Joe
@angelelli.bsky.social
Gerontologist & health services researcher PhD, dad, husband, former care partner for mom with dementia ❤️ age-friendly life, tree plantings and Pittsburgh History 🥧
This + co-operative, community-grounded models of ownership and collaboration + braided public & private investment in multigenerational housing with services = Connected Communities
Health Care Groups Aim To Counter Growing ‘National Scandal’ of Elder Homelessness - KFF Health News
The housing crisis is requiring creative scrambling and new partnerships from health care organizations to keep older patients out of expensive nursing homes as homelessness grows.
kffhealthnews.org
August 30, 2025 at 8:36 PM
This + co-operative, community-grounded models of ownership and collaboration + braided public & private investment in multigenerational housing with services = Connected Communities
Virtually all of State Sen. Devlin Robinson’s (R) 37th district will see cuts to ACCESS (paratransit). How many older adults will it impact in the municipalities of his district?
How many veterans receiving HCBS will be harmed when their caregivers can no longer get to them due to bus route cuts?
How many veterans receiving HCBS will be harmed when their caregivers can no longer get to them due to bus route cuts?
August 25, 2025 at 1:44 AM
Virtually all of State Sen. Devlin Robinson’s (R) 37th district will see cuts to ACCESS (paratransit). How many older adults will it impact in the municipalities of his district?
How many veterans receiving HCBS will be harmed when their caregivers can no longer get to them due to bus route cuts?
How many veterans receiving HCBS will be harmed when their caregivers can no longer get to them due to bus route cuts?
Reposted by Joe
Last week I posted a short thread about social media traffic/engagement and how @bsky.app has skyrocketed to driving a significant chunk of traffic to ACASignups.net in less than a year.
Here's an updated visualization of how dramatic the fall of Twitter/X & the rise of Bluesky has been over time:
Here's an updated visualization of how dramatic the fall of Twitter/X & the rise of Bluesky has been over time:
August 1, 2025 at 5:00 PM
Last week I posted a short thread about social media traffic/engagement and how @bsky.app has skyrocketed to driving a significant chunk of traffic to ACASignups.net in less than a year.
Here's an updated visualization of how dramatic the fall of Twitter/X & the rise of Bluesky has been over time:
Here's an updated visualization of how dramatic the fall of Twitter/X & the rise of Bluesky has been over time:
Reposted by Joe
A reminder that I've completely updated my main House District healthcare enrollment spreadsheet.
You can quickly look up total estimated enrollment in ACA exchange plans, Medicaid, CHIP, Medicare, Employer/Other coverage & Uninsured for all 435 House districts + DC
docs.google.com/spreadsheets...
You can quickly look up total estimated enrollment in ACA exchange plans, Medicaid, CHIP, Medicare, Employer/Other coverage & Uninsured for all 435 House districts + DC
docs.google.com/spreadsheets...
Healthcare Program Enrollment by U.S. Congressional District
docs.google.com
July 30, 2025 at 9:45 PM
A reminder that I've completely updated my main House District healthcare enrollment spreadsheet.
You can quickly look up total estimated enrollment in ACA exchange plans, Medicaid, CHIP, Medicare, Employer/Other coverage & Uninsured for all 435 House districts + DC
docs.google.com/spreadsheets...
You can quickly look up total estimated enrollment in ACA exchange plans, Medicaid, CHIP, Medicare, Employer/Other coverage & Uninsured for all 435 House districts + DC
docs.google.com/spreadsheets...
Reposted by Joe
Misplaced keys? Forgotten grocery items? Is it more than normal aging that merits an #Alzheimer biomarker for brain amyloid?
Our editorial argues that we should be wary of the marketing push for the use of blood based biomarkers in primary care. #medsky #Alz
jamanetwork.com/journals/jam...
Our editorial argues that we should be wary of the marketing push for the use of blood based biomarkers in primary care. #medsky #Alz
jamanetwork.com/journals/jam...
The Limited Role of Alzheimer Disease Blood-Based Biomarkers in Primary Care
This Viewpoint examines the use of blood-based biomarkers to test for Alzheimer disease and outlines why they should not be the first or only tool used in screening for cognitive impairment.
jamanetwork.com
May 12, 2025 at 8:18 PM
Misplaced keys? Forgotten grocery items? Is it more than normal aging that merits an #Alzheimer biomarker for brain amyloid?
Our editorial argues that we should be wary of the marketing push for the use of blood based biomarkers in primary care. #medsky #Alz
jamanetwork.com/journals/jam...
Our editorial argues that we should be wary of the marketing push for the use of blood based biomarkers in primary care. #medsky #Alz
jamanetwork.com/journals/jam...
