joseph m. gabriel is expressing vague ideas with little clarity
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jmgabriel.bsky.social
joseph m. gabriel is expressing vague ideas with little clarity
@jmgabriel.bsky.social
Personal account.

#histmed, pharma, public health, drugs. Sometimes IP, bioethics, critical med ed, pedagogies of care. Gardening. N Florida. a small axe

Papers - https://tinyurl.com/288f3phs
Book Med Monopoly: IP and Origins of Modern Pharma Industry
"bureaucratic fight"
November 11, 2025 at 2:16 PM
I know you weren't. But you still deserve some
November 11, 2025 at 2:34 AM
I'm also worried about that part of it in terms of how reductions in subsidies translate into cascading effects re: wages, spending, etc. as people lose insurance. Do you have a sense of any of that?
November 11, 2025 at 2:32 AM
Yeah absolutely
November 11, 2025 at 2:26 AM
also... thank you for all you do
November 11, 2025 at 2:07 AM
Yeah, i mean some folks are of course. it just seems to have been eliminated from most of the political discourse

I actually suspect this might have been a deliberate part of the Dem strategy to focus on the ACA subsidies
November 11, 2025 at 2:06 AM
...does the hospital I rely on for emergency care survive the cuts? I sure hope so. But I'm not counting on it. So what happens if it closes? Can a university town - a major driver of economic activity in the region - function without a hospital?

I really hope we don't find out
November 11, 2025 at 1:56 AM
To take just one example: here in Tallahassee, the major hospital in town takes care of a ton of medicaid patients because... well, because people in the surrounding region are poor and the healthcare infrastructure in the rural areas down here is bad. So...
November 11, 2025 at 1:56 AM
..now, I'm not an economist, and I'm not really sure how this side of it works, but I'm very concerned about downstream and cascading effects of all this
November 11, 2025 at 1:56 AM
They are also a massive redistribution of wealth from federal spending in the healthcare sector, which translates into wages, consumer spending, etc. into the financial sector through tax cuts for the wealthy...
November 11, 2025 at 1:56 AM
The Medicaid cuts are going to eliminate health care for many poor people and devastate the rural and safety net hospital system. They are going to take a wrecking ball to whatever passes for an eldercare system in this country. They are an assault on the disabled and essentially eugenic in nature
November 11, 2025 at 1:37 AM
Until you tell us you are calling for Schumer to resign this just sounds patronizing
November 11, 2025 at 1:15 AM
Senator, do you, personally, have people you love who may die because of this vote?

No?

Then I don't think you "get it"
November 11, 2025 at 12:18 AM
so you think me being angry about the medicaid cuts and the harm it is going to cause, including to people i care about, means my feelings are 'under developed'? And you claim to care about people?

whatever
November 11, 2025 at 12:02 AM
fuck off. None of us made this problem and you being a shit to me doesnt help

harm reduction is a philosophy of care based in compassion and recognizing the humanity of people who suffer. signing off on a budget that destroys medicaid and will kill a lot of poor people is not that
November 10, 2025 at 11:44 PM
Yes
November 10, 2025 at 5:36 PM
Reposted by joseph m. gabriel is expressing vague ideas with little clarity
We are less than a week after a massive Democratic blowout against Republicans that flipped multiple jurisdictions, while Republicans were being blamed for the shut down and Trump was being booed in public. And the 4D chess caucus thought “NOW is the time to stop fighting?” It’s inexplicable logic.
November 10, 2025 at 2:31 PM
fwiw i agree with you about the part about white supremacy
November 10, 2025 at 8:20 AM