Rebecca Fielding-Miller
@rebeccafieldingmiller.com
Mom. Social epidemiologist. Professional angry feminist. Jewish San Diegan.
"So-called expert" on terminated science
Associate Professor of Public Health at UC San Diego.
"So-called expert" on terminated science
Associate Professor of Public Health at UC San Diego.
Pinned
A refusal to abandon HIV science : AIDS
An abstract is unavailable.
journals.lww.com
I am *so* proud to have co-authored this piece with my brilliant colleagues @abigailmhatcher.bsky.social and @kldunkle.bsky.social. It was initially written over a month ago, but becomes more timely every day.
We lay out 5 principles:
(1/x)
journals.lww.com/aidsonline/f...
We lay out 5 principles:
(1/x)
journals.lww.com/aidsonline/f...
Reposted by Rebecca Fielding-Miller
This thread perfectly explains why AI has little value for qualitative research.
Yes, large language models can find patterns in qualitative data. But, they're trained on what we already know. So, they won't find anything surprising. And, surprise is qualitative research's primary value-add.
Yes, large language models can find patterns in qualitative data. But, they're trained on what we already know. So, they won't find anything surprising. And, surprise is qualitative research's primary value-add.
Absolutely right.
AI might be able to summarize (poorly) what we currently know, but a major goal of historical research is to find the hidden surprises out there.
Let me illustrate …
AI might be able to summarize (poorly) what we currently know, but a major goal of historical research is to find the hidden surprises out there.
Let me illustrate …
Not a historian but like to research. The AI might summarize what I'm looking for, but it doesn't find what I'm *not* looking for. The book on the shelf next to the one I wanted. The insight in chapter 6 based on the quote I needed from chapter 4.
December 24, 2025 at 9:05 PM
This thread perfectly explains why AI has little value for qualitative research.
Yes, large language models can find patterns in qualitative data. But, they're trained on what we already know. So, they won't find anything surprising. And, surprise is qualitative research's primary value-add.
Yes, large language models can find patterns in qualitative data. But, they're trained on what we already know. So, they won't find anything surprising. And, surprise is qualitative research's primary value-add.
I am strongly considering going back to a physical course reader and textbook for my undergrad class, and am trying to think through how to do it in a way that supports students with dyslexia or who would benefit from screen readers. Super curious what others are trying/thinking?
December 24, 2025 at 11:25 PM
I am strongly considering going back to a physical course reader and textbook for my undergrad class, and am trying to think through how to do it in a way that supports students with dyslexia or who would benefit from screen readers. Super curious what others are trying/thinking?
Reposted by Rebecca Fielding-Miller
Now published…
We Reject the Use of Generative Artificial Intelligence for Reflexive Qualitative Research - Tanisha Jowsey, Virginia Braun, Victoria Clarke, Deborah Lupton, Michelle Fine, 2025
journals.sagepub.com/doi/10.1177/...
We Reject the Use of Generative Artificial Intelligence for Reflexive Qualitative Research - Tanisha Jowsey, Virginia Braun, Victoria Clarke, Deborah Lupton, Michelle Fine, 2025
journals.sagepub.com/doi/10.1177/...
We Reject the Use of Generative Artificial Intelligence for Reflexive Qualitative Research - Tanisha Jowsey, Virginia Braun, Victoria Clarke, Deborah Lupton, Michelle Fine, 2025
Four hundred and nineteen experienced qualitative researchers from 32 countries invite readers of Qualitative Inquiry to consider their position on use of gener...
journals.sagepub.com
December 23, 2025 at 6:48 AM
Now published…
We Reject the Use of Generative Artificial Intelligence for Reflexive Qualitative Research - Tanisha Jowsey, Virginia Braun, Victoria Clarke, Deborah Lupton, Michelle Fine, 2025
journals.sagepub.com/doi/10.1177/...
We Reject the Use of Generative Artificial Intelligence for Reflexive Qualitative Research - Tanisha Jowsey, Virginia Braun, Victoria Clarke, Deborah Lupton, Michelle Fine, 2025
journals.sagepub.com/doi/10.1177/...
Reposted by Rebecca Fielding-Miller
I'm Danish-American and I think Denmark is a model country of a great welfare state. When it comes to healthcare, however -even if universal - it is very far from perfect.
As for vaccines, there are many deficiencies in Denmark with the US having significantly better (current..) recommendations.