Reposted by Joe
Ah, public lobbying against Medicaid cuts by the behemoth health care groups (AMA, AHA, AHIP) on seems starting — just noticed that Politico Pulse was sponsored all week by AHA, with this message
May 9, 2025 at 3:02 PM
Ah, public lobbying against Medicaid cuts by the behemoth health care groups (AMA, AHA, AHIP) on seems starting — just noticed that Politico Pulse was sponsored all week by AHA, with this message
Reposted by Joe
Rural health was already precarious and these cuts will further erode care.
Medicaid Cuts Would Threaten Rural Hospitals www.americanprogress.org/article/medi... by @kierrajones.bsky.social @nzmurphy.bsky.social @andreaducas.bsky.social @jillrose.bsky.social via @americanprogress.bsky.social
Medicaid Cuts Would Threaten Rural Hospitals www.americanprogress.org/article/medi... by @kierrajones.bsky.social @nzmurphy.bsky.social @andreaducas.bsky.social @jillrose.bsky.social via @americanprogress.bsky.social
Medicaid Cuts Would Threaten Rural Hospitals
190 rural hospitals in 34 Medicaid expansion states are at immediate risk of closure. Slashing Medicaid could push them over the edge.
www.americanprogress.org
May 5, 2025 at 11:31 PM
Rural health was already precarious and these cuts will further erode care.
Medicaid Cuts Would Threaten Rural Hospitals www.americanprogress.org/article/medi... by @kierrajones.bsky.social @nzmurphy.bsky.social @andreaducas.bsky.social @jillrose.bsky.social via @americanprogress.bsky.social
Medicaid Cuts Would Threaten Rural Hospitals www.americanprogress.org/article/medi... by @kierrajones.bsky.social @nzmurphy.bsky.social @andreaducas.bsky.social @jillrose.bsky.social via @americanprogress.bsky.social
What are the local costs of dementia, the Pittsburgh MSA?
U.S. Dementia Costs to Exceed $780 Billion This Year, USC-Led Research Finds
A multidisciplinary dementia cost project led by USC provides updated estimates of the financial toll on patients, care partners and society.
gero.usc.edu
May 1, 2025 at 10:46 PM
What are the local costs of dementia, the Pittsburgh MSA?
Reposted by Joe
Researchers at Annenberg and @umdscience.bsky.social show that proposed NIH funding cuts lead to an estimated $16 billion in economic loss and 68,000 jobs lost nationwide. Learn about their project and view the interactive map here:
Data-Driven, Interactive Map Shows Local Economic Impact of Cuts to Federal Funding for Health Research
www.asc.upenn.edu
April 3, 2025 at 6:57 PM
Researchers at Annenberg and @umdscience.bsky.social show that proposed NIH funding cuts lead to an estimated $16 billion in economic loss and 68,000 jobs lost nationwide. Learn about their project and view the interactive map here:
Reposted by Joe
Western PA will lose $313 million: Allegheny County $259 million; Westmorland County $20 million; Beaver County $12 million; Butler and Washington Counties $11 million each.
March 28, 2025 at 11:05 PM
Western PA will lose $313 million: Allegheny County $259 million; Westmorland County $20 million; Beaver County $12 million; Butler and Washington Counties $11 million each.
Reposted by Joe
New @commonwealthfund.org estimates from GW researchers on economic impact of $880 billion in #Medicaid cuts. Includes single-year state-by-state effects on economic activity, job losses and state tax revenues: Also includes impact of SNAP cuts. www.commonwealthfund.org/publications...
March 25, 2025 at 2:49 PM
New @commonwealthfund.org estimates from GW researchers on economic impact of $880 billion in #Medicaid cuts. Includes single-year state-by-state effects on economic activity, job losses and state tax revenues: Also includes impact of SNAP cuts. www.commonwealthfund.org/publications...
Reposted by Joe
It’s not just that we should stop cuts for Medicaid that pay for billionaires’ tax cut.
It’s also that we should be taxing billionaires to expand Medicaid.
It’s also that we should be taxing billionaires to expand Medicaid.
March 19, 2025 at 4:44 PM
It’s not just that we should stop cuts for Medicaid that pay for billionaires’ tax cut.
It’s also that we should be taxing billionaires to expand Medicaid.
It’s also that we should be taxing billionaires to expand Medicaid.
Reposted by Joe
#PA17 Christopher Deluzio (D)
@deluzio.house.gov
~4% of total population in #ACA exchange plans
~18% of total population in #Medicaid/CHIP
~25% of total population in #Medicare
@deluzio.house.gov
~4% of total population in #ACA exchange plans
~18% of total population in #Medicaid/CHIP
~25% of total population in #Medicare
March 14, 2025 at 5:13 PM
#PA17 Christopher Deluzio (D)
@deluzio.house.gov
~4% of total population in #ACA exchange plans
~18% of total population in #Medicaid/CHIP
~25% of total population in #Medicare
@deluzio.house.gov
~4% of total population in #ACA exchange plans
~18% of total population in #Medicaid/CHIP
~25% of total population in #Medicare
Reposted by Joe
📣 OK, everyone: I've burned through Indiana, Iowa, Kansas & Kentucky today.
