Michael Shepherd
mshepruralpolitics.bsky.social
Michael Shepherd
@mshepruralpolitics.bsky.social
Assistant Professor, Political Scientist, University of Michigan School of Public Health. Rural Politics and Health Disparities.

https://www.michaeleshepherd.com
Reposted by Michael Shepherd
It's always hard to pick a worst day politically, but today the president called for the death of members of the opposition party, and the administration decided that people were being too hard on the swastika
November 21, 2025 at 4:15 AM
Reposted by Michael Shepherd
Don't you ever wish your favorite journal articles could talk to you? (No, just me?!)

Well, I'm thrilled that @jhppl.bsky.social has launched a new author interview series. Take a listen to @neillewisjr.bsky.social in conversation with @mirandayaver.bsky.social and @mshepruralpolitics.bsky.social.
November 20, 2025 at 9:47 PM
Reposted by Michael Shepherd
Public Health has been under siege this year, which has been demoralizing. That said, I do think this is an important time to keep dreaming about (and mobilizing) to create a better future. In this conversation (and article behind it), I talked about lessons from the past that are useful now.
November 20, 2025 at 6:29 PM
Reposted by Michael Shepherd
JHPPL is on Soundcloud! Please enjoy our first author interview, in which @mshepruralpolitics.bsky.social and @mirandayaver.bsky.social interview @neillewisjr.bsky.social about his recent contribution to the Public Health Under Siege special issue.
soundcloud.com/user-1083235...
Interview with Neil Lewis,
Health policy professors Michael Shepherd (University of Michigan) and Miranda Yaver (University of Pittsburgh) interview Professor Neil Lewis (Cornell University) about his forthcoming article in the
soundcloud.com
November 20, 2025 at 5:07 PM
Reposted by Michael Shepherd
How are rural residents supposed to shop around for emergency care? What do they do when there's only one hospital for miles?
 
Especially when GOP Medicaid cuts are CLOSING those hospitals!
Cassidy: "If she goes and gets 2 types of shampoo & one is a dollar cheaper, she'll get the cheaper one & the other lowers their price. Once you give her the power of making the decision, she's gonna shop -- that begins to save her money and squeezes waste out of the healthcare system."
November 19, 2025 at 9:26 PM
Reposted by Michael Shepherd
We are accepting submissions for two special issues!

1. Political economy of health reform in low- and middle-income countries - submissions due 1/9 assets-us-01.kc-usercontent.com/f7ca9afb-82c...
2. The politics of private health insurance - due 2/1 assets-us-01.kc-usercontent.com/f7ca9afb-82c...
November 17, 2025 at 6:06 PM
Reposted by Michael Shepherd
My ACA current plan is going from $385/mo to $821/mo.
November 11, 2025 at 12:21 AM
Reposted by Michael Shepherd
The big Democratic wins of the 2025 elections will shift political dynamics and strategies in the coming year. For key takeaways, read our Q&A with UM political scientist Tyler Simko @simko.bsky.social, elections analyst for CBS.

cpsblog.isr.umich.edu?p=3516
Unexpected Margins: Analysis of the 2025 Elections
Expert Q&A with takeaways and predictions drawn from the 2025 elections with CBS elections analyst and University of Michigan political scientist Tyler Simko
cpsblog.isr.umich.edu
November 11, 2025 at 2:27 PM
Reposted by Michael Shepherd
My statement on the spending legislation and Republican healthcare crisis.
November 10, 2025 at 12:08 AM
Reposted by Michael Shepherd
Seems like a good time to do a special issue of @jhppl.bsky.social on the Politics of Private Health Insurance. Call for papers will be out soon, so stay tuned. There’s seem to be, uh, a few politically relevant topics to discuss. @mirandayaver.bsky.social @adrianna.bsky.social
Republicans waged a relentless, decades-long campaign to privatize Medicare and Medicaid

They fought even mild efforts to expand public insurance

Now they are objecting to extending extra ACA subsidies, supposedly because money flows to private insurers

We are supposed to take this seriously?
November 8, 2025 at 10:10 PM
Reposted by Michael Shepherd
Beshear: Let me be clear. The president has both the funding and the authority to fund snap during a shutdown. In fact, every other president in every other shutdown has done so. People going hungry in this instance is a choice that this president has made.
November 5, 2025 at 4:44 PM
Reposted by Michael Shepherd
Con: Today, I'm teaching on Medicaid for the first time since the enactment of the not-so-beautiful bill. The words "oy" & "vey" come to mind.

Pro: I get to teach (among other things) the op-ed I wrote w/ @mshepruralpolitics.bsky.social on the law's effect on GOP voters. thehill.com/opinion/heal...
thehill.com
November 5, 2025 at 3:07 PM
Reposted by Michael Shepherd
NEW: “As of Sept. 30, the department no longer presumes service connection for male breast cancer,” a Veterans Affairs rep confirmed to @propublica.org, meaning newly diagnosed veterans will have to show that their cancer is linked to their military service.

