Joseph Ross
@jsross119.bsky.social
Primary care physician/health policy research @yaleschoolofmed.bsky.social; @ncspyale.bsky.social; healthy skeptic; @jama.com deputy editor; open science: YODAProject @yalecrrit.bsky.social @medrxivpreprint.bsky.social
Reposted by Joseph Ross
Here's our new article reporting findings from stakeholder interviews in which we hoped to learn what it takes to successfully complete rigorous confirmatory studies after accelerated approval. Instead, we mostly heard willingness to trade rigor for feasibility. 1/
academic.oup.com/healthaffair...
academic.oup.com/healthaffair...
Flexibility Over Rigor: Stakeholder Acceptance of the Limitations of Confirmatory Studies Following Accelerated Approval
Despite the importance of postmarketing requirements (PMRs) following accelerated approval and well-recognized shortcomings in their rigor and timeliness,
academic.oup.com
September 20, 2025 at 12:14 PM
Here's our new article reporting findings from stakeholder interviews in which we hoped to learn what it takes to successfully complete rigorous confirmatory studies after accelerated approval. Instead, we mostly heard willingness to trade rigor for feasibility. 1/
academic.oup.com/healthaffair...
academic.oup.com/healthaffair...
Most early attention on the H-1B EO imposing a $100k fee is focused on the tech industry (i.e., good story by @joshwingrovebbg.bsky.social and Spencer Soper) www.bloomberg.com/news/article.... However, this policy will have a huge impact on healthcare delivery systems and research enterprise (1/2)
Trump Shapes Gilded Age of US Immigration With $100,000 H-1B Fee
President Donald Trump took his most extensive step yet toward overhauling the US legal migration system, with a pair of proclamations that explicitly favor the wealthiest of the world’s prospective e...
www.bloomberg.com
September 22, 2025 at 1:02 PM
Most early attention on the H-1B EO imposing a $100k fee is focused on the tech industry (i.e., good story by @joshwingrovebbg.bsky.social and Spencer Soper) www.bloomberg.com/news/article.... However, this policy will have a huge impact on healthcare delivery systems and research enterprise (1/2)
"Climate change is no longer a problem for our grandchildren but is inflicting profound economic and health damage right now.” @markgongloff.bsky.social
Climate change is an economic emergency, part 1000:
More than $1 trillion in US wages has been lost to wildfire smoke alone in the past 5 years. Gift link to my column for @opinion.bloomberg.com
www.bloomberg.com/opinion/arti...
More than $1 trillion in US wages has been lost to wildfire smoke alone in the past 5 years. Gift link to my column for @opinion.bloomberg.com
www.bloomberg.com/opinion/arti...
$1 Trillion in American Wages Has Gone Up in Wildfire Smoke
The toxic haze is a nightmare for health and productivity.
www.bloomberg.com
September 10, 2025 at 3:57 PM
"Climate change is no longer a problem for our grandchildren but is inflicting profound economic and health damage right now.” @markgongloff.bsky.social
Kudos to @fda.gov leadership for following through on their efforts to promote transparency by posting CRLs for 2024 pending or withdrawn product applications. There is a lot that scientists, industry and clinicians can learn when FDA does not approve a product www.fiercebiotech.com/biotech/fda-...
FDA moves to publish drug rejection letters in real time, releases new batch including Replimune's high-profile snub
The FDA today announced a plan to p | The Food and Drug Administration today announced a plan to publicly release complete response letters at the same time they are issued to sponsoring companies, pa...
www.fiercebiotech.com
September 6, 2025 at 1:14 PM
Kudos to @fda.gov leadership for following through on their efforts to promote transparency by posting CRLs for 2024 pending or withdrawn product applications. There is a lot that scientists, industry and clinicians can learn when FDA does not approve a product www.fiercebiotech.com/biotech/fda-...
Great reporting on RFK "going wild" by sabotaging the @altcdc.altgov.info @dhruvkhullar.bsky.social www.newyorker.com/magazine/202...
September 6, 2025 at 1:02 PM
Great reporting on RFK "going wild" by sabotaging the @altcdc.altgov.info @dhruvkhullar.bsky.social www.newyorker.com/magazine/202...
Reposted by Joseph Ross
Florida Decided There Were Too Many Children
Florida Decided There Were Too Many Children
The state’s elimination of vaccine mandates is a courageous first step toward decluttering itself of any excess kids.
www.theatlantic.com
September 4, 2025 at 10:11 PM
Florida Decided There Were Too Many Children
Reposted by Joseph Ross
Florida Made a Vaccine Mistake. Now, It’s Everyone’s Problem.
