors—change how patients and families experience our work. (1/3)
The real work happens when physicians stop performing heroics and start making space.
Teams—not saviors—change how patients and families experience our work. (1/3)
Reposted by Kyle Edmonds, MD
The Utah Historical Society just produced a new, excellent map of "The Peoples of North America in 1776." Great resource for anyone teaching, writing, presenting about Native peoples as part of their 250th work. america250.utah.gov/power-of-pla...
February 3, 2026 at 1:49 PM
The Utah Historical Society just produced a new, excellent map of "The Peoples of North America in 1776." Great resource for anyone teaching, writing, presenting about Native peoples as part of their 250th work. america250.utah.gov/power-of-pla...
Reposted by Kyle Edmonds, MD
The US immigrant population generated more in taxes than they received in benefits from all levels of government every year from 1994 to 2023.
The Cato study provides the first-ever 30-year analysis of the fiscal effects of immigration on government budgets.
https://ow.ly/jy8a50Y8kM3
The Cato study provides the first-ever 30-year analysis of the fiscal effects of immigration on government budgets.
https://ow.ly/jy8a50Y8kM3
February 3, 2026 at 5:27 PM
The US immigrant population generated more in taxes than they received in benefits from all levels of government every year from 1994 to 2023.
The Cato study provides the first-ever 30-year analysis of the fiscal effects of immigration on government budgets.
https://ow.ly/jy8a50Y8kM3
The Cato study provides the first-ever 30-year analysis of the fiscal effects of immigration on government budgets.
https://ow.ly/jy8a50Y8kM3
#Hospice is failing because we built a structure that can’t support reality.
If we want it to survive, we need to rebuild the benefit around comfort, continuity, and caregiver capacity—not paperwork and wishful thinking.
rounds-and-rants.ghost.io/hospice-is-b...
#HAPC #Palliative #HealthPolicy
If we want it to survive, we need to rebuild the benefit around comfort, continuity, and caregiver capacity—not paperwork and wishful thinking.
rounds-and-rants.ghost.io/hospice-is-b...
#HAPC #Palliative #HealthPolicy
Hospice Is Buckling Under Structural Choices We Made
Hospice isn’t failing because clinicians forgot how to care. It’s failing because we built a structure that funds poorly, measures the wrong things, and aims enforcement in ways that often miss the ma...
rounds-and-rants.ghost.io
February 3, 2026 at 5:54 PM
#Hospice is failing because we built a structure that can’t support reality.
If we want it to survive, we need to rebuild the benefit around comfort, continuity, and caregiver capacity—not paperwork and wishful thinking.
rounds-and-rants.ghost.io/hospice-is-b...
#HAPC #Palliative #HealthPolicy
If we want it to survive, we need to rebuild the benefit around comfort, continuity, and caregiver capacity—not paperwork and wishful thinking.
rounds-and-rants.ghost.io/hospice-is-b...
#HAPC #Palliative #HealthPolicy
Reposted by Kyle Edmonds, MD
"I am my own original sin. One someone is always willing to forgive. Until enough of you demand that I be better."
I’m Still Your America
Hey, patriot. It’s been a week. As ICE spreads terror through the streets, and Teacup Eichmann presided over the murder of yet another innocent civ...
buff.ly
January 30, 2026 at 7:27 PM
"I am my own original sin. One someone is always willing to forgive. Until enough of you demand that I be better."
Reposted by Kyle Edmonds, MD
Academics vying for a spot in Epstein‘s world. There are so many. I feel the need to make a thread, so I don’t keep confusing them. 1/
January 31, 2026 at 9:02 PM
Academics vying for a spot in Epstein‘s world. There are so many. I feel the need to make a thread, so I don’t keep confusing them. 1/
Reposted by Kyle Edmonds, MD
ICE, CBP, and other law enforcement agencies are buying our personal information from data brokers instead of getting a warrant.
Tell Congress: The government cannot be allowed to buy its way around the Fourth Amendment.
Tell Congress: The government cannot be allowed to buy its way around the Fourth Amendment.
Stop the Government's Massive Privacy Invasion
Government agencies are buying their way around our constitutional right to privacy by purchasing sensitive data instead of getting a warrant. Congress can put a stop to it.
action.aclu.org
January 29, 2026 at 3:13 PM
ICE, CBP, and other law enforcement agencies are buying our personal information from data brokers instead of getting a warrant.
Tell Congress: The government cannot be allowed to buy its way around the Fourth Amendment.
Tell Congress: The government cannot be allowed to buy its way around the Fourth Amendment.
@geripal.bsky.social broke the news: #PalliativeCare 3.0 isn’t theoretical. It’s here.