I'm about 40% of the way done (176 districts down, 260 left to go).
As a reminder, sources & methodology are linked here. Shout-out to @kff.org & @centeronbudget.bsky.social for much of it.
acasignups.net/program-enro...
I'm about 40% of the way done (176 districts down, 260 left to go).
As a reminder, sources & methodology are linked here. Shout-out to @kff.org & @centeronbudget.bsky.social for much of it.
acasignups.net/program-enro...
Pie Charts Galore! Medicaid, CHIP, ACA & Medicare enrollment by Congressional District
NOTE: This is a work in progress. Check back soon as I'm adding more states every day. Over the past couple of months I've compiled a master spreadsheet breaking out enrollment in ACA plans (Qualified...
acasignups.net
March 8, 2025 at 12:07 AM
📣 OK, everyone: I've burned through Indiana, Iowa, Kansas & Kentucky today.
I'm about 40% of the way done (176 districts down, 260 left to go).
As a reminder, sources & methodology are linked here. Shout-out to @kff.org & @centeronbudget.bsky.social for much of it.
acasignups.net/program-enro...
I'm about 40% of the way done (176 districts down, 260 left to go).
As a reminder, sources & methodology are linked here. Shout-out to @kff.org & @centeronbudget.bsky.social for much of it.
acasignups.net/program-enro...
State and local leaders mobilize to support laid off workers to move to communities that can thrive with more good people. Good Guy Billionaires should fund 2 year stipends.
Not just shark tank standing up companies, but invest in whole communities.
Not just shark tank standing up companies, but invest in whole communities.
govwesmoore.bsky.social: “Here’s how we’re supporting Maryland’s federal public servants, strengthening their communities, and protecting our local economies.”
This #CupOfJoe is for Wes & other Democratic governors who are leading the opposition. More of this, please!
This #CupOfJoe is for Wes & other Democratic governors who are leading the opposition. More of this, please!
March 7, 2025 at 1:24 PM
State and local leaders mobilize to support laid off workers to move to communities that can thrive with more good people. Good Guy Billionaires should fund 2 year stipends.
Not just shark tank standing up companies, but invest in whole communities.
Not just shark tank standing up companies, but invest in whole communities.
Reposted by Joe
KFF’s Health Policy 101 is a comprehensive resource for those interested in learning more about U.S. health policy.
Our newest chapter explores functions and history of public health, examines how public health is governed and delivered in the U.S., and more: on.kff.org/3QJy5nM
Our newest chapter explores functions and history of public health, examines how public health is governed and delivered in the U.S., and more: on.kff.org/3QJy5nM
March 6, 2025 at 5:51 PM
KFF’s Health Policy 101 is a comprehensive resource for those interested in learning more about U.S. health policy.
Our newest chapter explores functions and history of public health, examines how public health is governed and delivered in the U.S., and more: on.kff.org/3QJy5nM
Our newest chapter explores functions and history of public health, examines how public health is governed and delivered in the U.S., and more: on.kff.org/3QJy5nM
Reposted by Joe
This is really smart by @sanders.senate.gov Go to republican districts and push voters to pressure their republican reps.
www.commondreams.org/news/bernie-...
www.commondreams.org/news/bernie-...
Thousands in Midwestern GOP Districts Attend Sanders' First Stops on Tour to Fight Oligarchy | Common Dreams
Senator Bernie Sanders is on a mission to fight oligarchy and empower the people. With a powerful message against Trumpism and billionaire influence, he's rallying Americans to stand up for democracy....
www.commondreams.org
February 23, 2025 at 4:34 PM
This is really smart by @sanders.senate.gov Go to republican districts and push voters to pressure their republican reps.
www.commondreams.org/news/bernie-...
www.commondreams.org/news/bernie-...
Reposted by Joe
Fed worker firings, funding freeze, NIH cuts, potential Medicaid cuts, and on will deeply damage PA from cities to rural areas.
Yet defeaning silence from state/local chambers and other biz advocates in Pennsylvania on these potentially catastrophic Trump-Musk-GOP attacks on local economies.
🤔
Yet defeaning silence from state/local chambers and other biz advocates in Pennsylvania on these potentially catastrophic Trump-Musk-GOP attacks on local economies.
🤔
February 19, 2025 at 1:13 PM
Fed worker firings, funding freeze, NIH cuts, potential Medicaid cuts, and on will deeply damage PA from cities to rural areas.
