Adam Gaffney
awgaffney.bsky.social
Adam Gaffney
@awgaffney.bsky.social
Pulmonary & ICU doctor, assistant professor at Harvard Medical School, past president PNHP, author "To Heal Humankind", dabbler, tweets my own.
Webpage: https://dradamgaffney.com/
Google scholar: https://scholar.google.com/citations?user=KChlDTsAAAAJ&hl
Congratulations on this publication - important work
November 4, 2025 at 11:29 PM
... that they are SUBSIDIZING it. Yes, immigrants (including undocumented) pay more into public and private healthcare programs than they use in services, subsidizing the native-born.

inthesetimes.com/article/trum...
Trump’s Anti-Immigrant Claims on Healthcare Aren’t Just Xenophobic—They’re False
Far from draining the nation’s healthcare coffers, immigrants are actually shoring them up. But that reality is inconvenient for Republicans.
inthesetimes.com
October 30, 2025 at 4:27 AM
...eligible for Medicaid were it not for their immigration status, so-called "Emergency Medicaid" (<0.5% of Medicaid spending).

That is it.

This is just non-stop lying & scapegoating. Immigrants are not "taking" native-born Americans healthcare. In fact, research shows...
October 30, 2025 at 4:27 AM
...for whom it matters: Undocumented immigrants are not eligible for Medicaid, Medicare, or ACA subsidized plans, full stop. There is a negligible amount of Medicaid funds for hospitals that (as they should and legally must) provide emergency care to some people who would be...
October 30, 2025 at 4:27 AM
* associated with it amongst the powerful and influential
October 30, 2025 at 1:46 AM
Thanks Rob
August 15, 2025 at 1:55 PM
but also lead us to unhelpful remedies or to misunderstandings of our illness. Particularly during this age of unprecedented and politicized anti-vaccination fervor, the establishment of a dubious 'post-vaccination syndrome,' on shaky science, is dangerous."

Link below.
August 15, 2025 at 12:04 PM
This was how I concluded my STAT piece in March on "post-vaccination syndrome":

"But diagnoses are pragmatic constructs, structured both by biomedical realities and by social and political discourses. They can help us identify useful treatments and avoid injurious exposures,
August 15, 2025 at 12:04 PM
No doubt: this is a complex issue in the clinic, requiring care, nuance, and humility.

But **enshrining diagnoses** premised on cause-and-effect processes that may not be present helps no one.
August 15, 2025 at 12:04 PM
Challenging popular understandings of the underlying cause of non-specific symptom complexes is not popular, whether in the vaccine realm or in other domains.

These challenges are often criticized as "medical gaslighting", or more academically as "epistemic injustice."
August 15, 2025 at 12:04 PM
... higher depression/anxiety scores in the Yale study. This does not mean the vaccine caused it: it could also well be that depression was a driver of their physical symptoms, which is extremely common, a hypothesis that was not considered by the study authors.
August 15, 2025 at 12:04 PM
as the New York Times put it. Of course, as I wrote at the time, differences in some such parameters (many very small) could have many explanations — including depression itself, which is a biological process. Indeed, those with self-described post-vaccination syndrome had ...
August 15, 2025 at 12:04 PM
Once you accept that premise, and then run huge numbers of assays examining average differences in biological parameters, you will find some differences that can then be used to conclude that those with post-vaccine syndrome (PVS) have "distinct biological changes,"
August 15, 2025 at 12:04 PM
...published earlier this year, which generated so much excitement in right-wing anti-vaccine circles (not the fault of the authors) was the implicit premise of a "post-vaccination syndrome" definable by individuals' understanding of their symptoms being caused by vaccines.
August 15, 2025 at 12:04 PM