And the field is practicing like the old rules still apply. 🤠
#Palliative #HAPC
And the field is practicing like the old rules still apply. 🤠
#Palliative #HAPC
January 27, 2026 at 5:21 PM
@geripal.bsky.social broke the news: #PalliativeCare 3.0 isn’t theoretical. It’s here.
And the field is practicing like the old rules still apply. 🤠
#Palliative #HAPC
And the field is practicing like the old rules still apply. 🤠
#Palliative #HAPC
Reposted by Kyle Edmonds, MD
The Minnesota killings laid bare that Trump’s project is regime change. The goal was described by MAGA thinkers, the pattern set on Day One. The nation let his early moves—the Jan. 6 pardons, the TikTok power grab—slip by. Denial & complacency must end. Now
My column
www.nytimes.com/2026/01/25/o...
My column
www.nytimes.com/2026/01/25/o...
Opinion | Trump Is Engineering Regime Change, Right Here at Home
www.nytimes.com
January 25, 2026 at 1:58 PM
The Minnesota killings laid bare that Trump’s project is regime change. The goal was described by MAGA thinkers, the pattern set on Day One. The nation let his early moves—the Jan. 6 pardons, the TikTok power grab—slip by. Denial & complacency must end. Now
My column
www.nytimes.com/2026/01/25/o...
My column
www.nytimes.com/2026/01/25/o...
Reposted by Kyle Edmonds, MD
This, from @clintsmithiii.bsky.social, has been on my mind today.
![The text of a poem by Clint Smith beginning “When people say ‘we have made it through worse before’[…]”](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:xgs6hum77cpmekyz43ghkyvh/bafkreiatxnrxizkxy7dyhsxfkrd67xsauizdugba7b6zqqitfhv5iwqonq@jpeg)
January 23, 2025 at 4:06 AM
This, from @clintsmithiii.bsky.social, has been on my mind today.
Reposted by Kyle Edmonds, MD
1/ A longtime Wired editor just wrote a mush-brained essay about how he totally missed the political rot of Silicon Valley (& still doesn't get it).
But in the late 1990s, a Wired journalist warned of a toxic ideology bubbling up from tech. Paulina Borsook has largely been erased. Let's change that
But in the late 1990s, a Wired journalist warned of a toxic ideology bubbling up from tech. Paulina Borsook has largely been erased. Let's change that
September 24, 2025 at 6:36 PM
1/ A longtime Wired editor just wrote a mush-brained essay about how he totally missed the political rot of Silicon Valley (& still doesn't get it).
But in the late 1990s, a Wired journalist warned of a toxic ideology bubbling up from tech. Paulina Borsook has largely been erased. Let's change that
But in the late 1990s, a Wired journalist warned of a toxic ideology bubbling up from tech. Paulina Borsook has largely been erased. Let's change that
This is pure cowardice from the region’s only provider of children’s health care.
“Rady Children’s in San Diego drops gender-affirming procedures, prescriptions”
Please join me in supporting TransFamily Support: secure.givelively.org/donate/trans...
www.sandiegouniontribune.com/2026/01/20/r...
“Rady Children’s in San Diego drops gender-affirming procedures, prescriptions”
Please join me in supporting TransFamily Support: secure.givelively.org/donate/trans...
www.sandiegouniontribune.com/2026/01/20/r...
Rady Children’s in San Diego drops gender-affirming procedures, prescriptions
The hospital, which says it acted after a federal threat to pull reimbursement, will continue offering counseling, mental health resources and care coordination.
www.sandiegouniontribune.com
January 21, 2026 at 3:02 AM
This is pure cowardice from the region’s only provider of children’s health care.
“Rady Children’s in San Diego drops gender-affirming procedures, prescriptions”
Please join me in supporting TransFamily Support: secure.givelively.org/donate/trans...
www.sandiegouniontribune.com/2026/01/20/r...
“Rady Children’s in San Diego drops gender-affirming procedures, prescriptions”
Please join me in supporting TransFamily Support: secure.givelively.org/donate/trans...
www.sandiegouniontribune.com/2026/01/20/r...
New Rounds & Rants is up.
I’m writing about #hospice, caregiver burden, and the quiet ways our systems treat unpaid family labor as a bottomless resource.
rounds-and-rants.ghost.io/hospice-care...
#HAPC #PalliativeCare #MedEd
I’m writing about #hospice, caregiver burden, and the quiet ways our systems treat unpaid family labor as a bottomless resource.
rounds-and-rants.ghost.io/hospice-care...
#HAPC #PalliativeCare #MedEd
Hospice Caregiver Burden and the Systematic Delegitimization of Care
💡Start with Rachel Cohen Booth's excellent article in Vox, What happens when a city takes women’s unpaid work seriously? It catalyzed my thoughts below.
