Luke Slawomirski
@lukeslawomirski.bsky.social
Health economist - father - reader - football/soccer tragic - X-survivor - views are mine only - repost not necessarily endorsement
September 18, 2025 at 1:11 AM
I wrote something about language and epistemics in health care ...
#healthpolicy #healtheconomics #valuebasedcare #cancerdrugs #philosophy
open.substack.com/pub/lukeslaw...
#healthpolicy #healtheconomics #valuebasedcare #cancerdrugs #philosophy
open.substack.com/pub/lukeslaw...
(re) Viva Wittgenstein
I attended a health policy conference recently where concepts like 'value', 'productivity', 'efficiency' and ‘equity’ were invoked in just about every session.
open.substack.com
August 27, 2025 at 3:18 AM
I wrote something about language and epistemics in health care ...
#healthpolicy #healtheconomics #valuebasedcare #cancerdrugs #philosophy
open.substack.com/pub/lukeslaw...
#healthpolicy #healtheconomics #valuebasedcare #cancerdrugs #philosophy
open.substack.com/pub/lukeslaw...
Routine Surveillance for Cancer Metastases — Does It Help or Harm Patients?
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
Routine Surveillance for Cancer Metastases — Does It Help or Harm Patients? | NEJM
Research generally suggests that routine surveillance after cancer treatment finds more recurrences — leading to more surgery, chemotherapy, and radiation — without affecting the risk of death.
www.nejm.org
May 1, 2025 at 1:01 AM
Routine Surveillance for Cancer Metastases — Does It Help or Harm Patients?
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
The Value Zeitgeist — Considering the Slowdown in Health Care Spending Growth
@nejm.org
www.nejm.org/doi/full/10....
@nejm.org
www.nejm.org/doi/full/10....
The Value Zeitgeist — Considering the Slowdown in Health Care Spending Growth | NEJM
Over the past two decades, the health care spending growth rate in the United States has declined. But reducing the emphasis on value-based care could lead to a resurgence in spending growth.
www.nejm.org
April 16, 2025 at 10:56 PM
The Value Zeitgeist — Considering the Slowdown in Health Care Spending Growth
@nejm.org
www.nejm.org/doi/full/10....
@nejm.org
www.nejm.org/doi/full/10....
Wow
Breaking news: The European Commission is issuing burner phones and basic laptops to some US-bound staff to avoid the risk of espionage — a measure traditionally reserved for trips to China www.ft.com/content/20d0...
April 14, 2025 at 2:38 PM
Wow
Reposted by Luke Slawomirski
Breaking news: The European Commission is issuing burner phones and basic laptops to some US-bound staff to avoid the risk of espionage — a measure traditionally reserved for trips to China www.ft.com/content/20d0...
April 14, 2025 at 12:13 PM
Breaking news: The European Commission is issuing burner phones and basic laptops to some US-bound staff to avoid the risk of espionage — a measure traditionally reserved for trips to China www.ft.com/content/20d0...
Cash is king … until inflation kicks in
April 7, 2025 at 4:07 AM
Cash is king … until inflation kicks in
This Administration is just DEI for mediocre white dudes isn’t it
April 6, 2025 at 9:47 AM
This Administration is just DEI for mediocre white dudes isn’t it
MAMS
(Make Australia More Stupid)
(Make Australia More Stupid)
April 6, 2025 at 12:19 AM
MAMS
(Make Australia More Stupid)
(Make Australia More Stupid)
each dollar spent on vaccination yields a $54 return
First, jab more babies
economist.com/leaders/2025...
First, jab more babies
economist.com/leaders/2025...
First, jab more babies
As aid shrinks, donors and recipients should focus more on health
economist.com
March 28, 2025 at 2:12 AM
each dollar spent on vaccination yields a $54 return
First, jab more babies
economist.com/leaders/2025...
First, jab more babies
economist.com/leaders/2025...
How hospitals inflate America’s giant health-care bill
Non-profit institutions are no help
economist.com
March 24, 2025 at 7:20 AM
Reposted by Luke Slawomirski
It's not perfect, but the PBS is an example of successful public policy. That's why US big pharma is coming after it.
Of course Australia's PBS is despised — it values safety, low prices and best value
www.crikey.com.au
March 21, 2025 at 11:22 PM
It's not perfect, but the PBS is an example of successful public policy. That's why US big pharma is coming after it.