Agree with @lisamjarvis.bsky.social, viruses don’t give a damn for state lines
www.bloomberg.com/opinion/arti...
Agree with @lisamjarvis.bsky.social, viruses don’t give a damn for state lines
www.bloomberg.com/opinion/arti...
Florida Made a Vaccine Mistake. Now, It’s Everyone’s Problem.
State efforts to protect access to shots are welcome, but they can’t compensate for others’ anti-science policies and a dysfunctional CDC.
www.bloomberg.com
September 4, 2025 at 8:20 PM
Florida Made a Vaccine Mistake. Now, It’s Everyone’s Problem.
Agree with @lisamjarvis.bsky.social, viruses don’t give a damn for state lines
www.bloomberg.com/opinion/arti...
Agree with @lisamjarvis.bsky.social, viruses don’t give a damn for state lines
www.bloomberg.com/opinion/arti...
Great story by @annaedney.bsky.social ... reminds me of what happened with Essure, as patients complaints went unheeded for years
In my @bloomberg.com Big Take out today I explored how Hologic pushed a medical device on breast cancer patients despite hundreds of complaints, most of which stayed buried until now
September 4, 2025 at 9:29 PM
Great story by @annaedney.bsky.social ... reminds me of what happened with Essure, as patients complaints went unheeded for years
"The American scientific enterprise is being unravelled before our eyes—research grants are being cut off, satellites disconnected, reports cooked up [by] particular industries and ideologies ... but in the end, the truth will [win] out." @billmckibben.bsky.social www.newyorker.com/news/the-led...
Trump’s Department of Energy Gets Scienced
International climate experts have extensively debunked the D.O.E.’s recent report, but will science win out?
www.newyorker.com
September 3, 2025 at 8:45 PM
"The American scientific enterprise is being unravelled before our eyes—research grants are being cut off, satellites disconnected, reports cooked up [by] particular industries and ideologies ... but in the end, the truth will [win] out." @billmckibben.bsky.social www.newyorker.com/news/the-led...
Reposted by Joseph Ross
“Physicians receiving payments were more likely to prescribe the company's drugs, with a stronger association for payments that were larger, sustained and recent.”
New work on bribes to Rx multiple sclerosis drugs by Sayed, @reshmagar.bsky.social @jsross119.bsky.social
New work on bribes to Rx multiple sclerosis drugs by Sayed, @reshmagar.bsky.social @jsross119.bsky.social
Industry payments to US neurologists related to multiple sclerosis drugs and prescribing (2015-2019): a retrospective cohort study - PubMed
Nearly 80% of neurologists prescribing MS drugs received at least one industry payment, with higher volume prescribers being more likely to receive payments. Physicians receiving payments were more li...
pubmed.ncbi.nlm.nih.gov
August 27, 2025 at 12:12 PM
“Physicians receiving payments were more likely to prescribe the company's drugs, with a stronger association for payments that were larger, sustained and recent.”
New work on bribes to Rx multiple sclerosis drugs by Sayed, @reshmagar.bsky.social @jsross119.bsky.social
New work on bribes to Rx multiple sclerosis drugs by Sayed, @reshmagar.bsky.social @jsross119.bsky.social
Reposted by Joseph Ross
"In a world accustomed to receiving real-time information, the process of publishing medical research remains trapped in a system designed for a slower era,” per @jsross119.bsky.social & colleagues from @utoronto.ca Med in @annalsofim.bsky.social
www.acpjournals.org/doi/10.7326/...
#peerreview
www.acpjournals.org/doi/10.7326/...
#peerreview
On a Slow Boat to Publication: Rethinking How We Disseminate Medical Research | Annals of Internal Medicine
www.acpjournals.org
September 1, 2025 at 11:01 PM
"In a world accustomed to receiving real-time information, the process of publishing medical research remains trapped in a system designed for a slower era,” per @jsross119.bsky.social & colleagues from @utoronto.ca Med in @annalsofim.bsky.social
www.acpjournals.org/doi/10.7326/...
#peerreview
www.acpjournals.org/doi/10.7326/...
#peerreview
Amazing data visualization illustrating how Grier family manipulated science to ‘prove’ vaccines cause autism. Key take-home: "those who claim to champion people with autism are denying them real research while undermining one of public health’s greatest achievements" www.nytimes.com/interactive/...