Hospice prides itself on dignity at the end of...
rounds-and-rants.ghost.io
January 20, 2026 at 9:47 PM
New Rounds & Rants is up.
I’m writing about #hospice, caregiver burden, and the quiet ways our systems treat unpaid family labor as a bottomless resource.
rounds-and-rants.ghost.io/hospice-care...
#HAPC #PalliativeCare #MedEd
I’m writing about #hospice, caregiver burden, and the quiet ways our systems treat unpaid family labor as a bottomless resource.
rounds-and-rants.ghost.io/hospice-care...
#HAPC #PalliativeCare #MedEd
Reposted by Kyle Edmonds, MD
More than 200,000 Danish citizens have signed a petition to buy California as a response to Trump’s attempt to take Greenland.
They say they will provide Californians with “rule of law, universal health care, fact-based politics, and a lifetime supply of Danish pastries.”
They say they will provide Californians with “rule of law, universal health care, fact-based politics, and a lifetime supply of Danish pastries.”
January 17, 2026 at 5:36 PM
More than 200,000 Danish citizens have signed a petition to buy California as a response to Trump’s attempt to take Greenland.
They say they will provide Californians with “rule of law, universal health care, fact-based politics, and a lifetime supply of Danish pastries.”
They say they will provide Californians with “rule of law, universal health care, fact-based politics, and a lifetime supply of Danish pastries.”
It never fails to surprise me how many of these unAmerican dweebs don’t understand the lessons of science fiction.
Let’s just leave it as: my Trekkie mama and Star Trek taught me all about how to be “woke” and how to spot a weak, pathetic, fascist, hateful badmiral.
Let’s just leave it as: my Trekkie mama and Star Trek taught me all about how to be “woke” and how to spot a weak, pathetic, fascist, hateful badmiral.
Stephen Miller boldly goes where no racist has gone before
Stephen Miller, President Donald Trump’s deputy chief of staff and the architect of some of his most racist initiatives, is very mad that “Star Trek”—one of television’s first bastions of ...
www.dailykos.com
January 17, 2026 at 2:34 AM
It never fails to surprise me how many of these unAmerican dweebs don’t understand the lessons of science fiction.
Let’s just leave it as: my Trekkie mama and Star Trek taught me all about how to be “woke” and how to spot a weak, pathetic, fascist, hateful badmiral.
Let’s just leave it as: my Trekkie mama and Star Trek taught me all about how to be “woke” and how to spot a weak, pathetic, fascist, hateful badmiral.
🚨 Hot take: #Palliative spent a decade ignoring the real problem—how to pay for teams that meet NCP standards.
If we don’t fix financing, we’re just rearranging deck chairs.
rounds-and-rants.ghost.io/did-palliati...
#HAPC #PalliativeCare
If we don’t fix financing, we’re just rearranging deck chairs.
rounds-and-rants.ghost.io/did-palliati...
#HAPC #PalliativeCare
Did Palliative Care Spend a Decade on the Wrong Problem?
I think this might be true, but I invite your commentary and reactions: The move toward “everyone with serious illness needs specialist palliative care” consumed a decade of oxygen and money while the...
rounds-and-rants.ghost.io
January 13, 2026 at 5:04 PM
🚨 Hot take: #Palliative spent a decade ignoring the real problem—how to pay for teams that meet NCP standards.
If we don’t fix financing, we’re just rearranging deck chairs.
rounds-and-rants.ghost.io/did-palliati...
#HAPC #PalliativeCare
If we don’t fix financing, we’re just rearranging deck chairs.
rounds-and-rants.ghost.io/did-palliati...
#HAPC #PalliativeCare
Reposted by Kyle Edmonds, MD
Blue Cross had refused to pay thousands of claims for the center’s patients, but on several occasions executives at the insurance company had signed special one-time deals with the center to pay for their wives’ cancer treatment.
(Published April 2025)
(Published April 2025)
“Slow Pay, Low Pay or No Pay”: Trial Reveals How Insurers Try to Wield Power Over Doctors
Blue Cross authorized mastectomies and breast reconstructions for women with cancer but refused to pay the full doctors’ bills. A jury called it fraud and awarded the practice $421 million.
www.propublica.org
January 11, 2026 at 2:00 AM
Blue Cross had refused to pay thousands of claims for the center’s patients, but on several occasions executives at the insurance company had signed special one-time deals with the center to pay for their wives’ cancer treatment.