Rumours on social media could cause sick people to feel worse
free access for 7 days
economist.com/science-and-...
free access for 7 days
economist.com/science-and-...
Rumours on social media could cause sick people to feel worse
They are powerful triggers of an inverse placebo effect
economist.com
March 22, 2025 at 9:43 AM
Rumours on social media could cause sick people to feel worse
free access for 7 days
economist.com/science-and-...
free access for 7 days
economist.com/science-and-...
Reposted by Luke Slawomirski
Big pharma is lobbying Trump to go after the PBS. There can be no higher praise for a scheme that works in the interests of sick Australians, not pharmaceutical companies.
Of course Australia's PBS is despised — it values safety, low prices and best value
www.crikey.com.au
March 21, 2025 at 3:45 AM
Big pharma is lobbying Trump to go after the PBS. There can be no higher praise for a scheme that works in the interests of sick Australians, not pharmaceutical companies.
Reposted by Luke Slawomirski
It's not perfect, but the PBS is an example of successful public policy. That's why US big pharma is coming after it.
Of course Australia's PBS is despised — it values safety, low prices and best value
www.crikey.com.au
March 20, 2025 at 11:21 PM
It's not perfect, but the PBS is an example of successful public policy. That's why US big pharma is coming after it.
Reposted by Luke Slawomirski
Grateful to @stevebenen.com for amplifying a post I made at CAMPAIGN TRAILS:
www.msnbc.com/rachel-maddo...
www.msnbc.com/rachel-maddo...
What Trump doesn’t know (but should) about the European Union
It’s not just that Trump is wrong about the EU being formed “to screw the United States.” It’s also the question of who put this absurdity in his head.
www.msnbc.com
March 15, 2025 at 10:50 PM
Grateful to @stevebenen.com for amplifying a post I made at CAMPAIGN TRAILS:
www.msnbc.com/rachel-maddo...
www.msnbc.com/rachel-maddo...
Reposted by Luke Slawomirski
The news has been more than a bit grim of late, so hooray for @carbonbrief.org providing some genuine and really meaningful **good** news: the UK's carbon emissions in 2024 were the lowest since 1872, because demand for fossil fuels just keeps decreasing.
www.carbonbrief.org/analysis-uk-...
www.carbonbrief.org/analysis-uk-...
March 12, 2025 at 10:47 PM
The news has been more than a bit grim of late, so hooray for @carbonbrief.org providing some genuine and really meaningful **good** news: the UK's carbon emissions in 2024 were the lowest since 1872, because demand for fossil fuels just keeps decreasing.
www.carbonbrief.org/analysis-uk-...
www.carbonbrief.org/analysis-uk-...
Reposted by Luke Slawomirski
"Oh what a massive surprise!" Said noone
No exodus to state sector after VAT added to private school fees, say English councils
Most say they have seen no impact on applications for year 7 places, despite warnings from those against policy
www.theguardian.com/education/20...
Most say they have seen no impact on applications for year 7 places, despite warnings from those against policy
www.theguardian.com/education/20...
No exodus to state sector after VAT added to private school fees, say English councils
Most say they have seen no impact on applications for year 7 places, despite warnings from those against policy
www.theguardian.com
March 10, 2025 at 8:00 AM
"Oh what a massive surprise!" Said noone
Reposted by Luke Slawomirski
PUBMED is down. This is disaster !!
We do not have the system and organization to replace it. (EuroPMC is great but not a replacement)
It is crystal clear that we cannot depend on critical systems provided by a single provider.
European reaction has to include science and science infrastructures.
We do not have the system and organization to replace it. (EuroPMC is great but not a replacement)
It is crystal clear that we cannot depend on critical systems provided by a single provider.
European reaction has to include science and science infrastructures.
March 2, 2025 at 10:18 AM
PUBMED is down. This is disaster !!
We do not have the system and organization to replace it. (EuroPMC is great but not a replacement)
It is crystal clear that we cannot depend on critical systems provided by a single provider.
European reaction has to include science and science infrastructures.
We do not have the system and organization to replace it. (EuroPMC is great but not a replacement)
It is crystal clear that we cannot depend on critical systems provided by a single provider.
European reaction has to include science and science infrastructures.
Reposted by Luke Slawomirski
Per Dr Atul Gawande, ex USAID: “All malaria supplies protecting 53 million people, mostly children, including bed nets, diagnostics, preventive drugs, and treatments – terminated.”
There are no words that sufficiently describe this level of cruelty and sadism.