By @ericumansky.bsky.social
Citing Trump Order on “Biological Truth,” VA Makes It Harder for Male Veterans With Breast Cancer to Get Coverage
A Department of Veterans Affairs memo obtained by ProPublica erects new roadblocks to care for veterans with the rare but deadly cancer. The agency cites no new science but relies on an executive orde...
www.propublica.org
October 29, 2025 at 11:24 AM
Reposted by Michael Shepherd
As debate goes on about the future of ACA premium tax credits, I wonder how many people realize that the federal government spent $384 billion last year providing a tax subsidy for employer-provided health benefits, with higher income people getting bigger subsidies.
October 24, 2025 at 1:58 PM
Reposted by Michael Shepherd
@oberlanderunc.bsky.social writes not just on persistence of US health care problems like cost, fragmentation, & inequity, but how these enduring features mask broader shifts in health coverage expansion & privatization in public programs, & what these shifts mean read.dukeupress.edu/jhppl/articl...
Same as It Ever Was? Persistence and Transformation in US Health Care Policy | Journal of Health Politics, Policy and Law | Duke University Press
read.dukeupress.edu
October 23, 2025 at 2:57 PM
Reposted by Michael Shepherd
@sarahgollust.bsky.social Yujin Kim, Paul Espinoza Kissell & @efranklinfowler.bsky.social employ large-scale computational text tools to analyze the breadth of what JHPPL has published over the years (most common: health care access & insurance). read.dukeupress.edu/jhppl/articl...
Using New Techniques to Examine the Past: A Computational Assessment of the First 50 Years of the Journal of Health Politics, Policy and Law | Journal of Health Politics, Policy and Law | Duke Univers...
read.dukeupress.edu
October 23, 2025 at 2:54 PM
Reposted by Michael Shepherd
We at JHPPL are now 50! (So much for getting to stay 49 again...) Our former editor @oberlanderunc.bsky.social & new editor @sarahgollust.bsky.social trace our interdisciplinary origins & the many health politics/policy/law challenges we've faced the last 50 yrs. read.dukeupress.edu/jhppl/articl...
October 23, 2025 at 2:50 PM
My take on what Michigan should consider while navigating applying for funds from the “Rural Health Transformation Program.”
October 22, 2025 at 11:13 PM
Reposted by Michael Shepherd
Their complaints that Dems oppose the “rural hospital fund” are so hilarious.

Kind of like: “I’m going to burn down your house and give you a chocolate chip cookie instead.”

“That sounds terrible.”

“What you don’t like chocolate chip cookies!?”
October 11, 2025 at 2:59 PM
Reposted by Michael Shepherd
First responders detail the deadly cost of rural hospital closures. Rural hospitals are vanishing, and Medicaid cuts could accelerate the collapse.
abcnews.go.com/US/loss-life...
'It can be a loss of life': First responders detail the deadly cost of rural hospital closures
Across the country, hospitals are vanishing, and a new wave of Medicaid cuts could accelerate the collapse.
abcnews.go.com
October 11, 2025 at 3:12 AM
Reposted by Michael Shepherd
Jonathan Leider, Mac McCullough, Jason Orr & Beth Resnick analyze recent reductions in public health funding and these cuts' disproportionate impact on rural and low-resource communities. While some communities will be able to offset losses, many will not. read.dukeupress.edu/jhppl/articl...
Nationwide Consequences, Rural Devastation: The Unequal Toll of Public Health Spending Reductions | Journal of Health Politics, Policy and Law | Duke University Press
read.dukeupress.edu
October 8, 2025 at 6:45 PM
Reposted by Michael Shepherd
Sam Halabi, Lawrence Gostin, Kayla Wontumi, John Kraemer & Anjola Tega examines politicization of science & health institutions, observing weakening of regulation and dissemination of false & misleading information about scientific knowledge, eroding credibility. read.dukeupress.edu/jhppl/articl...
Science and Public Health in the Trump Era: The Dismantling of Evidence and Institutions and Proposals for Reconstruction | Journal of Health Politics, Policy and Law | Duke University Press
read.dukeupress.edu
October 8, 2025 at 6:42 PM
Reposted by Michael Shepherd
Mohammad Abba-Aji & Sandro Galea apply the social determinants of health framework to examine the many non-health agency cuts being implemented & affecting health, highlighting systemic threats to the broader policy infrastructure that promotes population health. read.dukeupress.edu/jhppl/articl...
The Health Implications of US Federal Changes to Non-Health Structures and Policies | Journal of Health Politics, Policy and Law | Duke University Press
read.dukeupress.edu
October 8, 2025 at 6:30 PM