(Published April 2025)
(Published April 2025)
Reposted by Kyle Edmonds, MD
"Defunded by Congress and fearing the Trump administration might pervert the organization to further undermine free media, the board members agreed it was better to salt the earth than leave behind a place for Trump to plant his poisonous, choking weeds." — @lizdye.bsky.social
Corporation for Public Broadcasting's patriotic goodbye
Better nothing than a MAGA mouthpiece.
www.publicnotice.co
January 7, 2026 at 3:32 PM
"Defunded by Congress and fearing the Trump administration might pervert the organization to further undermine free media, the board members agreed it was better to salt the earth than leave behind a place for Trump to plant his poisonous, choking weeds." — @lizdye.bsky.social
Reposted by Kyle Edmonds, MD
I don't think you non-science people realize what it takes to get a grant funded by NIH. Started experiments in Sept 2021 to generate 3 new mouse mutants to model human disease. Prelim dara shows they have relevant disease phenotypes worthy of study. Need a small grant first to characterize /1
January 2, 2026 at 3:19 AM
I don't think you non-science people realize what it takes to get a grant funded by NIH. Started experiments in Sept 2021 to generate 3 new mouse mutants to model human disease. Prelim dara shows they have relevant disease phenotypes worthy of study. Need a small grant first to characterize /1
Reposted by Kyle Edmonds, MD
Open up this picture fully.
Then look at the surface of Mars.
Then look up to the top right.
Spot Mars' moon Phobos high in the sky.
Then notice the bright spot beside Phobos.
That's Earth.
Then look at the surface of Mars.
Then look up to the top right.
Spot Mars' moon Phobos high in the sky.
Then notice the bright spot beside Phobos.
That's Earth.
December 30, 2025 at 9:30 PM
Open up this picture fully.
Then look at the surface of Mars.
Then look up to the top right.
Spot Mars' moon Phobos high in the sky.
Then notice the bright spot beside Phobos.
That's Earth.
Then look at the surface of Mars.
Then look up to the top right.
Spot Mars' moon Phobos high in the sky.
Then notice the bright spot beside Phobos.
That's Earth.
Medical training often focuses on checklists, but what about creativity and compassion?
If we want care that truly heals, we need to teach clinicians how to connect and imagine—not just diagnose.
Curious what you think.
rounds-and-rants.ghost.io/death-creati...
#HAPC #MedEd #palliative
If we want care that truly heals, we need to teach clinicians how to connect and imagine—not just diagnose.
Curious what you think.
rounds-and-rants.ghost.io/death-creati...
#HAPC #MedEd #palliative
Death, Creativity, and Compassion: What Are We Really Training For?
In specialist palliative care, we talk about “compassion training” as if it’s a discrete skill you can add to a checklist. Joan Halifax’s enactive model challenges that notion: compassion isn’t a modu...
rounds-and-rants.ghost.io
December 30, 2025 at 10:07 PM
Medical training often focuses on checklists, but what about creativity and compassion?
If we want care that truly heals, we need to teach clinicians how to connect and imagine—not just diagnose.
Curious what you think.
rounds-and-rants.ghost.io/death-creati...
#HAPC #MedEd #palliative
If we want care that truly heals, we need to teach clinicians how to connect and imagine—not just diagnose.
Curious what you think.
rounds-and-rants.ghost.io/death-creati...
#HAPC #MedEd #palliative
Reposted by Kyle Edmonds, MD
When I am offering cancer/peer support or therapy for people with cancer - the thing I spend the MOST time doing is trying to get clients and their treatment teams to INCLUDE PALLIATIVE SUPPORT for ANY cancer that causes significant distress or discomfort
December 18, 2025 at 10:17 PM
When I am offering cancer/peer support or therapy for people with cancer - the thing I spend the MOST time doing is trying to get clients and their treatment teams to INCLUDE PALLIATIVE SUPPORT for ANY cancer that causes significant distress or discomfort
Rounds & Rants Latest: AI in #palliative
*The real value? It supports clinical judgment
*Big red flags: bias, equity, ethics, sustainability
We need clear workflows, outcomes measures, & human-centered rollout.
rounds-and-rants.ghost.io/year-end-ref...
#HAPC
*The real value? It supports clinical judgment
*Big red flags: bias, equity, ethics, sustainability
We need clear workflows, outcomes measures, & human-centered rollout.
rounds-and-rants.ghost.io/year-end-ref...
#HAPC
Augmented Intelligence in Palliative Care—Redesigning Care Delivery
Dr. Whyte's right—and in palliative care, the stakes are even higher.
rounds-and-rants.ghost.io
December 23, 2025 at 5:16 PM
Rounds & Rants Latest: AI in #palliative
*The real value? It supports clinical judgment
*Big red flags: bias, equity, ethics, sustainability
We need clear workflows, outcomes measures, & human-centered rollout.
rounds-and-rants.ghost.io/year-end-ref...
#HAPC
*The real value? It supports clinical judgment
*Big red flags: bias, equity, ethics, sustainability
We need clear workflows, outcomes measures, & human-centered rollout.
rounds-and-rants.ghost.io/year-end-ref...
#HAPC