Yet defeaning silence from state/local chambers and other biz advocates in Pennsylvania on these potentially catastrophic Trump-Musk-GOP attacks on local economies.
🤔
Yet defeaning silence from state/local chambers and other biz advocates in Pennsylvania on these potentially catastrophic Trump-Musk-GOP attacks on local economies.
🤔
Reposted by Joe
My dad did all that a good citizen should do. He served in Korea, worked for 60+ years, raised kids who loved the US. Unfortunately, he outlived his resources, so when he had to move to a memory care facility at 93, Medicaid & this country stepped up.
Hands Off My Medicaid
Hands Off My Medicaid
February 14, 2025 at 9:30 PM
My dad did all that a good citizen should do. He served in Korea, worked for 60+ years, raised kids who loved the US. Unfortunately, he outlived his resources, so when he had to move to a memory care facility at 93, Medicaid & this country stepped up.
Hands Off My Medicaid
Hands Off My Medicaid
Reposted by Joe
Dr. David Williams talking about study after study that shows the impact of racism on healthcare and medical decision-making.
Doctors, are you really going to stop talking about this?
Doctors, are you really going to stop talking about this?
February 13, 2025 at 5:01 PM
Dr. David Williams talking about study after study that shows the impact of racism on healthcare and medical decision-making.
Doctors, are you really going to stop talking about this?
Doctors, are you really going to stop talking about this?
Southwestern PA County-specific Medicaid fact sheets focused on eldercare and people living with disabilities (10 counties) www.swppa.org/policy/
Policy
Visit the post for more.
www.swppa.org
February 13, 2025 at 3:00 AM
Southwestern PA County-specific Medicaid fact sheets focused on eldercare and people living with disabilities (10 counties) www.swppa.org/policy/
Reposted by Joe
Reminder: If 230,000 more folks had simply voted for the black lady we’d all be arguing about the best way to get the Senate to vote to add long-term care to Medicare coverage right now.
February 11, 2025 at 4:21 AM
Reminder: If 230,000 more folks had simply voted for the black lady we’d all be arguing about the best way to get the Senate to vote to add long-term care to Medicare coverage right now.
Reposted by Joe
I just lost my job, along with most of my coworkers, due to the illegal grant freeze.
I worked at an organization that
-helped veterans who have lost a limb
-Assisted elderly and disabled people
-Helped hospitals better treat people who have lost limbs
I worked at an organization that
-helped veterans who have lost a limb
-Assisted elderly and disabled people
-Helped hospitals better treat people who have lost limbs
February 7, 2025 at 6:33 PM
I just lost my job, along with most of my coworkers, due to the illegal grant freeze.
I worked at an organization that
-helped veterans who have lost a limb
-Assisted elderly and disabled people
-Helped hospitals better treat people who have lost limbs
I worked at an organization that
-helped veterans who have lost a limb
-Assisted elderly and disabled people
-Helped hospitals better treat people who have lost limbs
Presenting these data at the County level is important too. County commissioners need to be educated on it
43,981 in Washington County, PA
5,380 are older adults & people w/ physical disabilities in nursing homes or receiving home & community-based care (to stay out of more costly nursing homes)
43,981 in Washington County, PA
5,380 are older adults & people w/ physical disabilities in nursing homes or receiving home & community-based care (to stay out of more costly nursing homes)
🚨 How many Americans rely on Medicaid or CHIP in *your* Congressional District? #HandsOffOurMedicaid
#Oklahoma: 988,000 (24% of total pop)
#Oregon: 1.30M (31% of total pop)
#Pennsylvania: 3.27M (25% of total pop)
#RhodeIsland: 306,000 (28% of total pop)
acasignups.net/25/01/29/how...
#Oklahoma: 988,000 (24% of total pop)
#Oregon: 1.30M (31% of total pop)
#Pennsylvania: 3.27M (25% of total pop)
#RhodeIsland: 306,000 (28% of total pop)
acasignups.net/25/01/29/how...
February 8, 2025 at 12:30 AM
Presenting these data at the County level is important too. County commissioners need to be educated on it
43,981 in Washington County, PA
5,380 are older adults & people w/ physical disabilities in nursing homes or receiving home & community-based care (to stay out of more costly nursing homes)
43,981 in Washington County, PA
5,380 are older adults & people w/ physical disabilities in nursing homes or receiving home & community-based care (to stay out of more costly nursing homes)
Reposted by Joe
Drugs are cheap, government-granted patent monopolies make them expensive. They are equivalent to tariffs of several thousand percent, but no one wants to talk about protectionism that makes people in the pharmaceutical industry very rich.
January 29, 2025 at 9:43 PM
Drugs are cheap, government-granted patent monopolies make them expensive. They are equivalent to tariffs of several thousand percent, but no one wants to talk about protectionism that makes people in the pharmaceutical industry very rich.