There are no words that sufficiently describe this level of cruelty and sadism.
February 28, 2025 at 5:16 AM
Per Dr Atul Gawande, ex USAID: “All malaria supplies protecting 53 million people, mostly children, including bed nets, diagnostics, preventive drugs, and treatments – terminated.”
There are no words that sufficiently describe this level of cruelty and sadism.
There are no words that sufficiently describe this level of cruelty and sadism.
Reposted by Luke Slawomirski
External studies have shown:
-NIH funding directly or indirectly supported the development of ALL new treatments that were FDA approved between 2010-2020
-the return on NIH investment is estimated at 25-40% annually given the improvement in productivity from a healthier workforce
Facts matter.
-NIH funding directly or indirectly supported the development of ALL new treatments that were FDA approved between 2010-2020
-the return on NIH investment is estimated at 25-40% annually given the improvement in productivity from a healthier workforce
Facts matter.
February 11, 2025 at 7:24 PM
External studies have shown:
-NIH funding directly or indirectly supported the development of ALL new treatments that were FDA approved between 2010-2020
-the return on NIH investment is estimated at 25-40% annually given the improvement in productivity from a healthier workforce
Facts matter.
-NIH funding directly or indirectly supported the development of ALL new treatments that were FDA approved between 2010-2020
-the return on NIH investment is estimated at 25-40% annually given the improvement in productivity from a healthier workforce
Facts matter.
I wonder what big pharma — which essentially freerides on NIH research output — thinks of these cuts?
OMB's Russell Vought wants to slash funding for NIH, which helped develop a "miracle drug" for cystic fibrosis that his daughter received. “We’re extremely grateful to live in a nation that leads the way on medical innovation,” Vought's wife wrote in a 2021 post. www.motherjones.com/politics/202...
Project 2025 is gutting medical funding that helped Russell Vought's own kid
Its architect's daughter has cystic fibrosis—and benefits from a "miracle drug" backed by an agency he's attacking.
www.motherjones.com
February 12, 2025 at 3:10 AM
I wonder what big pharma — which essentially freerides on NIH research output — thinks of these cuts?
shouldn’t the question be if and to what extent a ‘fully’ funded fire dpt. could have a. prevented the fires and b. minimised the damage?
Looking at the reports the answer is probably: not by much
(we live in a ‘high risk’ bushfire area in Western Australia)
Looking at the reports the answer is probably: not by much
(we live in a ‘high risk’ bushfire area in Western Australia)
January 10, 2025 at 12:20 AM
shouldn’t the question be if and to what extent a ‘fully’ funded fire dpt. could have a. prevented the fires and b. minimised the damage?
Looking at the reports the answer is probably: not by much
(we live in a ‘high risk’ bushfire area in Western Australia)
Looking at the reports the answer is probably: not by much
(we live in a ‘high risk’ bushfire area in Western Australia)
Reposted by Luke Slawomirski
In Australia its a cheaper to cause an oil spill than to get a nursing degree
In Norway they tax their oil industry and give kids free degrees while in Australia we subsidise the oil industry and charge kids a fortune to go to uni
Priorities matter
In Norway they tax their oil industry and give kids free degrees while in Australia we subsidise the oil industry and charge kids a fortune to go to uni
Priorities matter
Accused by a whistleblower of covering up an oil spill that killed dolphins and sea snakes, Santos get fined just $10k 🤯
Santos spends up to $US3.3m per year on a private jet for their executives so I don’t think AUD10k is going to hurt them.
www.abc.net.au/news/2025-01...
Santos spends up to $US3.3m per year on a private jet for their executives so I don’t think AUD10k is going to hurt them.
www.abc.net.au/news/2025-01...
Gas giant Santos fined $10,000 for 25,000-litre oil spill off Pilbara coast
The energy giant has pleaded guilty to causing an oil spill in 2022, that leaked 25,000 litres of oil off WA's north-west coast. Santos will pay a $10,000 fine and $9,700 in court costs for failing to...
www.abc.net.au
January 7, 2025 at 5:45 AM
In Australia its a cheaper to cause an oil spill than to get a nursing degree
In Norway they tax their oil industry and give kids free degrees while in Australia we subsidise the oil industry and charge kids a fortune to go to uni
Priorities matter
In Norway they tax their oil industry and give kids free degrees while in Australia we subsidise the oil industry and charge kids a fortune to go to uni
Priorities matter