Opinion | The Playbook Used to ‘Prove’ Vaccines Cause Autism
Data can easily be manipulated to show a causation that doesn’t exist.
www.nytimes.com
August 19, 2025 at 11:29 AM
Amazing data visualization illustrating how Grier family manipulated science to ‘prove’ vaccines cause autism. Key take-home: "those who claim to champion people with autism are denying them real research while undermining one of public health’s greatest achievements" www.nytimes.com/interactive/...
Reposted by Joseph Ross
The EPA's disastrous plan to end the regulation of greenhouse gases & just let climate change run rampant. www.newyorker.com/news/the-led... via @elizkolbert.bsky.social
The E.P.A.’s Disastrous Plan to End the Regulation of Greenhouse Gases
With a new proposal, the Trump Administration, which has already laid waste to dozens of programs aimed at limiting climate change, has managed to outdo itself.
www.newyorker.com
August 4, 2025 at 10:15 PM
The EPA's disastrous plan to end the regulation of greenhouse gases & just let climate change run rampant. www.newyorker.com/news/the-led... via @elizkolbert.bsky.social
Reposted by Joseph Ross
1. On February 24, Extremity Care LLC, a company that sells very expensive bandages made from placentas, donated $5 MILLION TO TRUMP'S SUPER PAC
Days later, Trump froze a pending rule that would BAR MEDICARE FROM COVERING EXTREMITY CARE'S PRODUCTS, which are overpriced & not backed by science.
Days later, Trump froze a pending rule that would BAR MEDICARE FROM COVERING EXTREMITY CARE'S PRODUCTS, which are overpriced & not backed by science.
Days after $5 million donation to MAGA Inc., Trump freezes Medicare waste crackdown
Trump pledged to root out "waste, fraud and abuse." Then a big contribution to his Super PAC came in.
popular.info
August 4, 2025 at 1:52 PM
1. On February 24, Extremity Care LLC, a company that sells very expensive bandages made from placentas, donated $5 MILLION TO TRUMP'S SUPER PAC
Days later, Trump froze a pending rule that would BAR MEDICARE FROM COVERING EXTREMITY CARE'S PRODUCTS, which are overpriced & not backed by science.
Days later, Trump froze a pending rule that would BAR MEDICARE FROM COVERING EXTREMITY CARE'S PRODUCTS, which are overpriced & not backed by science.
"The esteemed climate scientist Michael Mann said the report was akin to the result he would expect “if you took a chatbot and you trained it on the top 10 fossil fuel industry-funded climate denier websites”."
www.theguardian.com/us-news/2025...
www.theguardian.com/us-news/2025...
Scientists slam Trump administration climate report as a ‘farce’ full of misinformation
Experts say the report being used to justify the mass rollback of climate regulations has many claims based on long-debunked research
www.theguardian.com
August 3, 2025 at 11:04 AM
"The esteemed climate scientist Michael Mann said the report was akin to the result he would expect “if you took a chatbot and you trained it on the top 10 fossil fuel industry-funded climate denier websites”."
www.theguardian.com/us-news/2025...
www.theguardian.com/us-news/2025...
Reposted by Joseph Ross
I have a new post over at The Climate Brink on how the recent DOE report on climate science and the EPA's proposed overturning of the endangerment finding used and misused my research: www.theclimatebrink....
How the DOE and EPA used and misused my research
Elevating contrarian views while burying the actual science
www.theclimatebrink.com
August 3, 2025 at 12:02 AM
I have a new post over at The Climate Brink on how the recent DOE report on climate science and the EPA's proposed overturning of the endangerment finding used and misused my research: www.theclimatebrink....
"If the US is no longer the world’s technoscientific superpower, it will almost certainly suffer for the change. America’s technology sector might lose its creativity. But science itself, in the global sense, will be fine. The deep human curiosities that drive it do not belong to any nation-state."
The rapid decline of American science has few precedents in history, argues @rossandersen.bsky.social. We are witnessing an unparalleled act of self-sabotage:
How Scientific Empires End
And what it means for America
bit.ly
August 1, 2025 at 7:11 PM
"If the US is no longer the world’s technoscientific superpower, it will almost certainly suffer for the change. America’s technology sector might lose its creativity. But science itself, in the global sense, will be fine. The deep human curiosities that drive it do not belong to any nation-state."
Reposted by Joseph Ross
A singular achievement in reporting and storytelling: The Men Trump Deported to a Salvadoran Prison, by @propublica.org and partners.
The Men Trump Deported to a Salvadoran Prison
On March 15, President Donald Trump’s administration sent more than 230 Venezuelan immigrants to a maximum-security prison in El Salvador. Last week, the men were released as suddenly as they’d been t...
projects.propublica.org
July 23, 2025 at 5:12 PM
A singular achievement in reporting and storytelling: The Men Trump Deported to a Salvadoran Prison, by @propublica.org and partners.