As for vaccines, there are many deficiencies in Denmark with the US having significantly better (current..) recommendations.
December 18, 2025 at 10:40 PM
I'm Danish-American and I think Denmark is a model country of a great welfare state. When it comes to healthcare, however -even if universal - it is very far from perfect.
As for vaccines, there are many deficiencies in Denmark with the US having significantly better (current..) recommendations.
As for vaccines, there are many deficiencies in Denmark with the US having significantly better (current..) recommendations.
Reposted by Rebecca Fielding-Miller
if you are new around here, Joy & Spite is my mantra for this administration. We do things out of joy to spite them, and we do spiteful things to them to give us joy.
bsky.app/profile/most...
bsky.app/profile/most...
Hello new followers, I always know when @gregpak.net has been at it again! LOL
If you are here for practical politics, can I invite you to take part in my daily ritual?
Every day we do one thing that we'll love, and one thing that they'll hate.
Joy for us, spite for them. The ultimate power duo.
If you are here for practical politics, can I invite you to take part in my daily ritual?
Every day we do one thing that we'll love, and one thing that they'll hate.
Joy for us, spite for them. The ultimate power duo.
Today's spiteful task: leaving a voicemail for Katie Britt asking her not to support men who don't think she should have a career.
Today's somehow even more futile task: not barfing when I asked the same of Tommy fucking Tuberville.
Today's joy: I focaccia'd again.
Today's somehow even more futile task: not barfing when I asked the same of Tommy fucking Tuberville.
Today's joy: I focaccia'd again.
December 22, 2025 at 4:52 AM
if you are new around here, Joy & Spite is my mantra for this administration. We do things out of joy to spite them, and we do spiteful things to them to give us joy.
bsky.app/profile/most...
bsky.app/profile/most...
Reposted by Rebecca Fielding-Miller
prescient www.theverge.com/business/793...
Memo to Bari Weiss Re: CBS News: You’re doomed
Bari Weiss has sold her company, The Free Press, to manage the decline of broadcast news at CBS. How many ways can it go wrong?
www.theverge.com
December 22, 2025 at 3:33 AM
prescient www.theverge.com/business/793...
Reposted by Rebecca Fielding-Miller
Yeah so when you read a summary of an overview of an area you don’t become a subject matter expert. You’re just a guy who read a Wikipedia article.
December 21, 2025 at 8:47 PM
Yeah so when you read a summary of an overview of an area you don’t become a subject matter expert. You’re just a guy who read a Wikipedia article.
Your job as an expert - especially an academic expert - is to not only read the paper but to know enough about the field, the authors, and the current blood feuds to catch whatever shady subtext is happening in that paper
December 21, 2025 at 9:13 PM
Your job as an expert - especially an academic expert - is to not only read the paper but to know enough about the field, the authors, and the current blood feuds to catch whatever shady subtext is happening in that paper
Reposted by Rebecca Fielding-Miller
“I trust my immune system. I don’t need a vaccine.”
Ok, I trust mine to protect me too. Which is why I trained it extensively on what the virus looks like so it can handle it.
Boxers don’t enter the ring without a plan. It’s the punch you don’t see coming that knocks you out.
Ok, I trust mine to protect me too. Which is why I trained it extensively on what the virus looks like so it can handle it.
Boxers don’t enter the ring without a plan. It’s the punch you don’t see coming that knocks you out.
December 21, 2025 at 5:00 PM
“I trust my immune system. I don’t need a vaccine.”
Ok, I trust mine to protect me too. Which is why I trained it extensively on what the virus looks like so it can handle it.
Boxers don’t enter the ring without a plan. It’s the punch you don’t see coming that knocks you out.
Ok, I trust mine to protect me too. Which is why I trained it extensively on what the virus looks like so it can handle it.
Boxers don’t enter the ring without a plan. It’s the punch you don’t see coming that knocks you out.
The week before hannukah you will think to yourself, "is 5lbs of potatoes even enough for the party? How long could it possibly take if I went with 10lbs instead?"
It's very important that you tell yourself to shut that shit down *immediately*
It's very important that you tell yourself to shut that shit down *immediately*
December 21, 2025 at 7:32 PM
The week before hannukah you will think to yourself, "is 5lbs of potatoes even enough for the party? How long could it possibly take if I went with 10lbs instead?"