Reposted by Joseph Ross
High brand-name drug prices fall once a generic enters the market. In a new @journalgim.bsky.social article, Ravi Gupta, CRRIT Co-Director @jsross119.bsky.social, and colleagues from @portalresearch.org assess associations between patents, revenue, and generic competition.
July 21, 2025 at 3:35 PM
High brand-name drug prices fall once a generic enters the market. In a new @journalgim.bsky.social article, Ravi Gupta, CRRIT Co-Director @jsross119.bsky.social, and colleagues from @portalresearch.org assess associations between patents, revenue, and generic competition.
You cannot make this stuff up! @muskwatch.bsky.social reports that Musk's $9b neurotechnology company self-certified as a "small disadvantaged business", despite his >$400b net worth, and federal regs precluding designation to individuals with a net worth >$850k www.muskwatch.com/p/musks-neur...
Musk’s Neuralink falsified federal forms, claims to qualify for racial diversity program
The company, owned by the world's wealthiest man, says it is a "small disadvantaged business"
www.muskwatch.com
July 17, 2025 at 9:46 PM
You cannot make this stuff up! @muskwatch.bsky.social reports that Musk's $9b neurotechnology company self-certified as a "small disadvantaged business", despite his >$400b net worth, and federal regs precluding designation to individuals with a net worth >$850k www.muskwatch.com/p/musks-neur...
Reposted by Joseph Ross
988 contacts continue to grow; however, significant legislative changes to Medicaid are expected to result in less coverage and funding with implications for access to broader mental health services. www.kff.org/policy-watch...
Demand for 988 Continues to Grow at Third Anniversary | KFF
This policy watch examines 988 on its third anniversary, drawing from the latest Lifeline data available through May 2025 and suicide death data from CDC WONDER for the period 2013 to 2023. 988 receiv...
www.kff.org
July 17, 2025 at 3:44 PM
988 contacts continue to grow; however, significant legislative changes to Medicaid are expected to result in less coverage and funding with implications for access to broader mental health services. www.kff.org/policy-watch...
Reposted by Joseph Ross
Here is the full letter Comey, the daughter of former FBI director James Comey, sent to colleagues: www.politico.com/news/2025/07...
July 17, 2025 at 3:37 PM
Here is the full letter Comey, the daughter of former FBI director James Comey, sent to colleagues: www.politico.com/news/2025/07...
An incredibly sobering must-read piece by @peopledoctor.bsky.social in @newyorker.com on how the OBBA will impact children, especially those who get seriously ill, through Medicaid cuts, diminishing one of America's most important anti-poverty programs www.newyorker.com/news/the-led...
Sick Children Will Be Among the Victims of Trump’s Big Bill
Cuts to federal health-care spending make it harder for doctors to make the oldest promise in medicine: that we will do no harm.
www.newyorker.com
July 13, 2025 at 8:33 PM
An incredibly sobering must-read piece by @peopledoctor.bsky.social in @newyorker.com on how the OBBA will impact children, especially those who get seriously ill, through Medicaid cuts, diminishing one of America's most important anti-poverty programs www.newyorker.com/news/the-led...
“Trump’s law doesn’t protect Medicaid. It requires Americans to spend hundreds of millions of hours a year filling out tedious, unnecessary paperwork. It will cause millions to lose their health coverage, limiting access to care and forcing them into debt.” www.theatlantic.com/ideas/archiv...
Annoying People to Death
Why the Medicaid work requirement is a terrible idea
www.theatlantic.com
July 8, 2025 at 3:03 AM
“Trump’s law doesn’t protect Medicaid. It requires Americans to spend hundreds of millions of hours a year filling out tedious, unnecessary paperwork. It will cause millions to lose their health coverage, limiting access to care and forcing them into debt.” www.theatlantic.com/ideas/archiv...
Even @wsj.com is reporting (accurately) that millions of Americans will lose Medicaid coverage not because of lack of eligibility, but because of cumbersome paperwork, bureaucratic hurdles and noncompliance www.wsj.com/health/healt...
What Medicaid Work Requirements Mean for Enrollees
Policy analysts expect millions of Americans to lose coverage because of cumbersome paper work, bureaucratic hurdles and noncompliance
www.wsj.com
July 7, 2025 at 12:30 PM
Even @wsj.com is reporting (accurately) that millions of Americans will lose Medicaid coverage not because of lack of eligibility, but because of cumbersome paperwork, bureaucratic hurdles and noncompliance www.wsj.com/health/healt...