It's very important that you tell yourself to shut that shit down *immediately*
It's very important that you tell yourself to shut that shit down *immediately*
Reposted by Rebecca Fielding-Miller
The end goal is eugenicist. RFK and his ilk know that this will make vaccines more expensive and time-consuming — and therefore marginalized children are most likely to fall through the cracks.
This is about killing kids who aren't born to privilege.
www.washingtonpost.com/health/2025/...
This is about killing kids who aren't born to privilege.
www.washingtonpost.com/health/2025/...
U.S. plans to stop recommending most childhood vaccines, defer to doctors
The plan, which is not finalized, suggests children get fewer shots and shifts to a model telling parents to consult doctors to make their own vaccine choices.
www.washingtonpost.com
December 19, 2025 at 11:38 PM
The end goal is eugenicist. RFK and his ilk know that this will make vaccines more expensive and time-consuming — and therefore marginalized children are most likely to fall through the cracks.
This is about killing kids who aren't born to privilege.
www.washingtonpost.com/health/2025/...
This is about killing kids who aren't born to privilege.
www.washingtonpost.com/health/2025/...
I am rapidly becoming a single issue voter, and that issue is ensuring LIFETIME MEANINGFUL CONSEQUENCES for the monsters who have done so much damage to human life.
BREAKING: RFKJr directs that the US instantly stop recommending all vaccinations for children. www.washingtonpost.com/health/2025/...
Under RFK Jr., U.S. plans to stop recommending most vaccines, defer to doctors
The plan, which is not finalized, suggests children get fewer shots and shifts to a model telling parents to consult doctors to make their own vaccine choices.
www.washingtonpost.com
December 20, 2025 at 12:52 AM
I am rapidly becoming a single issue voter, and that issue is ensuring LIFETIME MEANINGFUL CONSEQUENCES for the monsters who have done so much damage to human life.
Reposted by Rebecca Fielding-Miller
🚨 THE FINAL TWO 🚨
From thirty-two candidates, we’ve now made it to the final round where Elon Musk and Peter Thiel will face off for the crown.
Who will win? You decide!
🗳️ Cast your ballot: twsu.forms.app/wpit25-final
From thirty-two candidates, we’ve now made it to the final round where Elon Musk and Peter Thiel will face off for the crown.
Who will win? You decide!
🗳️ Cast your ballot: twsu.forms.app/wpit25-final
December 19, 2025 at 2:07 PM
🚨 THE FINAL TWO 🚨
From thirty-two candidates, we’ve now made it to the final round where Elon Musk and Peter Thiel will face off for the crown.
Who will win? You decide!
🗳️ Cast your ballot: twsu.forms.app/wpit25-final
From thirty-two candidates, we’ve now made it to the final round where Elon Musk and Peter Thiel will face off for the crown.
Who will win? You decide!
🗳️ Cast your ballot: twsu.forms.app/wpit25-final
Not just asking Chanda directly, because she's busy, but I'm curious to know where else this trend is documented in articles or news? I've only seen it anecdotally so far and would love citations
We see this in very literal form as Cambridge, MA's tech community is shifting investments from life sciences to death sciences
www.thecrimson.com/article/2025...
www.thecrimson.com/article/2025...
www.thecrimson.com
December 19, 2025 at 4:59 PM
Not just asking Chanda directly, because she's busy, but I'm curious to know where else this trend is documented in articles or news? I've only seen it anecdotally so far and would love citations
Cheers to my beloved fighters, data protectors, receipt keepers, and the lawyers who help us do it.
Keep going.
www.thenation.com/article/soci...
Keep going.
www.thenation.com/article/soci...
The Public Health Heroes of 2025
The Trump administration wants to destroy our health infrastructure. These warriors aren't letting that happen without a fight.
www.thenation.com
December 19, 2025 at 4:32 PM
Cheers to my beloved fighters, data protectors, receipt keepers, and the lawyers who help us do it.
Keep going.
www.thenation.com/article/soci...
Keep going.
www.thenation.com/article/soci...
Reposted by Rebecca Fielding-Miller
"We don't want to be Luddites --" brother, Luddites were opposed to bosses concentrating wealth by using technology to make inferior product with warehouses fulls of starving exploited child labor. You don't have to wear the team jersey but respect the game.
December 18, 2025 at 5:04 PM
"We don't want to be Luddites --" brother, Luddites were opposed to bosses concentrating wealth by using technology to make inferior product with warehouses fulls of starving exploited child labor. You don't have to wear the team jersey but respect the game.
Reposted by Rebecca Fielding-Miller
"when we were finished, [Stephen Miller] comes up to me to shake my hand and say goodbye. And he says to me, “You know, you have a lot of power in the discretion you use to be kind to people.” And I looked at him and I said, “You know, you do, too.”
www.washingtonpost.com/style/power/...
www.washingtonpost.com/style/power/...
December 17, 2025 at 10:19 PM
"when we were finished, [Stephen Miller] comes up to me to shake my hand and say goodbye. And he says to me, “You know, you have a lot of power in the discretion you use to be kind to people.” And I looked at him and I said, “You know, you do, too.”
www.washingtonpost.com/style/power/...
www.washingtonpost.com/style/power/...
Reposted by Rebecca Fielding-Miller
This is bad. Very bad. @sherylnyt.bsky.social @ddiamond.bsky.social @helenbranswell.bsky.social @maxkozlov.bsky.social
December 17, 2025 at 8:48 PM
This is bad. Very bad. @sherylnyt.bsky.social @ddiamond.bsky.social @helenbranswell.bsky.social @maxkozlov.bsky.social
Reposted by Rebecca Fielding-Miller
This is completely and utterly unethical, unacceptable and disgraceful.
Thread on the topic incoming.
H/t @beansproutsmom.bsky.social for the heads up
Thread on the topic incoming.
H/t @beansproutsmom.bsky.social for the heads up
Seems interesting that CDC is awarding $1.6M to a university in Denmark to study Hep B vaccine in Guinea-Bissau given recent CDC vax changes and FDA's Hoeg's connections to Denmark. Does this study sound ethical?
public-inspection.federalregister.gov/2025-23245.p...
public-inspection.federalregister.gov/2025-23245.p...
public-inspection.federalregister.gov
December 17, 2025 at 3:55 PM
This is completely and utterly unethical, unacceptable and disgraceful.
Thread on the topic incoming.
H/t @beansproutsmom.bsky.social for the heads up
Thread on the topic incoming.
H/t @beansproutsmom.bsky.social for the heads up
Reposted by Rebecca Fielding-Miller
The trans-hating governor of California lionizing the president responsible for the AIDS crisis? Shocking.
December 17, 2025 at 2:42 AM
The trans-hating governor of California lionizing the president responsible for the AIDS crisis? Shocking.
We keep that guy's statue in the basement of the state capitol for a reason. No thanks.
The presidency once served as a reminder of our common humanity. Ronald Reagan described its purpose as building "a nation composed of good and decent people."
December 17, 2025 at 4:02 AM
We keep that guy's statue in the basement of the state capitol for a reason. No thanks.
Reposted by Rebecca Fielding-Miller
I am constantly baffled/enraged (baffleraged?) that people who dedicate their lives to solving really, really hard problems will simply throw up their hands and say its too hard to leave the building and ask 20 normal human beings what they think about their (theoretically) clever new idea/message
December 16, 2025 at 6:07 PM
I am constantly baffled/enraged (baffleraged?) that people who dedicate their lives to solving really, really hard problems will simply throw up their hands and say its too hard to leave the building and ask 20 normal human beings what they think about their (theoretically) clever new idea/message
Oh nooooooo
Did you know that from tomorrow, Qualtrics is offering synthetic panels (AI-generated participants)?
Follow me down a rabbit hole I'm calling "doing science is tough and I'm so busy, can't we just make up participants?"
Follow me down a rabbit hole I'm calling "doing science is tough and I'm so busy, can't we just make up participants?"
December 16, 2025 at 6:05 PM
Oh nooooooo
Reposted by Rebecca Fielding-Miller
As we mourn Rob Reiner, don’t skip this: he was, pretty much, personally responsible for overturning California’s Prop 8 banning same sex marriage.
www.hollywoodreporter.com/business/bus...
www.hollywoodreporter.com/business/bus...
How Rob Reiner became anti-Prop. 8 kingpin
Rob Reiner reflects on the critical role he played in getting California's gay marriage ban overturned.
www.hollywoodreporter.com
December 15, 2025 at 1:37 PM
As we mourn Rob Reiner, don’t skip this: he was, pretty much, personally responsible for overturning California’s Prop 8 banning same sex marriage.
www.hollywoodreporter.com/business/bus...
www.hollywoodreporter.com/business/bus...